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HealthierHere Governing Board Meeting
May 7, 2020
HealthierHere Governing Board Meeting May 7, 2020 1 While You Are - - PowerPoint PPT Presentation
HealthierHere Governing Board Meeting May 7, 2020 1 While You Are Waiting Well be using Poll Everywhere for our check - in question today. Its easy - you can particip ipate via ia website or text xt. Ple lease be ready to open up a
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May 7, 2020
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Next Meeting: June 4, 2020, 1:00 pm - 4:00 pm Pacific Tower: 1200 12th Ave. S. First Floor Training/Event Space, Seattle, WA 98144; may change to a virtual meeting
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Yusuf Basir Tizzy Bennet Roi-Martin Brown Elise Chayet Kristin Conn Shelley Cooper-Ashford Steve Daschle Ceil Erickson Leo Flor Patty Hayes David Johnson Cathy Knight Steve Kutz (Elizabeth Tail) Betsy Lieberman Victor Loo Esther Lucero Daniel Malone Semra Riddle Caitlin Safford Jeff Sakuma Kyle Schierbeck Raleigh Watts Sherry Williams Giselle Zapata-Garcia
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(computer or phone)
llEv.com
22333 (to join the poll)
1-2 word response
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Pre-read Pages 3-7
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Fund Description Approved Fund Amount Funding Source Traditional Medicine/Health $150,000 2020 Innovation Fund Allocation Telehealth and Technology Support Fund $500,000 Unallocated Interest ($270K) + Unallocated VBP and other Incentives ($230K) Community Navigator Fund $375,000 2020 Access and Engagement Allocation Multi-Lingual/Specialty Mobile Teams $225,000 Unallocated VBP and other Incentives ($100K) + 2020 Unallocated IMC Funding ($125K) Clinical Partner Resiliency Fund $2,500,000 Unallocated IMC Funds Community and Tribal Partner Resiliency Fund $1,120,000 2019 Community Innovation Fund ($1.0M) + 2020 Access and Engagement Funds ($120K) Total Approved COVID ID-19 Funds $4,8 ,870,0 ,000
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To date, 11% 11%, or r $547,5 ,543, of the total approved COVID-19 funds have been dis istributed to partners; these disbursements are comprised of Traditional Medicine & Telehealth/Remote SDoH Services.
Traditional Medicine/Health Fund Telehealth/Remote SDoH Services Fund Community Navigator Fund Multi-Lingual/Specialty Mobile Teams Clinical Partner Resiliency Fund Community and Tribal Partner Resiliency Fund Approved Fund Amount 150,000 500,000 375,000 225,000 2,500,000 1,120,000 Disbursed COVID-19 Funds 120,000 427,453
1,000,000 1,500,000 2,000,000 2,500,000 3,000,000
Dollar Amount ($)
COVID-19 Funds: Total Approved and Disb isbursed Funds
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Traditional Medicine/Health funds, $150,0 ,000 in in total, are intended to provide the direct provision of Traditional medicine, herbs, culturally responsive care and support for AI/AN/I people in King County. To date, 80%, , or r $120,0 ,000, , of the approved Traditional Medicine/Health Funds have been distributed to eig ight Native-Led/Native-Serving HH Community/Tribal Health partners.
15,000 90,000 15,000 1 6 1 1 2 3 4 5 6 7
20,000.00 30,000.00 40,000.00 50,000.00 60,000.00 70,000.00 80,000.00 90,000.00 100,000.00 BHA CBO FQHC Number of Fund Recipients by Sector Dollars Disbursed Sector
Dis isbursed Tradit itional Medicine Fu Funds by y Sect ctor
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Telehealth/Remote SDoH Services Funds, $500,0 ,000 in in total, are intended to provide funding for clinical and community partners that require infrastructure setup to deliver services from alternative locations, and through electronic methods to the COVID-19 Pandemic. To date, 85%, , or r $427,4 ,453 of the approved Telehealth/Remote SDoH Services Funds have been distributed to 45 45 cli linical, , community, , and tr tribal partners.
172,577 194,876 60,000 18 21 6 5 10 15 20 25
100,000.00 150,000.00 200,000.00 250,000.00 BHA CBO FQHC Number of Fund Recipients by Sector Dollars Disbursed Sector
Dis isbursed Tel elehealth/Remote SD SDoH Fu Funds by Se Sector
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The review of Telehealth/Remote SDoH Service Fund applications provides a preliminary overview of the anticipated use of funds by partners; equipment purchases, , lic licenses for r remote services, , and support of f staff capacity comprise the largest categories of anticipated fund use by partners.
