Caring as Communities Podcast: Addressing Maternal Morbidity in Vulnerable Populations (Part 1)
In Part 1 of this two-part series on vulnerable populations, guest speaker Kara James—Nurse Practitioner with Planned Parenthood of Los Angeles—talks about the increase in maternal morbidity the U.S. is seeing, its impact specifically on BIPOC communities, and what we can all be doing to better support all mothers and their babies for healthier beginnings for all.
Webinar: Homelessness and Emergency Department Care
Wednesday, March 16th, 2022 | 1:00 PM CT
People experiencing homelessness are often managing significant complex health issues but are unable to access needed primary care or must prioritize immediate survival over health management. The result is that health conditions are often untreated until it’s an emergency. Emergency Departments (EDs), then, are well accustomed to serving people experiencing homelessness. But with competing priorities and a dearth of education on homelessness and harm reduction, ED providers can overlook opportunities to coordinate services for people without homes. This lack of coordination often results in the same individuals continuing to access health care through the ED, resulting in frustration for providers and the person seeking health care. It doesn’t have to be this way.
Join CBCS Founder and CEO, Dr. Enrique Enguidanos on March 16th, where he will discuss what Emergency Department staff need to know about the context and stigmatization of homelessness, the role of trauma in serving this population, and the services health centers offer in support of EDs.
Hosted by National Health Care for the Homeless Council. Register here.
Caring as Communities Podcast: Understanding Adverse Childhood Experiences (ACEs)
Data has correlated Adverse Childhood Experiences (ACEs) with increases in adult Rx use, drug dependency, and more.
Listen as we discuss with Elizabeth Guroff, MA, LCMFT, and Consultant, Practice Improvement and Consulting, for the National Council for Mental Wellbeing the role ACEs play in population health, why trauma-informed care is critical, and the opportunities we have as communities to better understand the role both positive and adverse childhood experiences have on health outcomes and resilience.
Solving for Patient Engagement in Behavioral Health Populations
Behavioral health conditions significantly impact costs of care—with studies linking behavioral health diagnoses with a 3.5x increase in overall care costs and up to a 103% increase in high-cost utilization.
While innovative health plans across the country are working to address these costs through programs tailored to support individuals with behavioral health conditions, patient engagement in these programs remains low. Without proper engagement, care costs for patients increase an additional 8-21%, and both behavioral and physical health outcomes decrease.
CBCS supports health plans across communities in achieving measurable cost savings for behavioral health patients by overcoming barriers to engagement and enlisting community resources to create unified, holistic solutions for improving behavioral health outcomes.
Addressing behavioral barriers to patient engagement
Patients with serious mental illnesses and behavioral health diagnoses, such as substance use disorder (SUD), traditionally have a high treatment dropout rate. In low-income communities this is even more prevalent, with studies showing that 45-60% of adult patients and 80% of adolescents with a behavioral health condition drop out of treatment before the minimal standard for treatment has been met.
The traditional healthcare system requires behavioral health patients to come into a clinic or login to a portal to receive appropriate care, failing to account for the unique socioeconomic and behavioral challenges these patients face. These challenges act as barriers to care, showcasing the need for health systems that both anticipate and address needs such as lack of transportation, means, or motivation in order to ultimately improve program engagement.
CBCS breaks down traditional engagement barriers by meeting patients where they are. 40% of CBCS patients have a mental disorder, 50% have significant substance use disorder, and many face additional social determinants of health which can make it difficult for health plans to reach them through traditional channels, such as phone or mail. As such, CBCS specialist teams instead leverage existing state and private Health Information Exchanges to be ready, 24/7, to meet patients in their moments of crisis and provide both the temporal and clinical support needed to move forward.
By willingly meeting patients where they are—whether at the emergency department, the home, or the McDonalds up the street—CBCS provides a convenient and trustworthy entry point for patients in entering the mental health care system, intervening and triaging moments of crisis to minimize acuity and improve patient outcomes.
Engaging community resources for improved outcomes
When we work within siloed healthcare systems, even the best behavioral health programs fall short by failing to engage with all stakeholders in a patient’s care cohort. Taking conversations outside clinical doors to include the community resources that patients are touching daily is key to holistic and long-term successful care management.
CBCS is a proven facilitator in bringing together community resources to create the care cohorts necessary for total patient care. For members with a behavioral health diagnoses, this could mean bringing together the local fire department, law enforcement, housing authorities, food banks, and shelters to discuss with the patient’s primary care physician, case manager, and therapist what outstanding needs the patient has—and how to troubleshoot a solution as quickly and effectively as possible.
As interdisciplinary teams across the medical and community neighborhood work together to support each other, patients feel cared for and collaboration increases as the unified effort allows all stakeholders to benefit from providing simpler, and more effective care.
Improving cost and clinical outcomes with CBCS
CBCS has proven the cost efficacy of its patient engagement methods—demonstrating an average 5:1 cost reduction rate within the first year of program implementation, and a 10:1 ROI upon subsequent years. And for organizations leveraging CMS or Biden funding grants, that return is even higher.
