Transcript Current Membership

Current Membership
323,270 members – 05/2013
150,449:
35,099:
3,081:
19,189:
Plus
9,549:
88,487:
6,968:
10,448:
Medical Assistance
MinnesotaCare
Minnesota Senior Care
SNBC (Disability)
MSHO (SNP)
Medicare (Minnesota)
Medicare (Wisconsin)
Mayo & ASO
UCare’s Approach to Caring for
Vulnerable Adults
 Program flexibility and support services tailored
to individual needs
 40% consumer representation on Board of Directors;
three member advisory committees
 Expertise in cooperative work with federal, state, and
local governments, and community partners
 Innovative risk and service partnerships with care
systems and providers
Examples of Addressing Health Disparities
Affecting East African Population
 Pill boxes and sport shoes for Somali elders
 Health risk assessments in multiple languages,
including Somali
 Culture Care Connection website – a UCare/ Stratis
Health partnership to advance culturally competent
care by informed providers statewide
 My Health – “Caafumaadkaaga” in Somali - an
emergency room, primary care education program
using Community Health Workers
 Health Commons – UCare Fund Grant (2011-12,
2012-13) to a community organization to support the
East African community
The UCare Fund
 UCare Fund awards grants to organizations that strive
to improve the health of our community. 22 grants
were issued in 2011 and 34 grants in 2012.
 Projects funded in 2012 focused on:
Obesity prevention & reduction
Medical Home
Preventive health care1.
Working with people with disabilities
Member Demographics
UCare serves a culturally diverse
mix of over 300,000 members
PMAP
MnCare
Caucasian
State Public Prog.
35%
69%
African origin
30%
Asian origin
19%
Hispanic (all origins) 11%
Native American 2%
Other
3%
12%
9%
4%
1%
5%
43%
26%
17%
9%
2%
3%
Our Employees Are Diverse
CAUCASIAN – 79%
BLACK or AFRICAN AMERICAN – 9%
ASIAN – 8%
TWO or MORE RACES – 2%
HISPANIC – 1%
History of Health Commons
 NIH-funded Community-Based Participatory
Research by St. Catherine University Nursing Faculty
(2006-2008)
 Community Input Meetings (2009-2010)
 Conversations with Augsburg to use same model at
Health Commons @ Central Lutheran Church (20102011)
 Identify and secure Community Space (2010-2011)
 Health Commons opened September 21, 2011
Health Commons Location & Hours
 Located in the Cedar Riverside neighborhood
 Hours of operation: Wednesday & Friday 1-5 pm
Staff at Health Commons
 Fairview coordinator
 Bilingual community liaisons
 Faculty and graduate students from Augsburg
 Dr. Osman Harare from East Africa Health Project
 Public health nurse volunteers
 Fairview Community health Staff and interpreters
 U of M Extension services staff
 MPH student from U of M
Role of Public Health Nurses
 One-on-one health consultations
 Screenings
 Medication Review
 Group Education
 Complementary therapies
o
o
o
o
Chair Massage
Health Touch
Reiki
Group Education
Partners
 UCare
 Darul Quba Cultural Center
 Southside Health Services Mobile Health Unit
 Augsburg’s Campus Kitchen
 University of Minnesota Extension
Services’ - Simply Good Eating
 Somali Women’s Education Network
 Brian Coyle Center
 Riverside Plaza Tenants Association
 Confederation of Somali Community in Minnesota
Current Programs
 Food Essentials
 Fit & Friendly
 Say “no” to “yes”
 Wellness Sessions
Sustainability
 Ownership by the community
 Creative resources
 Strengthened by academic partnerships
 Collaboration with community
 Goal is for the community to assume ownership
Emergency Services Utilization
Percent of Utilization:
 Adults – 43%
 Pediatrics - 57%
Severity:
 Level 1 & 2 - 34%
 Level 3 - 48%
 Level 4 & 5 – 18%
Top Diagnosis
 Adults - Respiratory sx, Back & neck pain, Abd/pelvic pain
 Pediatrics – URI, Otitis Media, Fever
My Health – “Caafumaadkaaga”
 WellShare Partnership
 Pilot program
 Community Health Workers educate members
 239 visits in 2012
 Levels of care in western health
care system:
 Primary care
 Urgent care
 Hospital care
 Emergency room care
Participant: “I like that I
can call my doctor to be
seen instead of waiting in
the hospital waiting room
for four hours.”
