High Utilizer Communty Group
What Is It?
High Utilizer Community Group was identified by healthcare leaders and the Polk County Mental Health Advisory Committee as an action, that when combined with other actions in our community, that has a reasonable chance of making a difference in mental health in our community. This is a new program in our community.
The priority populations for this program are high utilizers of the current healthcare system, uninsured or under-insured, and low-income, and the program aims to make a difference at the individual, interpersonal, organizational, and policy level. Implementation will take place in local healthcare facilities. High utilizers are identified as those who need mental health services, but conditions may be hindered by complex physical, behavioral, and social needs which may not be served through the current fragmented healthcare system. By identifying this population, we will be able to engage them more effectively to meet their needs. Our community realizes that improving health requires more than clinical care, and successful interventions depend heavily on incorporation of social services and educational programs alongside of clinical care.
This strategy will focus on ensuring all community members have access to mental health resources. It will identify those who may not be receiving the adequate services needed and provide an avenue to ensure they begin receiving those services. This is a long-term program with planning for 5-10 years. By sustaining this community group, we will be able to continually evaluate the resource needs of our highest utilizers.
Partners
|
Agency
|
Person
|
Role
|
|
St. Lukes Hospital
|
Kathy Hefner
|
Lead
|
|
Thermal Belt Outreach
|
Michelle Reedy
|
Support
|
|
Polk County Health and Human Services Agency
|
Joshua Kennedy
|
Collaborative
|
|
Polk County Wellness Coalition
|
Haley Suskauer
|
Support
|
|
VAYA Health
|
Angie Gardner
|
Support
|
|
RHA
|
Don Killian
|
Support
|
| Family Preservation Services | Joe Youchak | Support |
| The Free Clinics | Judy Long | Support |
Work Plan
|
Activity
|
Resources Needed
|
Agency/Person Responsible
|
Target Completion Date
|
| Suggest strategy to Polk County Wellness Coalition- Behavioral Health POD | Meeting space | Polk County | October, 2019 |
|
Brainstorm agencies who need to have a presence at the High Utilizer Group meetings
|
Organization Input
|
Collaboration
|
December, 2019
|
|
Gather input from other regional meeting conveners to ensure meetings are HIPAA compliant
|
Sample BAAs, organizational input
|
VAYA Health, St. Lukes Hospital
|
March, 2020
|
|
Reach out to agencies to discuss what they would like to see accomplished at these meetings.
|
Organization Input
|
Polk County Health and Human Services Agency/ St Lukes Hospital
|
May, 2020
|
|
Work through a process flow for meetings
|
Resources from similar groups who are already meeting regionally
|
St. Lukes Hospital
|
June, 2020
|
| * Please note this is a proposed workplan that will be presented to the group. This is a long-term project that may require edits to the above workplan depending on input from the groups involved. | |||
Evaluation & Sustainability
Evaluation Plan:
We plan to evaluate the impact of the High Utilizer Group through the use of Results-Based AccountabilityTM to monitor specific performance measures. We will be monitoring How Much, How Well and/or Better Off Performance Measures. Our evaluation activities will be tracked in the Work Plan table, above.
Sustainability Plan:
The following is our sustainability plan for the High Utilizer Group:
- Sustainability Component: Use program performance measures to ensure ongoing effectiveness and demonstrate successes to key stakeholders.
- Regular data reports to the High Utilizer Group will allow us to strengthen our support for involvement from key organizations.
Measures
Period
Trend
% Change
Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.