Priority Issue: Access to Health Services
How do we capitalize on changes within the healthcare landscape to support diverse populations?
The development and implementation of the Access to Health Services action plan is led by the DuPage Health Coalition. The DuPage Health Coalition's (DHC) mission is to develop and sustain in DuPage County a system for effectively and efficiently managing the health of low income populations across the continuum of care. Through a joint strategic planning process, the DHC and the DuPage Federation on Human Services Reform developed the DuPage Safety Net Plan for Health and Human Services 2016-2018.
For more information, contact DuPage Health Coalition President Kara Murphy.
Related Key Indicators
Status of Goals, Objectives, and Key Actions
Goal 1: Comprehensive Enrollment in Available Benefits and Services
All members of the target population eligible for health insurance coverage, coordinated health access and other resources are properly and promptly enrolled in the appropriate program. Barriers to enrollment are thoroughly evaluated, and DuPage County partners develop effective strategies connecting individuals and families to programs for which they qualify.
Outcome Objective 1: By December 31, 2018, increase the percentage of DuPage County residents that have any type of health coverage using the following metrics:
- Enrollment in Access DuPage will exceed 6,500 members annually by 2018 (versus current 5,000 members)
- Enrollment in Silver Access ACA Premium Assistance will exceed 750 members annually by 2018 (new program in 2016)
- Fewer than 2 percent of DuPage County children will be uninsured by 2018 (versus current 3.4%)
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Key Actions:
Completed 
In progress 
Not Started SOAR (SSI/SSDI Outreach, Access, and Recovery), a program designed to increase the timeliness and efficiency with which people who are homeless or at risk of homelessness due to mental illness or other disabling conditions are enrolled in Social Security disability benefits. Silver Access (ACA Premium Subsidy Assistance), a new program to assist low-income ACA subsidy-eligible patients to purchase health insurance through the marketplace. Post ACA Health Access Assessment, a research study to assess former enrollees' current enrollment in and access to health care services. Supportive Services for Criminal Justice Involved Population Expand Engage DuPage, a benefit program in local area emergency rooms and other sites of care, to an additional hospital in FY2017 This goal is a strategic priority for both the DuPage Health Coalition and the DuPage Federation, with projects initiated, led, and funded by both organizations (as well as community partners).
Goal 2: Timely Access to Essential Health Services
Every individual within the target population has access to each of the following healthcare services, as needed:
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Outcome Objective 2a: By December 31, 2018, increase the estimated percentage of DuPage County adults who report a usual person as a health care provider from 85.0 percent (2014) to 89.25 percent (a 5 percent increase).
Data Source: Illinois County Behavioral Risk Factor Survey
Outcome Objective 2b: By December 31, 2018, decrease the number of DuPage County adults who reported that they needed to see a doctor but could not due to cost from 9.3 percent (2014) to 8.3 percent.
Data Source: Illinois County Behavioral Risk Factor Survey
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Key Actions (Impact Obj 2.1 & 2.2):
Completed In progress Not Started Medical Home Supply and Demand Analysis – maintain annual data and maps that display both supply (Health Safety Net Resources) and demand (number and types of anticipated populations) by geographic region within DuPage
Same and New Site FQHC Growth – DHC partners will add one or more FQHCs in DuPage County, and also grow service delivery capacity at existing sites
Medicaid Specialty Care Services – begin a planning process and develop strategies to increase access, support provider equity, and ensure efficient use of available resources
Medicaid Managed Care Access in Hospitals – develop metrics reviewing hospital participation in Medicaid plans and create strategies maximizing patient access and hospital equity
MCO Partnerships – seek opportunities to partner with MCOs to develop collaborative care coordination models that improve healthcare access and delivery
Data Integration for Health Impact – explore opportunities to integrate data collection and communication efforts between providers of traditionally defined health care and human service partners serving the same patient populations
High Intensity Patient Navigation Services – Access DuPage identify a small number of patients whose utilization and disease burden suggests they would benefit from higher level support services
Care Coordination for Silver Access Enrollees – identify strategies improving the health literacy of new entrants in the health care marketplace
Community Strategies Supporting Aging Well – enhance partnerships between providers of health and human services for seniors and caregivers
While both organizations commit time and energy to support this goal, the DuPage Health Coalition is more commonly the lead agency in planning, development, and operations, alongside collaborative partners. Funding for initiatives related to this goal is more typically originated at the DuPage Health Coalition, with support and consultation from the DuPage Federation.
Note: Objectives that are "completed" are those that have reached substantial progress, though they continue to be ongoing areas of focus to continue progress.
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Key Actions (Impact Obj 2.1 & 2.2):
Completed In progress Not Started Medical Home Supply and Demand Analysis – maintain annual data and maps that display both supply (Health Safety Net Resources) and demand (number and types of anticipated populations) by geographic region within DuPage
Same and New Site FQHC Growth – DHC partners will add one or more FQHCs in DuPage County, and also grow service delivery capacity at existing sites
Medicaid Specialty Care Services – begin a planning process and develop strategies to increase access, support provider equity, and ensure efficient use of available resources
Medicaid Managed Care Access in Hospitals – develop metrics reviewing hospital participation in Medicaid plans and create strategies maximizing patient access and hospital equity
MCO Partnerships – seek opportunities to partner with MCOs to develop collaborative care coordination models that improve healthcare access and delivery
Data Integration for Health Impact – explore opportunities to integrate data collection and communication efforts between providers of traditionally defined health care and human service partners serving the same patient populations
High Intensity Patient Navigation Services – Access DuPage identify a small number of patients whose utilization and disease burden suggests they would benefit from higher level support services
Care Coordination for Silver Access Enrollees – identify strategies improving the health literacy of new entrants in the health care marketplace
Community Strategies Supporting Aging Well – enhance partnerships between providers of health and human services for seniors and caregivers
While both organizations commit time and energy to support this goal, the DuPage Health Coalition is more commonly the lead agency in planning, development, and operations, alongside collaborative partners. Funding for initiatives related to this goal is more typically originated at the DuPage Health Coalition, with support and consultation from the DuPage Federation.
Note: Objectives that are "completed" are those that have reached substantial progress, though they continue to be ongoing areas of focus to continue progress.
Goal 3: Social Determinants of Health
DuPage County will grow our capacity to effectively track and manage the Social Determinants of Health.
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Key Actions:
Completed In progress Not Started Social Determinant Data Dashboard – priority will be placed on improved data collection and reporting and assessing key social determinant data. Where possible, Healthy People 2020 recommendations will be incorporated into the Impact DuPage tracking and website.
Community Interpreting Training
Additional Profile Reporting and Updating – update current DuPage Federation profiles of at-risk populations
Childhood Trauma (ACEs) – compile a profile on Adverse Childhood Experiences, with recommendations for identification and treatment
Responsibility for achieving this goal is shared between all partners, but the DuPage Federation and the DuPage Health Coalition will take a leadership role in advancing this effort.
This is a new goal to both organizations, with both leadership and funding still to be determined. It is anticipated that successful efforts to examine, understand, and strategically address social determinants of health will require equal health and human service collaboration, and will thus succeed through shared goal setting, leadership, and funding.