Health Commission honors Maria X. Martinez; Whole Person Care expands data-sharing and care coordination for people experiencing homelessness
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Summary
Commissioners adopted a resolution honoring Maria X. Martinez and received a Whole Person Care update describing a shared-priority pilot (237 clients: 126 housed, 35 awaiting units, 13 deceased) and plans to implement EPIC care-coordination tools and a co-located homeless health resource center in 2021.
The Health Commission unanimously adopted a resolution honoring Maria X. Martinez for 23 years of service to San Francisco Department of Public Health and her leadership on Whole Person Care.
Hallie Hammer and Amber Reed presented the Whole Person Care update and said the program's interagency shared-priority pilot of 237 clients has produced interim outcomes: 126 of the cohort are currently housed, 35 are document-ready and awaiting a unit, 117 are connected to DPH case management, 184 have received housing navigation or HSH case-management services, and 13 are deceased. Presenters described how existing data-sharing infrastructure and relationships allowed rapid COVID-19 response and targeted outreach for people experiencing homelessness.
DPH plans to add care-coordination functionality to the EPIC electronic record system, migrate integrated health/housing/benefits data from CCMS into an EPIC-accessible database, and expand access to non-DPH teams (for example, EMS6) to support shared care coordination. The department also described plans for a new Homeless Health Resource Center scheduled to open in November 2021 as part of sustainability planning.
Commissioners praised staff and asked for continued reporting on cohort outcomes, EPIC implementation and sustainability.
