First Look: Weatherization Plus Health Model Program Evaluation Opportunity Council Oak Ridge...
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Transcript of First Look: Weatherization Plus Health Model Program Evaluation Opportunity Council Oak Ridge...
First Look: Weatherization Plus Health Model Program
Evaluation
Opportunity CouncilOak Ridge National Laboratory
PartnersOpportunity Council is a Community Action
Agency serving Whatcom, Island and San Juan Counties in Washington State
Oak Ridge National Laboratory
Health & Housing Connection:Link between health & indoor environment is well established and
evidence is growing
• Asthma triggered by indoor environmental conditions
• Lead poisoning from old paint
• Radon, carbon monoxide and other toxic substances cause health threats
Weatherization Plus Health
=House/ structure as a system
Air Movement and pressures
Humidity and Temperature
Heating and cooling systems
Insulation & Related Repairs
Weatherization
Infrastructure
+Weatherization
Plus Health Program
Health Focus
Asthma Education
Rodent & Pest Exclusion
Advanced Ventilation
Flooring Change outs
Additional
Services
1 2 3
Weatherization Plus Health
Weatherization Plus Health
Basic Weatherization
Education ComponentVisual survey of indoor air and health issuesInterview with clientDevelop action plan for behavior changes and implementationLow cost, no cost materials
Improve Indoor Environment
A weatherization audit, energy saving measurescombustion safety
Do No Harm adds to Basic Weatherization such elements as Lead Safe work practices, Asbestos Awareness
Conservation education
Additional measures that improve the indoor environment and build on basic weatherization and education component; Ex: Enhanced ventilation and solid surface flooring
Evaluation PartnersOpportunity Council
Oak Ridge National Laboratory
Department of Energy
APPRISE
Snohomish County CAP, Skagit Housing Authority, CAC of Lewis, Mason, Thurston
Purpose of Study
The purpose of this study is to explore cost savings and the
potential impacts of Weatherization Plus Health
on the health of clients.
Research Questions1. Does the Opportunity Council's Weatherization Plus
Health program result in decreased direct medical expenditures related to asthma treatment?
2. Do the direct medical expenditures also correlate with self-reported and caregiver reported improvement in health related asthma symptoms and episodes?
3. Does the level of impact on direct medical expenditures correlate with specific weatherization or asthma reduction measures provided through Weatherization Plus Health?
Research Questions4. By linking the Medicaid or health care assistance
records and school attendance, academic and nursing care records is a relationship observed between the Weatherization Plus Health program, asthma episodes and treatment needs, and school attendance and on-site care?
Research Questions5. If a relationship is observed, what are the cost
savings related to the decrease in direct medical expenditures, increased school attendance, performance, and on-site care, and caregiver productivity? How do the physicians attribute change in asthma status and episodes per physician records and report? Are there any adults in the household that self-report a change in asthma conditions as a benefit for treating the home for the children?
Evaluation DesignComparison of Treatment Group and Control Group
35 Treatment Homes15 Control Homes
Home Visit with $200 incentiveQuality of Life SurveyMedicaid ReleaseAsthma Control TestWalk Through checklistPhysician ReleaseSchool ReleaseSatisfaction Survey
Evaluation ChallengesWA State IRB Approval for Medicaid
Small sample
Difficulty locating appropriate control homes
Working with schools
Initial Findings
Next Steps