165,103 79,081 19,041 16,108 3,450 22,769 80,048 41,852
40,000 60,000 80,000 100,000 120,000 140,000 160,000 180,000 Equipment Licenses for Remote Service Internet and Network Integrating Platforms Data Storage Staff Training Staff Capacity Consumer-facing Education
Funds Distributed ($) Fund Use Category
Anticipated Funds Use Category in in Agg ggregate for Telehealth/Remote SDoH Services Funds Dis istributed
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Community Navigator Funds, $375,0 ,000 in in total, are intended to provide funding for clinical and community partners to increase capacity to assist community members impacted by COVID-19 navigate and enroll in public benefits and social services. A total of 26 applicants applied to the Community Navigator Fund, for a total of $1,751,854 in requested funds. To date, 99%, , or r $372,1 ,136 of the approved Community Navigator Funds have been allocated for distribution in early May 2020 to 5 cli linical, , community, , and tr tribal partners.
74,926 222,210 75,000 1 3 1
1 2 3 4
100,000.00 150,000.00 200,000.00 250,000.00 BHA CBO FQHC Number of Fund Applicants by Sector
Dollars Requested Sector
Approved Applicants by Sector
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The review of the approved Community Navigator Funds applications provides a preliminary overview of the anticipated use of funds by partners; staff capacity and staff tr training comprise the largest categories of anticipated fund use by partners.
285,054 15,541
17,000 27,810
100,000.00 150,000.00 200,000.00 250,000.00 300,000.00 Staff Capacity Equipment Purchases Enhancing Remote Outreach Staff Training Consumer-facing Education Other Funds Requested ($) Fund Use Category
Anticipated Funds Use Category in Aggregate for Approved Funds Requested
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Fund Description Current Funding Status Community Navigator Fund A total of five applicants were approved for funding, with funds to approved partners anticipated to be distributed in early May 2020. Multi-Lingual/Specialty Mobile Teams Funding process is in-progress, with an anticipated launch date of May 2020. Clinical Partner Resiliency Fund Funding process in in-progress, with an anticipated launch date of May 2020. Community and Tribal Partner Resiliency Fund Funding process is in-progress, with an anticipated launch date of May 2020.
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During the period of March th through Apri ril 2020, HealthierHere developed and issued 139 139 contracts, comprised of administrative, , pay for progress, , community in investment contracts, , and contracts is issued in in response to th the COVID ID-19 19
HealthierHere’s administrative operations.
* Please note that the number of contracts developed and issued by sector for BHAs, FQHCs, and Hospitals include two iterations of the Addendum 4: 2020 Clinical Pay for Progress
reduced at-risk IOS amounts for the second reporting period.
7 43 43 52 52 23 23 14 14 10 20 30 40 50 60 Administrative BHA CBO FQHC Hospital Contracts Sector/Type
Contracts Developed and Is Issued
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The number of total contracted developed and issued can be further broken out by ty
the count of contracts drafted due to Cli linical and Community Pay for Progress, , Administrative contracts as well as contracts drafted in in response to th the COVID ID-19 Pandemic, by sector.
* Please note that the number of contracts developed and issued by sector for BHAs, FQHCs, and Hospitals include two iterations of the Addendum 4: 2020 Clinical Pay for Progress
reduced at-risk IOS amounts for the second reporting period.
19 19 27 27 7 7 24 24 25 25 16 16 14 14 10 20 30 40 50 60 Administrative BHA CBO FQHC Hospital Contracts Sector
Contracts Developed and Is Issued by y Typ ype
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▪ Compiled from multiple sources, updated daily ▪ Curated resources
▪ To support your organization ▪ To share with and support the people you serve
▪ Organized by topic ▪ Quick navigation ▪ Brief descriptions and direct links to help you find what you need ▪ Easy form to send questions, concerns and feedback to HealthierHere for follow-up
Designed to address partner feedback and make it easier to find the tools and resources they need.
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ign and im imple lement a regio ional l CIE IE.
individuals, including those impacted by COVID-19, can access the resources they need to be healthy.
irectio ional l referral l network rk using the Unite Us platform is is s schedule led for June with an initial focus on COVID-19 relevant services
using telehealth services); and
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▪ Access to:
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Traditional medicine and first foods
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Accurate, relevant, culturally appropriate, in-language information
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Testing
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PPE for Partners and families caring for those recovering from COVID-19
▪ Financial support for those impacted physically and/or economically by COVID-19 risk and mitigation strategies ▪ Requests for SDoH supports – food (culturally appropriate), housing, transportation, digital devices ▪ Social, emotional and behavioral health supports and wellness ▪ Address the needs of community members who are undocumented ▪ Transition support for those returning home from incarceration or hospitals ▪ Data gaps
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▪ Tribal and Community Partners are relying on strengths and assets to support community members
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Purchasing and delivering food and needed supplies
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Calling, texting, reaching out to check on community members physical, spiritual, emotional and physical well-being
▪ Partners are shifting to provide remote services or meet community needs in different ways ▪ Partners serve as Trusted Advisors in community and as such are:
COVID-19 mitigation and response
▪ Innovation is happening – DAILY! ▪ Partnerships are happening – DAILY!
