SI PPS is partnering with Coordinated Behavioral Care (CBC) on an exciting new project – HEALTHi (Helping, Engaging, and Linking to Health interventions). The program will focus on providing a safety net of resources to individuals with complex chronic conditions who are also affected by the social determinants of health.
“The SIPPS partners are passionate about serving our community members. This new vehicle, HEALTHi, will allow them to bring more resources to those with the most need – early intervention is key,” said Dr. Joseph Conte, PPS Executive Director.
SI PPS has supported numerous innovative and successful projects such as the telemedicine program serving individuals with disabilities, 24/7 Resource and Recovery Center, ED Warm Handoff, HOPE Program, and training and deployment of peer recovery specialists. The HEALTHi project will align with the other initiatives funded by SI PPS under the Delivery System Reform Incentive Payment (DSRIP) Program, and overall goals of the Medicaid Redesign Project.
The HEALTHi project will locate and actively engage individuals who have serious behavioral and medical conditions and use wrap-around enhancement funds to address immediate, easily solved social needs, such as food and clothing, in order to secure trust and engagement in care. The HEALTHi interdisciplinary teams’ outreach efforts will be in person at the individual’s address, known hangouts, and through known social networks. If an individual is hospitalized at the time of referral, the CHHIP team will engage with them, as well as the inpatient staff, at the hospital and take on an active role in the discharge and aftercare planning process as both their advocate and a community services expert.
The HEALTHi team will provide 24/7 on call coverage, ensuring support network have access to community services and care at all times. The team will utilize CBC’s network of services to expedite access to crisis services such as respite beds and weekend clinic services.
Dr. Sal Volpe, Chief Medical Officer at SI PPS added, “Our network has surpassed its goal of reducing preventable emergency room and hospital visits by 25 percent two years ahead of schedule and is nearing a 50 percent reduction in avoidable behavioral health-related ER visits. This means better, more integrated care before the onset of an acute phase which could require hospitalization.
“CBC is proud to be partnering with a strong community advocate like the Staten Island PPS,” said Jorge R. Petit, MD, CBC’s CEO. “Our working relationship with the PPS has been strong and deep in the Staten Island community. We are currently partners on a Health Home at Risk Project (SI CARES) and have found a willing, thoughtful and supportive partner to engage with us on these community-based care initiatives. Joseph Conte and his team are tremendous advocates for the needs of their community and are willing to think outside the box and work with the community-based provider community. I am very excited to get this project implemented and start to improve the lives of the individuals we will be working with.” SI PPS has been referred to as the most successful PPS in New York State and CBC is proud to be their partner.
“We are very excited to collaborate with CBC on this new program. HEALTHi will be able to support a group of individuals who are high utilizers of ED, inpatient, and EMS services with complex chronic conditions who are affected by social determinants of health, such as housing instability, food insecurity, language and health literacy barriers, etc.” said Victoria Njoku-Anokam, MPH, Director, Behavioral Health Initiatives at SI PPS
In an era of policy uncertainty, partnerships like this will continue to be the future of healthcare reform. By understanding communities, addressing gaps, and working together, SI PPS and CBC will continue to bend the healthcare cost curve and realize better population health outcomes for Staten Island.