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Special Considerations in Health Care for the Homeless

Module 1: Course Introduction

This replay of a 3.5 hour session explores service delivery and policy concerns unique to HCH grantees, including those that are jointly funded with CHC, Migrant, and Public Housing projects.

The session was originally presented Wednesday, April 7, at 8:30 a.m. in the Twinbrook Room at the Office of Minority and Special Populations, Health Resources and Services Administration, Rockville, Maryland.

Below you will find the schedule used for the session on April 7, 2010. The General Approach during the live session include:

  • Ask what participants already know about or believe to be current policy
  • Discuss relevant law or regulation & best practices
  • Discuss complications in the field, including common misinterpretations of policy
  • Invite diads/triads to discuss actual experience in the field and how new knowledge will affect their performance

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All topics and videos follow the same order as the live event.

Agenda

Module 2: Commencement

Watch

Jim Macrae’s Welcome

An Introduction from Capt. Henry Lopez

A Brief History of HCH Program & National HCH Council

Client Perspective by Helena Weathers

Module 3: Necessary Elements of Effective Health Care for the Homeless Projects

Louise Treherne discusses Service locations and hours, Outreach, Case Management, Substance Abuse Services, Mental Health Services, and Interagency Collaborations.

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Part One: Louise Treherne discusses elements of HCH

Part Two: Louise Treherne discusses elements of HCH

Module 4: The Definition of Homelessness & Eligibility for HCH Services

Heidi Nelson discusses satisfying A-133 and auditors’ requirements while maintaining accessibility; the 12 month eligibility rule; the 25% rule; documentation of homelessness; residency status.

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Part One: Heidi Nelson

Part Two: Heidi Nelson

Module 5: Sliding Fee Scales in HCH

Karen Rotondo discusses the issue of Sliding Fee Scales in HCH.

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Part One: Karen Rotondo

Part Two: ‘Discussion with the Audience’ led by Karen Rotondo

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Module 6: Productivity and Outcomes in HCH

Louise Treherne and Heidi Nelson lead the discussion on issues that HCH programs might face with HRSA’s new Outcome Measures and the challenges of having Productivity Standards in a mission driven program such as HCH.

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Productivity and Outcomes discussion

Module 7: Scope of Project and Site Issues

Heidi Nelson discusses the two specific Policy Information Notices (PIN) from HRSA that focus on Scope of Project and Site issues and the 25% Rule.

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Heidi Nelson discusses Scope of Project

Module 8: Governance Requirements

Karen Rotondo, John Lozier, and Helena Weathers have a discussion on the important aspect of community ownership of HCH projects. They briefly discuss the barriers in creating a successful Consumer Advisory Board (CAB), and they give some examples of CAB issues and their solutions.

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Governance Requirements

Module 9: Resources for Project Officers

During this part of the session Heather Rippetoe and John Lozier go over some of the resources available to the Project Officers at HRSA. They review different areas on the National Health Care for the Homeless Council’s website (www.nhchc.org) and tutor the audience on Moodle.

Watch

Resources for Project Officers

Additional Resources

All videos in BPHC 101 with captions

Client Perspective by Helena Weathers

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Part One: Louise Treherne discusses elements of HCH

Part Two: Louise Treherne discusses elements of HCH

Part One: Heidi Nelson

Part Two: Heidi Nelson

Part One: Karen Rotondo

Part Two: ‘Discussion with the Audience’ led by Karen Rotondo

This website is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,625,741 with 20 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

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