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: populationhealth@lifebridgehealth.org

Use the Resource Guide: Search for “LBH Resource Guide” on the intranet

Questions?