224678 Bridging healthcare and housing to end homelessness and improve health: Learnings from urban communities

Tuesday, November 9, 2010 : 9:30 AM - 9:45 AM

Catherine Craig, LMSW, MPA , National Programs, Common Ground, New York, NY
Lara Weinstein, MD , Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA
Abbie Santana, MSPH , Family & Community Medicine, Thomas Jefferson University, Philadelphia, PA
Benjamin Henwood, LSW , Pathways to Housing - Philaldephia, Philadelphia, PA
Monica Medina McCurdy, MHS, PA-C , Health Services, Project H.O.M.E., Philadelphia, PA
Maria Raven, MD, MPH, MSc , Department of Emergency Medicine, Health and Hospitals Corporation & NYU Medical Center, New York, NY
Homelessness is associated with multiple health determinants: poverty, lack of social supports, hunger, unemployment, and suboptimal health care access. In the context of rising health care costs, nearly 2/3 of Medicaid recipients who are high cost due to frequent hospital admissions are homeless or unstably housed (Raven, MC et al, 2008). If effectively partnered with community-based organizations, the healthcare system can be an important point of intervention to improve medical care, social care and efficiency. This presentation will showcase the work of a network of communities addressing the health of community members experiencing homelessness by strengthening partnerships between health care, social service and housing providers. Specific emphasis will be on three urban communities' experiences in coordinating complex care with individuals whose health needs are not being met as evidenced by suboptimal use of health services. Strategies include eliciting clients' definitions of “quality health care,” the development of integrated care management teams, close linkages between primary and inpatient care, and the integration of healthcare and supportive housing. Client-level care models and systems integration will be explored. Focus will be on applying the Institute for Healthcare Improvement's Triple Aim: developing interventions that improve population health and patient experience of care while decreasing costs. Data measures and preliminary outcomes will be shared for chronic disease management, hospital utilization and associated costs, engagement in primary care, and housing placement. Replication and scale-up of successful interventions will be discussed.

Learning Areas:
Chronic disease management and prevention
Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health
Program planning
Provision of health care to the public

Learning Objectives:
Identify practical strategies to improve health and end homelessness while decreasing unnecessary health care costs Evaluate the impact of permanent supportive housing on homelessness, health, and societal costs of care Describe the value of community partnerships among healthcare and social service providers to address vulnerable individuals’ health and social needs

Keywords: Homeless Health Care, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee a national learning community aimed at developing community partnerships to improve health of people experiencing homelessness.
Any relevant financial relationships? No

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.