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HomeMy WebLinkAbout021524P PacketConnecting Community Members to Care Connecting Community Members to Care Acknowledgements Key informant interviews and report reviewers Alex McCracken, Central Kitsap Fire Rescue Anthony Lyon-Lo�us, PA-C, MPH, Peninsula Community Health Services Bret Black, Chief East Jefferson Fire Rescue Brian Gerdes, Port Angeles Fire Department Casey Jinks, Deputy Kitsap County Sheriff’s Office Dunia Faulx, MPH, Jefferson Healthcare Eric McNair Scot, Southwest Washington Accountable Community of Health Helen Kenoyer, Olympic Peninsula Community Clinic Jolene Kron, Salish Behavioral Health Administrative Services Organization Kathleen Olson, Molina Healthcare Kim Hendrickson, City of Poulsbo Laura Johnson, United Healthcare Laurel Lee, Molina Healthcare Lori Kerr, St. Michael Medical Center Maria Courogen, Department of Health Matania Osborn, Amerigroup Monica Vanderheiden, Peninsula Behavioral Health Stephanie Lewis, Salish Behavioral Health Administrative Services Organization Tim Garrity, Sergeant Bremerton Police Department Olympic Community Health report wri�ng team Miranda Burger (Program Manager), Ren Mack-Hazelwood (Community Program Coordinator), Yvonne Owyen (Community Program Coordinator), Celeste Schoenthaler, MPH (Executive Director), and Amy Brandt (Communications Manager) Executive Summary Olympic Community of Health (OCH) supports regional efforts to meet individual needs �mely, easily, and compassionately. OCH serves as a catalyst for change, seed planter, and bridge builder by eleva�ng community voice, spotligh�ng local innova�on, and advoca�ng for solu�ons that meet the unique needs of our communi�es. Local challenges around high use of costly services for non-emergent needs such as emergency department (ED) visits and 9-1-1 calls as well as gaps in the local healthcare system persist. This report looks at innova�ve place-based approaches that meet people where they are to improve pa�ent experience and outcomes, preserve emergency services, and reduce costs. Through this report, OCH sought to learn more about and demonstrate the value and impact of local programs, elevate crea�ve ideas, and advocate for sustainable solu�ons. Table of Contents Acknowledgements…………………………………………………….……1 Execu�ve summary………………………………………………………….1 Introduc�on…………………………………………………………………….2 Background……………………………………………………………………..3 Program deep dive…………………………………………………………..9 Sustainable solu�ons………………………………………………………11 Call to Ac�on…………………………………………………………………..13 Resources……………………………………………………………………….14 Acronyms……………………………………………………………………….14 Appendix….…………………………………………………………………….14 Bremerton Ambulatory Team……………………………15 Bremerton Police Department Behavioral Health Navigator……………………………………………….………..16 Central Kitsap Fire Rescue CARES…………………..…17 East Jefferson Fire Rescue CARES……………………..18 Kitsap County Sheriff’s Crisis Interven�on Coordinator……………………………………………………….19 Port Angeles Fire Department Community Paramedicine Program……………………………………..20 Poulsbo Fire CARES…………………………………………..21 REdisCOVERY Program……………………………………..22 Salish R.E.A.L. Teams……………………….……………….23 Sequim Navigator Program……………………………….24 1 Connecting Community Members to Care The Olympic region is stronger together. There are many opportuni�es for legislators, policy makers, and community partners to expand, replicate, and sustain these crea�ve solu�ons to local health issues. OCH intends for this report to serve as a useful tool and resource for partners as well as decision makers. Introduction Olympic Community of Health OCH is a regional non-profit organiza�on that brings together partners from many different backgrounds, sectors, communi�es, and Tribes to collec�vely achieve the vision of healthy people, thriving communi�es. OCH fosters an environment to build bridges between and among the community and clinical workforce to create a more person-centered approach to health. The Olympic Region The Olympic region spans Clallam, Jefferson, and Kitsap Coun�es, and includes the seven sovereign na�ons of the Hoh, Jamestown S’Klallam, Lower Elwha Klallam, Makah, Port Gamble S’Klallam, Quileute, and Suquamish Tribes. The unique communi�es and diverse geographic landscapes across the region impact the services available and the way individuals and families seek care. Below is a bird’s eye view of the makeup of the Olympic and Kitsap Peninsulas and some key notes to help understand what makes the Olympic region unique. See page 13 for ways YOU can advance and sustain this life-saving work. 2 Connecting Community Members to Care De�initions This work goes by many names. The thread that weaves them all together is mee�ng people where they are to provide �mely, compassionate care. The care provided under these programs and services aims to meet the unique needs of the diverse communi�es in the Olympic region. This work con�nues to evolve, and programs are providing a range of person-centered services. Common terms and defini�ons: Background The role of emergency response Historically, the role of first responders was to provide acute interven�on for emergent needs. As one first responder shared, “I’m a fixer. I want to put the fire out, perform CPR, and get you to the hospital – then go out and respond to the next one.” Today, first responders are asked to do much more as they respond to a higher and more frequent number of non-emergent calls for chronic condi�ons unsolvable in a single visit, such as substance use disorder, mental health, complex medical condi�ons, homelessness, and others. This shi� taxes limited emergency resources and increases costs to the healthcare system. A partner shared, “I know I’m not fixing anything; I’ll see them again. It’s like the same house catching fire every third day.” Leveraging the skills and resources of a variety of community partners to help solve healthcare problems is essen�al to crea�ng change. A larger movement First responders are typically seen as a trusted resource in communi�es, and commonly are the first, and some�mes only, point of contact with individuals. In rural communi�es, a lack of access to preventa�ve and primary care can create added burden to emergency response services. Across the na�on, hundreds of programs intended to lower costs and improve care have been launched. A 2023 study conducted by the Na�onal Associa�on of Emergency Medical Technicians iden�fied more than 400 mobile-integrated Community paramedicine A health care model that allows paramedics and emergency medical technicians to operate in expanded roles by assisting with preventative and primary health care services to improve access to care for underserved populations. Co-Response A partnership between first responders (including law enforcement, fire/EMS, or EMS agencies) and human services professionals (such as behavioral health professionals, social workers, community health workers, or peer support workers). These teams respond to calls involving people with behavioral health and/or complex medical needs to provide immediate response and follow-up care. Mobile-integrated health Health care services provided outside of a health care facility by any type of health professional. This term is often used interchangeably with community paramedicine but can be broader to include services provided by nurses, community health workers, and more. See appendix beginning on page 15 for examples of local programs. 