Bonnie Mohan The Bronx Health & Housing Consortium

Consortium Updates and Progress:

2011-2017

Mission Statement

The Bronx Health & Housing Consortium is a collaborative network of health, housing, social

service and government agencies with the shared goal of streamlining client access to quality health

care and housing in the Bronx. 

Board of Directors

§ Henie Lustgarten, President § Scott Auwarter, Vice President § Megan Fogarty, Secretary § Joe McKenzie-Hamilton, Treasurer § Tony Guarino, Director § Jim Mutton, Director § Antonette Mentor, Director

Steering Committee

§ Health Organizations/Health Homes: § Bronx Lebanon Hospital Center/Bronx Health Home § Montefiore Medical Center/Bronx Accountable Healthcare

Network § NYC Health + Hospitals Health Home § Community Care Management Partners (CCMP) § NYC Correctional Health Services

§ Housing and Community-Based Organizations: § BronxWorks § Concern for Independent Living § Geel Community Services § West Side Federation for Senior and Supportive Housing

Member Organizations AcaciaNetworkwACMH,Inc.w AffinityHealthPlanw AmidaCarew ArgusCommunity

ArchCare-DominicanSistersFamilyHealthServicesw ASCNYCwBaileyHousew BOOM!HealthBreakingGroundw BronxAccountableHealthcareNetωorkw BronxCommunityHealthNetwork

BronxHealthAccessPPSw BronxHealthHomew BronxLebanonHospitalCenterBronxPsychiatricCenterw BronxRHIOw BronxUnitedIPAw BronxWorksw

CarefortheHomelessw CatholicCharitiesCommunityServicesw CCNMedicalw CUCSCommunityAccessw CommunityCareManagementPartners(CCMP)w Comunilife

ConcernforIndependentLivingw CoordinatedBehavioralCare(CBC)CorporationforSupportiveHousing(CSH)w DamonHousew DennelisseCorporationw EAC

EmpireBlueCrossBlueShieldHealthPlusw EssenMedicalw GeelCommunityServicesGreaterNYHospitalAssociationw JerichoProjectw HealthPeoplew HELPUSA

HudsonHeightsIPAw InstituteforCommunityLiving(ICL) w LanternCommunityServicesLowerEastSideServicesCenterw MedallianceMedicalHealthServices

MetropolitanCenterforMentalHealthw MontefioreMedicalCenter w MorrisHeightsHealthCenterNADAPwNYCCorrectionalHealthServicesw NYCHealth+Hospitalsw NewYorkPresbyterianPPSPSCHakaWellLifew PublicHealthInstitutew PublicHealthSolutionsw PuertoRicanFamilyInstitute

SamaritanDaytopVillagewSt.BarnabasHospitalw St.Joseph’sMedicalCenterTheFortuneSocietyw TheOsborneAssociationw TRICenter wUnionCommunityHealthCenterUniquePeopleServiceswUnitedHealthCarewUniversityConsultationandTreatmentCenter

UptownHealthCareManagementwUrbanPathwaysw VIPServicesVolunteersofAmerica–GreaterNYwWestSideFederationforSeniorandSupportiveHousing

Our Founding: 2011

§ FirstmeetingbetweenBronxWorks,MontefioreMedicalCenter,andtheTransitionalHealthCareCoordinationprograminRiker’sIsland§ DawnofHealthHomeprogram§ Decidedtoorganizealargermeetingwithotherhousingorganizationsandhealthcareproviderstodiscusstheintersectionofhealthandhousing§ Establishedacoregroupofpeopletomovethingsforwardandspreadtheword

2012

§ 1stAnnualConveningonJanuary27,2012§ Attendedbyover50peoplefrom26organizations:4governmentagencies,7healthinstitutions,15CBOs

§ OfficiallyformedTheBronxHealth&HousingConsortium

§ IntegratingHealth&HousingWorkgroup§ PublishedaHousingReferralManual§ Mappedhospitals,behavioralhealthfacilities,supportivehousingresidences,shelters,andtransitionalhousing

