one touch: creating healthy and energy efficient housing ellen tohn tohn environmental strategies...
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One Touch: Creating Healthy and Energy Efficient Housing
Ellen TohnTohn Environmental
Strategies2014
Slide Title• Home visiting programs
for energy, health, and housing repairs have limited scope while family needs are broad.
• Opportunities to connect families to added services are missed.
• Opportunities to reduce program costs (e.g., intake, wasted visits)
The Need
Slide Title• Creates effective e-referrals • Provides added health services to families
to reduce health care expenses and improve health outcomes
• Reduces energy use, addressing climate change and lowering family energy bills
• Develops public private partnerships & collaboration to fill local gaps in service
• Improves home visitor capabilities
One Touch Solution
Slide Title• New HUD General NOFA provides extra
points for:– Collaboration among health, housing and
energy– Use of common assessment and referral
procedures– Bringing multiple funding streams to assist
clients– Engaging health care payers/providers
• One Touch helps you structure programs to achieve these HUD goals
Added Benefit for HUD Funds
Slide Title
1 Omaha NE2 Greensboro NC3 Fitchburg MA4 Minneapolis MN5 Vermont6 New Hampshire7 Burlington VT
One Touch Sites
••••
•
•
Slide TitleFamilies “Touched” Each Year
Issue NH Omaha Vermont Minn.
Health 2600 2200 7,000 3400
Energy
1800(1,000 low income)
1150(400 low income)
4,000 2500
Housing
800 200 1300+ 1600
Health Benefits of Energy “Touches”
• Healthier babies - 20% less likely to be underweight for age or length
Reduced hospital stays in colder months - 30% less likely to require admission after visiting emergency room.
Source: Frank et al, Heat or Eat, Pediatrics, 2006
Slide Title• Improved asthma outcomes if
weatherization added to community health worker visits (Bryesse, 2013)
• Weatherization yielded fewer sinus infections, reduced asthma medication use (Wilson, 2013)
Health Benefits of Energy “Touches”
Slide TitleManchester, NH Referrals
• 95 units –Initial Pilot• 9 partnering agencies• 70% of homes needed at least one
referral• 127 referrals. Most common : lead,
energy, smoking cessation, social services, housing repairs
• Adds 15 minutes to home visit• Referrals initially tracked on
Google.docs, moved to state supported system
Summary DataDouglas County Health
87
City Lead Hazard Control
48
City Rehab 39
City Handyman (Elderly)
14
Habitat for Humanity (Roofs)
65
ReBuilding Together 86
OHKA (Healthy Home)
117
Weatherization 19
Fire Department (Alarms)
7
Tobacco Free Nebraska
6
City Emergency Repair
6
Other 7
Total Responses 280
Slide Title
One Touch Program (8 -12 months)
Kick Off MeetingsEngage Partners
Develop Tools & Pilot (1-4 months)
Develop Check up Forms, Electronic Referral & Outcome MeasuresEngage PartnersPilot Test
Refine Tools & Expand Reach(5-12 months)
Modify Tools & ApproachPartner AdoptionSign Compact/MOU
Typical Timeline
Slide TitleNH Referral Commitments• MOU among Health,
Housing, and Weatherization
• Lead to track referrals statewide
• MCH home visits complete One Touch assessments & e-referrals
Health
WX
Housing
Slide Title• Secured significant Kresge Healthy
Homes Grant,• Assisting City in maintaining
Weatherization presence• Connections to Rebuilding and Habitat • Program is institutionalized• Will position them for HUD
Omaha Benefits
Slide Title• Closer collaboration among
weatherization, city rehab, and lead• Local CDC developed green and healthy
rehab specs• Considering linking new tablet for code
enforcement with One Touch software
Fitchburg MA Benefits
Slide TitleMoving ForwardSpread The Word.... One Touch can happen without significant new funding
Contact: Ellen Tohn, Tohn Environmental Strategies 508-358-7770; [email protected]