Sacramento County Mobile Integrated Health Unit Presentation
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PRESENTATION TO PHAB BY
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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
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
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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
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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
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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
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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
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Current:
County Public Health and UC Davis
Potential:
County Behavior Health- HEART Team
Community Based Organizations
Office of Homeless Initiatives
Other Street Medicine Providers
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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’
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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
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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
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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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Presentation Transcript
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
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
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
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
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
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
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
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
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
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
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
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!
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
Q & A Q & A
