HomeMy WebLinkAbout06/28/2016 00 Presented by YNHS Yakima Neighborhood Health Services
Improving Quality of Life in Our Communities
The Intersection of Housing and Health Care
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YNHS Mission
To provide accessible, affordable, quality health care,
promote learnin • o • • ortunities for students of health
• • end homelessness and improve quality of life
`n our communities.
YNHS Permanent Supportive Housing Units (71)
• Yakima
• 37 McKinney units (YNHS & Master leased)
• 10 Washington Youth & Safety Net (private landlords)
• 2 Fair Market units (YNHS owned)
• Toppenish - 2 McKinney units (Housing Authority leased)
• Granger - 2 McKinney units (Housing Authority leased)
• Sunnyside — 5 McKinney units (private landlord leased)
• Grandview — 8 McKinney units (private landlord leased)
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Satellites Serve Special Populations
}! Homeless Res - Recuperative ✓
� S Housing for those not sick enough to be
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\ip‘ in the hospital, and those discharged
f rom the hospital but not well enough to
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i go back to the streets
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a Neimbr„,,
S Average Respite Stay in 2015 = 21 Days
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• Daily checks by Nurse / Behavioral Health /
Case Manager. s lc 1 . : .
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• Wound care. _ 1
,. 4 , • Behavioral Health counseling. t
• Transport / accompany to PCP and specialty - i r at
and OT /PT appointments. `ZA
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• Evaluate and support ADLs.
• Assist with applications for SSI /SSDI, Basic r .
Food and other federal /state benefits. M 4
• Facilitate family interaction when possible. c , ..
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• Initiate housing stabilization. Alm
• Provide discharge summary to patient /PCP s -
at time of respite exit.
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2015 — 47 patients stayed 1 Days- Here's Why
Length of Stay 1 People Reason for Respite Needed
One Week or Less 25% Ulcers, fractures, wounds, abscesses, starting cancer
treatment.
1 to 2 weeks 15% Stab wound, cellulitis, fall recovery; meningitis, extreme
weather exposure.
2 — 4 weeks 30% Cellul.itis, GI bleed, gastroenteritis, uncontrolled
diabetes, dialysis.
4 weeks or longer 25% COPD, ileostomy repair, asthma exacerbation,
cholecystectomy , HIV.
Hospital Staff report a Savings of 23 Inpatient Days by referring to
YNHS Medical Respite Care
$28,543 Saved for Inpatient Depression, or $82,800 for Inpatient Rehab !
Average Average 1 1 Average
• Respite care Hospital Charge for Hospital Charge for Respite Program .
reduces Depression* Rehab*
public costs Average Length of 13 days 8.1 days 21 days
associated sta
with Average Charge / Cost S16,133 S29,160 $3,137
frequent Per Patient
hospital Average Charge / Cost S1,241 S3,600 S145.85
per Day
utilization.
Extreme Winter Weather Shelters
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Englewood Christian Church
Central Lutheran Church
The "Hot Spot" Dav Center
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" Unitarian Church Grace of Christ Church 0
�, ENGLEWOOD -MEN'S MAR, 257 NOV, 236
Winter lister Weather Shelter
■ Nov
November 2015 — March 2016 FEB 516 DEC ,532
• DEC
JAN
■ FEB
JAN, 611
CENTRAL LUTHERAN -MEN'S MAR, 96 NOV, 0
Overnight (Church) Shelters — 238 People DEC , 112
2 09
■ NOV
• 3,297 Bed Nights / 3,297 Dinners • DEC
• 40% Residents with at least one disability FEB, 171 JAN
.JAN,
68% Men, 32% Women ■FEB
UNITARIAN - WOMEN'S MAR, 45 NOV, 50
HotSpot (Day) Shelter At the Depot FEB, 153 ill O
CEC , 150 • NOV
• DEC
365 People 41i JAN
• FEB
123 Came More than 10 Times JAN, 159
174 attended both Shelter and HotSpot Total Bednighu /Dinners Provided
P 3297
Total Unduplicated shelter count =238
r (163 Men, 66 Women)
is Total # ofseason Sanctions Issued = 5
Total Number of Housed Guests = 20
Total number of guests served with disabilities =92
Supportive Employment ADDITIONAL
"Depot JobMatch" SUPPORT FROM THE
COMMUNITY
• Employment coaching and
supervision • Sunday Showers at the YMCA
• At YNHS, a non - profit, willing • YPD Helping Hands Housing
business Support
• 15 -25 hours per week
• "Occasional status" employee
of YNHS wherever placed
• Funded by local contributions
1
Average Visits Per Patient Per Year .. .
1
25.00 r.