3 Connecting Community Members to Care Figure 1 health and/or community paramedicine programs across forty states1. Co-Responder programs can be found interna�onally and in recent years informa�on sharing and collabora�on across programs has expanded to improve best prac�ces. “We can’t control what people choose to call 9-1-1 for. We can control how we respond.” –First responder Across Washington State many co- responder programs have launched and statewide groups like the Co- Responder Outreach Alliance (CROA) are working to enhance understanding of various programs, spread best prac�ces, and advocate for suppor�ve laws and policies. Figure 1 to the right, created in partnership between CROA and University of Washington in 2022, is a visual landscape analysis of exis�ng co-response programs in Washington State. Programs in blue are affiliated with police, programs in red are affiliated with Fire, and programs in green are affiliated with “other en�ty.” In the Olympic region Health transforma�on provides opportuni�es for innova�ve solu�ons to address gaps in the health care system. Across the Olympic region, innova�ve partnerships con�nue to grow to address and bridge local barriers and gaps. Through the Medicaid Transforma�on Project (MTP), OCH provided flexible funding to incen�vize innova�ve health solu�ons on a local level. Some partners used MTP dollars to pilot various place- and field-based approaches. Partners proac�vely sought other funding sources outside of MTP to launch, expand, and sustain these approaches. Addi�onally, statewide funding mechanisms like the state proviso under the Blake Bill have launched opportuni�es for more programs. No two programs are the same and, by design, are not a “one-size-fits-all” approach. Approaches to funding, 1 Na�onal Associa�on of Emergency Medical Technicians, (2023) Mobile Integrated Healthcare and Community Paramedicine (MIH-CP). Retrieved August 7, 2023, from chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/htps://naemt.org/docs/default-source/community- paramedicine/toolkit/mihcp-presenta�on_may-2023.pdf?sfvrsn=2f01f593_2 Source: Co-Responder Outreach Alliance Retrieved August 7, 2023 from https://croawa.com/uw-partnership/ 4 Connecting Community Members to Care Figure 2 workflows, popula�ons of emphasis, and response differs across programs. Effec�ve programs are developed to meet community needs and do not duplicate or compete with already exis�ng services, rather they fill a gap. These programs have proven to be strong value adds to the community by working to preserve costly and limited emergency resources2. Local needs The concept of community paramedicine, and other similar programs, began in rural areas. Today, these programs operate in a range of community types. The Olympic region, largely rural, experiences many gaps in the healthcare system and naviga�ng complex care can be especially challenging due to limited services, transporta�on, and other determinants of health. As re�red Port Angeles Fire Department Chief Ken Dubuc shared, “One, they simply don’t have an alterna�ve. Two, people have alterna�ves, they just don’t know what they are. Three, there are a lot of folks out there who can’t afford any alterna�ves, they aren’t insured, they may not have transporta�on, or the means of accessing services.” Across the Olympic region, u�liza�on of emergency departments is high. While the height of COVID-19 led to dras�c decreases in emergency department u�liza�on across all three coun�es, this was likely for the wrong reasons including public fear and stay at home orders. 2021 data show that emergency department u�liza�on started to increase again across all three coun�es and local hospitals confirm this trend con�nues today. As Jefferson Healthcare shared, “visits are exceeding pre-pandemic levels.” Local hospitals confirm they are consistently at capacity and common non-emergent use of the ED is due to limited resources including primary care, specialty care, behavioral health access, and aging specific resources. 2 Na�onal Associa�on of Emergency Medical Technicians, (2018) Mobile Integrated Healthcare and Community Paramedicine (MIH-CP) 2nd Na�onal Survey. Retrieved August 7, 2023 from chrome- extension://efaidnbmnnnibpcajpcglclefindmkaj/htp://www.naemt.org/docs/default-source/2017-publica�on-docs/mih-cp- survey-2018-04-12-2018-web-links-1.pdf?Status=Temp&sfvrsn=a741cb92_2 5 Connecting Community Members to Care Limited primary and specialty care Across all three coun�es, and par�cularly in more rural areas, primary care and specialty care is limited. It is common for pa�ents to wait extended periods of �me for an appointment. Jefferson Healthcare shared it is not uncommon for pa�ents to seek care in EDs across county lines in hopes of being seen sooner and pa�ents express that it is faster to wait for a few hours in the ED than to wait weeks or months for a scheduled appointment. Limited behavioral health care Mental health and substance use disorder services are limited in the Olympic region and workforce shortages further exacerbate barriers to care. Local first responders and hospitals share that individuals are frequently brought to the ED for mental health and/or substance use disorder crises because family members and law enforcement don’t know where else to bring them. Port Angeles Community Paramedicine Success Story A 37-year-old woman with complex medical condi�ons including severe mental illness, substance use disorder, and developmental disability was referred to the community paramedicine program by first responders for frequently calling 9-1-1 and visi�ng the ED for non-emergent behavioral health needs. Prior to engagement with the community paramedicine program, EMS and Fire teams were commonly responding to her one to two �mes per shi�, many �mes leading to transport to the ED. Within one year of engaging with the community paramedicine program the pa�ent’s 9-1-1 calls decreased by 35%. Two years a�er engaging with community paramedics, the pa�ent is successfully engaged in behavioral health treatment and is in recovery for substance use disorder. East Jefferson Fire Rescue CARES Success Story The second day the CARES program launched an elderly male was observed in his parked car at the fire sta�on parking lot with a visibly dislocated shoulder. The man indicated that he had fallen a few days ago and was struggling to perform ac�vi�es of daily living, including bathing, pu�ng his sling back in place, and managing his pain medica�on. The CARES team connected with the man’s primary care provider to refill pain medica�on and coordinate a referral to the VA for surgery as well as connected to home care. The man received his surgery shortly a�er the interven�on and has since recovered. See Appendix 6 on page 21 for program spotlig ht. See Appendix 4 on page 19 for program spotlight. 