How? Improving clinical outcomes.
CBCS programs average a 45% reduction to ED visits and hospitalizations and a 41% reduction to no-show rates. In our SUD populations, opioid prescription utilization decreases an average of 30%.
These quick returns support healthy bottom lines for health plans by delivering high-impact results—at minimal upfront cost. All while ensuring high quality and affordability of care, at scale.
Caring as Communities Podcast: Addressing Violence Against Healthcare Workers
According to the American Association of Critical Care Nurses, 80% of nurses report being verbally abused at least once in the past year, and 47% report being physically abused.
Tune in as Kristen Choi and Anna Dermenchyan discuss the increasing importance of addressing violence against healthcare workers, inside and out of clinic walls.
Caring as Communities Podcast: The Role of Community Health Workers in Addressing Social Determinants of Health
In this episode of Caring as Communities, Paula Blackwell, MBA, and Allison Robinson, MPH discuss with Dr. Enrique Enguidanos the increasing importance of community health workers in supporting individuals with social determinants of health—as well as the value of having advocates with “lived experience” to help build trust between healthcare providers and communities.
- Paula Blackwell, MBA, Executive Director, Central Maryland Area Health Education Center (AHEC)
- Allison Robinson, MPH, Associate Program Director of the Maryland AHEC Program at the University of Maryland School of Medicine Department of Family & Community Medicine
Caring as Communities Podcast: Caring and Advocating for Provider Mental Health (Part 2)
Learn the mental health challenges faced by nurses and physicians across the country—including burnout compassion fatigue, and moral injury—following the COVID-19 pandemic with the country’s leaders in provider health research and advocacy.
Bernard Chang, MD, Ph.D., FACEP and Vice-Chair of Research and Associate Professor of Emergency Medicine at Columbia University Irving Medical Center
Lisa Wolf, Ph.D., RN, CEN, FAEN, and Director, Emergency Nursing Research at the Emergency Nurses Association.
Dr. Enrique Enguidanos, CEO, founder, and practicing ED physician for Community Based Coordination Solutions
CEO Dr. Enrique Enguidanos to present at the 2021 American Public Health Association Conference
The American Public Health Association’s 2021 Annual Meeting and Expo will take place Oct. 24-27. The 2021 theme is “Creating the Healthiest Nation: Strengthening Social Connectedness.”
On October 27th, Dr. Enguidanos will be co-presenting COVID Response from Multiple Perspectives with the Cuban Society of Public Health, offering contrasting perspectives on the challenges faced in Cuba and the United States related to the management of COVID-19. Dr. Enguidanos will be presenting “An Overview of the U.S. COVID Experience.”
The purpose of the quarterly dialogues is to examine key public health issues in both Cuba and the U.S. Through the leadership of their respective national associations (Cuban Society of Public Health and the American Public Health Association), the intent is to carry these conversations to the state/local level and engage with stakeholders who are critical to carrying out this work.
Co-organizers: Cuban Society of Public Health (SOCUSAP), Pennsylvania Public Health Association (PPHA), Public Health Management Corporation (PHMC) and American Public Health Association (APHA)
Caring As Communities Podcast Episode 16: Addressing Social Determinants Through Technology Solutions (Part Two)
Health IT Solutions are becoming an increasingly integral component of organizational efforts to address social determinants of health.
Join us in part two of a special series with health IT leaders as we talk with Point Click Care Chief Medical Officer- Benjamin Zaniello, M.D., M.P.H.- about utilizing technology to connect individuals with the community resources they need.
A practicing Infectious Disease physician, Ben is also a technologist at heart, focused on healthcare innovation for Population Health and the transition to value-based care for all patients. His passion for care transformation comes from firsthand experience. Most recently Ben worked at Providence St. Joseph Health, as their Chief Medical Information Officer in Population Health.
Dr. Zaniello continues to practice medicine, focusing on Utah’s high-risk populations. His undergraduate work was at Stanford (in Architecture, German, and Computer Science) but he returned home to his native Kentucky for medical school at the University of Kentucky College of Medicine. He did his Internal Medicine residency at Weill Cornell Medical Center and Infectious Disease fellowship at the University of Washington where he also received his Master’s in Public Health.
Webinar: Enhancing care coordination across the continuum: A guidebook to reducing readmissions
Tuesday, September 21st, 2021 | 12:00 PM – 1:00 PM CT
Readmissions are a significant driver of healthcare costs and inefficiencies, accounting for $26 billion per year across the U.S. Join our CEO Enrique Enguidanos as he sits down with fellow physician thought leaders to discuss challenges and strategies to reduce ED readmissions. Hosted by Becker’s Healthcare. Register here!
Becker’s Healthcare is the go-to source for healthcare decision-makers and one of the fastest-growing media platforms in the industry. Through print, digital and live event platforms, Becker’s Healthcare equips healthcare leaders with the information and forums they need to learn, exchange ideas, and further conversations about the most critical issues in American healthcare