W ELCOME W ED N ES D AY, J U LY 15 , 2 0 2 0 11:0 0 -12 :3 0 P M - - PowerPoint PPT Presentation
Health Care for the Homeless Co-Applicant Governing Board W ELCOME W ED N ES D AY, J U LY 15 , 2 0 2 0 11:0 0 -12 :3 0 P M B OAR D M E M B E R & P U B LI C ATTE N D E E I N TR OD U CTI ON S Health Care for the Homeless Co-Applicant
W ED N ES D AY, J U LY 15 , 2 0 2 0 11:0 0 -12 :3 0 P M
B OAR D M E M B E R & P U B LI C ATTE N D E E I N TR OD U CTI ON S
R EQU ES T F OR AP P R OVAL J U N E M EETIN G M IN U TES
W E N D E L B R U N N E R , H C H B O A R D C H A I R A T T A C H M E N T S : M A Y M E E T I N G M I N U T E S
A L I S O N S T R I B L I N G , P H C S Q I / Q A T E A M
A L I S O N S T R I B L I N G , H C H Q I
Methods
Patient Population HCH Activity HMIS Activity System Indicators (e.g. homeless diagnosis, screening response
indicating homelessness)
Sample Period: 2012 – 2018 Data Source: CDPH Vital Records Business Intelligence
System (VRBIS)
Limitations
VRBIS Dataset Insufficient data on leading causes of death in Contra Costa
during sample period
Small sample size did not allow for calculations of age adjusted
rates, 762 observed deaths during sample period
LEADING CAUSES OF DEATH AMONG THE HOMELESS POPULATION BETWEEN 2012-2018
Causes of Death Deaths Percent
154 20 .2%
Accidental overdose by alcohol or other drugs 98 63.6% Traffic related fatality 34 22.1% Other Causes (falls, burns, exposure) 22 14.2
151 19.8 %
Lung 37 24.5% Liver 20 13.3% Other cancers (colon, pancreatic, prostate) 94 62.2%
120 15.8 % 4 . Chronic liver disease/ cirrhosis 47 6.2%
35 4.6%
32 4.2%
26 3.4 % 8 . Suicide 23 3.0 % 9 . Chronic lower respiratory disease 21 2.8 % 10 . Diabetes 21 2.8 % All Causes 762 100%
LEADING CAUSES OF DEATH IN CALIFORNIA BETWEEN 2012-2018
Causes of Death CA Crude Rate/ 10 0 0 Hom eless Crude Rate/ 10 0 0 Hom eless Cause of Death Rank
7.63 5.48 3
7.45 6.89 2
1.82 1.19 7
1.70 0.96 9
1.55 .41 16
1.53 7.03 1
1.07 0.96 10
0.90 .91 11
0.64 2.15 4
renal disease 0.61 1.46 6 All Causes 32.04 34.79
A L I S O N S T R I B L I N G , H C H Q I
J O E M E G A , H CH M E D I CA L D I R E CTO R & M I K E M YE TTE , M H S U P E R V I S O R
ACTI ON I TE M :
R E Q U E S T F O R A P P R O V A L CO R O N A V I R U S H R S A F U N D I N G R A CH A E L B I R CH , P D
Grant Funding Funding Am ount Funding Output Health Center Coronavirus Aid, Relief and Economic Security (CARES) $936, 110.00 4.0 FTE to support the planning, coordination, and service delivery for homeless patients Expanded Capacity for Coronavirus Testing (ECT) $411, 499.00 3.0 FTE to support laboratory and testing expansion Coronavirus Supplemental Funding $69, 035 .5 FTE to support telehealth visit infrastructure
COVID-19 and Shelter-in-place Update
Most current up-to-date health orders are listed here:
https:/ / www.coronavirus.cchealth.org/ health-orders
Project RoomKey Trauma informed training continued? Community & program updates
1.
Trauma Informed Care Training Continued
2.
Tour of new Medical Outreach Bus (Delayed)