Tag: care coordination

Request for Proposals | Care Coordination Agency

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Better Health Together has been awarded a contract as part of the Spokane County Smart Reentry Grant Award – Second Chance Reentry Initiative activities, which aims to provide support to individuals returning to communities from jail. Using the Pathways Community Hub model, this community-based care coordination system will connect Community Health Workers with the justice involved clients to connect them to appropriate behavioral and primary health care, as well as social determinant of health services. Through this structured care coordination model, Care Coordinating Agencies (CCAs), get paid based on the successful outcomes achieved while building client’s self-sufficiency.

The Better Health Together Accountable Community of Health, is initiating this Request for Proposal (RFP) to solicit proposals to enter into an agreement with care coordination agencies to provide direct care coordination services using the Pathways Community Hub Model (Pathways) and Care Coordination Systems (CCS) data/reporting platform. 

PROJECT TITLE: Pathways Community Hub Care Coordination Agency
PROPOSAL DUE DATE: October 19, 2018 by 5:00 p.m. Pacific Time
ESTIMATED TIME PERIOD FOR CONTRACT: November 1, 2018 through September 30, 2020

Click here to download the requirements outlined in the RFP and scroll down to view FAQs.

Learn more about Pathways!

BHT is excited to be piloting the Pathways Hub model for Care Coordination in our region. Want to learn more? Check out these videos on the Pathfinder Community Hub: 

FAQs

Is the $241,137 for each agency, or is it split between the two agencies? If so, is the $241,137 spread over the two-year period?

The $241,137 is the max grant amount that BHT can bill the County for the 23 months, split between the two agencies. There’s potential that as CCAs are successfully completing Pathways and serving at least 100 clients over the course of 23 months, the amount will exceed the $241,000. In that case, the BHT Board can consider approving use of 1115 Waiver dollars to put toward care coordination.

Are general operating costs for the program expected to be paid for out of the estimated payment schedule?

BHT expects that these funds will cover the staffing of 1 FTE care coordinator and at least .25 FTE supervisor position. We won’t be paying out anything specific toward general operating costs, however, once the outcome-based payments are earned (and in excess of staffing costs), the funds can be spent at the organization’s discretion.

Do the performance-based payments for having a case-load over 20 continue after month 4?

No. After month 4 we’ll distribute only outcome-based payments. The first three months of performance-based payments are to help subsidize while case-loads are being built up.

A Community of Change

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I love Spokane. My family and I feel blessed to live in a place that is filled with beautiful landscape, amazing people and an independent spirit that makes things possible. There is a secret sauce in Eastern Washington that makes our Accountable Community of Health work. We are not waiting to be told what to do; we are making it happen.

You see this in the building of much needed Housing First housing by VOA, Catholic Charities, the City and County (plus some super generous donors and finance folks). You see it in the collaborative ways that our community partner organizations come together for our weekly client management meetings.

You see it in our rural communities as they figure out how to solve their most pressing issues, often without the resources of the big city. And you see it in community investment strategies that are not perpetuating the status quo (way to go, United Way, City of Spokane and Empire Health Foundation for pushing us to be more strategic, innovative and impactful).

Why is this happening here? Our success can be partly attributed to our frontier spirit that permeates our approach. It is also because we have not always had choices—we have needed to take action to achieve the change we want in our communities.

I am grateful to be here in Eastern Washington, leading this important work. Better Health Together is not limited to implementing specific parts of health care reform plan. Instead, I believe, it is a social movement—dare I say revolution?—to make our communities healthier, more equitable and better places to live, learn, work and play.

This movement is not just about saving money for our health care system; it is a movement that
balances and respects individual rights to health and wellbeing with our collective responsibility to each other. This is a movement that implores us to change how we work as a community health system, to be more impactful and to behave in different ways. I am grateful for the chance to be on the front lines of this revolution with you all.

 

 

Spotlight: Dr. Brian Macall, Unify Community Health

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Dr. Brian Macall Lead Dentist  |  Unify Community Health

Dr. Brian Macall 
Lead Dentist  |  Unify Community Health

By working at a community clinic, Dr. Macall is able to treat many individuals from underserved populations. The clinic takes patients that are unable to seek dental care elsewhere, including DENT patients.

Dr. Macall believes the biggest health challenge facing the region is access. If community clinics and providers were not present, a large percentage of the region’s population would not be able to get treatment at all. But even then, it’s not enough. Many private dentists that took Medicaid have stopped because of low reimbursements and challenging paperwork.

Eastern Washington has a huge population of individuals who have dental insurance but are unable to get treatment. Because of this, many people go weeks and months with severely decayed teeth, pain, and sometimes infections. For a lot of patients, Macall is the last resource. The best feeling, for him, is being able to say, “I can help you,” and seeing the excitement and joy on his patients’ faces.

Spotlight: Tina Shute, DENT Client

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Tina Shute DENT Client

Tina Shute 
DENT Client

When Tina Shute found herself with a broken tooth, she headed to the ER. Life circumstances had caused Shute to go without dental insurance and regular dental care. Even though her tooth caused excruciating pain, Shute put off seeking treatment for several weeks.

When she finally did visit the ER, the only option was to pull the entire tooth. As she was leaving the ER, Shute was given the number of a dental advocate at the DENT program, who got her into a dental appointment right away. Shute even had car issues, so her dental advocate drove her to the appointment.

Since then, Shute has noticed a huge improvement in her oral health and in her overall health. She is no longer in pain, and DENT is helping her take care of other dental issues until she can afford to have a regular dentist.