Hospital-Community Partnerships
In
recent years, the CHRC has prioritized supporting a number of innovative hospital-community
partnerships to improve population health and to support the State’s new
All-Payer Model. Initial funding provided by the Commission (public) has
leveraged significant additional (private) capital. The following are several
examples of recent hospital-community partnerships that have been funded by the
CHRC:
La Clinica del Pueblo, a federally qualified
health center, received a three-year grant from the CHRC in 2016 to open a new
comprehensive health center in Hyattsville. The program involves a partnership
with Doctors Community Hospital, and will provide a comprehensive list of
services including primary care, specialty care, radiology, case management,
behavioral health services, insurance assistance, and health education. The opening of the new health center in
Hyattsville involves a public-private partnership, as La Clinica del Pueblo
received $1,376,535 in additional funding from sources including the U.S.
Department of Health and Human Services (DHHS), CareFirst BlueCross BlueShield,
The Cafritz Foundation, The Meyer Foundation, and The Split Rock Foundation. For
more information about the opening of the new health center, click here.
The
Lower Shore Clinic a behavioral
health provider in Wicomico County, received a two-year grant in 2016 to support
the CareWrap Program. CareWrap is being also supported by Peninsula Regional
Medical Center ($92,233). The public-private partnership will enable the Lower
Shore Clinic to support a CareWrap Team that will enroll individuals with
chronic health needs, who are frequently admitted or treated in the emergency
room at Peninsula Regional Medical Center, into longitudinal support including
primary care and ancillary services in the community. The program will increase access to primary
and behavioral health services for individuals with behavioral health and
complex medical conditions and is expected to assist Peninsula Regional Medical
Center in reducing its readmission rates. The launch of this program has was covered
by both print and television media.
Charles
County Health Department received a three-year grant in
2016 to fund support an innovative “public health-EMS-hospital” partnership
that seeks to address over-utilization of EMS and ED services in Charles County
by assisting frequent ED/EMS users to manage their chronic conditions in a
primary care setting or at home. Clients
will be supported by a Mobile Integrated Healthcare team, comprised of a
paramedic, a nurse practitioner, and two community health workers. The program is a collaboration among the
Charles County Health Department, Charles EMS ($64,000), and Charles Regional Medical
Center ($150,000), each of which is supporting the project financially. To view
the media coverage of this project, click here.
Allegany Health Right, a provider of dental
care for low-income, uninsured/underinsured adults, received a two-year grant
in 2014 to provide access to dental care services and oral health education for
underserved communities in Allegany County. The program was a collaboration
with the Western Maryland Health System which aimed to divert dental patients
from the Emergency Department to discounted urgent dental care services.
Allegany Health Right leveraged CHRC funds to obtain additional resources from
Western Maryland Health System ($30,000), the Carefirst Foundation ($24,000),
the Gratis Foundation ($5,000), the DelFest Foundation ($5,000), the Rotary
Club of Cumberland ($1,000), HUD Community Development Block Grant ($10,000),
and Allegany County United Way ($19,680).
In
addition to these grant-making activities, the CHRC sponsored a number of
regional forums with the Maryland Department of Health and Mental Hygiene, Health
Service Cost Review Commission, Chesapeake Regional Information System for our
Patients, and the Maryland Hospital Association to highlight innovative
hospital-community partnerships occurring in the State, discuss lessons learned
from these programs, and begin a dialogue about how these programs could be
sustained and replicated. The lessons learned from these forums were summarized
in the white paper released in January 2015, “Sustaining Community Hospital Partnerships to
Improve Population Health.”
ADDITIONAL RESOURCES
Using Pay-For-Success To Increase Investment In The Nonmedical Determinants Of Health - by Ian Galloway
Maryland's Triple Aim Roadmap - by Carmela Coyle
Successes and Challenges in Community Health Improvement