health leads model: asthmatic patient
DESCRIPTION
Patient lives in housing w/ asbestos, heat cut off, running out of food. Patient to PCP. Asthmatic patient to ER 3x prior month . Health Leads Model: Asthmatic Patient. HL connects patients to resources. PCP prescribes controller med & HL. Patient secures resources to be healthy. - PowerPoint PPT PresentationTRANSCRIPT
Health LeadsBetter health. One connection at a time.
October 25, 2012
Health Leads Model: Asthmatic PatientAsthmatic patient to ER 3x prior month
Patient to PCP Patient lives in housing w/ asbestos, heat cut off, running out of food
PCP prescribes controller med & HL
HL connects patients to resources
Patient secures resources to be healthy
• Health insurance• Heat• Food stamps• Job training • Housing w/out asthma
triggers
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Our Vision
Health Leads envisions a healthcare system that
addresses all patients’ basic resource needs
as a standard part of quality care
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Challenge: Operational/Financial Integration of Basic Resource
ConnectionsNo $
No data
No case for funding
No $
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Proof Point: Operational/Financial Integration of Basic Resource
Connections
Case for funding
Health Leads infrastructure
Health system pays (& addt’l philanthropic)
Data
Philanthropic $
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Operational/Financial Integration of Basic Resource Connections
• Scalable/replicable model(s)– Data collection– “Off the shelf” solution for clinics
• Systematic, deep clinical integration not ad hoc– EMR– Patient flow – Screen/refer
• Well-defined “customer” for resource connections – Academic medical centers (safety net & non-safety net)– CHCs/FQHCs HRSA– State Medicaid/Medicaid MCOs
• Short-term economic value (v. long-term value of prevention)– Minimize causation challenge – Patient churn
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Case Study: Hasbro Children’s Hospital
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