Reducing the use of emergency department services by creating supportive housing projects.

The goal of this initiative is to reduce the use of emergency department services, inpatient hospitalization, and corrections resources among high utilizers, by creating supportive housing projects that are jointly funded by hospitals, housing providers, and other key stakeholders.

Five percent of patients account for roughly 50 percent of healthcare costs. Many so-called “high utilizers” have complex medical conditions compounded by mental illness and substance use disorders (SUD); some are homeless or unstably housed. For this population, affordable housing co-located with supportive services has been shown to improve health outcomes, reduce the use of high-cost emergency room and hospital services, and improve corrections outcomes, with attendant cost savings.

In this initiative, MHCF is investing in community-based planning grants that identify a specific population to be served, and draft a viable plan for financing, developing, and operating a supportive housing project. MHCF will also work with consultants to identify cost-neutral opportunities to use Medicaid dollars for supportive housing.

Recipients of grant funds will present strong plans to:

  • Develop a coalition (generally housing agencies, hospitals, and corrections officials, with other partners as appropriate) that agrees to collaborate to develop a supportive housing plan.
  • Identify a specific population of high-utilizing patients to be served by the project.
  • Develop specific metrics to measure current utilization patterns and costs.
  • Develop data sharing agreements to facilitate collaboration.
  • Create a supportive housing plan that includes design, financing, and operations to meet the needs of the target population.

If you are interested in applying for funding under this initiative, please contact MHCF Chief Operating Officer Ted Madden

Implementation of Value-Based Care

Focus Area: Partnerships for Better Health

Our Work in Housing and Health Care

Housing and Health Care Grantees

Saint Peter's Health Foundation

Helena Regional Housing and Health Care Initiative

Project Term: 12 months; 2018-2019
Grant Amount: $60,000

This project will develop a cross-systems data sharing between health care, homeless services, housing, criminal justice, child welfare, and emergency service systems to identify high-utilizers of these community service systems who are homeless or unstably housed. The data sharing effort will begin with an inclusive effort to include as many key stakeholders as possible and resolve barriers to data sharing to allow for meaningful system coordination. The grantee will identify people and families that demonstrate the greatest need and cost burden and examine root causes contributing to their homelessness and high utilization of system resources. The project will also utilize the data sharing efforts to study patterns of systems utilization related to existing affordable housing locations and resources particularly among vulnerable populations of seniors, persons with disabilities, and families with children. Through this process, broader system-wide solutions will be proposed in a Helena Regional Supportive Housing and Services Intervention Plan. The plan will identify possible funding sources to implement supportive housing and services, new housing and services partnerships, and improved cross-systems data sharing and coordination.

Human Resources Development Council of District IX

Partnership for Permanent Supportive Housing

Project Term: 12 months; 2018-2019
Grant Amount: $60,000

For this project, HRDC and Bozeman Health will partner with community service providers to build a cohort of organizations that will work together to address the need for permanent supportive housing for high-risk members of the community. With technical assistance from the Corporation for Supportive Housing, they will assess the community’s current housing and health care resources and create a plan to incorporate supportive housing systems to improve health care outcomes for chronically homeless populations. A key focus of this project will be on programs that help the people served successfully integrate into the larger community through association with others to foster strong connections to the rights, responsibilities, roles, resources, and relationships that a society offers to its members. This will help residents maintain housing stability and achieve a greater degree of self-sufficiency. This project’s goal is to help create the framework to bring stable, transformative housing to some of the community’s most vulnerable members.

City of Missoula: Office of Housing and Community Development

Missoula Supportive Housing Collaborative

Project Term: 12 months; 2018-2019
Grant Amount: $60,000

For this project, the Missoula Supportive Housing Collaborative with the guidance of the Corporation for Supportive Housing will develop a plan that uses data integration and hospital analysis along with community resources and program coordination to drive investments in supportive housing. Supportive housing will be designed to serve the population that is most likely to be homeless or near homeless, and who face health obstacles including mental illness and substance use disorders. The project’s goal is to give community service providers guidance in identifying cost-effective ways to improve outcomes for vulnerable people by providing supportive services and secure housing.

Saint James Healthcare Foundation

Butte Supportive Housing Collaborative

Project Term: 12 months; 2018-2019
Grant Amount: $60,000

For this project, Saint James Healthcare, in partnership with Action, Inc. and with the guidance of the Corporation for Supportive Housing, will develop a plan that uses data integration and hospital analysis along with community resources and program coordination to drive investments in supportive housing. Supportive housing will be designed to serve the population that is most likely to be homeless or near homeless, and who face health obstacles including mental illness and substance use disorders. The project’s goal is to give community service providers guidance in identifying cost-effective ways to improve outcomes for vulnerable people by providing supportive services and secure housing.

Neighborworks Great Falls

A Housing and Health Care Plan for Cascade County

Grant Term: 12 months; 2018-2019
Grant Amount: $60,000

For this project, Neighborworks Great Falls, in partnership with Benefits Health Systems and with the guidance of the Corporation for Supportive Housing, will develop a plan that uses data integration and hospital analysis along with community resources and program coordination to drive investments in supportive housing. Supportive housing will be designed to serve the population that is most likely to be homeless or near homeless, and who face health obstacles including mental illness and substance use disorders. The project’s goal is to give community service providers guidance in identifying cost-effective ways to improve outcomes for vulnerable people by providing supportive services and secure housing.

Housing and Health Care Resources

2018 Call for Proposals

Find out about this year’s available grants.