In 12 weeks, more than 1600 patients were screened, 43 percent of which identified an unmet need. The pilot utilized trained students to screen patients for social needs and help link them to community resources. Based on their learnings, the Bethesda Butler team piloted a volunteer-run Community Connections Desk in partnership with Miami University. Through the planning process, three best practices were identified: 1) Partnership with a Federally Qualified Health Center 2) High-touch in home/community intervention and 3) a Community connection center. Research-The team also explored different models of care for complex patients.These patients accounted for 25 percent of emergency room visits and the majority were covered by Medicare or Medicaid. Data were gathered on an additional 100 patients who were high utilizers of healthcare (patients who had 2 hospital admissions or 3 emergency room visits in the last six months). Identifying access to affordable food, unstable housing, paying for healthcare and transportation as top social needs. More than 400 patients responded to the survey. Needs Assessment- Partnering with Primary Health Solutions, a community health center, Bethesda Butler Hospital administered a Social Needs Survey.The planning process included three areas of work: Fueled by a one-year $205,000 bi3 grant from TriHealth Bethesda Butler Hospital completed a planning process, to better understand the needs of its patients and explore solutions that would improve health and healthcare in the region. Pair these challenges with a shortage of primary care, like in Butler County, and many in the community end up receiving care through hospital emergency departments. It is particularly difficult for patients who lack basic resources, such as food, transportation and housing, or who have multiple health needs. Navigating the health care system can be complex and challenging for anyone.
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