Transcript Document

Daphne Pie
Program Manager
Access & Outreach/Public Health-Seattle &
King County
[email protected]
(206) 263-8369
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Collaboration Is Essential!!
You must have multiple community partners!
Partners in this effort include:
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King County Cities & City of Seattle
Health care partners
Human service agencies
Colleges/universities/tech
schools/high schools
• Libraries
• Community centers
• Housing providers
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Services providers for the homeless
State and County agencies
Criminal justice system
Small minority owned businesses
Labor
Faith-based organizations
Foundations
• 23 Contracted In-Person Assisters Agencies
• 30 Non-Contracted In-Person Assister
Agencies (MOU’s)
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Analysis: Best Practices from King County
Solicit active
support from
local leaders
and create
opportunities
for them to lead
Defer detailed
decisionmaking to
grassroots
organizations—
Our community
partners.
Frame
enrollment in
terms that will
resonate with
the community
Invite
participation
from
organizations
outside of
health-care
Is health care a
social justice
issue?
Utilize existing
partnership
networks and
bring all
organizations
to the table—
especially
smaller ones
Convene a
regular forum
to address
technical
issues and
share
solution—
First Friday
Forum
Slide and Content Source: Hutchinson, “Three Innovative Strategies:
King County’s Quest to Cover the Uninsured”
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Geo-targeting
The geo-targeting approach leverages community-based partnerships to
help enroll vulnerable and underserved populations.
It also includes a large in-person assister network of 23 trusted community
agencies with experience working with target populations. We have 15
agencies doing enrollments & 8 doing agencies doing outreach & education
•ACRS
•Neighborcare
only.
•Center for Human Services
•Country Doctor
•Center for Multicultural Health
•DESC
•Global to Local
•Healthpoint
•International Community Health
Services
•SeaMar
•Seattle Indian Health Board
•Valley Cities Counseling and Consultation
•Within Reach
•World Relief
•YWCA
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Geo-Targeting
• Geo-targeting initiative tailors enrollment efforts to each city according to
the community demographics and population needs. The city-by-city
approach relies on a network of trusted community partners with
experience working with target populations. This approach ensures that all
eligible uninsured residents have a chance to enroll in coverage—regardless
of race, ethnicity or language.
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Education only agencies partner with enrollment agency for application assistance:
• Cierra Sisters
• The Denise Louie Education Center
• Friends of Youth
• Gay City
• Open Arms
• Plymouth Housing
• Solid Ground
• Washington CAN
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What did we learn with our partners?
Let your partners do what they do best--– SeaMar & ICHS used phone calls & mailings to get their clients in the clinics . ICHS
was booked out for weeks. SeaMar canvased the South Park community.
– HealthPoint contacted patients that had not visited the clinic within a 1 yr. & who
were previously uninsured at time of visit. They combined enrollment & access to
services.
– WithinReach uses AmeriCorps to provide outreach to rural locations like food banks.
– World Relief works with newly arriving immigrants.+
– Globaltolocal- Connection desk staff by Univ of Washington & Seattle U students.
– North Human Services-Family Resource Center in North King County.
– YWCA & DESC focus on the homeless, shelters & domestic violence.
– ACRS-30 different languages and 13 different programs. Offer monthly family nights.
– Valley Counseling-Provides mental health counseling & outreach at Kent CSO.
– Country Doctors maintains close relationships with local libraries and DSHS offices
– NeighborCare staffs libraries, DSHS offices, schools, youth homeless sites.
– Seattle Indian Health Board-Outreach to Urban Indians.
– Center for Multi-Cultural Health-Education to communities of color.
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Enrollment Events
• Our network hosted large and small community events at locations
throughout the county.
• Large-scale enrollment events often targeted specific communities, such as
the Latino/Hispanic, Black/African Americans or Asian/Pacific Islanders.
• Public Health organized the event logistics and worked with community
sponsors (e.g. consulates or organizations prominent in that community) to
advertise the events in the target communities.
• Our IPA network help staffed the events.
• In addition to the large events, their were smaller enrollment events
managed by our network. These smaller recurring enrollment events took
place at their clinics, libraries, community centers, food banks, shopping
centers, social service agencies and other locations frequented by
uninsured residents.
• There were over 500 events in the 1st Open Enrollment
period!!
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Our Enrollment events!!
What did we learn from all the enrollment
events?
• Providing technical assistance is critical to success events.
• Word of mouth is important: Word travels fast.
• Community Blitz’s are an effective way to get materials to the community.
• Radio Ad’s are good. Be prepared to change the ad, get free PSA’s.
• We don’t need 500 enrollment events to be successful—continue
outreach at locations that are more successful. Continue to go the
uninsured. Multiple outreach points are critical to success.
