Medical respite: post-hospitalization support for Californians experiencing homelessness
- Collection:
- Health Policy and Services Research
- Author(s):
- Donnelly, Jill, author Layton, Jessica, author Pagel, Lucy, author
- Contributor(s):
- California HealthCare Foundation, issuing body.
- Publication:
- [Oakland, CA] : California Health Care Foundation, July 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Homeless Persons Inpatients California United States
- Genre(s):
- Technical Report
- Abstract:
- Medical respite programs are unlicensed organizations that provide acute and post-acute care for individuals experiencing home lessness who have recently been discharged from the inpatient setting. The programs are a growing part of the homeless services continuum throughout California. This paper surveys the California medical respite landscape and examines the variation in programs by program components, funding sources and mechanisms, and associated challenges. Medical respite programs vary by type. Some have a largely medical model of care, while others strive to integrate a combined medical-social model. A few have yet to integrate clinical care, despite the pressing need. Where possible, most programs form partner ships with local health centers, hospitals, homeless service providers, and other entities to address the health of the whole person, including their physical, mental, spiritual, and social needs. These partnerships drive referrals and can facilitate continued care after discharge from medical respite. Many programs braid together funding streams from hospital community benefit dollars, county funds, and, increasingly, managed care plans. As California drives toward implementation of the California Advancing and Innovating Medi-Cal (CalAIM) initiative, which aims to coordinate care for Medi-Cal recipients, who currently experience some of the most fragmented care, an opportunity exists to leverage promising practices and grow statewide capacity in medical respite. However, to succeed, such programs will need new billing and reporting functions and contracting arrangements with local managed care plans or centralized contracting entities.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (24 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918366887406676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918366887406676