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Health Leads Model: Asthmatic Patient

Patient lives in housing w/ asbestos, heat cut off, running out of food. Patient to PCP. Asthmatic patient to ER 3x prior month . Health Leads Model: Asthmatic Patient. HL connects patients to resources. PCP prescribes controller med & HL. Patient secures resources to be healthy.

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Health Leads Model: Asthmatic Patient

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  1. Patient lives in housing w/ asbestos, heat cut off, running out of food Patient to PCP Asthmatic patient to ER 3x prior month Health Leads Model: Asthmatic Patient HL connects patients to resources PCP prescribes controller med & HL Patient secures resources to be healthy • Health insurance • Heat • Food stamps • Job training • Housing w/out asthma triggers Confidential: Do Not Distribute

  2. Our Vision Health Leads envisions a healthcare system that addresses all patients’ basic resource needs as a standard part of quality care Confidential: Do Not Distribute

  3. Challenge: Operational/Financial Integration of Basic Resource Connections No $ No data No case for funding No $ Confidential: Do Not Distribute

  4. Proof Point: Operational/Financial Integration of Basic Resource Connections Case for funding Health system pays (& addt’l philanthropic) Data Health Leads infrastructure Philanthropic $ Confidential: Do Not Distribute

  5. Operational/Financial Integration of Basic Resource Connections • Scalable/replicable model(s) • Data collection • “Off the shelf” solution for clinics • Systematic, deep clinical integration  not ad hoc • EMR • Patient flow • Screen/refer • Well-defined “customer” for resource connections • Academic medical centers (safety net & non-safety net) • CHCs/FQHCs  HRSA • State Medicaid/Medicaid MCOs • Short-term economic value (v. long-term value of prevention) • Minimize causation challenge • Patient churn Confidential: Do Not Distribute

  6. Case Study: Hasbro Children’s Hospital Confidential: Do Not Distribute

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