Congregational Health Network: Update 2007

Congregational Health Congregational Health Network: Building a System of Network: Building a System of

Care DeliveryCare DeliveryTeresa Teresa CuttsCutts, , PhPh.D..D.

Program Director of Research and Program Director of Research and Praxis, Methodist Healthcare Praxis, Methodist Healthcare

Center of Excellence in Faith and Center of Excellence in Faith and HealthHealth

Methodist LeBonheur HealthcareMethodist LeBonheur Healthcarecuttstcuttst@@methodisthealthmethodisthealth.org.org

(901) 516(901) 516--05930593

Memphis: Rowdy River TownMemphis: Rowdy River Town

Thriving until Yellow Fever: Thriving until Yellow Fever: 1878 and Martyrs of Memphis1878 and Martyrs of Memphis

Memphis: Sacred Blood Shed Memphis: Sacred Blood Shed 19681968

Metropolitan InterMetropolitan Inter--Faith Faith Association (MIFA) formedAssociation (MIFA) formed

Memphis: Land of the Blues Memphis: Land of the Blues and Lots of Church/Faithand Lots of Church/Faith

Memphis: Land of DisparityMemphis: Land of Disparity

Church Health Center founded Church Health Center founded 19871987

Memphis: COGIC Revitalized Memphis: COGIC Revitalized via Bishop G.E. Pattersonvia Bishop G.E. Patterson

Christ Community Health Christ Community Health Services Neighborhood Clinic Services Neighborhood Clinic

Opens 1995Opens 1995

7 Hospital system7 Hospital system$1.2 Billion budget$1.2 Billion budget

Provides high percentage of all indigent Provides high percentage of all indigent care in Tennesseecare in TennesseeOwned by the UMC Arkansas, Memphis, Owned by the UMC Arkansas, Memphis, and Mississippi Conferences and Mississippi Conferences

Rev. Dr. Gunderson Sees Rev. Dr. Gunderson Sees Memphis with Fresh EyesMemphis with Fresh Eyes

So….What if we see the community partners as protective of the hospital,

absorbing the direct waves of complex need, lovelessness, fear, friction and disconnection?

Congregational Health Congregational Health Network: Update 2008Network: Update 2008

Approx. 122 partner congregations Approx. 122 partner congregations (Baptist, AME, CME, UMC, COGIC, (Baptist, AME, CME, UMC, COGIC, Lutheran, Assembly of God, Lutheran, Assembly of God, Episcopalian, United Congregational Episcopalian, United Congregational Church, Disciples of Christ, Hispanic Church, Disciples of Christ, Hispanic network)network)Estimated 25,000 congregantsEstimated 25,000 congregants

Congregational Health Network is 122 Covenant Partne

CHN


Metaphor is the Metaphor is the ““health journeyhealth journey”” of the of the church memberchurch memberCHN designed to build congregational CHN designed to build congregational engagement and healthcare delivery via engagement and healthcare delivery via patientpatient--centered care pathways in the centered care pathways in the church/community (healthcare delivery church/community (healthcare delivery system) and brief stays in the hospital system) and brief stays in the hospital (disease care delivery system)(disease care delivery system)


BiBi--weekly Covenant Committee (pastorweekly Covenant Committee (pastor--driven) designed 5 patientdriven) designed 5 patient--centered centered care pathwayscare pathways–– EducationEducation–– PreventionPrevention–– Treatment Treatment –– InterventionIntervention–– AftercareAftercare

Webs of TrustWebs of TrustCovenant Covenant byby PastorsPastorsFor Journey of LifeFor Journey of LifeCongregations Congregations alreadyalreadyhave powerful impact have powerful impact on lifespan health.on lifespan health.Alignment can Alignment can reinforce and multiply reinforce and multiply affect.affect.Complex, multiComplex, multi--relevant, long term.relevant, long term.A covenant, not a A covenant, not a deal.deal.


Care Pathways based upon careCare Pathways based upon care--giving giving model integrated into clinical services model integrated into clinical services model in the hospitalmodel in the hospitalAim is to decrease fear, friction and Aim is to decrease fear, friction and disconnect typical of hospitalizationdisconnect typical of hospitalizationBuild out ancillary/volunteer staff model Build out ancillary/volunteer staff model in the communityin the community


Structure to DateStructure to DateNew inNew in--hospital jobs to support church hospital jobs to support church liaisons: MLH hired 4 Navigatorsliaisons: MLH hired 4 NavigatorsCHN provides microCHN provides micro--grants to churches grants to churches and community partners to support and community partners to support already existing workalready existing workAlign/leverage already existing assetsAlign/leverage already existing assets


INNOVATIVE STRATEGIESINNOVATIVE STRATEGIES--CONTINUEDCONTINUEDCHN gives back to churches by offering CHN gives back to churches by offering perks to clergy leaders (education like perks to clergy leaders (education like CPE, healthcare, discounts)CPE, healthcare, discounts)CHN gives back to churches by offering CHN gives back to churches by offering preferential job opportunities and preferential job opportunities and human resource training to church human resource training to church membersmembers

CHN: Employment CHN: Employment Recruitment and Bonuses to Recruitment and Bonuses to

ChurchesChurches

CHN: Clergy Health Discounts CHN: Clergy Health Discounts and Offerings/Discernmentand Offerings/Discernment


CHN INNOVATION CONTINUEDCHN INNOVATION CONTINUEDCollaborative work with already existing Collaborative work with already existing groups (e.g., Church Health Center, groups (e.g., Church Health Center, Health Ministry Network, CCHS, MIFA, Health Ministry Network, CCHS, MIFA, Service Learning, School of Servant Service Learning, School of Servant Leadership)Leadership)Academic partners help craft evidenceAcademic partners help craft evidence--based best practice models (UTHSC, based best practice models (UTHSC, MTS, U of Memphis,Emory, Duke)MTS, U of Memphis,Emory, Duke)

