182907 100% Access Healthcare Initiative: Strengthening community capacity to care for uninsured and underinsured residents through collaboration

Tuesday, October 28, 2008: 3:00 PM

Susan E. Stearns, MBA, MA , 100% Access Healthcare Initiative, United Way of Lane County, Springfield, OR
Erin C. Owen, MPH , Health Policy Research Northwest, Eugene, OR
Ken Provencher, MBA , PacifcSource Health Plans, Springfield, OR
Priscilla Gould , 100% Access Healthcare Initiative, United Way of Lane County, Springfield, OR
The 100% Access Healthcare Initiative formed as a result of the United Way of Lane County's 2004 Community Needs and Assets Study. Results indicated that for the first time, access to healthcare, affordable medications and health insurance were the top three needs of people in Lane County, Oregon across all socioeconomic, age and geographic groups. For the past two years, the Coalition which includes health plans, hospitals, government, physician organizations, nonprofit organizations, and local businesses has been working to build upon the existing network of healthcare services to create a system of coordinated, collaborative services for uninsured and underinsured individuals.

The 100% Access Healthcare Initiative provides an example of how community-based collaborations are working to expand access to care for the uninsured. Community-based solutions resulting from local collaborations will improve coordination across existing organizations that serve low-income and uninsured residents. The collaboration also allows for local financial resources across the public and private sectors to be better managed until more systemic healthcare reform proposals emerge from a state or national level.

100% Access projects are data driven through diverse community assessment projects including county-wide Emergency Department utilization and telephone surveys. 100% Access partners are currently implementing a community pilot project that aims to organize healthcare (including mental health and dental care) and social services for the uninsured. The Coalition has also established a prescription voucher system, strengthened mental health and healthcare safety net capacity and spearheaded efforts to bring a bilingual chronic disease management program to the community.

Learning Objectives:
1. Discuss an example of strong community collaboration working on a county-level system of care for the uninsured. 2. Identify existing resources that could potentially collaborate to provide and coordinate basic preventive health services for uninsured and low-income residents. 3. Identify useful community assessment tools and strategies that have helped frame the coalition work plan and agenda.

Keywords: Access to Care, Community Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 15 year of experience with public-private partnerships that have worked on major policy issues. I have presented at other regional and national conference. Lane County, Oregon's coalition is recognized statewide and nationally for its broad leadership and significant scope of work.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
United Way of Lane County Director, 100% Access Healthcare Initiative Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.