Addressing Houston s Health Disparities Through Innovation

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1 Addressing Hustn s Health Disparities Thrugh Innvatin Stephen L. Williams, MEd, MPA Directr, Hustn Health Department Cigna Sessin: Cmmunity Innvatins t Address Health Disparities Friday, Nvember 17th

2 Diabetes Awareness and Wellness Netwrk (DAWN)

3 Diabetes in Hustn and Selectin f DAWN Site Lcally 11.3% f Hustnians have been diagnses with diabetes 22% f Hustn residents live belw the pverty line 7 ut f 10 death related t chrnic disease in Hustn Disparate Ppulatins Racial and ethnic minrities bear a disprprtinate burden f the diabetes epidemic Higher prevalence rates Wrse diabetes cntrl Higher rates f cmplicatins Selected Area: Greater Third Ward Has a high prevalence f diabetes Area with ne f the highest annual average cst fr adult preventable hspitalizatins 22% f adult preventable hspitalizatins were diabetes related Area estimated t be 94.9% minrity with median incme level f $17,214.

4 City f Hustn DAWN Prgram Overview DAWN Diabetes Awareness & Wellness Netwrk Accredited by AADE Fcused n behavir-based educatin and preventin Prvides evidence-based classes and infrmatin via an interdisciplinary team: CDE, RNs, RD, Persnal Trainer, Public Health Educatrs, and Cmmunity Health Wrkers Encurages self-management and preventin f diabetes diagnsis Addressing Disparities: Services lcated in an underserved cmmunity Services are free fr members Prvides multiple resurces in ne lcatin Transprtatin assistance (METRO Lift and Vuchers) available Tailred prgramming t address member needs

5 DAWN DAWN Services Healthy Eating Nutritin/Fd Preparatin Training Grcery Stre Turs Cking Demnstratins and Classes Active Living Fitness Exercise Grups Health Cnnectins A1c Screening and Med Management Educatin Case Management Prvider Relatins/Bi-Directinal Referrals Self Management Diabetes self-management training Chrnic disease educatin Caching and Supprt General well-being Gal-setting assistance Behavir change and scial supprt Cmmunity Engagement Cmmunity educatin Outreach events DAWN Mbile

6 DAWN Keys t Engagement and Retentin Team based apprach Evidenced-based prgramming and activities Cmmunity and Culturally tailred messages and interventins Emphasis n supprt, nt treatment Multiple resurces in ne lcatin Multiple methds f cmmunicatin Cllabratin with traditinal and nntraditinal partners t address member needs.

7 DAWN Funding and Sustainability Funding Surces CIGNA Fundatin Investment CDBG Allcatin 1115 Waiver Prject TX DSHS Cmmunity Diabetes Grant Nv Nrdisk Grant Sustainability: Ptential fr Revenue Generatin CMS reimbursements fr Diabetes Educatin and Supprt Services CMS reimbursements fr Diabetes Preventin Cllabratins with MCO/ACOs (bundled payments, episdic payments, and shared savings/risk

8 Building a City f Champins

9 Hustn Disparities Amng Yung Bys and Men f Clr 9

10 Six MBK Milestnes Enter Schl Ready t Learn Read n 3rd Grade Level Graduate High Schl Cmplete Pst-Secndary Ed. Enter the Wrkfrce Successfully Reduce Crime & Vilence & Prvide 2nd Chance Opp.

11 Strategic Apprach & Evaluatin Leverage existing resurces in schl district and agencies, such as: Harris Center fr Mental Health and IDD H-GAC Cmmunities in Schls Harris Cunty CPS Fcus n aligning resurces Braden funding, including public and private partners Evaluatin Framewrk

12 Narrwed the Scpe THREE SCHOOL FEEDER PATTERNS Surce: Hustn ISD 2015 Research and Accuntability and US Census Data 2010

13 Milestne Activities Hustn Basics Campaign (HHD WIC Clinic, Tlkit) Harlem Children s Zne Practiner Institute Reading Mentrs, Grm4Literacy, Bk Distributins Children s Defense Fund Freedm Schls (Clsing Summer Gap) Six HISD Mmentum (Virtual Schls) Tier 1 Service Linkage (Fd Drps, Hygiene Packets, See2Succeed, Health Screenings etc.) Male Fcused Prgramming (5 th Ward, XY Zne BAM, Urban Schlars) MBK Wrap Netwrk: Systems f Care (Case Management & Crdinatin)

14 14 Milestne Activities - Cnt d SW2AG Fest HCC Men f Hnr and Gents Planning underway t recruit Mmentum Schl students in Harvey Disaster Respnse (clean-up) temprary jbs Onging supprt f Mayr Turner s Hire Hustn Yuth initiative Cntinuatin f Discnnected Yung Adult Prject Activities (Dem)

15 15 Milestne Activities - Cnt d Yuth Justice Cuncil ReDirect/Expunctin Services Law Enfrcement Assisted Diversin (LEAD) Prgram Crime Preventin Thrugh Envirnmental Design (CPTED) Win-Win Martin Luther King Peacekeeper Initiative Teens and Plicy Academy Circle f Men

16 16

17 Questins/Cmments?

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