Medical & Social Services Working Together to Improve Health - - PowerPoint PPT Presentation

Medical & Social Services Working Together to Improve Health

February 29, 2016

Moderator: Peter Adler, Molina Healthcare Today’s Panelists: Robin Fenn, Snohomish County Human Services Tom Sebastian, Compass Health Kate Parker, Mercy Housing Northwest

Robin Fenn, PhD, LICSW Research Manager Snohomish County Human Services

Slide Title

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Community Resource Paramedic

Recognizes that frequent utilizers of 9-1-1 and EMS may have underlying social and human services needs Works with social and human service providers to divert these patients to the right services at the right time Improves quality of life, decreases use of emergency crisis system (including EMS and emergency departments)

CHronic utilizer Alternative Response Team (CHART)

City of Everett initiative to target frequent utilizers of multiple systems (law enforcement, EMS, jail, courts, ED) Recognizes that for many frequent utilizers of these systems, there are underlying social and human services needs Brings traditionally silo’ed parts of the overall system together to address these needs

Molina/EMS/Sno Co Human Services Project

Identifies the frequent utilizers of EMS for several Sno Co fire agencies who are enrollees of Molina Health Care Matches them together so that Molina Health Care can provide care coordination/disease management Improves quality of life, decreases utilization of ED and EMS, reduces spending

What Do All of These Projects Have in Common?

• Doing the right thing for the right reason
• Facilitating that the right people get to the right services at

the right time

• Recognizing that health is more than a physical condition
• Improving the social determinants of health improves health
• Making sure we are cost saving not cost shifting
• Building strong collaborative partnerships across systems

that don’t always align

• Using data to improve the work that we do and to show the

impacts of that work

Tom Sebastian President and CEO, Compass Health Co-CEO, Behavioral Health Northwest

Snohomish County Crisis/Triage Center

• Serves adults in mental health

and/or addiction related crises

• First responder direct drop off
• Registered nurses on each shift

Cliff Bailey Center

• Adult behavioral health services at

all levels of care

• Genoa Healthcare Specialty Pharmacy
• Northstar Apartments
• Peer Recovery Center
• Bridgeways Employment Services

Camp Mariposa

• Partnership with the Moyer Foundation

as Washington State partner

• Serves youth of parents with

substance use disorders

• Non traditional setting to support lives

filled with recovery and purpose

Kate Parker Regional Director, Resident Services Mercy Housing Northwest

What we know …

• Population health (only 20% is

medical care)

• Health starts with housing
• MHNW Program model incorporates

social determinants of health Is what we do transferrable and can we get it to scale?

Resident

Health & Wellness Community

Financial Stability

OST/ Youth Programs Housing Stability

2014 - Bringing Health Home

Community Health Worker Program

• Paid Staff - shared culture and linguistics –

relationships of trust

• 7 properties – MHNW, KCHA, InterIM CDA
• 6 languages represented + partners

Year 1: 1,420 residents connected to healthcare activities

Residents engaged in 12,304 health/wellness activities Rate of uninsured reduced by 50% for those residents connected to services

Year 2: Clients take part in Best-Practice programs; receive

cancer screenings; connected to healthcare activities; total number of healthcare activities

Residents in their HOMES

Access to Primary Care Nutrition & Access to food Emotional well-being Referrals Physical Activities Prevention & Risk Reduction Education Benefit Enrollment

Next steps/questions

• Metrics
• Partnerships
• Revenue
• Systems

Taking it to the next level

Questions for our Panelists

Thank you for joining

• ur session today