6 Connecting Community Members to Care Limited resources for aging popula�on Local hospitals also share they see a high volume of aging pa�ents for needs that could be prevented or addressed at home with appropriate support. In-home caregiving, assisted living, and skilled nursing facili�es are all extremely limited in the Olympic region. Pa�ent discharge from the hospital is frequently delayed, up to several weeks, due to lack of home-based services. ED staff frequently encounter families without long-term care plans for aging family members or knowledge of available resources. According to local hospitals, there is a need for increased services for the aging popula�on as well as educa�on for families about resources and end of life care. The total cost of care The cost of a visit to the ED is difficult to predict and 9-1-1 response costs vary depending on the services provided. An es�mated 13% to 27% of emergency department visits in the United States could be managed in physician offices, clinics, and urgent care centers, saving $4.4 billion annually3. It is challenging to capture cost savings of these programs as they o�en prevent calls and visits before they occur. Working with the Health Care Authority (HCA) and an independent third-party consultant, the Port Angeles Fire Department completed a comprehensive cost of service analysis and determined that the costs to the Port Angeles Fire Department every �me a pa�ent is transported to the hospital is $2,002, which includes first responder �me and use of equipment. They further es�mated costs to the Port Angeles Fire Department are not much less even when transport does not occur and very conserva�vely es�mate 9-1-1 response without transport costs $1,000. Considering the above informa�on, the 3 Weinick RM, Burns RM, Mehrotra A. How many emergency department visits could be managed at urgent care centers and retail clinics? Health Aff 2010;29(9):1630-6. htp://www.ncbi.nlm.nih.gov/pmc/ar�cles/PMC3412873/. Accessed June 16, 2016. See Appendix 3 on page 18 for program spotlight. Central Kitsap Fire CARES Success Story Central Kitsap Fire CARES responded to an elderly couple in need of help transferring in and out of bed. The couple had called 9-1-1 for assistance twenty-eight �mes over a two- week period. The CARES team coordinated with community resources to install a li� and educate the couple on appropriate use. The couple had zero 9-1-1 calls in the two months following the interven�on and expressed gra�tude for the kindness and compassion of the CARES team. Central Kitsap Fire CARES Success Story Central Kitsap Fire CARES team responded to a 9-1-1 call for a 16-year-old expressing suicidal idea�on. The CARES team connected with established mental health treatment providers and suppor�ve family members to coordinate a more effec�ve safety plan. The adolescent was able to stay home in contact with familiar mental health treatment and avoid an unnecessary hospital visit. 7 Connecting Community Members to Care Figure 3 Community Paramedicine program conserva�vely es�mated cost savings to the Port Angeles Fire Department in 2021 and 2022 to be over $850,0004. One example of cost savings can be found from the Port Angeles Fire Department Community Paramedicine Program. A 72-year-old woman with complex medical condi�ons and SUD, was referred to the program for frequently calling 9-1-1 mul�ple �mes a day or week for assistance with nonemergent tasks. Community Paramedics found she was experiencing side effects from conflic�ng prescrip�ons and coordinated with her primary care provider to address the issue, including obtaining a new prescrip�on and follow-up to other suppor�ve services such as in-home care. Addi�onally, the Community Paramedics connected with the pa�ent’s family to increase social supports. Since interven�on by Community Paramedics the pa�ent has had a 95% reduc�on in emergency department visits and 9-1-1 calls4. Community-based care coordination Another area where these programs have demonstrated impact on pa�ent outcomes and costs is through improved community-based care coordina�on. Place-based programs that meet people in the field have a ripe opportunity to navigate individuals to the best resource at the ini�al point of contact. This not only improves costs and outcomes, but helps individuals experience beter quality of life so they require less intensive care overall. 4 Port Angeles Fire Department Community Paramedicine Program, (2023) Impact Statement. Supplied by Port Angeles Fire Department May 1, 2023. Poulsbo Fire CARES Success Story A 62-year old male made six calls to 9-1-1 in the last 12 months related to chronic alcohol use. The CARES Team arranged care and transporta�on to medical detox. Following discharge from detox, further assistance was needed to secure inpa�ent treatment. The CARES Team worked with the individual’s private insurance and various treatment facili�es to find an affordable treatment solu�on. The pa�ent successfully completed inpa�ent treatment and has connected with local outpa�ent SUD treatment and re-engaged with his primary care doctor and medica�on management plan. The pa�ent and his wife expressed gra�tude for the CARES Team. See Appendix 7 on page 22 for program spotlight. 8 Connecting Community Members to Care Figure 4 Program Deep Dive Inventory of local programs OCH explored some of the unique local programs to beter understand the various approaches, shared and individual challenges, and to spread successes. There are many field-based services happening across the region and this is not intended to serve as a comprehensive inventory of all programs. The program spotlights take a closer look at different examples of programs to inspire future collabora�on and innova�on across the Olympic region. See appendices beginning on page 15 for spotlights on these local programs. 