August 2016 MNRI Work Session Slides

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Medical Neighborhood Referral Infrastructure Project

August 5th Work Session

Today’s Agenda • Welcome & Introductions • CliniSync Updates • Sharing Lessons Learned • Exploring Approaches for Increasing Referral Activity

www.hcgc.org


Medical Neighborhood Referral Infrastructure Project

Live Project Participants

• Alliance Healthcare Partners • Central Ohio Area Agency on Aging • Central Ohio Diabetes Association • Central Ohio Primary Care • Charitable Pharmacy of Central Ohio • Clintonville-Beechwold Community Resource Center • Equitas Health (formerly ARC Ohio) • Helping Hands Health and Wellness Center

• LifeCare Alliance • Lower Lights Christian Health Center • Metropolitan Family Care • Mount Carmel Health Partners • Physicians CareConnection • PrimaryOne Health • Ripple Life Care Planning • Southeast, Inc. • Syntero • The Breathing Association • YMCA of Central Ohio

www.hcgc.org


Medical Neighborhood Referral Infrastructure Project

Committed Project Participants

Caliber Patient Care

Franklin County Office on Aging

Health & Wellness Pharmacy

Kroger Pharmacy

Lutheran Social Services

Mount Carmel Medical Group

National Church Residences

www.hcgc.org


Medical Neighborhood Referral Infrastructure Project

August 5th Work Session

CliniSync Updates Adam Maloon & Victoria Redden

www.hcgc.org


Medical Neighborhood Referral Infrastructure Project

Sharing Lessons Learned

What are your key reflections from participating in the Medical Neighborhood Referral Infrastructure Project so far?

www.hcgc.org


Medical Neighborhood Referral Infrastructure Project

Aug 5th Work Session

Exploring Approaches for Increasing Referral Activity

www.hcgc.org


Social Need

Examples

Food Insecurity

Limited or uncertain access to adequate & nutritious food

Housing Instability

Homelessness, unsafe housing quality, inability to pay mortgage/rent, frequent housing disruptions, eviction,

Utility Needs

Difficulty paying utility bills, shut off notices, discounted phone

Financial Resource Strain

Public cash benefits, charity emergency funds, financial literacy, medication under-use due to cost, benefit denial

Transportation

Difficulty accessing/affording transportation (medical or public)

Exposure to Violence

Intimate partner violence, elder abuse, community violence

Behavioral/Mental Health

Stress Anxiety, depression, psychological assets, trauma

Health Behaviors

Tobacco use, alcohol and substance use, physical activity, diet

Employment

Under-employment, unemployment, job training

www.hcgc.org

2016 Health Leads “Social Needs Screening Toolkit�


Medical Neighborhood Referral Infrastructure Project

Increasing Referral Activity

What are the opportunities and challenges of standardizing the screening process for health-related social needs in the medical neighborhood?

www.hcgc.org


Medical Neighborhood Referral Infrastructure Project

Increasing Referral Activity

If we standardized the screening process in Greater Columbus, what health-related social needs would represent a good place to start?

www.hcgc.org


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