What Is Cross Sector Case Conferencing?
A new dedicated space for cross-system collaboration between HSD Homeless Service Providers, Health Share of Oregon, other heath system partners, and Multnomah County services such as Behavioral Health Division, Aging and Disability and Veterans Services, and Homeless Services Department Staff.
Opportunity for HSD Homeless Service Providers to Receive Support
HSD Service Providers may refer participants to cross-sector case conferencing to bolster housing stability and improve health outcomes. We seek to serve participants with resource connections for unmet physical healthcare or other care needs such as dental health, pharmacy access, durable medical equipment, substance use, behavioral health, home health support and more.
- Facilitates the ability for Homeless Services Providers to case conference with healthcare and social service systems at one table
- Simplify navigation of multiple systems and enable real time health navigation, care coordination and wraparound support
Scope
- *Open to those experiencing homelessness or enrolled in homeless service systems at HSD (e.g. Permanent Supportive Housing, Rapid Rehousing, etc.)
- People aged 55+ are prioritized; clients of all ages can be referred
Requirements
- Signed Release of Information and discussion with identified participant for consent to process (ROIs Provided in Case Management Tools link below) and ability to upload into HMIS (Homeless Management Information Software).
- Submit Referral Form
How often is CSCC Available
Case Conferencing Sessions:
- Every 2nd and 4th Wednesday
- 11:00 am to 12:30 pm
- Virtual Google Meeting Atmosphere
Resources to Connect Participants and Front Line Staff to:
- Referral to Primary Care Doctor
- Physical Health
- Durable Medical Equipment
- Dental Health
- Medication Access
- Substance Use and/or Recovery Options
- Mental Health Support
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- Medicaid Eligibility
- Supports for Daily Living Activities (bathing, toileting, grooming, etc)
- Home Health Care
- Hoarding support
- Wound Care
- Behavioral Health
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Health Care Coordination Services
- Primary care providers
- Mental health providers
- Specialists
- Pharmacy
- Social Services (through health plans)
- Develop and implement personalized care plans
- Ensures participants are optimizing health plans and care and receiving tailored solutions
Partners Who Come to the Table
Questions?
Contact:
Jenny Greenberg, HSD Coordinated Access: Health and Housing Program Specialist Sr: Jenny.Greenberg@multco.us
Adam Peterson, Health Share Portfolio Manager Health Care and Homeless Services Integration: PetersonA@healthshareoregon.org
Consulting Group: Community Solutions