Mary Sue Schottenfels & James Forshee, MD, MBA
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1 Mary Sue Schottenfels & James Forshee, MD, MBA
2 Molina Healthcare Our mission is to provide quality healthcare services to financially vulnerable families and individuals covered by government programs. 2
3 15 years 340,000 lives 3 large population centers Wayne County Genesee County Kent County Population: 177,000 TANF 4,000 CSHCS 3
4 Molina in Michigan Asthma: Top 5 Admission diagnoses Top 5 ED visit diagnoses Top 2 or 3 CSHCS ED visits (seasonal) Medication possession ratio concern 4
5 Operational Plan Identification Recruitment Systematic home visits (The STAR partner CLEARCorps) 5
6 Healthy Homes + Asthma The Asthma Picture in Michigan 10.2% of children in Michigan have diagnosed asthma Close to 20% of Detroit children have diagnosed asthma Research shows that home-based environmental interventions can contribute to asthma trigger reduction and better health outcomes 6
7 Healthy Homes + Asthma a partnership between Molina Healthcare of Michigan CLEARCorps Detroit Wayne Children s Healthcare Access Program (WCHAP) funded by The Kresge Foundation and The Jewish Fund 7
8 40 Homes with Asthmatic Children Ages 2-11 Will Receive Environmental Assessment of Home Evaluation of Asthma Triggers and other environmental hazards Family Action Plan & Intensive Asthma Education by WCHAP Healthy and Safety Products & Minor Home Repairs 8
9 Healthy Homes + Asthma Products HEPA Rated Vacuum Mattress & Pillow Covers Pest Management Supplies Air Purifier Covered Trash Cans Dehumidifier Gutter Extenders Cleaning Supplies Minor Repairs Carpet Removal/Cleaning Vent Bathroom/Dryer to Outside Remove Clutter/Dumpster Repair Plumbing Leaks Minor Roof Repair Pest Extermination Mold remediation HVAC repair Partner Referrals for Free Services Furnace Tune Up/ Replacement DTE Energy Lead Hazard Abatement - City of Detroit & State of Michigan Step Forward Michigan for property tax assistance 9
10 Healthy Homes + Asthma Projected Outcomes Lowered health plan costs for medical care and RX Fewer hospitalizations Fewer ED visits for asthma Better controller v rescue medicine ratio Fewer missed school and work days 10
11 Healthy Homes + Asthma Outcomes Measurement Health care utilization and cost data (Molina encounters/claims) 1 year before and 1 year after the intervention Children with months enrollment with Molina Measures on asthma-related knowledge, behaviors, and missed school days Baseline and 6 months follow-up resident surveys (CLEARCorps & WCHAP) Intervention Costs (CLEARCorps) Associated with remediating each unit Indirect costs 11
12 Healthy Homes + Asthma Results from Phase One Small Sample Interesting Results 20 units enrolled and assessed 19 had intervention 14 had follow up Self reported outcomes Stopped smoking inside: 5 Started venting: 4 Better understands child s asthma meds: 13 Understands household triggers/ attempted to reduce: 14 More cleaning: 14 Stopped using strong cleaners/ scented products: 6 12
13 Self reported outcomes Child uses rescue inhaler less: 93% Less missed school days: 80% Less ER visits reported: 92% Child is on controller medication: 100% Child has Asthma Action Plan: 79% Less triggers reported in home: 86% Referred others to CCD or WCHAP: 81% Healthy Homes + Asthma Results from Phase One Child s asthma reported to be better in control: 100% 13
14 Jewish Fund Grant $8,434 in Repairs Plumbing Leaks/ roof repairs/carpet cleaning/ installed humidifier/air duct cleaning/pest extermination $4,457 in Products Healthy Homes + Asthma Results from Phase One Total Investment Smoke/CO detectors/ fire extinguishers/cleaning supplies/smoking jackets/etc. $79,588+ in partner contributions Furnace replacement x 4 Energy Star Refrigerators x 3 Lead grants x 5 Asbestos Abatement Roof Repairs and Gutter Installs/NIP Step Forward Tax Assistance WCHAP Asthma Education
15 New Downspout New Gutters New Furnace Fixed Leaks 15
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