Sacramento County Mobile Integrated Health Unit Presentation

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This presentation by Dr. Susmita Mishra and Dr. Mary Kathryn Orsulak on the Sacramento County Primary Health Mobile and Street Medicine Team addresses their mission, goals, current/future services, collaborations, challenges, and solutions. The team aims to provide comprehensive healthcare to the homeless population, reduce health disparities, involve individuals with lived experiences, and offer evidence-based treatments for substance use disorders.


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  1. SCHC Mobile Integrated Health Unit SCHC Mobile Integrated Health Unit and Street Medicine Services Street Medicine Services PRESENTATION TO PHAB BY : DR. SUSMITA MISHRA , DR. MARY KATHRYN ORSULAK DR. SUSMITA MISHRA , DR. MARY KATHRYN ORSULAK JANUARY 4 JANUARY 4TH TH, 2023 , 2023

  2. Susmita Mishra M.D. Susmita Mishra M.D. Medical Director Sacramento County Health Center Department of Primary Health Mary Kathryn Orsulak M.D. Mary Kathryn Orsulak M.D. Assistant Professor at UCD Department of Family Medicine Homeless Program Lead, Sacramento County Health Center Sacramento County Department of Public Health Sacramento County Department of Public Health

  3. Objectives Objectives Who are the Sac County Primary Health Mobile and Street Medicine team? Mission and Goals Current and Future Services Who are we collaborating with? Challenges and Solutions

  4. Sac County Primary Health Mobile & Street Medicine TEAM Mobile and Street Medicine Team Dr. Mary K Orsulak - UCD Family Medicine Dr. John Landefeld -UCD Internal Medicine Rachel Reed- Medical Assistant, County Public Health Care Management Nurse (Pending) Public Health Aide (Pending) County Public Health Sexual Health Team

  5. Sacramento County Primary Health Loaves and Fishes Team Sacramento County Primary Health Loaves and Fishes Team SCHC Homeless Team at Loaves and Fishes Dr. Mary K Orsulak- UCD Family Medicine Dr. John Landefeld- UCD Internal Medicine Dr. Melody Tran- UCD Internal Medicine Dr. Kirti Malhotra- UCD Internal Medicine Dr. Rachel Robitz- UCD Family Medicine / Psychiatry Dr. Susmita Mishra- Sac County Internal Medicine Ailing Wei- PHN, County Primary Health Alexs Podlubny- AMFT, SUPT Counselor- County Behavior Health

  6. Mission & Goal Mission & Goal In partnership with community organizations, SCHC Mobile Integrated Health Unit will bring comprehensive, low-barrier, compassionate healthcare to the people living in encampments in Sacramento County. Goals : Define inequities in health outcomes for people experiencing homelessness Reduce inequities in health services access among people experiencing homeless Include people with lived experience in program design and development Partner with community and governmental organizations to increase referrals to housing and other services Provide evidence-based substance use disorder treatment

  7. Services Services Current Mobile and Street Medicine Services Acute Care Evaluations Longitudinal Primary Care Visits Wound Care STI testing (in partnership with Sac County Public Health) : Rapid HIV, Hep C, Rapid Syphilis & Multi-site CT/GC TB testing and provision of TB cards Immunizations Medication storage and dispensing

  8. Services Services Future Mobile and Street Medicine Services Provide above services at additional locations Increase the number of street service medicine service days Linkage to Enhanced Care Management and Community Support Services Partner with County, City, Community organizations to coordinate services

  9. Community Partners Community Partners Current: County Public Health and UC Davis Potential: County Behavior Health- HEART Team Community Based Organizations Office of Homeless Initiatives Other Street Medicine Providers

  10. Challenges Challenges Many agencies and programs involved in the street medicine service arena Good challenge but many of us are working in silos Billing and funding for services to clients , who are not assigned to the clinic and for non-direct medical services

  11. Opportunities & Solutions Opportunities & Solutions Enhance current partnerships with Public Health and UC Davis Continue to meet and talk to other agencies to find out where we can partner, merge or link services

  12. Conclusion Conclusion We are entering into a new arena. We are entering into a new arena. It s exciting and challenging! It s exciting and challenging!

  13. Contacts Contacts Dr. Andrew Mendonsa , SCHC Clinic Services Division Manager Mendonsaa@saccounty.net Dr. Susmita Mishra, SCHC Medical Director MISHRAS@SACCOUNTY.GOV Dr. Mary K Orsulak- UCD Family Medicine OrsulakMa@saccounty.gov Dr. John Landefeld- UCD Internal Medicine Landefeldj@saccounty.gov

  14. Q & A Q & A

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