PSH Respite
21.15 21.00 ■
20.00 ■
15.00
10.00
Homeless
5.00 Universal MSFW 4.58
3.56 3.43
Mental Health Related DX
40% -
PSH / Respite Target 35% 31Y_
Fragile Patients
30% -
27%
Inter - disciplinary teams are
25%
needed to serve high needs
individuals and families ZOO,,
• Primary Care
15%
• Mental Health
10%
• Chemical Dependency
5%
5% 1%
• Domestic Violence
Universal Homeless Migrants PSH Respite
Partnering in our Communities
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Neighborhood Health - YNHS@
Sunnyside Southeast Community
Center, Yakima
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wuuiulliilu
---misampier Sw
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a Nagh CAIT H
HEAITN
i - 25,000
i 2013 - 2015 = 18% Growth in I +i 22,203
p 21,040 -
}Y 20,000 r
, Y 1 , 18,746
li 15,000
MOW
3
5,000 4,395 4,648
3,999
2,231 2,283 2 336
2013 2014 2015
t • All Users • Agricultural Workers • Homeless
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's_:ii °i iM y 1 1t ii iili �i�� l i 11 1 :;milli !
" * 1 t air F a Y t r
v Patient Conditions by Type
140% (All Homeless, Not Just Housed)
IX% 115% 114%
105
85%
78
80% %79 %
68%
60'
44%
40%
ao /o
30% 31%
20% I
12% 1
9%
1/0 5� 4� 6% 5 • 6 12%
o;o — •
Infectious & Respiratory Diabetes, Heart Childhood Mental Health / Preventive Services Dental Services
Parasitic Diseases Illnesses Disease, Other Conditions Substance Use
❑ Universal ■Agricultural r Homeless i . [ { . k !
Some Patients Need a Little -- Some Need EVERYTHING
III III il in
All Primary Care Patients 22,203 Homeless Patients 2,356
Homeless Visits 10,779
Primary Care Visits 75,859 Permanent Supportive 93 households
Mental Health Visits 2,304 Housing 188 people
Extreme Weather Shelter 269 people
Prescriptions Filled 76,445 Nov 17 — March 17 1,011 nights M
WIC Visits 86,000 Medical Respite 47 People
Affordable Care Act 7,044 1,011 nights
Applications Basic Needs Assistance 1,799 households
I
front The N Yorker
February 13,
DEPT. OF SOCIAL SERVICES
nit co dollars snt us 0,
Million - Dollar Murray
ab out to d o 1 1 l llj loll
11 problems like homelessness may be easier to solve than to manage.
s am ur ay ,, s e hhi
by Malcolm Gladwell
Average PSH Cost Per Chronic Disabled at YNHS:
$11,656
• Housing ($7,056) I
• Case management and Supportive services _ tass"•4
($4,600)
YouTube by Kansas City Police Department
"The Cost of Doing Nothing
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Respondintl-hicer� $ • e *it
, 1VIA5 - , I. a O
Fire De aoltri 1 # 0 0.00 ,�
Emerg Room 1660.00
IIII X =Ray ; . 3
Reha &ilitati�o�} , •`00.00 If ju such event
court caw"' 190.00 was eliminated per das,
e te; +i _• 0100 annual 4avings would bee\
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o a t '. 7 3411 1 536 \ ,,
350.0d k.
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https: / /youtu.be /F 16J5Pjn95o ?list= FL1L5zSLLQh8mD5Xmvn8gfbw
(copy and paste this link to your browser to watch)
Att Root'
i oN SERVICES AVAILABLE AT
. The Depot
• Homeless Prevention Assistance
• Transitional and Permanent Supportive Housing
• Medical Respite Care for the Homeless
• Transportation Assistance
•
I • Self Sufficiency Help
Health Care for the Homeless Care Coordination
(Medical / Dental / Behavioral Health)
•Connection to Employment and Training
r„ I t
; • Health Insurance Applications
�(.? .Y•9 r
� \t(�
'`� (Washington Apple Health /Washington Healthplanfinder
;
• Application Assistance
• Basic Needs & Hygiene Items
Liat , i
�,. • Housing and Essential Needs (HEN)
•
_ i 1 � _ 1�eighbo ; hood
Yakima: Sunnyside:
602 East Yakima Ave. 617 Scoon Road
+rt (509) 249-6232 (509) 837 -8200
i t na•�...•.a.alSi >NJ healthplanfinder ,
-.q ..jt �sr
es. The Bottom line
Once Housed.....
• Mental Health Tmproves
• Less disruptive
• Infectious disease rate improves
• Pain is better controlled
• Medications better managed
• Treatment plans — compliance improves
• More likely to obtain and maintain employment or education
26 n
i .t y� y r i t i Y 7 QlftiL i i /.
