The Colorado Health Foundation

1. The Colorado Health Foundation Grantmakers in Health Audio Conference December 16, 2008

2. Presentation Outline • Overview of The Colorado Health Foundation • School-Based Health Centers as a strategy to achieve our goals • Current funding for School-Based Health Centers • Lessons Learned • Future plans

3. The Colorado Health Foundation • Total assets in excess of $900 million, including an ownership interest in Denver’s HealthONE hospital system • Formed in 1995 as the nonprofit partner of HCA-HealthONE, LLC • Grants totaling $78 million in 2008, nearly $3.5 million to school-based health centers

4. The Colorado Health Foundation’s Vision • Together we will make Colorado • the healthiest state in the nation

5. Goals • All Coloradans have access to the components of Healthy Living – nutritious food, physical activity and disease management tools – because these are key to staying healthy • All Coloradans have Health Coverage because people who do are more likely to receive necessary care • All Coloradans receivequality, coordinated Health Care because those who do are healthier

6. School-Based Health Centers Align with our Goals • School-Based Health Centers: • Increase enrollment in Medicaid/CHP+ • Increase access to integrated care • Increase health promotion, disease prevention and health education SBHCs

7. Current Funding of School-Based Health Centers • Advocacy • Support for state association who secured $1 million in general fund support for SBHCs • Produced short DVD for school administrators • Planning and Start-Up • Comprehensive Healthy Schools planning in two districts • Funding to launch five new centers

8. Current Funding of School-Based Health Centers • Operating Support • Nearly $2 million in support of existing SBHCs • Innovation • Approximately $2 million in support of innovations to existing centers

9. Lessons Learned—Students with access to a SBHC: • Receive more preventive care • Have greater access to needed mental health and substance abuse services • Benefit from better care coordination and referral completion • Know more about health issues • Miss fewer days of school • Have fewer after-hour (emergent and urgent) visits • Cost less than children without access to a SBHC* • *Comparison groups were Medicaid enrollees with access to a SBHC vs. Medicaid enrollees without access to a SBHC

10. Lessons Learned: • SBHCs are hard work—but they’re worth it • Sustainability is possible—self-sustainability may not be • School leadership is critical • Community partnerships are essential • Local physicians need to be included • Old dogs can learn new tricks—the model continues to evolve

11. Future Plans: • Advocacy • Increase public funding by allowing SBHC to qualify for primary care fund • Ensure SBHCs qualify as medical homes (enhanced Medicaid reimbursement) • Start-Up • Pilot self-assessment tool • Partner with CASBHC, state health department, foundations and educator associations to launch new centers

12. Future Plans: • Innovation • Further develop the model—greater ties with health education and existing school health programs • Develop integrated care teams (beyond co-location) • Identify additional sources of revenue

13. Kelly Dunkin • Senior Program OfficerThe Colorado Health Foundation • kdunkin@ColoradoHealth.org • 303-953-3613