Fig.2Shelters&TransitionalHousing

Source:NYCDepartmentofCityPlanning,SelectedFacilitiesandProgramSitesDatabase;November,2012Mapcreatedby:BerniceAsamoah&SarahGibneyDecember6,2012

Bronx-Building:TheBronxHealth&HousingPicture

Fig.4ResidentialMentalHealthFacilities

Fig.5PermanentSupportiveHousing

Fig.1Hospitals

Fig.3ResidentialChemicalDependencyServices

2012

§ 2ndAnnualConveningonDecember12,2012§ SponsoredbytheBronxHealthHomes§ Attendedbyover50peoplefrom20organizations§ Keynoteaddresson“HealthandtheUrbanHomeless”byDr.JimO’Connell,BostonHealthCarefortheHomeless

§ AgainheardfromtheHealthHomesonthehousingneedsoftheirmembers

§ Setthetoneofcooperation,recognizingthatwesometimescompete

§ Askedattendeestoweighinonwhatwasneededandhowwecouldhelp

2013

§ HealthHomeWhitePages§ ProcedurefordualenrollmentinHealthHomes§ UpdatedHousingManual§ AdvocatedforHealthHomeaccesstoDHSinformation

§ DOHMHPlanningForumTestimony—SupportingMentalHealthandSubstanceUseServicestoNewYorkers

§ PresentedatACLRegionalMeeting§ 3rdAnnualConvening

2014 § SHNNYSupportiveHousingConference§ Trainings&Resources:

o  Trainings•  UnderstandingHealth&HousingIntegration–CSH•  PreventingEvictions–LegalAidSociety•  ObtainingRentalArrearsAssistance–LegalAidSociety•  DefendingHoldovers–LegalAidSociety•  NYCHATenants’Rights–LegalAidSociety

§ Research&Advocacyo  HospitalHomelessCount:62peopleinthreehospitals

•  Most(54)wereininpatientbeds(psychandmedical)o  BronxHealthHomesHousingNeedsstudy&whitepaper

•  De-identifieddataon428healthhomememberswhoreportedashomelessand13casestudies

•  28%werefamilies,9%hadcriminaljusticeinvolvement

§ 4thAnnualConvening

2015

§ Membership:42organizations§ Cross-SectorCollaborationo  HousingMarketplaceSeries

•  BehavioralHealthPopulation:19housingproviderorganizations,110attendees

o  InteragencyCaseConferences•  Discusscomplexcasesandshareresources•  Identifytrends,gaps,andduplicationsinservicedelivery

o  MRTSupportiveHousingPilotWorkgroup&Toolkito  5thAnnualConvening

§ Conferences&Presentationso  SHNNYSupportiveHousingConferenceo ACLAIMHDirectCareConferenceandAnnualConference

2015 § Research&Advocacyo HospitalHomelessCount:counted120peoplein6hospitalson8sitesonaCodeBluenight

§ Training&Resourceso Trainings

•  SSI/SSDI–LegalAidSociety•  UnderstandingSubsidizedHousing–LegalAidSociety•  HousingCourtProceedings–LegalAidSociety•  NYCHousingOptions–CUCS•  NY/NYIIIHousing–CUCS•  ObtainingRentalArrearsAssistance–LegalAidSociety•  CulturallyAppropriateEngagementandServicesDeliveryw/PuertoRicans:ATransnationalApproachtoEnhanceLinkageandRetentiontoHIVPrimaryCare(3trainingstotal)

o ResourceGuidesWorkgroup

2016 § Membership:47organizations§ Conferences&Presentationso  SHNNYSupportiveHousingConferenceo  ACLAIMHAnnualConferenceo  NYAPRSAnnualConference

