whole person care · 2019-03-11 · whole person care city approach align align whole person care...
TRANSCRIPT
![Page 1: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/1.jpg)
WHOLE PERSON CARE SACRAMENTO PILOT PROGRAM
![Page 2: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/2.jpg)
WHAT IS WHOLE PERSON CARE?
Statewide pilot program for vulnerable Medi-Cal patients to improve health outcomes and reduce utilization of
high-cost services
Whole Person Care
Collaborative Leadership
Targeted Populations
Patient Centered
Care Coordination of Services
Across Sectors
Shared Data
Financial Flexibility
![Page 3: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/3.jpg)
WHOLE PERSON CARE City Approach
ü Integrate & Expand Outreach
ü Develop Data Sharing Capacity
ü Comprehensive Care Coordination
ü On-Going Housing Support
WPC Outreach
211 Sacramento
Emergency Shelters
Sacramento Fire
PD Impact Team
Clinics
Emergency Rooms
Data Manager/ System
identify target population
WPC Care Coordination
Case Management
SMI, AOD
referrals
Supportive services
Dental referrals
WPC Housing Services
• Landlord relationships • Housing search • Administer subsidies • 24/7 on-going support • Eviction prevention • Damage funds
Permanent Housing Subsidies
Health Plans
if homeless or at imminent risk
ICP+ Beds
![Page 4: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/4.jpg)
WHOLE PERSON CARE City Approach
Align Whole Person Care services with homeless Point-in-Time needs Align
Integrate Whole Person Care with existing resources: • City General funded homeless programs • Continuum of Care programs via Sacramento Steps Forward • SHRA housing programs • County systems and services
Integrate
Use Whole Person Care to leverage funding and programs to increase capacity throughout the entire homeless system of care Catalyze
![Page 5: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/5.jpg)
WHOLE PERSON CARE Part of a Larger System
People in need WPC Touchpoints • healthcare • shelter • mobile
Community Referrals
Common Assessment
(health & housing)
via community queue Not
WPC eligible
WPC eligible
Care Coordination/ Case Management
Prevention/ Diversion
imminently at risk
Flex
ible
$
Rapid Re-Housing ~350
SHRA Housing ~1,000
Non Subsidized Market Housing
New Permanent Supportive Housing
literally homeless
CoC
Hou
sing
Pr
ogra
ms
Transitional Housing
Rapid Re-Housing ~ 450
Perm Supportive Hsg. ~ 525
6,800 people
3,250 people
1,625 people
Expanded
Shelter Options
Mental Health Substance Abuse
![Page 6: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/6.jpg)
WHOLE PERSON CARE Part of a Larger System
Over three years, Whole Person Care will: • Increase outreach capacity by 2-3 times
• Reduce case management loads by approximately 75%
• Leverage approximately 2,300 housing opportunities
![Page 7: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/7.jpg)
WHOLE PERSON CARE Service Oriented Framework
Outreach (6,800 people)
Care Coordination (3,250 people)
Housing Supports
(1,625 people)
Respite Beds (144 people)
![Page 8: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/8.jpg)
WHOLE PERSON CARE Data, Reporting and Metrics
Federal matching dollars dependent on:
1. Providing services to identified number of Medi-Cal eligible patients; and
2. Providing regular data (quantitative & qualitative) on program delivery and patients served; and
3. Meeting pre-determined health and housing outcome metrics.
WPC Funding to Support Data and Metrics
Care Coordination
Software
Community Resource Database
Data Analyst Staffing and Consultants
Data Sharing Incentives
![Page 9: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/9.jpg)
WHOLE PERSON CARE Funding Partners
17%
3%
80%
ü Existing City contracts for outreach and case management services
ü Portion (annualized) of the City’s one-time housing set-aside
ü Existing contracts for navigation, care management and respite beds from Health Care Systems
$8 million annual
IGT
![Page 10: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/10.jpg)
WHOLE PERSON CARE Funding Process
City of Sacramento
Non Federal Match
1
DH
CS
CM
S 6 5 4
3 2 IGT Eligible
City match
Federal match +
City match
Federal match +
City match
Sacramento Whole Person Care Program
![Page 11: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/11.jpg)
WHOLE PERSON CARE Flow of Funding
PY 1 PY 2 PY 3 PY 4 PY 5
Jan 2017
July 2017
Jan 2018
Jan 2019
Jan 2020
Jan 2021
planning & set-up service delivery
PY1
IGT
$4m
PY2
IGT
$4m
PY3
IGT
$8m
PY4
IGT
$8m
PY5
IGT
$8m
IGT
+ match $8m
IGT
+ match $8m
IGT
+ match $16m
IGT
+ match $16m
IGT
+ match $16m
pay PY2 costs pay PY5 costs pay PY4 costs pay PY3 costs
application
IGT funding from prior program year pays for services delivered in current program year
![Page 12: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/12.jpg)
WHOLE PERSON CARE Implementation Timeline
1
March 2017 • Application
submitted to DHCS
2
May 2017 • Application
finalized and submitted to CMS
3
June, 2017 • DHCS award letter • Council approval • Sign contract with
DHCS
4
July 1, 2017 • Start of PY2 • Transmit PY1 IGT
5
January 1, 2018 • Start of PY3 • Transmit PY2 IGT • Begin delivery of
WPC services
![Page 13: WHOLE PERSON CARE · 2019-03-11 · WHOLE PERSON CARE City Approach Align Align Whole Person Care services with homeless Point-in-Time needs Integrate Whole Person Care with existing](https://reader033.vdocuments.site/reader033/viewer/2022060415/5f12fbe85ff2f86b2f447939/html5/thumbnails/13.jpg)
WHOLE PERSON CARE Next Steps
Funding Obligations
• Enter into contracts with funding partners
• Transmit PY1 IGT to DHCS (August)
Staffing
• Establish internal City staffing lead
• Hire consultant staffing lead
Program Implementation
• Begin forming governance committees
• Issue RFP(s) for service providers