2022-12-06 Meeting Notes

Noreen Whysel

Y

Bev Corwin

Y

Salvatore D'Agostino

N

Thomas Sullivan

Y

Catherine Schulten

N

Jim StClair

N

Jim Kragh

Y

Thomas Jones

Y

10min

Review/discuss SDoH ONC video

Jim Kragh

In preparation for our December 6, ‘ReUP’ WG meeting at 1 PM ET (Resilient e-Identifiers for Underserved Populations)  {a play on RIUP to capture some sticky attention – let me know what you think?}, I am asking you to spend a little effort in preparing for and attending the meeting.  I sent the link below to you for our last meeting which only 3 attended so I am wishfully seeking all will try to attend.  

During the first half of this year, I attended this monthly ONC/CMS sponsored event entitled “ONC Social Determinants of Health (SDOH) Information Exchange Learning Forum” on Community Engagement. This 90 minuet replay of the July session presents key building blocks we should consider that set the national CMS policy tone Medicaid, who supports and funds our target populations at state and community levels).  I have tagged below (time markers) that point to core content we will cover over several WG sessions but to this coming Tuesday session please listen to the ‘Finance and Funding Capital – Pay for Value’ markers’ I have singled out.                                      

https://www.healthit.gov/news/events/oncs-social-determinants-health-information-exchange-learning-forum July 19, 2022

Background: Foundational elements and Policy Markets:  

Policy Foundational Element Policy includes use of federal, state, local, and tribal policy levers to advance the ability to collect, share, and use standardized SDOH data, as well as collaboration and alignment with other relevant efforts in the applicable community, region, and/or state(s) for collective impact and improved outcomes. 

HHS SDOH GOALS:   Time Marker (tm): 

USCDI – (US Core Data for Interoperability):           tm: 14:40      

ISA (International Standards Advisory):            tm:  15:15

Policy Landscape:                                                     tm: 16:30

Finances: Funding Capacity  tm: 51:21 + Please watch

Pay for Value with Len Nichols, PhD, Economics tm: 1:06:21

Notes from ONC presentations:

Len: Discusses funding capacities, not funding technologies; strengthen people and the communities they live in, lower costs (insurers/hospitals/muni services)

= Economics of (53:00ish)

Value of infrastructure is integrated with value of social services. (Screenshot from desktop)

Yes of alternate financing

·       Government allocation alone

o   Risks: free riders

·       Private equity alone

o   Can be monopolist, competitive and charge a lot or /producing redundant system

·       Health plan/hospital doing it alone

o   Problem: redundant, focus becomes profit rather than service

·       Collaborative approaches

o   Gov+private equity

o   Organize collaboration with high performing 211 or AAA base

o   Common Spirit Community Banking Model

o   CAPGI.urban.org

o   Social impact bonds or outcomes based arrangements (private capital)

Tom J: 211 human services municipal hotline

Dr Tom:

·       focus on trust, smart phones have enough penetration in homeless and other vulnerable populations to make it a good start.

o    People can buy a cheap $30 phone and use wifi to make calls through app.

o    Multiple family members, or even multiple families may share a phone.

o    Track Phone from Target

o    Bev: sees it a lot in emergency response in Africa and Caribbean. Can have multiple accounts via one device, multiple PayPal, problem is it can associated with one identity. Need power of attorney or parental/guardianship.

·       It’s not just about health. It’s also about financial and other services.

Tom J: We don’t have enough government connections.

Noreen: Corporate grant funding arms and foundations. Large telecom/smartphone companies, retired execs with family foundations.

Dr. Tom: hospital and health system consolidating under corporate and nonprofits. Incentivized to address SDoH. Have funding. (Dr. Tom is president of senior services at one in eastern Mass).

Bev: Fond of collaborative models. Democratized solutions.

Dr. Tom: SDoH is broad so we need to focus on something specific (homeless, indigenous, regional)

Next steps (Jim): work on a list of what we can offer.

Resources