Homeless Network of Yakima County 0
1. We have to focus on Reducing homelessness in our communities
1400
solutions.
2. Chronic 1200
168
1128 1108
homelessness is not a
1000 94
quick fix. 914 943
3. Permanent 800
827 852
712
Supportive Housing 600 616
and Supportive 516
400 lsheltered
Employment are
268
solutions that work. 200
159 46
4. Yakima has made - . 64
significant progress. 2004 2006 2008 2010 2012 2014 2016 2018
—Uri beltered —.—'3F 2-
Satellites Serve Special Populations
-:;„, Neighborhood Connections
(Health Care for the Homeless) YNHS @ Central Washington
Comprehensive Mental Health
egl ., . The "PC" Clinic
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Neighborhood Health Granger Neighborhood Health Services Sunnyside
111 Main Street, Granger At the Wahnart Plaza
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Neighborhood
HEALTH
S U N N Y S I D E
at the Walmart Plaza
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Safe Affordable Housing + Case Management
= Supportive Housing
Individuals Families
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7�N._. - , v im►. J_
NOVEMBER 2011
► :�'1� 41 y:1 1 �1 ;�I�I�
OEM( Of HU VAN SERVICES PO. :h - U S. DEPARTMENT OF HEALTat AND HUMAN SERVICES
LINKING HUMAN SERVICES AND ABOUT THIS RESEARCH
BRIEF
HOUSING SUPPORTS TO ADDRESS
Nis ASPE Research Bnef GY
eapfoves local praym
as,pr Standard
PROMISING PRACTICES IN THE biking human senores and
hous.n0 supports to prevent 7
FIELD and end familyhomekssneu
The . Intake
e Research One based
Background on interviews with
Makehelden in to
Recent reports brie brought rational attention to the prevalence mmnunWes nafhn•We
of Tamee hdmeeiweis` and the need tocoo rate across all M9 MPhelrp key practices
0
levels of goverment to prevent and end famfyho.nelefHYti In 1M /acAtared the AS s es sment Tool
Are 2011. the U.S Dfdanment of Hong and Urban I ptementefian end 0n4ola9
Dnebprent (HUD) messed the 2010 Maud Hemekii s staff ablt'ly of the
Antsmnt Repn (AMAR). the:pq na tines 01 annual reports pepprpms T I M Research and
on the °lent and natureoE hondessne$ naamwge The report
was prepared 0Y.aH
documents a 1S percent Anacate as s eRmed Vanity ASSO(ptey under contrast Regular intervals
Dewitt° 2007 and 2010. TOdah an estimated van the 0//ke of the
168,000 famtet— repreientng 567,000 persons at Inman: —udc
Ps emergency wager Or a trant<wnat housang program at some Assbtant .feecetatY Jw
pantdurry ter rem The toll of Mmeleiwenon Mden lNvtg Pfonrsng and Evo&.otian
wen tee femees It trehOhn Home4sfness can q.ertey affect mkt of the Assistant kaetYy
children's memal health and behavot. iclgd attendance and for Flame{ and Evaluation o Identities barriers
educational acmnemene cogent and motor development and
Central health Office of Kenn
Senates Policy
A yeas prior to to 2010 AKAR release. the U.S nteratency USgMWnment of Health
Coved on Homelessness (0901)resealed the nations first
compeehensnt strategy to prevent and and namelessness. and Human ktvltef ( � Develops p an
Open, 00on The Federal Strate0c Kent* Prevent and End WanCtO.0020201
Homectinnt The plan let an *meow: seems for addrtitng .Im.•,
homekiwess. strews governmental collaboration at all'evets,
W encourages Run aooams tarme•.ed to homeless lams es (et
.'ell as Other tad eesi wlsoOpua,ern) and mainstream / . Data sharing
recount: to hcip falnSes achieve haled PUS/
The grown/concern axe tamer honMki'Mit nr. rene.td the
taus Amory ooacymaten, researchers. advocates. and ° C
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Neighborhood
���II
HEALTH
Social Determinants built into K.H.R.
Average by Domain - with more than one Assessment
4.79 4.63 M First
55 4 3 4.48 f• last
3.81 4 44.03
3.4
2.73 2.7 3.
2 2.41 2.4.3
' . 05 1.9 22. . 22
2— 1.64
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FAIR MARKET HOUSING FOR Broadening Education & Self Sufficiency for
LARGER WORKING FAMILIES Transitional Youth
(The BESTY Project)
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• Yakima's Partnership for Youth at Risk
of Homelessness
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