Passport 2 Health

In 2017, Dignity Health launched the Passport 2 Health (P2H) initiative in collaboration with local community clinics and service providers in Santa Cruz County. The initiative identified 350 high utilizers and designed interventions for intensive case management and holistic care, developed an evaluation plan and created outcome metrics to strengthen linkages with community-based resources for high-need, high-cost patients.

Through the P2H initiative, multiple community partners collaborate in addressing housing, mental health, substance abuse and other health-related social needs, in addition to working hand in hand to collectively provide holistic care. Regular tracking of how these patients use health care services, coupled with intensive case management at the clinics where they receive care, can help reduce expensive visits to the emergency department and encourage more consistent visits with primary care physicians, thereby improving overall health and reducing health care expenses.

Community Investment Program

As of May 2018, the Community Economic-Investment Program (CEIP) has a portfolio that includes 72 loans to 62 organizations for a total approved amount of more than $94 million and more than $72 million in outstanding loans. Housing and access to health care are the program’s two major focuses, but the program also invests in other sectors affecting health. The breakdown is as follows:

The Following Highlights from the Community Economic Investment Program (CEIP) Showcase the Work Supported by Dignity Health in FY 2018

Joshua House – Los Angeles, California

Operated by the Los Angeles Christian Health Centers (LACHC), Joshua House is a former hotel built in 1913 that is currently providing comprehensive medical, dental, optometry and mental health care to 3,300 patients in the Skid Row district annually, which has one of the largest homeless populations in the country.

In partnership with Nonprofit Finance Fund, Dignity Health has invested $4.7 million to help LACHC expand into a new, 26,000-square-foot location down the street that will feature similar health services as well as 55 units of permanent supportive housing for homeless individuals on the upper floors, developed and managed by Skid Row Housing Trust.

Tipping Point – San Francisco, California

Tipping Point Community is a 501(c) (3) nonprofit organization established in 2005 with a mission to break the cycle of poverty through investments in nonprofit organizations that serve individuals and families experiencing poverty in the six Bay Area counties. A major part of Tipping Point’s strategy is finding housing for the city’s 2,100 chronically homeless individuals, and they’re currently implementing their first pilot affordable housing project. In 2017, Dignity Health made a $5 million loan to Tipping Point for the purchase of a site on which they intend to build 118 modular units of new supportive housing.

During the next year, CEIP proposes to expand its impact further into mitigation of the housing crisis affecting all of Dignity Health’s service areas. The program will also broaden its investment to include for-profit “B” corporations — or private companies involved in social impact/public benefit enterprises — thereby leveraging greater capital resources toward the promotion of social justice.

Humankindness lives here.

Housed and Healing

Monica* first engaged in the Passport 2 Health Case Management program while staying at a temporary shelter searching for affordable housing. She had been homeless for over eight years and had worked with multiple case management programs and peer-run mental health advocacy groups in Santa Cruz.

Now in her 60s, Monica was also navigating appointments with specialists for her complex medical concerns and behavioral health needs. Her P2H case manager provided advocacy at her various specialists, met with her while she was in the hospital, helped her navigate social service systems, and played a key role in collaborating with all the members on Monica’s team to support her overall wellness.

After being enrolled in P2H for over a year, she notes this is one of the longest periods she’s gone without a psychiatric hospitalization, and that her depression symptoms are better managed and she’s able to focus on healing. She also moved into her own permanent room and is creating a safe space to call home.

*Name has been changed to protect patient privacy.