My Health Outcomes
 Methodology
 Identify members who participated in the
program (Participants)
 Identify members who didn’t participate in the
program but look as similar as possible to the
members who participated (Nonparticipants/controls)
 Examine changes in costs and utilization from
before (pre) to after (post) the program for
participants and Non-participant.
My Health Outcomes
 Study Population: program participants (N=114)
 Analyzed only members with 6 months pre and post
period
 Outcome Variables
 Total Cost
 Emergency Department Visits Rates
 Inpatients Rates
 Primary Care Physician Visits Rates
 Urgent Care Visits Rates
My Health Outcomes: ED Utilization
My Health Outcomes: Urgent Care
My Health Outcomes: PCP Utilization
My Health Outcomes: Inpatient Outcomes
My Health Outcomes: Cost
Summary of Results
 High member satisfaction
 Cost effective with positive ROI
 52% decrease in ER utilization among
participants
 43% decrease in PMPM cost among participants
 Funded for a second year

Based on 2011-2012 claims. WellShare participants compared to general UCare Membership.
Medication Management Tool
 Hennepin County Medical Center partnership
 Addresses medication adherence and
chronic health perception in Somali community
 Somali pharmacy technician
distributes pill boxes and carrying bag
 Explains importance of taking
medication consistently and how to
fill the pill boxes
 1, 000 elders served since January 2012
Sports Shoes:
Obesity and Diabetes Prevention
• Pilot program aimed at reducing obesity,
diabetes
• UCare staff delivered and helped fit 200
pairs of shoes to two Somali and East
African Adult Day Care Centers
 26
“In our home country, we walked everywhere, to
the market, our children’s schools, to see our
friends - everywhere. Now that we are in this
country, we aren’t walking.
“The shoes have helped me get back to walking
to the grocery store and take walks with other
adults at the center. We walk every day now
which makes me feel better.”
Provider Education
UCare educates providers on East African populations:
Maintaining a cultural
competence chapter in
the UCare Provider
Manual
Providing a list of East
African interpreters
Recruiting East African
primary and specialty
providers
Resources for East African Community
 Culture Care Connection – a UCare-funded, online
resource to help providers deliver culturally
competent care
 Specific East African resources:
 Somali
 Ethiopian
 Targeted clinic education
sessions
 Health Risk Assessments
Customer Services Targeted Approaches
 Bilingual/Bicultural staff
 Process for bilingual
 Somali Customer Service
complaints, grievances
and appeals
 Language line available
to all staff and
providers including
transportation
Representatives
 Welcome calls to new
members
 24 hour access to East
African interpreters
through Health
Connection
UCare Fund
Funds are awarded to community based organizations to
remove health care service barriers and address
disparities
 SoLaHmo Radio Health Stories – use of radio stories to
address family eating behaviors and physical activity among
immigrant and refugee Somali, Latino and Hmong families
 African Community Health Services – to improve breast
health & screenings in Somali and Oromo communities
 Centracare Foundation – behavioral and developmental
screenings to Somali children and prenatal mothers
Mama Alwa’s Health Commons Story
“I came here when I was really, really sick. I was on a few
medications, some were for my depression, and sleep
medication – without it I couldn’t go to sleep. I had a body
ache all over and I was taking medicine three to four times a
day just to have the pain go away. I was really overweight, I
had a hear palpitation and I had a lot muscle aches.”
“The three days that I come here I’m surrounded with people. I
talk, I laugh, I’m not as depressed as I used to be. They also
work with my muscles, all over my body – I do a lot of muscle
exercise so they give me strength. They also changed my diet,
what I was on before. Now I’m eating a lot healthier food. I
really appreciate everything they do for me. I like the Center.”
For More Information
Jeri Peters
Chief Nursing Officer
[email protected]
612-676-3655