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GENERAL:
BHAs:
FQHCs:
have furloughed staff HOSPITALS:
“elective” surgeries again
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ALL SECTORS:
BHAs:
FQHCs:
HOSPITALS:
and sharing resources
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Supplemental Material
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Executive Committee Recommendation: Stay in Advocacy Lane
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Engage in advocacy activities only; see list of what we mean by advocacy
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Avoid lobbying; we are currently 100% federally-funded
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Be proactive; we can have a meaningful impact advocating for policy/system change
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What “hats” do we wear? What can we do and not do?
activities
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Be clear about what “hat” you’re wearing: Clearly articulate when you are speaking on behalf of HealthierHere, your
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Remember that you re represent your sect ctor as a member of this board
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Stay in in the advocacy la lane when speaking on HealthierHere’s behalf
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Share what you le learn: let Susan know what you hear so we can coordinate together
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What is our process for taking action or responding to requests?
– Limit advocacy activities to these priorities
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Pre-read Page 23
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Investment Input List
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First, our values: Equity, community, partnership – Will this address equity and make a
meaningful difference in reducing health disparities?
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Informed by policy issues emerging from our waiver projects
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Build upon the priorities of our community and clinical partners
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Leverage HealthierHere’s strengths and circle of influence (e.g., with HCA, as a
cross-sector convener, building upon waiver)
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Leverage COVID-19 as a window of
Four proposed priorities
Ideas/barriers collected from partners through waiver projects (50+ ideas) Internal brainstorm with management and Executive Committee team Outreach to community partners and coalitions on their priorities
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Investment Input List
sustain the change long-term
a significant community need)
potential impact
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and Primary Care
Executive Committee Recommendation:
Pre-Read Page 27 - 28
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Look at our r 4 p proposed poli licy pri riorit itie ies:
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Advance Equity and Reduce Health Disparities thru the Clinical Integration of Behavioral Health and Primary Care
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Advance Social Determinants of Health within the Medicaid Program
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Facilitate Information Sharing between Community & Clinical Partners
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Create the Diverse Workforce Needed for Community-Based Care Coordination
Small ll group dis iscussio ion:
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Within these 4 areas, what are the emerging policy issues that your sector/organization is pressing for?
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Are there particular policies that have been waived under COVID-19 that, if sustained, would make a system impact? (optional question if you have time)
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Within these 4 areas, what are the emerging policy issues that your sector/organization is pressing for?
Are there particular policies that have been waived under COVID-19 that, if sustained, would make a system impact? (optional question if you have time)
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Behavioral Health Agencies Community-Based Organizations Federally Qualified Health Centers
Cowlitz Indian Tribe Advocates of Sacred Seattle Indian Health Board Chief Seattle Club Mother Nation Nakani Native Program United Indians of All Tribes Foundation UNKITAWA
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Behavioral Health Agencies Community Based Organizations Federally Qualified Health Centers
Atlantic Street Center
Advocates of Sacred
Country Doctor Community Health Centers Catholic Community Services of Western Washington
ASSOCIATION OF ZAMBIANS IN SEATTLE
HealthPoint Center for Human Services
Center for Multicultural Health
International Community Health Services Childhaven
Chief Seattle Club
Neighborcare Health Consejo Counseling and Referral Service
El Centro de la Raza
Sea-Mar Community Health Centers Crisis Clinic
FALIS Community Service
Seattle Indian Health Board Downtown Emergency Service Center
Generations with Pride
Evergreen Treatment Services
IAF Northwest
Kent Youth and Family Services
Kindering Center
Lutheran Community Services Northwest
Living Well Kent Collaborative
New Family Traditions
Nakani Native Program
Seattle Counseling Service
Project Access
Sisters in Common
Queen Anne Helpline
Valley Cities Counseling and Consultation
Somali Health Board
Vashon Youth and Family Services
Teenagers Plus More
WAPI Families Against Substance Abuse
Tenants Union of Washington
YMCA of Greater Seattle
The Peoples Harm Reduction Alliance
You Grow Girl
United Indians of All Tribes Foundation UNKITAWA UPower Villa Communitaria
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Behavioral Health Agencies Community Based Organizations Federally Qualified Health Centers
Sisters In Common Center for Multicultural Health Seattle Indian Health Board El Centro de la Raza Neighborhood House