9 Connecting Community Members to Care Key takeaways There are many diverse approaches to this work. No two programs are the same. While each program takes a unique approach to mee�ng their community needs, commonali�es across programs have emerged. Successes Collabora�on is key. Programs are collabora�ng within their communi�es to avoid duplica�on of services and ensure individual needs are met. Most individuals interac�ng with these programs experience complex needs that cross spectrums of care. Successful programs include a mul�-disciplinary approach that capitalizes on partner’s unique exper�se and strengths to reduce stress on emergency response systems and improve how individuals with complex needs are being connected to appropriate services. Robust programs include bi-direc�onal referrals, meaning partners can refer into the program as well as the program referring out to community partners. This approach secures stakeholder buy-in and ensures a no wrong door approach to community members in need receiving care. More and more programs are collabora�ng across city, county, and state lines to share lessons learned and best prac�ces. Partners are flexible to adapt to the changing community needs. Innova�on means trying things that haven’t been done before and these programs are evolving to improve systems and processes. As the Olympic region, and Washington state, con�nues to face health-serving workforce challenges, these programs are helping to alleviate some workforce burnout. Many local programs have tailored their scope of services to the skillsets of available staff. For example, some of the Fire CARES models heavily rely on EMT services versus paramedic due to workforce capacity. This balance appreciates responsivity to community needs and workforce capacity. Challenges Many first responder agencies are inexperienced at managing the administra�ve burdens of seeking funding, repor�ng to funders, collec�ng and tracking data, and managing contracts. Administra�ve constraints detract from the ability to provide direct services. As Central Kitsap Fire CARES shared, “Firefighters shouldn’t be spending 50% of their �me chasing grants.” Funding to support these programs in the Olympic region has largely been grant-based and sustainability is unsure from one grant cycle to the next. Most programs are braiding mul�ple sources of funds. Successes -Reduced stress on emergency response systemsand improved 9-1-1 response to complex needs -Collaboration across multi-discplinary partnersand bi-directional referrals -Collaboration across programs to improve caredelivery -Services tailored to the skills of the availableworkforce Challenges -Administrative burden -High caseloads -Limited and insecure funding (sustainability) -Inconsistent standards, training, and measures ofsuccess across programs 10 Connecting Community Members to Care The need in communi�es is great and caseloads across programs remain high. Many local programs are limited in how many individuals they can serve to ensure �mely and responsive follow-up. Referrals increase as programs con�nue to demonstrate their value. Many of these programs are new or recently expanded. Standards for policies, training and measures of success have not been implemented and it can be difficult to compare programs. Suggestions for programs As programs work to launch, expand, and con�nue to refine, partners have iden�fied a set of sugges�ons for programs to consider: Sustainable Solutions Added value Innova�ve approaches to mee�ng people where they are and direc�ng individuals to the most appropriate and least costly type of care is an important piece of the puzzle to crea�ng a region of healthy people, thriving communi�es. These programs have significant impacts on improved pa�ent outcomes, experience, costs, and enhancing a community-based care coordina�on network to direct people to appropriate resources across the full-spectrum of care. Many gaps in our health care system exist and these programs have proven essen�al to filling and addressing gaps for individuals to ensure the right care is received at the right �me and place. Through collabora�ve partnership and local innova�on, these programs are saving payors thousands of dollars, preserving capacity of essen�al high needs services, addressing and preven�ng workforce burnout, and beter mee�ng individual needs with compassionate, �mely care. Invite elected officials to see your work first-hand. Build up ability to track quantitative data in addition to the qualitative stories. Collaborate with key community partners such as hospitals, behavioral health teams and programs, Managed Care Organizations, and local referral sources to better coordinate response. Coordinate with other like programs to standardize data collection and analysis. Conduct, or partner with, a community needs assessment to understand the unique challenges and needs of the community. Use a broad spectrum of data, including EMS, to inform program planning and quality improvement. Plan for program expansions over time to meet increasing referrals.Consider incorporating telehealth into the broader spectrum of care. 11 Connecting Community Members to Care Sustainability in action Across the na�on and Washington State, first responders, community partners, elected officials, and community members are seeing the value of these programs. The interest of federal, state, and local stakeholders has enabled some programs to secure grants to cover the ini�al development and opera�on of their program. Yet most programs launched by local organiza�ons, such as EMS, con�nue to fund these programs out of their exis�ng budgets. Minnesota Medicaid Reimbursement2 In 2012, Minnesota became the first state to pass legisla�on authorizing Medicaid reimbursement of EMS-based community paramedics. The Na�onal Associa�on of Emergency Medical Technicians Mobile Integrated Healthcare and Community Paramedicine report highlights one rural community paramedicine program receiving such reimbursement, “the only available reimbursement is for the 15 percent of pa�ents who have Medicaid…in 2014 reimbursements from Medicaid totaled about $10,000 –not enough to cover costs.” The program men�oned has braided funding from EMS opera�onal budget and local hospitals in addi�on to receiving reimbursement for Medicaid. They hope to nego�ate savings arrangements with commercial insurers in the future. Tri-County’s tips for success: 1.Start small. Gradually build acceptance of your program among referral partners. 2.Think local. “My program wouldn’t work in Ft. Worth, or in New York City, and their program wouldn’t work here. Your program needs to fit local needs.” - Allen Smith, Tri-County Health emergency response manager Clark Cowlitz Fire and Rescue & Southwest Washington Accountable Community of Health Southwest Washington Accountable Community of Health (SWACH) partnered with Clark Cowlitz Fire and Rescue to develop and implement community paramedics under the CARES model using MTP funds. SWACH leveraged their community-based care coordina�on hub and role as a community connector to facilitate meaningful partnership with local hospitals and Area Agencies on Aging who now provide funding to the program as well as funding from the fire district. Community paramedicine has been integrated into the community-based care coordina�on hub workflow which has allowed the program to track outcomes and is a piece of the larger care coordina�on puzzle. SWACH’s Director of Community & Clinical Linkages, Eric McNair Scot shared, “There is no end of need that this program is mee�ng. It’s not in any way duplica�ng efforts.” Moving forward, Clark Cowlitz Fire and Rescue hopes to expand the CARES program to include addi�onal local fire departments. SWACH plans to support community paramedicine programs through outcome- based payments under their community-based care coordina�on hub, which will con�nue under the next MTP renewal waiver. 