• We must continue to help the underserved & most vulnerable but continue
the outreach in the Hispanic/Latino; Black/African American & Asian/Pacific
Islander….next time go deeper!
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Leadership Circle
To maximize enrollment, the King County Executive created a Leadership
Circle to help shape outreach strategies:
• Health sector – Tom Gibbon, manager of the Community Specialty Clinic at
Swedish Medical Center,
• Business sector – Maud Daudon, President and CEO of the Seattle
Metropolitan Chamber of Commerce, and
• Non-profit sector – Gordon McHenry, Jr., Executive Director of the nonprofit Solid Ground.
The purpose of the circle was to :
• Support efforts of hospitals and other health care providers to enroll
patients and clients;
• Work with community-based organizations and local businesses in
communicating this information and enrolling employees;
• Work with community organizations to reach traditionally harder-to-reach
communities such as homeless persons and people who do not read English
• Washington State Public Health Association recognized the Leadership as
Health Champions during National Public Health Week in April 2014.
What have we done so far?
Public Awareness
– Website, IPA website & Social media – blog, text
alerts, Facebook, Twitter, Flickr, emails
– Translated Materials for distribution
– NEW! Share text message program:
Text KING + ZIP code to 468311 for help nearby
– Elected official briefings
• 30+ cities in King County, federal and state
delegation
Content: Social Media & More
August 2013
Social Media Content
Spread the word on social media
with these sample posts.
Facebook
Not sure what health reform is all
about? Watch this great video
from the Kaiser
FamilyFoundation.
http://bit.ly/121433h
Uninsured? Save-the-date:
Starting 10/1, you can find health
insurance in-person, online, and
over the phone.
http://1.usa.gov/190qzH5Â
Starting 10/1
WAHealthplanfinder.org will offer
a brand new way to find, compare
and enroll in new & enhanced
insurance plans.
Countdown to coverage: Open
Increasing access to health coverage
in King County
This fall we have an opportunity to enroll about 180,000 uninsured
King County residents in free or low-cost health insurance. Each
month, we will send you an updated Coverage is Here King County
tool kit with information you can share with your community,
including newsletter articles, social media content and up-to-date
information about enrollment efforts in King County. If you have
questions or suggestions for future content, please contact Katie
Ross. Thanks for your help in spreading the word!
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Key Messages

Starting this fall, about 180,000 King County residents will
be able to enroll in new free or low-cost insurance
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kingcounty.gov/coverage
You may be eligible for free health insurance—depending on your
income.
The next open enrollment period to renew or sign up for low-cost
private insurance begins November 15, 2014 and ends on February
15, 2015. If you qualify for Washington Apple Health (also called
Medicaid), enrollment is open all year – sign up any time.
Download a flyer detailing enrollment events scheduled from Nov. 15
- Dec. 11, 2014. Or visit our updated list of outreach locations around
King County.
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Results for the King County IPA
network
• Here are the enrollment numbers through
10/31/2014:
HPF Enrollment Data October 1, Apple Health
2013-October 2014
Renewals
Public Health Seattle King County
34,403
Qualified
Apple Health Health
New
Plans
78,708
11,649
Total
126,941
Enrollments by race for
IPA Network
Total for Public Health Seattle King County
Not including Not Reported
White
Alaska Native
American Indian
Asian
African American
Hawaiian
Pacific Islander
Other
Unreported
Total
Total Percent Total %
Number of Total Hisp Hisp
20307
21% 3396 17%
65
0%
8 12%
1092
1%
101
9%
14501
15%
133
1%
15394
16%
261
2%
115
0%
17 15%
2892
3%
127
4%
11696
12% 7342 63%
30063
31% 7118 24%
96125
100% 18503
Included
in
numbers
Overview of approach for 2014-2015
Open Enrollment
• Emphasizes what worked last time & anticipate what
types of assistance residents will need.
• People need technical assistance!!
• Help clients with Apple Health & QHP Renewals
• Continue outreach to our targeted communities.
• Work in the 8 communities that languages are not
supported by the Exchange: Purepecha, Swahili,
Punjabi, French, Tigrigna, Burmese, Samoan, Arabic!
• Focus on the United Way Tax Preparations sites from
01/15/15-02/15/2015.
• Continue outreach at 5 libraries & 8 of the DSHS
offices in King County
Open Enrollment 2014-2015
• Finalize our sustainability plan for 2015 & beyond!
• We’ve developing sustainability strategies &
partnerships with the following organizations:
• Urban League of Metropolitan Seattle
• Mexican Consulate
• El Salvadorian Consulate
• Peruvian Consulate
• Asian & Pacific Islander communities
Next hear from one of our great
partners in these efforts:
Liz Snow (Outreach Manager for
WithinReach)
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