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12/4/2019 1 December 12-13, 2019 Addressing Social Determinants to Improve Overall Health in Tennessee | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | TAMHO 2019 Annual Conference SOCIAL DETERMINANTS OF HEALTH | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | IT’S CALLED POVERTY: GETTING BEYOND THE SOCIAL DETERMINANTS OF HEALTH HYPE Erine Gray, MPA, Founder & CEO, Aunt Bertha, Austin, Texas Building Model Communities How do we design interventions that empower people to own their own path, and where organizations work better together? 1 2

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Page 1: u í î r í ï U î ì í õ ] v P ^ } ] o u ] v v } / u } À K À o o , o Z ] v d v ... TAMHO Annual... · 2019-12-04 · í î l ð l î ì í õ î î 3urpswhg z &doo 2swlrq &olfnhg

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December 12-13, 2019 Addressing Social Determinants to Improve Overall Health in Tennessee | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | TAMHO 2019 Annual ConferenceSOCIAL DETERMINANTS OF HEALTH | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

IT’S CALLED POVERTY: GETTING BEYOND THE SOCIAL

DETERMINANTS OF HEALTH HYPE

Erine Gray, MPA, Founder & CEO, Aunt Bertha, Austin, Texas

Building Model CommunitiesHow do we design interventions that empower people to own their own path, and where organizations work better together?

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Disclosures

Founder of Aunt Bertha, a Public Benefit Corporation focused on connecting people in need to available services in the United States.

My desire is to share some of the strategies and thoughts currently used throughout the United States.

Broken Social Care System

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Seeker

[see-ker]Someone who is in need of services.Or, everyone, at some point in their lives.

It’s too hard to navigate the system.

Seeker Programs

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Seeker Things!

How it usually works… (other sectors)

Search

$ Buy SomethingProblem

SeekerSocialServices

It should work like this...

Search

Connect!Problem

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Solving One Problem: Finding Help

37067

The ideal workflow would be (simple)...

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In-House Data Operations Team

The ideal solution would have an in-house data quality team that is responsible for making sure the network is up to date and as accurate as possible.

In-House Data Operations

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AB Data Operations Team

Community Organizations

Platform Users

Automated Processes

The in-house data team would be responsible for validating social care data and keeping the information current and up to date.

They would be an extension of your care team.

Data Maintenance Strategy

Search Trends

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Ideally...Policy Makers have more data...Ideally...Policy Makers have more data...

34,000usersTennessee Activity

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880usersWilliamson County, TN

The Reach

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The Reach of… Your Care Team

Staff beyond your Care Team

Community OrganizationsHospitals, Social Services Providers, K-12 Schools, Prisons, Community Colleges, Insurers, Religious Organizations...

Seekers and their families when they can also self-serve

An example of an effective collaboration… 99% Closed Loop Rate

An example of an effective collaboration… 99% Closed Loop Rate

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Data Trends

Texas

328k #3 Dental Careusers

Regional Trends

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California

125k #17 Dental Careusers

Regional Trends

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Tennessee

34,000 users #2 Dental Care

Regional Trends

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Meeting People Where They Are

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LinkNYC

LinkNYC

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LinkPHL

LinkPHL

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LinkPHL

Wine!6:41PM

Alexa, you there?

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AARP’s Connected Communities

https://www.youtube.com/watch?v=8k2QvVwoIJY

Alexa, Help me find...

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Health Information Exchange

Vs.

Community Information Exchange

If I have a rare disease, then I *probably* want anybody with access to an HIE to know about my rare condition.

Health Information Exchange

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This information is accessed by any person with access to the system across most medical entities...

Health Information Exchange

Idea: Let a broad network *know* about social issues:

- Short on rent?- Fighting an addiction?- Literacy levels?

Community Information Exchange

Should these temporary things of a social nature, stay with you forever?

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211 Partnership: United Way Austin

United Way for Greater Austin in 2018 created a unique partnership with a technology partner to connect onlinesearchers to their call center.

Dynamic Criteria:

● Location;● Time of Day; and● Search Terms.

211 Partnerships

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Prompted w/ Call Option

7,420Clicked to Call

1.5%However, for those that do need to speak to someone, the intervention could be huge both to the person in need and to the overall health system.

Comfort w/ Self Service Program Discovery

More and more people facing difficult circumstances are comfortable using a computer or mobile device.

An Alternative:The Model Community Approach

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The Model Community

AISD(School District)

FQHCs Funders(MSDF)

University(U. Texas)

Call Center

81,000users

What could a connected “model” community look like?

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Context: Location

Context...

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More Context...

“Just so you know, we have folks on the phone that might be able to help. Just call or chat us by pressing this button when you’re ready.”

Nudge?

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We must increase the supply of free or reduced cost services available?

Healthcare executives addressing the Social Determinants of Health held out a hope that existing non-profits could solve the problem (poverty).

This is misguided.

A Lack of Supply

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There is simply not enough supply of help out there.

This is Misguided Thinking

Just Buy Stuff for People

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Path:Anonymous Search —> Fulfillment

Care Manager Programs

search referral and Vendors

order

Seeker

Has a NeedDecides to Search(anonymously)

Charity 1

Charity 2

Charity 3

Needs: the courage to speak to someone...

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SeekerCharity 1

Charity 2

Charity 3

Needs: the courage to speak to someone...

“No!”

“Maybe...paperwork.”

“No!”

“Why did I bother?”

SeekerCharity 1

Charity 2

Charity 3

“No!”

“Maybe...paperwork.”

“No!”

Just buy them stuff... {Reimbursable “Non-Medical” Services

Medicaid: Flex Services (Mass)

Direct Philanthropy

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Changing Reimbursement In 2020, in an attempt to address social determinants of health, CMS will start reimbursing Medicare Advantage plans for non-medical services.

© Aunt Bertha, a PBC — Proprietary & Confidential — 59

© Aunt Bertha, a PBC — Proprietary & Confidential — 60

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We’re all Seekers, eventually.

[see-ker]Someone who is in need of services.Or, everyone, at some point in their lives.

Questions?

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More InformationName: Erine GrayEmail: [email protected]: 512-795-4864

December 12-13, 2019 Addressing Social Determinants to Improve Overall Health in Tennessee | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | TAMHO 2019 Annual ConferenceSOCIAL DETERMINANTS OF HEALTH | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

DOCUMENTATION OF HOURS EARNEDPlease take a moment and turn to Page 37 in your program and mark your attendance for this session. Once you have checked all of your sessions, please remove the form from the program and turn it in at the conference registration desk.

SESSION EVALUATIONSYour opinion matters to us. Every ranking and every comment is taken into consideration as we plan future events. Please turn to Page 44 of the conference program and complete the evaluation form for this session. Once you have completed all of your evaluations, please remove them from your program and turn them in at the conference registration desk. Submission of evaluations closes for evaluation processing two weeks after this event concludes.

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