Methodist Le Bonheur Healthcare System

Loop

Loop

Loop

University

Germantown

South

North

OliveBrch

FYT

Church Health Center

MIFA

Christ Community Services

Church HealthNetwork400

Schools

Community

Centers

Community

Coalitions

Congregational

Ministries

Non-Profit

Social Service

Providers

Media

Informed, Activated

Patient

Prepared, Proactive

Practice TeamProductive Interactions

Improved Outcomes

MTS

U of M

UT

LeBonheur

Loop

Loop

Loop

LoopSchool Nurses

Parish Nurses

The MedMedPlexUTMG

Loop

Volunteer Services Aligned Volunteer Services Aligned with Needs/CHNwith Needs/CHN

Summer Summer VolunTeenVolunTeen programprogramInternshipsInternshipsCollaboration with grant and scholarship Collaboration with grant and scholarship funding agencies funding agencies Junior AuxiliaryJunior AuxiliaryTiered levels of Spiritual Care Tiered levels of Spiritual Care volunteers (e.g., calls, visits, morevolunteers (e.g., calls, visits, more……))

Organic Growth Sprouts with Organic Growth Sprouts with Unlikely PartnersUnlikely Partners

Cerner Electronic Medical Record Cerner Electronic Medical Record

Cigna Community GrantsCigna Community Grants

Merck PharmaceuticalsMerck Pharmaceuticals

Health Ministry Network (Parish Nurses)Health Ministry Network (Parish Nurses)

TLCTLC--Memphis Managed Care: Memphis Managed Care: Cricket Phone Service and Cricket Phone Service and

Prevention EffortsPrevention Efforts


Grassroots Community Engagement:Grassroots Community Engagement:Use of African Religious Health Assets Use of African Religious Health Assets Mapping Mapping ProgrammeProgramme (ARHAP) to make (ARHAP) to make visible community and church assets visible community and church assets and leverage their workand leverage their workPublic Public ““ownershipownership”” and transparent and transparent sharing of data and models sharing of data and models

African Religious Health Assets African Religious Health Assets Mapping Mapping ProgrammeProgramme


CHN INNOVATION CONTINUEDCHN INNOVATION CONTINUEDImpact measured in hospital from Impact measured in hospital from Electronic Medical Record (compare Electronic Medical Record (compare CHN vs. nonCHN vs. non--CHN patient on disease CHN patient on disease care piece of care piece of ““health journeyhealth journey””))–– Decreased length of stayDecreased length of stay–– Increased patient satisfactionIncreased patient satisfaction–– Increased Advanced DirectivesIncreased Advanced Directives–– Decreased percentage of outliers beyond Decreased percentage of outliers beyond

average length of stayaverage length of stay

Congregational Health Congregational Health Network: 2008 UpdateNetwork: 2008 Update

Data sets for comparisonData sets for comparison–– EMR data, comparing CHN to nonEMR data, comparing CHN to non--CHN CHN

members on quality metrics, balanced members on quality metrics, balanced scorecard, etc. (CHN screen)scorecard, etc. (CHN screen)

–– CHN Monthly Activity Report (aggregate CHN Monthly Activity Report (aggregate from all participating liaisons)from all participating liaisons)

–– Aggregate data from participating health Aggregate data from participating health fairs (e.g.,percentage screened with HTN)fairs (e.g.,percentage screened with HTN)

–– Census data prevalence trends for proximal Census data prevalence trends for proximal zip codes (disease specific) zip codes (disease specific)


WhatWhat’’s Next? Continued Transparency!s Next? Continued Transparency!Measurement of impact from EMRMeasurement of impact from EMRFurther research to tease out healing Further research to tease out healing components of model and refine rolescomponents of model and refine rolesFurther refinementFurther refinement--lessons learned lessons learned from mistakes madefrom mistakes madeMay add the Indigent HospitalMay add the Indigent Hospital……..


Put flesh and bones on care pathways Put flesh and bones on care pathways modelsmodels--work out the work out the ““bugsbugs””Further religious health assets mappingFurther religious health assets mapping--leads to true communityleads to true community--based based participatory research effortsparticipatory research effortsFind a way to measure the economic Find a way to measure the economic impact of impact of ““Love EconomyLove Economy”” : Priceless!: Priceless!


Measuring Impact in the Real WorldMeasuring Impact in the Real World–– Religious Health Assets MappingReligious Health Assets Mapping–– Valuing feedback loops of trust networks Valuing feedback loops of trust networks

that leverage and enhance already existing that leverage and enhance already existing resources (e.g., resources (e.g., glucometersglucometers))

–– Robin Hood Index is trumped by Robin Robin Hood Index is trumped by Robin Hood Economics (redistribution of Hood Economics (redistribution of abundance and wealth via networks)abundance and wealth via networks)

Life Life is betteris betterAssets basedAssets basedSystem of System of Care versus Care versus just a hospital just a hospital with with disconnected disconnected churcheschurchesPartnership Partnership ModelModel

Questions & AnswersQuestions & Answers…….. Words of Wisdom from the Words of Wisdom from the

Audience?Audience?

Contact Information:Contact Information:Teresa Teresa CuttsCutts, Ph.D., Ph.D.Program Director Research and Praxis,Program Director Research and Praxis,Center of Excellence in Faith and HealthCenter of Excellence in Faith and HealthMethodist Methodist LeBonheurLeBonheur HealthcareHealthcareMemphis Professional BuildingMemphis Professional Building1211 Union, Suite 7001211 Union, Suite 700Memphis, TN 38104Memphis, TN 38104(901) 516(901) 516--05930593

Documents

Congregational Health Network: Update 2007