1. Navigator Program November 9, 2015 PRESENTED BY: Kelly Bennett-Wofford, Executive Director Lorena Sanchez, Director of Programs

2. BACKGROUND We’ve been focused on outreach, enrollment and retention services for over 15 years Formerly the Sacramento Children’s Health Initiative (CHI) for the Healthy Kids Program Launched Healthy Kids Healthy Future, the state’s first regional CHI (Yuba, Colusa, Placer, El Dorado and Sacramento counties) Funded in 2013 by Covered CA & Sierra Health Foundation to conduct region-wide outreach and enrollment services Selected for the first and second Covered CA Navigator Program grant for Northern CA (mostly Sacramento region) Our work includes navigation services to connect individuals to medical homes

3. PROGRAM OVERVIEW Seven (7) Patient Navigators placed in five (5) local hospital emergency departments (Dignity & UCD) Referral relationship with Kaiser Permanente EDs Three (3) Health Navigators focused on families with children, 0-5 (Telephonic & in-person at UCD) Six (6) Health Navigators focused on health insurance enrollment and access to care One (1) Health Navigator stationed at the Oak Park Community Center to facilitate connections to health and other community resources Multilingual call-center (50+ hrs/week) where information about the new program can be accessed telephonically Hospital ED data sharing relationships - could demonstrate utilization of emergency departments for this patient population

4. PN PROGRAM VIDEO Video Link

5. NAVIGATION FUNDED PROGRAMS Patient Navigation Program Dignity Health & Health Net Community Health Navigation Program UC Davis Health System Early Childhood Access to Care Project First 5 Sacramento Commission

6. NAVIGATION PROGRAMS Key Partners: Dignity Health Health Net UC Davis Health System First 5 Sacramento Commission Kaiser Permanente

7. NAVIGATION PROGRAMS In-person presence at the following hospitals: Dignity Health EDs (4) UC Davis Health System – ED including “Peds Pod” – Labor & Delivery – Children’s Hospital

8. PROGRAM GOALS 1. Ensure patients can access primary care 2. Decrease dependency on EDs for primary care 3. Improve quality of care 4. Reduce uncompensated care costs

9. NAVIGATION SCOPE OF WORK Connect with patients utilizing the ED for primary care Help reconnect patients to their primary care physician Provide education on benefits for patient’s assigned health plan Encourage patients to use available resources through their health plan Emphasize to patients the importance of preventative care and appropriate use of the ED Provide follow-up for patients with appointments Connect patients with other community resources as needed

10. 7,763 August 6, 2013 – March 31, 2015 DIGNITY HEALTH NAVIGATION DATA REDUCED50%REDUCED50% ED VISITS FOR PRIMARY CARE REDUCED42%REDUCED42% URGENT CARE VISITS Worked with a Patient Navigator to schedule follow-up appointment67% attended their appointment 78% UNIQUE PATIENTS SERVED

11. 10,160 August 6, 2013 – September 30, 2015 DIGNITY HEALTH NAVIGATION DATA Worked with a Patient Navigator to schedule follow-up appointment68% attended their appointment 75% UNIQUE PATIENTS SERVED

12. July 1, 2015 – September 31, 2015 UC DAVIS NAVIGATION DATA Worked with Patient Navigator to schedule follow-up appointment68% attended their appointment 75% 87% 360 UNIQUE PATIENTS SERVED

13. PROGRAM COST Current investment from: Dignity Health & Health Net = $410,000 (6 PNs) UC Davis = $65,000 (1 PN) “Buy-in” cost = $70,000 (1 PN)

14. DISCUSSION Questions?

15. Contact Kelly Bennett-Wofford, Executive Director kelly@sacramentocovered.org (916) 414-8336 Lorena Sanchez, Director of Programs lorena@sacramentocovered.org (916) 414-8339