In 2018, many of our partners laid foundational plans for improving health care access and service to vulnerable members of their communities. Here is how we are supporting our partners in Napa and Del Norte Counties to address their local health needs.
The Medi-Cal 2020 Whole Person Care (WPC) pilot is a California Department of Health Care Services-administered program that aims to provide more comprehensive, coordinated, and patient-centered health, behavioral health and social services for those with complex needs to improve health outcomes through more efficient and effective use of available resources. Napa’s WPC pilot seeks to improve access to and participation in health and housing services, avoid unnecessary utilization of emergency health services, reduce homelessness, and reduce the total costs of care for Medi-Cal-eligible individuals who are homeless or at risk of homelessness. In 2017, Napa County Health and Human Services Agency (HHSA) engaged RDA to provide implementation technical assistance to their WPC program, as well as to plan and conduct a three-year process and outcome evaluation. This pilot requires that care be informed by a system of shared data, and our team is working with a host of stakeholders to further develop and formalize data sharing, communication, and care coordination infrastructure across sectors. Through this and future evaluation activities, Napa County and its WPC partners will be equipped with a shared framework and capacity to make data-informed decisions to improve the coordination and reduce the total cost of care across the county.
One aspect of Proposition 56, also known as the Tobacco Tax, is to greatly expands the State’s oral health plans, allocating funding to improve the oral health of all Californians through prevention, education, and organized community efforts. Funds have been allocated to County health departments to meet local oral health objectives, including assessing the needs of children and vulnerable populations and developing action plans to address community-level needs. In 2018, the County of Del Norte Department of Health and Human Services (DHHS) contracted RDA to lead its Community Health Assessment (CHA) and develop its Community Health Improvement Plan (CHIP). As a component of this project, RDA is supporting the County’s Oral Health Advisory Group in assessing local oral health needs and developing a Local Oral Health Improvement Plan (LOHIP) in accordance with State requirements. The LOHIP will serve as an essential tool to address oral health needs among vulnerable residents. Additionally, this funding has enabled small and rural counties like Del Norte, and other underserved regions, to complete their CHAs and CHIPs, including LOHIPs, which are key deliverables needed to apply for public health accreditation, which is a powerful opportunity to enhance the capacity and quality of health care to be provided. Prior to this influx of Prop 56 funding, smaller counties often lacked the resources to develop these plans necessary for accreditation.