June 29, 2015 | Issue No. 8
Calvert County Health Department presents testimony to
Governor’s Heroin and Opioid Emergency Task Force
The Calvert County Health Department
received a three-year grant from the CHRC to support the “Healthy Beginnings”
program, which targets substance-using expectant mothers and provides one-stop
access to multiple health and social support services. The grant to Calvert County is one of 16
grants totaling $3.3 million awarded by the CHRC in support of the state’s
initiative to help reduce infant mortality rates.
The Calvert “Healthy
Beginnings” program provides, under one roof, access to substance and mental
health counseling, social services, information about continuing education and
vocational training, health insurance enrollment, smoking cessation tailored
towards pregnancy and postpartum, WIC services, postpartum contraception, and
access to transportation when needed.
After its first year, the program has served nearly 50 women and achieved
the following outcomes: 65% of women have attended at least 7 prenatal
appointments; 87% have delivered babies that are of normal weight, and only 17%
of babies required neonatal intensive care unit (NICU) admissions. A single NICU admission could trigger as much
as $500,000 in hospital expenses alone. The
Calvert Health Department reported
out on the Healthy Beginnings program to the Governor’s Heroin and Opioid Emergency Task Force earlier this spring.
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Mosaic
Community Services opens new Steven S. Sharfstein, M.D. integrated health
center in Baltimore
Mosaic Community Services held a ribbon-cutting ceremony
earlier this spring to open the new Steven S. Sharfstein, M.D. integrated care
center on North Charles Street.
Mosaic, the state’s largest community-based
behavioral health services provider, is currently implementing a two-year grant
from the CHRC that promotes Mosaic’s ongoing efforts to deliver integrated
behavioral health services in the community and supports a partnership between
Mosaic and Baltimore Medical Systems (BMS). Under the grant, Mosaic will
hire three behavioral health interventionists who will work closely with BMS
primary care providers. Clients served by Mosaic and BMS will receive
SBIRT screening and access to integrated behavioral health and somatic services
at both Mosaic and BMS care delivery sites. As part of the grant, Mosaic
is receiving training from Cherokee Health Systems, a nationally recognized
expert in community-oriented integrated care delivery, in ways to best incorporate brief behavioral
health interventions directly into busy primary care practices. Mosaic is also working with DHMH to
create new codes, rates, and processes for billing brief behavioral health
interventions that occur as part of a primary care visit to ensure these
interventions are financially sustainable after the CHRC grant funds are
expended. The Mosaic program is expected to have an impact in a number of
core measures targeted in the State Health Improvement Process (SHIP), including individuals who are at healthy weight; life
expectancy; and ED visit rates for hypertension, diabetes, mental health, and
addiction-related conditions.
The grant to
Mosaic is one of four grants awarded last year by the CHRC to promote access to
integrated behavioral health services in the community. Since its
inception, the CHRC has awarded a total of 25 grants totaling $8 million that
have increased access to mental health and/or substance use treatment services
and/or promoted the delivery of integrated behavioral health services in the
community. These programs have delivered 90,000 encounters to more than
17,000 patients.
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Access to Wholistic & Productive Living utilizes
CHRC grant to leverage more than $500,000 in additional funds
Access to Wholistic and Productive Living Institute, a non-profit community based organization, has
received three grants totaling $350,000 from the CHRC to support the “Bright
Beginnings” program, which provides intensive, home-visiting outreach serving
at-risk women and families in Prince George’s County. The program has served more than 300 women
and works to assure earlier access to prenatal care services for expectant
mothers; reduce the percentage of babies born with low birth weight; reduce
infant mortality rates; and link mothers and children/babies to primary care
providers.
In addition to helping
improve birth outcomes and reduce infant mortality rates, Access to Wholistic
& Productive Living utilized CHRC grant funding to leverage more than
$500,000 in additional funding, including a $447,612 grant from CareFirst,
$49,980 grant from the DHMH Office of Minority Health and Health Disparities;
and $50,000 grant from the Morehouse School of Medicine to test the efficacy of
integrating community health workers in maternal care coordination
programs. Promoting program
sustainability after initial CHRC ‘seed funding’ is a top priority of the
Commission. CHRC grantees have utilized
Commission grant funding to leverage $16.9 million in additional federal,
private/non-profit, and local support.
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West
Cecil’s Beacon Health Center recognized by Harford County Council
Earlier this year, West Cecil Health Center, a federally
qualified health center, opened the new Beacon Health Center, the first FQHC
site in Harford County. This new health
center is supported with a three-year start-up grant from the CHRC, ongoing
operational support from the University of Maryland Upper Chesapeake Health,
and capital support from the Harry and Jeanette Weinberg Foundation.
The Beacon Health Center is one of several promising
community-hospital partnerships supported by the CHRC. Earlier this year, the CHRC released the
white paper “Sustaining
Community-Hospital Partnerships to Improve Population Health.” These types of partnerships will become
increasingly important as Maryland implements its new All-Payer Model, which
alters hospital financing payment mechanisms to incentivize efforts to improve
population health and reduce avoidable hospital costs.
Since it opened in early December 2014, the Beacon Health Center
has served a total of 1,123 patients with 2,766 patient encounters and received
a proclamation on June 9,
2015 from the Harford County Council. In
addition to supporting the Beacon Health Center, the CHRC has awarded 11 grants
totaling $3 million in Harford County, supporting efforts to improve birth
outcomes, increase access to oral health services, expand access to behavioral
health/support suicide prevention efforts, deliver school-based health care
services, and link uninsured/low-income residents to primary health care
services in the community.
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