achieving indoor environmental justice through weatherization and healthy homes initiatives
DESCRIPTION
National Environmental Justice Conference and Training Program Presentation, March 12, 2015TRANSCRIPT
PowerPoint Presentation
Environmental Justice Conference & Training ProgramRuth Ann Norton President & CEO
February 5, 2015
www.ghhi.org [ # ]2014 Green & Healthy Homes Initiative. All rights reserved.
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Problem/Root CauseIn 2010, 18.7 million adults and 7 million children had asthmaa 15% rise since 2001. Asthma medical costs are $50.1 billion/year.Guidelines-based care calls for 1) Assessment of disease severity; 2) Medication; 3) Patient education; and 4) Environmental control.Evidence base: HHSs Community Preventive Services Task Force found strong evidence of effectiveness of in-home environmental interventions in improving asthma management and overall quality of life for asthmatics.ROI : HHSs economic review of published studies showed a return of $5.3 to $14 for each $1 invested. Quick payback and easily identifiable empirical outcome measures
www.ghhi.org [ # ]2014 Green & Healthy Homes Initiative. All rights reserved.
Nearly 9M families live in unhealthy homesBillions of taxpayer dollars lost annually$43.4B = lead poisoning$50.1B = asthma$19B = trip and fall injuries for seniors 14.4 million missed school days from asthma 14.2 million missed work days from asthma40% of asthma attacks from home triggers-RWJF2
GHHI Solution: A Model That Benefits Families
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Solution: Baltimore PFS Model
Guarantee
Loan for services
Monetized savings
Loan re-payment
Target setting
Evaluation
Risk mitigation
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Policy Implications
Solving the wrong pocket problem
Investment directed Savings produced to improve housing for healthcare
Building the evidence to promote policy change
Rigorous evaluationProving model at scaleEliminates risk to government / healthcare / education systemSIBs/PFS can lead to sustainable funding for Healthy Homes
www.ghhi.org [ # ]2014 Green & Healthy Homes Initiative. All rights reserved.
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ImpactsBaltimore Demonstration Project1 Impact on asthma:
66-70% reduction in asthma-related client hospitalizations 28-60% reduction in asthma ER visits50% increase in participants never having to visit the doctors office due to asthma episodes62% increase in participants reporting asthma-related perfect attendance for their child (0 school absences due to asthma episodes)88% increase in participants reporting never having to miss a day of work due to their childs asthma episodes
1Peer-reviewed and published in Environmental Justice journalROI: HHSs economic review of published studies showed a return of $5.3 to $14 for each $1 invested in environmental asthma interventionsMN Dept of Health: Reducing Environmental Triggers of Asthma program produces cost savings of $1,960 per patient over 1-yr periodSeattle King County Healthy Homes II project found additional benefits of adding environmental trigger reduction above education alone
www.ghhi.org [ # ]2014 Green & Healthy Homes Initiative. All rights reserved.
Costs of ER visit can be $500-$1100. Cost of hospitalization can be $5000-$12,000
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Findings: Healthy Homes Demonstration ProjectMean Change and Percent Reduction of Key OutcomesIn the past 6 months (N=139)Intake Mean (StdDev)6 Month Mean (StdDev)Pre Post Mean Change(StdDev) One-sided t testPercent ReductionHospitalizations0.364288 (0.923013)0.141791 (0.53667)0.238806(0.824248)0.000865.5%ER Visits0.942857 (1.22193)0.701493 (1.097022)0.261194(1.250137)0.01527.7%Physician Visits1.76258 (1.462491)1.340909 (1.413293)0.389313(1.460098)0.00222%Calls to Physicians2 (1.498792)1.481203 (1.490381)0.515152(1.565296)0.000226%Work missed2.76259 (1.954492)1.736842 (1.85413)1.037879(2.057959)0.000037%School/ daycare missed2.372093 (2.008069)1.787402 (2.091669)0.647059(1.998254)0.000227%
200 units completed with 139 respondents completing 6 month post intervention health surveys
www.ghhi.org [ # ]2014 Green & Healthy Homes Initiative. All rights reserved.
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Data Reduction in Asthma ER visits
ER Visits
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Data Reduction in Asthma Hospitalizations
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Data Increase in Asthma Action Plans
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Data Reduction in Missed School Days
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Data Reduction in Missed Work Days
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Questions?
Ruth Ann NortonPresident & [email protected] 410-534-6447@RuthAnnNorton
Follow us on Twitter @HealthyHousingLike us on Facebook @GHHINational
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