Health Care for the Homeless: the Basics CHE/Trinity Homeless Champions Webinar #1 October 14, 2014 Introduction: Doreen Fadus, CBMO, Mercy Medical Center, Springfield MA Presenters: John Lozier, Executive Director, National HCH Council, Nashville TN Heidi Nelson, CEO, Duffy Health Center, Hyannis MA
Health Care for the Homeless: the Basics. CHE/Trinity Homeless Champions Webinar #1 October 14, 2014 Introduction: Doreen Fadus, CBMO, Mercy Medical Center, Springfield MA Presenters: John Lozier, Executive Director, National HCH Council, Nashville TN - PowerPoint PPT Presentation
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Health Care for the Homeless:the Basics
CHE/Trinity Homeless Champions Webinar #1
October 14, 2014
Introduction:Doreen Fadus, CBMO, Mercy Medical Center, Springfield MA
Presenters:John Lozier, Executive Director, National HCH Council, Nashville
TNHeidi Nelson, CEO, Duffy Health Center, Hyannis MA
Catholic Social TeachingA basic moral test is how our most vulnerable members are faring. In a society marred by deepening divisions between rich and poor, our tradition recalls the story of the Last Judgment (Mt 25:31-46) and instructs us to put the needs of the poor and vulnerable first.
130 Organizational Members, including:•St. Joseph’s Mercy Care, Atlanta GA•Mercy Medical Center, Springfield MAHCH Clinicians’ NetworkNational Consumer Advisory BoardRespite Care Providers’ NetworkPractice-Based Research Network
Funding:•National Cooperative Agreement with HRSA to
provide training & TA to 255 HCH grantees and others•2 HCIA awards from CMS (studying Community Health
Workers and Medical Respite Care)•Additional public and private support
The mission of the National Health Care for the Homeless Council is to eliminate homelessness by ensuring comprehensive health care and secure housing for everyone.
The National Health Care for the Homeless Council was founded on the principles that•homelessness is unacceptable;•every person has the right to adequate food, housing, clothing, and health care;•all people have the right to participate in the decisions affecting their lives;•contemporary homelessness is the product of conscious social and economic policy decisions that have retreated from a commitment to insuring basic life necessities for all people; and•the struggle to end homelessness and alleviate its consequences takes many forms, including efforts to insure adequate housing, health care, and access to meaningful work.
Who is Homeless?A homeless person is an individual without
permanent housing who may live on the streets, stay in a shelter, mission, single room
occupancy facilities, abandoned building or vehicle, or in any other unstable or non-
permanent situation. A recognition of the instability of an individual's living arrangements is critical to the definition of homelessness.
*Bureau of Primary Health Care
Please Use These Diagnosis Codes for
HomelessnessICD-9-CM: v60.0 ICD-10-CM: Z59.0
REFERENCE TERMS:Hobo
Lack of housing, shelterSocial Migrant
NomadTramp
TransientVagabondVagrant
Causes of Homelessness
Housing Costs+
Insufficient incomes
=Homelessness
In the United States, the 2014 two-bedroom Housing Wage is $18.92. This national average is more than two-and-a-half times the federal minimum wage, and 52% higher than it was in 2000. In no state can a full-time minimum wage worker afford a one-bedroom or a two-bedroom rental unit at Fair Market Rent.
-National Low Income Housing CoalitionOut of Reach 2014 http://nlihc.org/oor/2014
Causes of Homelessness
Poor health causes homelessness–Financial impact (medical bankruptcy)–Personal Impact (behavioral health -> exclusion)–Effects of Trauma
A Second Relationship Between Homelessness &
HealthHomelessness causes poor health– Exposure to elements, communicable