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Sí Texas: Social Innovation for a

Healthy South Texas Presented by Jennifer Knoulton, RNVice President of Regional Operations

Yes to in Texas =

Identify  strategies  that  are  effectively  improving  health  outcomes  in  communities  with  high  rates  of  poverty  and  the  co ‐occurrence  of  depression,  diabetes,  obesity  and  associated  risk  factors.

• 8  Subgrantees  • 9  Rigorous  EvaluaƟons  • Supports:  Capacity  Building,  Training,  

Monitoring,  TA  

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Project Target Area

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Who  we  are  serving:

The  average  Si  Texas  beneficiary  is  female,  Hispanic,  and  45‐54  years  old. 

The  average  participant  has  mild  depression.

Minimal Severe

6.9

65

The  average  participant  scored  65  out  of  100  on  the  general  health  domain  of  the  Duke  Quality  of  Life  Survey.  

The Problem: Chronic Disease Systolic:

The average participant is diabetic, with an A1c of 7.9…

7.9

High Norma

Has an average Body Mass Index of 33.8, which is classified as obese…

33.8

Obese Norma

And pre‐hypertensive, with a blood pressure reading of 131.6/79

Hypertens ve Norma Pre Hypertens ve

131.6 Systolic:

Diastolic: 79

“ The Solution: IBH

[Intervention  patients  have]  expressed  how  happy  they  are  with  the  services  of  the  

dietician,  the  education  they  have  

received  about  nutrition,  the  self‐education.  I  have  

heard  such  excellent  things  about  how  

pleased  they  are  to  have  the  resources  available  to  them.  That  has  been  a  

wonderful  piece  of  this  project.”

   

     Tropical Texas Behavioral Health Baseline 6 month 12 month 150

Diastolic 78.7 72

0

125.58 116.2

Systolic

   

       Rural Economic Assistance League (REAL)

Baseline 6 month 12 month 150

82.3 78

131.9 126.4

Systolic

Diastolic

0

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A  Philanthropic  Desert 7  of  the  12 counties  in  the  region  have  NO  foundations  that  fund  health  initiatives.

Majority  of  foundations  that  do  fund  health  initiatives  concentrate  on  most  populous  counties.  Funding  doesn’t  spread  outwards  to  rural  counties  most  in  need  of  support.

Methodist  Healthcare  Ministries  funds  85+  organizations  and  over  120  programs  spread  across  74  counties  in  South  Texas. • $26.7  million in  2017;  more  than  $230  million 

since  inception • There  are  73  FQHCs  in  the  state;  Methodist 

Healthcare  Ministries  currently  funds  68%  of  the  FQHCs  within  its  service  area,  many  of  which  have existing  IBH  services.

Growing our Partnerships

Valley  Baptist  Legacy  Foundation  The  Meadows  Foundation,  Inc.  The  Guadalupe  &  Lilia  Martinez  Foundation Lamar  Bruni  Vergara  Trust  Hogg  Foundation  for  Mental  Health 

Mercy  Caritas  The  John  G.  &  Marie  Stella  Kenedy Memorial  Foundation Alice  Kleberg  Reynolds  Foundation  Superior  Health  Plan

CAPACITY  BUILDING Program  Excellence  Training  Series:  Quarterly  trainings  on  clinical  and  operations  topics  specific  to  integrated  behavioral  health  and  population  health  models.

Targeted  Technical  Assistance:  Group  or  1:1  focused  on  capacity  needs  identified  through  CCAT  results  and  interpretation.  

Grantee  Network:  Facilitated  learning  circle  among  Si  Texas  organizations  for  improved  leadership,  productivity,  communication  and  information  sharing.

EVALUATION Subgrantee‐level:  Effectiveness  of  each  subgrantee’s IBH  program  in  unique  South  Texas  communities

Portfolio‐level:  Combined  impact  of  the  Project ’s  interventions

Empowerment  evaluation  approach

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SIF INTERMEDIARY Methodist  Healthcare  Ministries

CO ‐INVESTORS

SUBGRANTEES

SUBGRANTEE  PARTNERS

BENEFICIARIES

REGIONAL

STATEWIDE

NATIONAL

Thank You!

Connect with us! info@mhm.org

@mhmstx #mhmsitexas

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