A new report has been released outlining Inland Empire Health Plan’s (IEHP) efforts to establish 50 care teams to support the delivery of core Health Homes Program services for IEHP’s most vulnerable members with complex health conditions.
HMA contributed to the new report and has supported implementation of IEHP’s Health Homes Program since 2018, providing consultation in the development and implementation of a clinical model of care, the design and deployment of a population health management tool, the creation and delivery of a multi-modal training program, and the provision of practice coaching to over 50 care teams.
Most notably, the report shares data that shows statistically significant clinical improvements for members enrolled in the Health Homes Program during the first year. And more recently, during the COVID-19 pandemic, the Health Homes Program has proven to be a critical factor in IEHP’s ability to reach vulnerable members, by providing connections to important resources such as food assistance, testing, and prescription drugs.
More elements of the Health Homes Program include outreach and engagement, assessment, shared care planning, transitions of care support, and systematic caseload review, all of which promote IEHP’s commitment to person-centered population health using measurement-based care practices. IEHP’s staffing model for the Health Homes care team includes a nurse care manager, behavioral healthcare manager, care coordinator/housing navigator, and a community health worker, who are tasked with delivering whole person care for Health Homes Program members.
HMA colleagues Liz Arjun, Marc Avery, Emily Brandenfels, Leslie Brooks, Nancy Jaeckels Kamp, and Jeffrey Ring contribute to this project, which is led by Betsy Jones. Former HMA colleagues Lynn Dierker and Michael Mabanglo also contributed.