12 Connecting Community Members to Care SWACH’s tips for success 1.Talk to your first responder agencies that are doing the work to understand what the local opportunities are. 2.Facilitate connections to share best practices and move towards more standardization across programs. 3.Integrate programs with other community-based care coordination work to create an effective system for tracking data and closing the loop on outcomes. Acadian Ambulance partnership with Medicaid Managed Care2 In 2013, Acadian Ambulance, one of the largest private ambulance providers in the na�on serving areas of Texas and Louisiana, launched a mobile integrated health/community paramedicine program. A�er successes seen under a series of pilots, Acadian partnered with Louisiana Healthcare Connec�ons, a Medicaid Managed Care Organiza�on (MCO), on a pediatric asthma interven�on. “A�er six months, we’ve seen beter management of asthma for the children in this program. Their emergency room u�liza�on has decreased, and their medica�on compliance has improved,” shares Louisiana Healthcare Connec�ons. Under this partnership, Acadian medics receive a fee per visit from the MCO. Acadian supplements the addi�onal costs to run the program and plans to approach local hospital systems and other public and private payers with results as proof of concept. Acadian’s tips for success 1.Use data to identify ‘frequent user’ groups to start developing targeted interventions. 2.Tap into local ‘community health worker’ network for outreach, social support, informal counseling, and screenings for social needs. 3.Understand every patient group is unique. The needs for children with asthma will differ from other frequent user groups. Call to Action OCH intends for this report to serve as a useful tool and resource for partners as well as decision makers. The Olympic region is stronger together, and programs like these are another step towards fostering a healthier, more equitable 3-county region. Here are ways YOU can advance and sustain this life-saving work: Community partners: •Partner with and make referrals to and from your local program. Find examples of local programs, including contact information, in the program deep dive section of this report (pages 11-20). •See a need in your community? Connect with partners and consider expanding or replicating a program to meet the unique needs of your area. •Collaborate across programs to create standards for skills, training, and education. •Advocate to the Washington State legislature to include mobile services as a Medicaid reimbursable service. Call the Toll-Free Hotline and leave a brief message for your senator or representative 1-800- 562-6000 (TTY for Hearing Impaired 800.833.6388, interpreter services available). Elected officials: •Learn more and directly connect with the programs operating in your district. •Add these programs and services as a Medicaid covered benefit. •Support policies, bills, and laws that create sustainable funding for field-based approaches. 13 Connecting Community Members to Care OCH solu�ons: OCH serves as a suppor�ve backbone that creates opportuni�es for collabora�on across Clallam, Jefferson, and Kitsap Coun�es, and seven Tribal Na�ons. Below are commitments that OCH makes to con�nue to support mee�ng individual needs �mely, easily, and compassionately in the Olympic region. •Create opportunities for collaboration •Elevate regional challenges and opportunities to local elected officials and advocate for sustainable funding paths •Partner with ACH’s across Washington State to create opportunities for collaboration and advocate for sustainable solutions •Share innovative successes •Include this work as a component of community-based care coordination hub work under the MTP renewal waiver Resources •Co-Responder Outreach Alliance (WA) •Mobile Integrated Health/Community Paramedicine Program Toolkit •National Association of Emergency Medical Technicians •OCH Coffee Break Video Series: Community-Clinical Partnerships •Rural Health Information Hub - Community Paramedicine •Stronger Together: Community-based Care Coordination Acronyms •CARES – Community Assistance, Referral, and Education Service •CROA – Co-Responder Outreach Alliance •ED – Emergency department •EMS – Emergency Medical Services •MCO – Managed Care Organization •MTP – Medicaid Transformation Project •OCH – Olympic Community of Health •SUD – Substance use disorder •SWACH – Southwest Washington Accountable Community of Health Do you have a program you would like to share with the OCH network? Email OCH@olympicch.org 14 Connecting Community Members to Care Appendix OCH explored some of the unique local programs in order to understand the various approaches, shared and individual challenges, and to spread successes. There are many field-based services happening across the region and this is not intended to serve as a comprehensive inventory of all programs. The program spotlights, beginning on page 15, take a closer look at different examples of programs to inspire future collabora�on and innova�on across the Olympic region. Bremerton Ambulatory Team………………………………………………………….16 Bremerton Police Department Behavioral Health Navigator……………17 Central Kitsap Fire Rescue CARES…………………………………………….……..18 East Jefferson Fire Rescue CARES………………………………………………..….19 Kitsap County Sheriff’s Crisis Interven�on Coordinator……………….….20 Port Angeles Fire Department Community Paramedicine Program...21 Poulsbo Fire CARES………………………………………………………………………...22 REdisCOVERY Program…………………………………………………………………….23 Salish R.E.A.L. Teams……………………….……………………………………………...24 Sequim Navigator Program………………………………………………………….….25 15 Connecting Community Members to Care Bremerton Ambulatory Team Kitsap County, WA Description Populations of emphasis In the Spring of 2020, Peninsula Community Health Services (PCHS) collaborated with the Bremerton Fire Department (BFD) to establish the Bremerton Ambulatory Team (BAT). The BAT consists of a medical provider, medical assistant, and community health worker, as well as support from behavioral health professionals, working to reduce the number of non-emergent EMS calls by meeting people where they are. BAT serves individuals who experience barriers to accessing care in a traditional setting including, but not limited to: •Homelessness and/or isolation •Limited mobility/access to transportation •Mental illness and/or SUD concerns •Cultural and/or linguistic barriers •Health literacy and/or lack of familiarity with existing resources How it works 1.BFD sends referral to PCHS when unique, non-emergency support is needed. 