243706 Central City Concern's Recuperative Care Program: Transforming the hospital discharge for patients facing homelessness

Monday, October 31, 2011: 9:30 AM

Nic Granum, MPA, EMT-B , Recuperative Care Program, Central City Concern, Portland, OR
Hospitals and major medical providers are faced with serving patients who are ready for discharge, but are held unnecessarily or return immediately to the emergency department because of social barriers, lack of primary care/insurance and homelessness. Through an innovative partnership started in 2005, Portland, OR area hospitals refer eligible patients to the Recuperative Care Program, paying for housing and direct services provision for socially complex and medically vulnerable homeless adults and produce net savings for participating hospitals via reductions in uncompensated care. These patients are often in need of social service assistance, behavioral health and substance abuse recovery and specialized housing placement. Central City Concern's Recuperative Care Program creates connections for hospitals, HMO's and health agencies to immediate housing, specialized and intensive case management and a primary care home with immediate post-hospital follow up for their most vulnerable patients. Patients are picked up from the hospital (not dropped off on the shelter steps), given their own room, and are immediately established with a primary care doctor and a multi-disciplinary case management team, transforming the patients experience of their health care, lowering the costs for the population and most importantly, improving clinical outcomes.

Learning Areas:
Administration, management, leadership
Clinical medicine applied in public health
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
1. Describe how funding this clinical intervention (immediate housing, primary care and intensive case management at hospital discharge) improves the health of the population served and the scope of services. 2. Assess the improvements in patient's experience of care as they transition out of the hospital. 3. Analyze the enormous return on investment and cost savings for hospital and insurance funders as a result of providing this clinical intervention.

Keywords: Homeless Health Care, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am program manager for the Recuperative Care Program, the intervention being discussed in the submitted abstract.
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.