Professional Documents
Culture Documents
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[1]
Problem/Root Cause
In 2010, 18.7 million adults and 7 million
children had asthmaa 15% rise since
2001. Asthma medical costs are $50.1
Unhealthy
billion/year.
Home
Guidelines-based care calls for 1)
Assessment of disease severity; 2)
Medication; 3) Patient education; and Treatm
Asthma
ent/
4) Environmental control.
tic Child
Inhaler
Evidence base: HHSs Community
Preventive Services Task Force found
Hospit
strong evidence of effectiveness of inal Visit
home environmental interventions in
improving asthma management and
overall quality of life for asthmatics.
ROI : HHSs economic review of published
studies showed a return of $5.3 to $14 for
each $1 invested.
Quick
payback
and All
easily
identifiable
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2014
Green & Healthy
Homes Initiative.
rights
GHHI Solution:
A Model That Benefits Families
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[3]
Solution: Baltimore
PFS Model
Target
setting
Loan
for
service
s
Risk
mitigatio
n
Monetize
d
savings
Loan repayment
Evaluatio
n
Guarantee
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[4]
Policy Implications
SIBs/PFS can lead to sustainable funding for
Healthy Homes
Solving the wrong pocket problem
Investment directed
produced
to improve housing
healthcare
Savings
for
Impacts
ROI: HHSs economic
review of published studies
showed a return of $5.3 to
$14 for each $1 invested
in environmental asthma
interventions
MN Dept of Health:
Reducing Environmental
Triggers of Asthma
program produces cost
savings of $1,960 per
patient over 1-yr period
Seattle King County
Healthy Homes II project
found additional benefits
of adding environmental
trigger reduction above
2014 Green & Healthy Homes Initiative. All rights
Baltimore Demonstration
Project1 Impact on asthma:
66-70% reduction in asthmarelated client hospitalizations
28-60% reduction in asthma ER
visits
50% increase in participants
never having to visit the
doctors office due to asthma
episodes
62% increase in participants
reporting asthma-related perfect
attendance for their child (0
school absences due to asthma
episodes)
88%
Peer-reviewed
and published
Environmental
increase
in inparticipants
Justice journal
reporting never having to miss a
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day of work due to their childs
1
Hospitalizations
ER Visits
Physician Visits
Calls to Physicians
Work missed
School/ daycare
missed
Intake
Mean (StdDev)
6 Month
Mean (StdDev)
0.364288
(0.923013)
0.141791
(0.53667)
0.942857
(1.22193)
0.701493
(1.097022)
1.76258
(1.462491)
1.340909
(1.413293)
2
(1.498792)
One-sided t test
Percent
Reduction
0.238806
(0.824248)
0.0008
65.5%
0.261194
(1.250137)
0.015
27.7%
0.389313
(1.460098)
0.002
22%
1.481203
(1.490381)
0.515152
(1.565296)
0.0002
26%
2.76259
(1.954492)
1.736842
(1.85413)
1.037879
(2.057959)
0.0000
37%
2.372093
(2.008069)
1.787402
(2.091669)
0.647059
(1.998254)
0.0002
27%
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[7]
ER Visits at Intake
ER Visits
ER Visits
6%
0 time
6%
1 time
14%
2 times
52%
3 times
13%
80%
2 times
3 times
16%
64%
4+ times
5% 1% 1%
1 time
10%
4+ times
22%
0 time
6% 3%
0
times
1 time
2
times
3
times
4% 1% 3%
6%
0 times
1 time
2 times
3 times
4+ times
86%
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[8]
3% 4% 3%
9%
Night
in hospital
0 time
1 time
0 time
1 time
2 times
2 times
3 times
3 times
4+ times
4+ times
82%
91%
3% 1%
5% 1% 2%
0 times
1 time
3%
0 times
1 time
2 times
2 times
3 times
3 times
4+ times
4+ times
96%
97%
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[9]
8%
6%
Dont No
know
40%
55%
Yes
56%
36%
Don't
know
No
Yes
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[ 10 ]
1 time
1 time
2 times
8% 2%
16%
28%
3 times
12%
7%
Never
67%
48%
8%
Not Applicable
1 day
6%
3 days
10%
4 days
None
10%
2 days
5 or more days
4 times
1 day
7%
6%
4%
3 times
Never
19%
Not Applicable
28%
9%
5%
10%
4 times
More than 5 times
2 times
6%7%
5%
60%
7%
7%
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2 days
3 days
4 days
5 or more days
None
[ 11 ]
Missed HH work
1 time
1 time
7% 3%
1%5%
2 times
18%
3 times
4 times
30%
11%
6%
14%
6%
NA
7%
7%
2%
65%
11%
7%
4%
4%
3 times
4 times
Never
1 time
11%
2 times
5 or more times
Never
1 time
9%
14%
25%
3 times
4 times
44%
Never
2 times
16%
64%
9%
2 times
3 times
4 times
5 or more times
Never
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[ 12 ]
Questions?
Ruth Ann Norton
President & CEO
ranorton@ghhi.org
410-534-6447
@RuthAnnNorton
Follow us on Twitter @HealthyHousing
Like us on Facebook @GHHINational
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[ 13 ]