Title
Receive an oral report from the Health Department updating County efforts and outcomes of Operational Year 1 (calendar year 2017) of the Whole Person Care (WPC) pilot program.
Report
RECOMMENDATION:
It is recommended that the Health and Human Services Committee of the Board of Supervisors:
Receive an oral report and PowerPoint Presentation from the Health Department regarding County efforts and outcomes of Operational Year 1 (calendar year 2017) of the Whole Person Care pilot program.
SUMMARYDISCUSSION:
WPC is a system changing program that coordinates comprehensive health, behavioral health, and social services case management to (1) improve enrollee health and reduce over-utilization of hospital resources. The program will serve a minimum of 600 Medi-Cal enrollees before December 2020 who are (1) homeless/chronically homeless, (2) may have mental illness and/or substance use, and/or (3) may have multiple chronic disease diagnoses. Beyond 2020, the WPC model will become the “new normal” with sustainable Medi-Cal funding.
New approaches developed under WPC are:
• Complex, comprehensive care coordination
• Interdisciplinary teams headed public health nurses
• Health, mental health, housing, and vulnerability assessments
• Health & services appointment navigation and transportation
• Individual health care plans
• Warm hand-off referrals and peer navigators
• Individual health, housing, & services plans and coordination
• Crisis support, substance use treatment, life skills, tenant education & coaching, paths to employment
• Service integration for WPC-qualified individuals leaving jail or institutions of mental health
New facilities developed under WPC are:
• An 8-bed, 24/7 Sobering Center that opened December 2017
• A 6-bed Respite Center for medically fragile enrollees - RFP is pending
• 88 units at 21 Soledad Street. WPC is providing funds for MidPen case managers
• 47 apartments in Marina. WPC is providing CHISPA with case managers
2017 Enrollment outcomes are:
• 276 referrals received
• 270 vetted for eligibility
• 119 current pipeline to find & consent for services
• 48 all enrollees including dropped and deceased
• 32 current enrollees
2017 housing outcomes are:
• 11 Permanent
• 4 Assisted Living
• 5 Hotel
• 12 Transitional
• 5 Skilled Nursing Facility
• 4 Respite Care
Total: 41
This work supports one or more of the ten essential public health services, specifically: 4) Mobilize community partnerships and action to identify and solve health problems; 5) Develop policies and plans that support individual and community health efforts; 7) Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
OTHER AGENCY INVOLVEMENT:
No other agency was involved in development of this report.
FINANCING:
There is no impact to the County General Fund from this report.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐ Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐ Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒ Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐ Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐ Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Patricia Zerounian, Management Analyst III x 4583
Approved by: Elsa Jimenez, Director of Health x 4526
Attachment:
PowerPoint