2.BAT reaches out to the client to assess individual needs. 3.BAT deploys mobile healthcare services to client residence. 4.BAT helps client address acute needs as well as connects them with existing services. 5.BAT provides some case management, often helping clients navigate insurance, transportation, housing, food, clothing, etc. Tips for success 1.Complete a needs assessment and outline what specific problems the program will address. 2.Consider multiple ways to deploy field services (mobile clinic, co-locating with a community partner, etc.). Funding Contact information •Services billed to patient insurance •PCHS has income-based sliding-scale fee and financial assistance programs PCHS, Assistant Medical Director Anthony Lyon-Loftus, PA-C, MPH, aelyonloftus@pchsweb.org Website www.pchsweb.org/mobile-locations/mobile- bremerton-ambulatory-team-bat-/ 16 Connecting Community Members to Care Bremerton Police Department Behavioral Health Navigator Program City of Bremerton, WA Description Populations of emphasis The Bremerton Police Department Behavioral Health Navigators collaborate with Bremerton police officers to co-respond to calls that involve individuals experiencing suicide ideation, mental or behavioral health, child protective services, adult protective services, or complex health issues. The Navigators act as a community liaison to connect their clients to community resources that meet their individual needs. Navigators work closely with partners to avoid duplication of services and ensure individual needs are met timely easily and compassionately. Key partners in this work include: •Bremerton Fire Department •Kitsap Mental Health Services •Peninsula Community Health Services •Kitsap Community Resources •St. Michael Medical Center •Local R.E.A.L. Teams Anyone in need of resources with emphasis on people experiencing: •behavioral health •complex health •and/or child protective services related call How it works Data 1.Bremerton police officers co-respond with navigators on calls involving individuals experiencing behavioral health, complex health, child protective services, and/or adult protective services. 2.Once the scene is secured, navigator works with client to identify needs. 3.Navigator connects client with appropriate resources. 4.If navigator is not available to co-respond, police officers send internal referral and navigator follows up with individuals. 506 referrals to Navigators in 2022 558 individuals contacted by Navigators in 2022 Almost 75% of individuals contacted accepted help Source: Bremerton Police Department 2022 Annual Report Tips for success 1.Clearly define what you want your program to accomplish and the parameters of the program. 2.Hire the right people for the job. 3.Identify what data is important to demonstrate the value of your program and way to track and report. Funding Contact information •Kitsap County 1/10th •Navigators are included in the police department budget Bremerton Police Department Sergeant Tim Garrity, timothy.garrity@ci.bremerton.wa.us 17 Connecting Community Members to Care Central Kitsap Fire Rescue CARES Central Kitsap Fire District, including Silverdale, Seabeck, and East Bremerton Description Populations of emphasis Central Kitsap Fire CARES (Community Assistance, Referral, and Education Service) is a partnership between Central Kitsap Fire and the City of Poulsbo that connects people with support and services that meet their individual needs. This program addresses the underlying issues contributing to non-emergent 9-1-1 calls and ED visits by providing education and making referrals to local services. Central Kitsap Fire CARES closely collaborates with and refers to community partners such as: •Kitsap Mental Health Services •Knights of Columbus •Fishline •Kitsap Division of Aging and Long-Term Care •St. Michael Medical Center •Local substance use disorder providers •Local school districts Anyone in fire district How it works Data 1.9-1-1 call triage identifies cases appropriate to refer to Fire CARES 2.Referrals are received through Julota 3.Phone call or in-person visit by CARES team paramedic and social worker 4.CARES team refers individuals to appropriate community resources 5.Discharge from program after individual needs are met 289 referrals received and 186 people assisted January-June 2023 27 individuals connected to care January-June 2023 19 avoided 9-1-1 calls because of on-scene activity/home visit and 20 time fire crews relieved in the field January-July 2023 Source: City of Poulsbo Tips for success 1.Utilize a common data system for referral and data collection. 2.You can mix and match approaches that will work best for your community. You don’t have to re-invent the wheel. There are many other programs to learn from. Funding Contact information Braided funding from multiple sources including: •Kitsap County 1/10th •WA Association of Cities Grant administered through the City of Poulsbo •Central Kitsap Fire Department operational support including vehicles, office space, employee time/benefits, administrative support Central Kitsap Fire Rescue, Chief Medical Officer Alex McCracken, amccracken@ckfr.org CARES team Jesse Graham, Paramedic/Firefighter, jgraham@ckfr.org Kloe Tran, MSW, ktran@ckfr.org Website www.ckfr.org/cares/ 18 Connecting Community Members to Care East Jefferson Fire Rescue CARES East Jefferson County Description Populations of emphasis East Jefferson Fire Rescue (EJFR) CARES works to reduce the impact of low acuity/non-emergency incidents to the 9-1-1 system and identify solutions to clients by connecting them to appropriate services. EJFR CARES refers community members to the most appropriate local services including: •Believe in Recovery •Jefferson Healthcare •Local R.E.A.L. team •Jefferson County Public Health •Local community-based organizations •Elders over 65 •Veterans •Unhoused individuals/families •People with unmet behavioral health needs, including substance use disorder How it works Data •Referrals received from 9-1-1 providers and other local partners. •EMS assesses individual needs (emergent or not) and refers appropriate cases to CARES. •Cases prioritized by referral urgency. •CARES responds to referral (in-person and/or phone), completes assessment, and develops tailored care plan to meet individual needs. •Limited flexible funding is available to meet immediate needs such as food, clothing, prescriptions, etc. •CARES team provides follow-up as needed to ensure connections to appropriate resources is made. 217 new contacts 85% of elder contacts ended with successful connections to senior services 89% of veteran contacts ended with successful connections to veteran and military services Source: EJFR Fire CARES, Jan 17-April 30, 2023 Tips for success 1.Stay flexible and nimble to best meet the community needs. The program will evolve. 