AHC & the Age of IntegrationA network of networks come together to link social determinants & health care costs

Dawn Erickson, CTR Administrator, Everett Transit

Scott Forslund, Executive Director, Providence Institute for a Healthier Community

Vicci Hilty, Executive Director, Domestic Violence Services of Snohomish County

Mary Jane Vujovic, Dept. Director, Snohomish County Human Services Division

Neil Watkins, Director, Sky Valley Food Bank and Snohomish County Food Bank Coalition

#ConnectEOA

Equity – How disparities in access to housing, transportation, nutrition and other social determinants affects overall community health and costs Empathy – Building understanding that residents lacking basic needs are “us” and worthy of support. Resilience – – How demonstrating the impact of meeting nonmedical needs can galvanize community support and strengthen community capacity to endure hardship. Empowerment – Impact of support for basic services on autonomy, independence, contribution to community vitality and prosperity.

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Source: Centers for Disease Control and Prevention (CDC), 2008

• Focus:

• Targeted population health initiatives / collective impact or collaboration models

• Innovative community partnerships

• Administrative backbone for Snohomish County Health Leadership Coalition

• 2016 Initiatives:

–Accountable Health Communities Grant – and ‘thin-slice’ strategy

–Snohomish County Health Leadership Coalition / Backbone admin support

–Housing and Health partnership

AHC GrantTotalHealth!

• Population Health at scale• Testing the health & cost impact of addressing nonmedical social needs • 5 year, $4.5M grant• 75,000 Medicaid/Medicare screens / year starting 2018• Working with partners in healthcare, social services and utility service

providers (25 MOUs, 293 affiliated orgs gross count)• Worked with ACO & many internal stakeholders to build the model• Submitted to CMS in May. Award in Q1 2016.• CTC Grant opportunity to maintain community momentum

Testing impact on healthcare costs & health of …

• Housing

• Nutrition

• Transportation

• Utilities

• Domestic Violence

• Education

• Employment

TotalHealth! 25 MOUs in placeCommunity Service Provider Networks & Partners

(293 affiliated organizations / gross count)• Senior Services of Snohomish County

• Snohomish County Food Bank Coalition

• SnoTRAC

• Farmer Frog

• Snohomish County Human Services Dept

• Domestic Violence Services

• Snohomish Health District

• Workforce Snohomish

• Snohomish STEM Network

• SnoCo Health Leadership Coalition

• United Way of Snohomish County

• Volunteers of America

• North Sound Accountable Community of Health

• Washington State Health Care Authority

Clinical Delivery Sites

(53 unique care sites)• Providence Medical Group

• The Everett Clinic

• Edmonds Family Medicine

• SeaMar Community Health Centers

• Community Health Center

• Swedish Medical Group

• Compass Health

• Sunrise Services

• Providence Regional Med Center

• Swedish-Edmonds

• Swedish Mill Creek

Panel Discussion: Insight into Core Social Determinants

• Overview of housing, utilities, transportation, domestic violence, nutrition sectors • who you serve in this county;

• how you see the relationship to community health and healthcare costs

• Current challenges in sustaining your work and untapped opportunities

How might we take a “thin-slice” step forward as a community?

• What assumptions should we make?

• What should we hope to learn?

• What would success look like?

• What are roadblocks or unintended consequences should we be on the lookout for?

• What partnerships or other efforts should we be looping in – and what assets will they provide?

Thank You!

#ConnectEOA

Time to network!

Enjoy each other and the resource tables

Don’t forget to turn in your connection “links” to the Resource Tables and volunteers in the foyer – we’ll see how many were made when we meet back in the ballroom!

Be back to the ballroom no later than 2:45!