National Association of Public Hospitals and Health Systems

Overview

In June 2010, NAPH entered into an Endorsement Partnership with Community Solutions and IHI in support of the 100,000 Homes Campaign. Community Solutions is working in communities across the U.S. with opportunity to improve the lives and health outcomes for homeless individuals and families. Built on the successes of the 100,000 Lives campaign, this project seeks to find permanent housing for 100,000 chronically homeless individuals by 2013. The program, involves enabling teams of individuals to find solutions to difficult problems, implement changes, set targets for achievement and measure successes.

Homeless individuals with chronic illness make up a more complex group of patients for many NAPH members – particularly those in large urban centers. At the national level, several ongoing initiatives will support the work of Community Solutions, IHI and the Endorsement Partnerships. The Homeless Emergency Assistance and Rapid Transition to Housing (HEARTH) Act and the new Federal Strategic Plan to Prevent and End Homelessness are two examples. These initiatives provide legislative and interagency support to address the needs of the nation’s homeless populations and ultimately create more lasting resolutions to these issues.

Inside 100,000 Homes Campaign

Resources for this section

  • NAPH members are participating in this project:

    • Boston Medical Center
    • New York Health and Hospital Corporation’s Bellevue Hospital Center, Woodhull Medical & Mental Health Center and Elmhurst Hospital Center
    • Denver Health
    • Grady Memorial
    • Los Angeles County Department of Health Services - LAC+USC Healthcare Network, Olive View-UCLA Medical Center, Harbor-UCLA Medical Center and Rancho Los Amigos National Rehabilitation Center

  • Vulnerability Index: Prioritizing the Street Homeless Population by Mortality Risk

    The model for identification of the patients most in need is based on a formula created directly from the research of Drs. Jim O’Connell and Steven Hwang from Boston Medical Center. The Index is designed to facilitate the identification of homeless individuals most at risk for a premature death while living on the street.

    Characteristics of the Vulnerability Index:

    • More than three hospitalizations or emergency room visits in a year
    • More than three emergency room visits in the previous three months
    • Age 60 or older
    • Cirrhosis of the liver
    • End-stage renal disease
    • History of frostbite, immersion foot or hypothermia
    • HIV+/AIDs
    • Tri-morbidity: co-occurring psychiatric, substance abuse, and chronic medical condition

  • Contact Us:

    If you would like to address these issues at your organization, consider joining this initiative by contacting Jane Hooker at jhooker@naph.org or Catherine Craig at CCraig@commonground.org

  • 11/3/10: Meeting the Needs of Special Populations with Special Programs -100,000 Homes Webinar webcast11/3/10: Meeting the Needs of Special Populations with Special Programs -100,000 Homes Webinar power point format11/3/10: Meeting the Needs of Special Populations with Special Programs -100,000 Homes Webinar power point format11/3/10: Meeting the Needs of Special Populations with Special Programs -100,000 Homes Webinar

    Dr. Jim O'Connell discusses the Boston Healthcare for the Homeless Program. Dr. O'Connell and his team have developed a program to meet the needs of this vulnerable population using the principals of public health. The program involves a comprehensive electronic medical record, tracking longitudinal data on key metrics, compliance for certain screening interventions for preventive care, and outcome measures such as mortality. The program's Board of Directors is composed of individuals who are currently or have been homeless. Later, Becky Kanis from Common Ground discusses the national 100,000 Homes Campaign, developed in conjunction with the IHI to provide sustainable housing for 100,000 of the most vulnerable chronically homeless individuals. Individuals are prioritized as most in need of housing by the Vulnerability Index - developed by the Boston Healthcare for the Homeless team. Finally, Elizabeth Boyce from LA County Department of Health Services discusses the current activities supported in her community to develop appropriate and comprehensive services for this group of individuals. Speakers: James J. O’Connell, M.D., President, Boston Health Care for the Homeless Program

    Becky Kanis, Director, Innovation, Common Ground

    Elizabeth Boyce, Homeless Services Manager, Los Angeles County Department of Health

Useful Links:
  • 100,000 Homes Campaign Progress

    Check to see if your city, county or state is currently enrolled in this campaign and view data including total number of people housed, communities participating and more.

  • 100,000 Homes Campaign

    Find more information on this project, which aims to find permanent housing for 100,000 chronically homeless individuals by 2013.

  • Community Solutions

    NAPH has partnered with Community Solutions, a pioneer in the development of supportive housing and other research-based practices targeting homelessness, to help endorse the 100,000 Homes Campaign.

  • Institute for Healthcare Improvement

    NAPH has partnered with IHI in endorsing the 100,000 Homes Campaign.

  • The HEARTH Act

    Signed into law by President Obama on May 20, 2009, the Homeless Emergency Assistance and Rapid Transition to Housing (HEARTH) Act expands the Department of Housing and Urban Development’s homeless assistance programs by expanding homelessness prevention programs, incentivizing rapid re-housing, creating permanent supportive housing for people experiencing chronic homelessness, and providing more flexibility and assistance for capacity building in rural communities.

  • Federal Strategic Plan to Prevent and End Homelessness

    The 2010 Federal Strategic Plan to Prevent and End Homelessness focuses on four key goals: (1) end chronic homelessness in five years; (2) prevent and end homelessness among Veterans in five years; (3) prevent and end homelessness for families, youth, and children in 10 years; and (4) set a path to ending all types of homelessness.

  • Boston Healthcare for the Homesless Program

    As the largest and most comprehensive health care for the homeless program in the U.S., BHCHP seeks to provide and assure access to the highest quality health care for Boston’s homeless men, women and children.

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