2.Mix and match approaches to find what works for your community. Look at other programs for lessons learned and ideas. Funding Contact information Braided funding of multiple sources. •Association of WA Cities (Port Townsend holds grant) •Jefferson County 1/10th •Jefferson Behavioral Health Consortium •EJFR supports partial operational costs East Jefferson Fire & Rescue, Fire Chief Bret Black, bblack@ejfr.org EJFR CARES Team Video https://youtu.be/mLPGlTzRc4I Website www.ejfr.org/uncategorized/fire-cares/ 19 Connecting Community Members to Care Kitsap County Sheriff’s Crisis Intervention Coordinator Kitsap County, WA Description Populations of emphasis The Crisis Intervention Coordinator (CIC) works to divert people experiencing mental health needs away from the criminal justice system and toward treatment through referrals to the proper social agencies, whenever available and appropriate. The CIC uses understanding and skills gained through specific training and experience to identify and provide a safe, effective, and compassionate response to law enforcement situations involving people in mental health crisis. The CIC works with law enforcement, community partners, and community members to conduct proactive behavioral health outreach and follow up. Anyone experiencing mental health crisis. How it works Data 1.Patrol officers create log of reports that would benefit from follow-up to meet individual mental health needs and promote public safety. 2.Crisis Intervention Coordinator prioritizes reports based on urgency and capacity. 3.Coordinator follows up with individuals to better understand their needs. 4.Coordinator connects individual with various community resources to best meet their needs. 5.Coordinator assists patrol officers for high priority events in addition to responding to referrals. In 2022: 204 unique community members served 391 interactions with clients 48 referrals to local R.E.A.L. Teams Note: 2022 data reflects 1 full-time (4 days/week) CIC. Source: 2022 1/10th report, Kitsap Public Health District and Kitsap County Sheriff’s Office Tips for success 1.Choose a focus area topic in order to maximize efforts. 2.Create a plan for the program and share with city and county elected officials and boards to obtain support and funding. 3.Plan for administrative and reporting support to allow responders as much time as possible in the field. Funding Contact information •Kitsap County 1/10th funds one CIC position Kitsap County Sheriff’s Department, Crisis Intervention Coordinator/Patrol Deputy Casey Jinks, cjinks@kitsap.gov 20 Connecting Community Members to Care Port Angeles Fire Department Community Paramedicine Program Port Angeles, WA Description Populations of emphasis The Community Paramedicine Program’s mission is to improve the overall health of the community and utilize a combination of medical and behavioral health training, multi-agency collaboration, and point-of-care treatment to help solve complicated issues. Key partners include: •North Olympic Healthcare Network •Olympic Medical Center •Peninsula Behavioral Health •Jamestown Family Health Clinic •Lower Elwha Tribal Clinic •Port Angeles Police Department •Olympic Peninsula Community Clinic Underserved members of the community including people experiencing: •high use of 9-1-1 and/or emergency department •behavioral health problems including substance use disorder, •low-income status, •and other social and medical needs How it works Data 1.Partner organizations and Tribes refer individuals with high 9-1-1 and/or ED use. 2.Community paramedic contacts the individual. 3.Community paramedic connects the individual with appropriate services based on their needs. 4.The individual is equipped with supportive services. 748 unique community members served in 2022 80% decline in ED visits by enrolled patients in 2021 69% reduction in 9-1-1 calls by enrolled patients in 2021 $850,000 cost savings in 2021-2022 Source: Port Angeles Fire Department Community Paramedicine Program Tips for success 1.Observe and learn from other programs. 2.Start small. Remember change is slow. It’s okay to reiterate and refine as you go. 3.Create a plan to meet administrative requirements like grant writing and reporting. Learn about funding requirements upfront. Funding Contact information •City of Port Angeles covers benefits •Clallam County 1/10th provides funding for 1 FTE •North Olympic Healthcare Network provides funding for 2 FTE Port Angeles Fire Department, Fire Chief Derrell Sharp, dsharp@cityofpa.us Community Paramedics Brian Gerdes, bgerdes@cityofpa.us Kristin Fox, kfox@cityofpa.us Website https://www.olympicch.org/post/shifting-from-reactive-to-proactive 21 Connecting Community Members to Care Poulsbo Fire CARES Poulsbo, WA and broader areas of North Kitsap including service to Suquamish and Port Gamble S’Klallam Tribes Description Populations of emphasis Poulsbo Fire CARES is a collaborative project between the Poulsbo Fire Department and the City of Poulsbo with the goal of serving community members facing behavioral health-related issues and chronic medical conditions. CARES primarily responds to referrals from first responders (fire, EMS, police) but also accepts referrals from some social service partners. Through CARES, individuals are connected to resources that meet their individual needs and assisted with system navigation. •People with behavioral health needs •People with chronic medical conditions •People using 9-1-1 to address non-emergent conditions •Approximately 60% of calls are for elderly/aging How it works Data 1.Referral received. 2.Referrals prioritized based on crisis and time-sensitivity. 3.Team makes follow up calls and/or field visits; works with individuals, caregivers, health and social service providers. 4.Warm handoff to needed resources (ensuring connections are made). 5.Continue case management as needed (limited). 