Population Health
PopulationHealth
WhatisPopulationHealth?
Mission: Improve our population’s health and reduce LifeBridge Health’s cost of care delivery.
The idea of approaching healthcare broadly and looking for ways to improve the health of the community by addressing social and economic factors affecting health and connecting patients with community resources supporting wellness.
• WhyGlobalBudget?Toputthebrakesonrisinghealthcarecostsandtoprovideimprovedpatientcare
• Before:HOSPITALFOCUS:SICKCARE• Moresickpatients=more$• Weakincentivestopreventhospitalizations
• Now:HOSPITALFOCUS:IMPROVINGHEALTH• Helpingpatientstoreceivecareintheappropriatesetting• Preventingunnecessaryhospitalvisitsbyconnectingpatientstopreventativeservicesand
primarycareinthecommunity• Strongincentivestokeeppeoplehealthy
WhyNow?GlobalBudget
WhyHere?HealthDisparities
Whatdowedo?1. Ensure the right level of services based on acuity
2. Improve access to preventive, primary, and chronic
3. Enhance community programs and social services connections
CHW Patient
4. Integrate technology
5. Manage regulatory reporting and grant funding
PopulationHealthStaff
15Social
Workers
6Nurses
16CommunityHealthWorkers
Darleen Won, Director
Lane Levine, Project Manager
Jacquetta Robinson, Health Ambassador
Michelle Gourdine, M.D., Medical Director of
Sinai Community Care
Domanic Smith, Pastoral Care
Outreach Coordinator
Shawn Taylor, Admin Assistant
Community Initiatives DepartmentBeth Huber, Manager
HIV Support Services, Family Violence Program, Healthy Families America, Diabetes Medical Home
Extender Program, Perinatal Mood Disorders Program, Kujichagulia Center, Outpatient Social
Work, Patient Portal Navigators
Office of Community Health Improvement
Community Health EducationChanging Hearts
Beth Huber,Community Initiatives
Program Manager
Care NavigationCommunity & ED Care Navigation
48 employees at Sinai and Northwest
Livia Kessler, Operations Manager
Terrie DashiellCommunity
Health Improvement Mgr
WhoAreWe?
2016inReview2016Accomplishments
Collaborated withpublichealthagencies Care Coordination
Collaborated withotherhealthinstitutions CernerHealthe IntentLaunch
ViolencePreventionandExpansionofSafeStreetsProgramthroughHSCRCJobsGrantAward Awarded4SinaiNeighborhoodMicroGrants
CommunityHealthClinics(SinaiCommunityCareandAccessCarroll) MarylandFaithCommunityNetwork
FoodAccessStrategyandBlaustein grantaward DiseaseManagementPrograms
AmericanHeartAssociationOutreachprograms Community OutreachPrograms
Communityhealtheducationplannedexpansion AHA’sCultureofLearningCollaborative
HSCRCTransformationImplementationgrantawards Established LBHasaMHBEApplicationCounselorsite
PopulationHealthin20172017Goals
Provideprogrammingthataddressestheunderlyingneedsofourcommunities Securegrantfunding
Implementcarecoordinationprograms Submitrequiredregulatoryreports
Improvehealthcareaccess(primarycare/preventivecare/behavioralhealth/chronicdiseasemanagement)
Increasepartnershipsandcollaborationscreatingsynergies
Implementandintegratepopulationhealthsoftwaresolutions Communicateourmissionandgoals
Trackprogramprocessandoutcomemetricstofine-tuneprogramsanddemonstratesuccess
Contact us to learn more: [email protected]
Use the Resource Guide: Search for “LBH Resource Guide” on the intranet
Questions?