Social Determinants of Health
The initiatives in this domain support high-need patients and assist providers in providing care by addressing SDoH factors. The efforts include advancing health equity by working with sectors on the factors that influence health, including employment, housing, public safety and food access.
Social Determinants of Health
Community Action for Wyoming Access to Healthcare Program
We collaborated with Community Action for Wyoming (Community Action) to enhance healthcare access for vulnerable and underserved individuals in the region.
Community Action established a telehealth hub at its location in Perry, NY, and its Care Coordinators engaged individuals, connecting them to primary care and behavioral health services.
Spectrum Health Services supported the Care Coordinators by providing critical behavioral health intervention and peer counselor training. The Care Coordinators provided peer counseling, referrals, navigation support, and assistance with telehealth services. Community Action coordinated needed healthcare services with providers in the region.
As part of this collaboration, we provided technical support to ensure the program met its goals. This support included consultation on data and analytics, and a program evaluation report.
Our Community Partners
“The Finger Lakes IPA, a partnership of the region’s community health centers, six behavioral health organizations, and the S2AY Rural Health Network, is very excited to be a part of this important initiative by FLPPS to support the critical need for access to developmental screenings for young children in our rural communities. This program will give us the ability to provide access to services that are often not available due to geographic and other barriers to care experienced by our patients.”
“I am excited to see ‘equity in action’ through this partnership with FLPPS, who recognizes the importance of lived experience and elevating the parent and patient voice to bring change across our health and behavioral health systems.”
“For decades Regional Health Reach has been a leader in the community in providing healthcare and support services to those experiencing homelessness. Through our traditional clinic, mobile medical unit, and presence at shelters, our Healthcare for the Homeless program has touched thousands of lives. Health Reach is excited to partner with Finger Lakes Performing Provider System and MC Collaborative to expand our reach to unsheltered individuals, meeting them where they are, to provide the care they need.”
“By expanding our Person In Crisis teams to include certified peer specialists, we will be able to assist even more of our residents in need in a humane and compassionate manner. In addition, by assisting residents in this new way, we are expecting that there will be a reduced number of people calling the PIC team because they are getting connected to the services they need.”
“The key to the success of this menu of services is our ability to have a two-way dialogue with doctors and other medical professionals about both health and social support needs at home. We’ve proven this model can improve patient outcomes and reduce unnecessary ED visits and hospitalizations, and that’s a win for everyone. It also reduces both physician and patient/family caregiver frustrations.”