299 referrals received and 257 people assisted January-June 2023 88 individuals connected to care January-June 2023 74 avoided 9-1-1 calls because of on-scene activity/home visit and 7 time fire crews relieved in the field January-July 2023 Source: Poulsbo Fire CARES Tips for success 1.Hire a program manager, or someone who can hold the reporting, grants, and building partnerships pieces of this work. 2.Consider community context and available resources. This work is not impactful if we don’t have resources to refer to that meet people’s needs-and close working relationships with partners. Funding Contact information Braided funding through various grants including: •Department of Commerce •Salish Behavioral Health Administrative Services Organization •Kitsap County 1/10th •City of Poulsbo and Poulsbo Fire offer in- kind funding for core staffing City of Poulsbo, Program Manager Kim Hendrickson, kimberlyh@cityofpoulsbo.com Poulsbo Fire, Captain and CARES Operational Manager Jake Gillanders, jgillanders@poulsbofire.org Website •https://cityofpoulsbo.com/poulsbo-fire-cares/ •https://www.olympicch.org/post/poulsbo-fire-cares 22 Connecting Community Members to Care REdisCOVERY Program Port Angeles, WA and surrounding areas Description Populations of emphasis Olympic Peninsula Community Clinic’s (OPCC) REdisCOVERY program strives to reduce overdose, reduce non-emergent EMS, and ensure every member of the community has access to care. The REdisCOVERY team has found success by collaborating with: •Clallam County Corrections Facility •Clallam County Health and Human Services •Clallam County Sheriff's Office •Department of Transportation •City of Forks Jail •Forks Police Department •Olympic Personal Growth •Peninsula Behavioral Health •Port Angeles Community Paramedicine Program •Port Angeles Police Department •Reflections Counseling •Sequim Police Department •Washington State Patrol •Individuals who are un and/or under insured •Individuals experiencing homelessness •Individuals identified needing assistance accessing services How it works Data •Outreach teams visit community spaces to proactively reach vulnerable populations. •Partners send referrals and the team responds within 24 hours. •The team provides care coordination to meet individual needs. 946 indivdiduals served 437 individuals received bridge medical and/or behavioral health care Source: Olympic Peninsula Community Clinic, Jan-Jun 2023 Tips for success 1.Outreach teams need to feel supported by leadership in order to support the community. Funding Contact information Braided funding through various contracts and grants including: •HCA •WA Association of Sheriffs and Police Chiefs •WA Association of Cities •Clallam County 1/10th •ARPA funding through Clallam County Health and Human Services Olympic Peninsula Community Clinic, Director of Programs and Personnel Helen Kenoyer, hkenoyer@opcclinic.org Website https://www.vimoclinic.org/rediscovery_program.php 23 Connecting Community Members to Care Salish R.E.A.L. Teams 5 teams covering Clallam, Jefferson, and Kitsap counties Description Populations of emphasis R.E.A.L. (Recovery, Empowerment, Advocacy, and Linkage) Teams are the Salish region’s approach to implementing local Recovery Navigator Programs as required across WA State as a result of the Blake decision. R.E.A.L. is a client driven, harm reduction model to support individuals along their recovery journey, at their individual pace. Each R.E.A.L. Team consists of a project manager to engage community and conduct outreach, a case manager, and two recovery coaches to directly respond to referrals. R.E.A.L. Teams provide 24/7 support and respond within 90 minutes to referrals received. People presenting with SUD or co- occurring AND legal system/law enforcement nexus AND who have not been successful engaging with treatment in the past. How it works Data 1.Referral to R.E.A.L. Team by law enforcement or community members. 2.R.E.A.L. Team responds according to individual client’s needs with the goal to support people towards recovery at their own trajectory. 3.Warm handoff referrals as needed. 4.Flexible funding is available to meet the client’s needs. 5.Operational Workgroup gathers local boots on the ground to problem solve around individual cases as well as community barriers. 6.Operational Workgroups meet regularly to coordinate care and avoid duplication across involved partners. 7.Policy Coordination Group (PCG) engages higher level leadership who can support system change. 1,731 individuals served regionally: •Clallam: 874 •Jefferson: 157 •Kitsap: 700 88% of regional referrals responded to in 0- 15 minutes Source: Salish R.E.A.L. Program data July 2022-May 2023 Tips for success 1.Be mindful of duplicaton. Create and maintain open communication with community partners. Funding Contact information The Salish Behavioral Health Administrative Services Organization funds 5 programs covering the Olympic region. •$1.2 million/year provided via state proviso •An additional $600k provided via state general funds to support transition to 24/7 coverage Salish Behavioral Health Administrative Services Organization, Deputy Administrator Jolene Kron, jkron@kitsap.gov 24 Connecting Community Members to Care Sequim Navigator Program Sequim, WA Description Populations of emphasis The Sequim Navigator program is intended to expand needed in-the-field crisis response and services to the Sequim area. Designated Crisis Responders (DCR) work closely with community partners and law enforcement to respond to people with a behavioral health need, assess for appropriate intervention and solutions, and make referrals to needed services. The DCR also educates community members about the crisis system and what services are available to community members experiencing concerns. Anyone currently in Sequim experiencing mental health and/or substance use disorder How it works Data •DCR is available T-Th, 12 hour days •DCR rides along with Sequim Police Department, checks on people of concern, and responds to referrals •Referrals are primarily received from local crisis line, law enforcement, Jamestown Healing Clinic. Any community member may make a referral. •Each referral is assessed for appropriate intervention. Interventions may range from involuntary or voluntary hospitalization to brief crisis counseling and referral to appropriate community partner. •DCRs engage with community to provide education about the program and broader behavioral health crisis system. 180 encounters Source: Peninsula Behavioral Health, September 2022-June 2023 If you have concerns about someone who may be experiencing a behavioral health crisis, please contact Volunteers of America 24/7 crisis line: 1-888-910-0416 Tips for success 1.Build strong relationships with community partners. The work is made better by many people working together. 2.Be bold, write up an idea, and get started. Don’t be afraid to think outside the box. 3.Make sure you have the right person where and when they are needed to meet the unique needs of your community. Funding Contact information •Funding from Jamestown S’Klallam Tribe through the City of Sequim •Crisis services are reimbursed through the Salish Behavioral Health Administrative Services Organization Peninsula Behavioral Health, Crisis Intervention Services Supervisor Monica Vanderheiden, monicav@peninsulabehavioral.org Website https://peninsulabehavioral.org/get-immediate-help/ 25 Connecting Community Members to Care 26