Health Leads Model: Asthmatic Patient

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Patient lives in housing w/ asbestos, heat cut off, running out of food. Patient to PCP. Asthmatic patient to ER 3x prior month . Health Leads Model: Asthmatic Patient. HL connects patients to resources. PCP prescribes controller med & HL. Patient secures resources to be healthy. - PowerPoint PPT Presentation

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Health LeadsBetter health. One connection at a time.

October 25, 2012

Health Leads Model: Asthmatic PatientAsthmatic patient to ER 3x prior month

Patient to PCP Patient lives in housing w/ asbestos, heat cut off, running out of food

PCP prescribes controller med & HL

HL connects patients to resources

Patient secures resources to be healthy

• Health insurance• Heat• Food stamps• Job training • Housing w/out asthma

triggers

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Our Vision

Health Leads envisions a healthcare system that

addresses all patients’ basic resource needs

as a standard part of quality care

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Challenge: Operational/Financial Integration of Basic Resource

ConnectionsNo $

No data

No case for funding

No $

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Proof Point: Operational/Financial Integration of Basic Resource

Connections

Case for funding

Health Leads infrastructure

Health system pays (& addt’l philanthropic)

Data

Philanthropic $

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Operational/Financial Integration of Basic Resource Connections

• Scalable/replicable model(s)– Data collection– “Off the shelf” solution for clinics

• Systematic, deep clinical integration not ad hoc– EMR– Patient flow – Screen/refer

• Well-defined “customer” for resource connections – Academic medical centers (safety net & non-safety net)– CHCs/FQHCs HRSA– State Medicaid/Medicaid MCOs

• Short-term economic value (v. long-term value of prevention)– Minimize causation challenge – Patient churn

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Case Study: Hasbro Children’s Hospital

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