§ TrainingandResourceso Trainingsonhousing,legal,andcommonmedicalissues

•  Sickle Cell Anemia with Montefiore •  Hepatitis C with Montefiore •  Preventing Evictions with the Legal Aid Society •  Immigration & Health with NYLAG •  NYC Housing Options with CUCS •  Healthcare & Affordable Housing with Enterprise •  Getting Rental Arrears Assistance with the Legal Aid Society •  Understanding Compulsive Hoarding with BronxWorks

2016 § Research&Advocacyo  HospitalHomelessCount:89peoplein8hospitalson10siteso  BronxFrequentUtilizerInitiativewithCSH

•  Dataontop150utilizersforeachof3MCOs•  Cross-matchwithDHSCARESdataforhomelessnesshistory•  Analyze,prioritizeforhousingtop10%homelesshighutilizers

o  ArrangedmeetingbetweenBronxhospitalsandCommissionerSteveBanksoftheNYCDepartmentofSocialServices

§ Cross-SectorCollaborationo  HousingMarketplaceSeries

•  Seniors/Aging:12housing/serviceproviders,85attendees•  CriminalJusticeInvolved:10providers,35attendees

o  InteragencyCaseConferenceso  6thAnnualConvening

2017

§ Membership:73organizations§ Incorporationand501(c)(3)status§ TrainingandResourceso Trainingsonhousing,legal,andcommonhealthissues

•  273peopletrained•  93%ofattendeesratedtrainingsas“good”or“excellent”•  7trainingswereheldatavarietyofsites

§ Demystifying SSI and SSD – Legal Aid Society § HIPAA & Beyond – Bronx RHIO § Preventing Evictions – Legal Aid Society § Getting Rent Arrears – Legal Aid Society § Providing Care to the Formerly Incarcerated – The Fortune Society § Addiction 101 – Division of Correctional Health, NYC Health +

Hospitals § Medicaid Appeals and Applications with the Legal Aid Society

2017

§ Research&Advocacyo  HealthHomehomelessmembers:8%-17%o  BronxFrequentUtilizerInitiativewithCSHo  #Not62,BringItHomeCampaigno  DHSShelterAccommodationsforpeoplewithmedicalneedso HospitalHomelessCount

•  In2017,counted131peoplein14hospitalson17sitesacrossthecity(56intheBronx)

•  Inthe56peopleidentifiedintheBronx:§  45wereunshelteredand30werenotregisteredforcare§  Almosthalf(43%)werefoundatSt.Barnabas§  45%wereage40-59;66%weresingle-personhouseholds§  48%reportednothavingaplaceotherthantheEDwherethey

receivemedicalcare

Hospital Homeless Count 2015-2017

2017 § Cross-SectorCollaborationo  HousingMarketplaceSeries

•  SubstanceUse:8providers,60attendees•  Families&YoungAdults:12providers

o  InteragencyCaseConferences•  100%wouldattendagainorrecommendtosomeoneelse•  83%madeanewcontact;83%foundanewresource

o  Joinedotherinitiatives•  NationalHealthCarefortheHomelessCouncil•  CoalitionforHousingandHealth•  CommunitiesTogetherforHealthEquity(CTHE)

§ Conferences&Presentationso ACLAIMHAnnualConferenceo NYCValue-BasedPaymentBootcampo CTHEConference

2017 New Projects § Medical/SocialRespiteo ConsortiumRespiteNeedsAssessment

•  InpartnershipwiththeBronxBoroughPresident’sOffice,BronxHealthAccess,BPHC,CoalitionforHousing&Health

•  SixBronxhospitals• Of36returns,14consideredpotentiallyappropriateforrespite.These14were700daysbeyondmedicalclearance

o Growinginterestamongstakeholders(hospitals,PPSs,MCOs,housingproviders)o BPHCInnovationsFundswithBronxWorkstodeveloparespiteprogramintheBronx

§ BronxHealthAccessPPSgrantwithBronxWorkstoembedaHousingCoordinatorinBronxLebanonED

Contact Us: info@bxconsortium.org www.bxconsortium.org

Thank You!!