(MSCC) John Mudd, Sharon Jasprizza, November 14, 2020

MEDICAL RESPITE BED ADVOCACY PLAN

There is no question that we need medical respite beds in New York City. Many of our service providers will attest to this. People suffering homelessness are deprived of complete recovery alternatives after leaving an emergency room. People are mostly cared for by family or visiting nurses after returning home to ensure successful recovery. People who are homeless do hot have access to aftercare, and hospitals are reluctant to house people beyond their needed emergency care. As one Mount Sinai doctor said, “We’re not a Holiday Inn.” 

Medical respite beds are self sustaining (see Medicaid & Medicaid Managed Care: Financing Approaches for Medical Respite Care), saving the costly emergency room stays and unnecessary use by people who do not receive proper care for healing.

Medical respite beds are a pipeline from the hospitals to health, medical, social, and other services, which can lead to housing opportunities. 

This four-step plan is to encourage the development of medical respite beds in NYC. This is a plan in progress, not without flexibility, and is open for suggestions.

Step #1 (Began November 2019) Mission:

Describes our mission (the encouragement of medical respite beds) and suggests the following pathways to complete that mission:

• Encourage medical respite bed funding through the city budget
• Ask the city to fund a pilot project to study the financial and clinical outcomes
• Encourage the network of providers to develop medical respite beds

A press release describing the committees’ intentions, emphasizing the forthcoming presentations, and encouraging attendance could be prudent.

Step #2 (March 2020) Information Gathering:

This step requires a tremendous amount of information gathering affirming the necessity, sustainability, and capital to develop a respite bed facility. Fortunately there are successful examples and developers who are willing to guide this endeavor. The Information Gathering should include, but not be limited to:  

• Statistics outlining success in other states
• Costs difference between emergency care and respite bed facilities
• Developmental and operational cost analysis
  • Daniel Muwamba, Deputy Chief Financial Officer, Boston Health Care for the Homeless Program is already working on financial details of the Barbara McInnes House and Stacey KirkPatrick facilities
• Short documentaries and testimonials speaking to medical respite needs
• Video and PowerPoint presentations affirming the medical respite beds necessity and benefits:
  • Andy Coyle, M.D., Assistant Professor of Medicine and Medical Education, Associate Program Director for Ambulatory Care, Internal Medicine Residency Program, Icahn School of Medicine at Mount Sinai, has shared a great deal of knowledge during a conference call and with his PowerPoint presentation, using data from March 2019, and he is willing to further support our endeavors: 
    • I can pull updated data if there is an opportunity to speak to a group…I can also share more of our outcomes data for the respite as we have it.
  • Comunilife’s Rosa Gil, DSW, President and CEO, has contracts with Monte, Bronx Lab and a couple Medicaid Managed Care plans for medical respite bed care
  • David Munson, Barbara McInnes House, has shared details of his operation and as with Dr. Coyle, is willing to support our endeavors
  • BronxWorks, is partnering with One City Respite Program, to lower the cost of emergency room use, to provide longer care for persons without a residence, and to enable a pathway to better health and housing stability (an interim step towards medical respite beds?)
  • Insurance Companies: Health First, United Healthcare, MetroPlus, AMIDACARE
  • DHS, Outreach services, and NYDIS: How can medical respite beds benefit?

The video presentations should educate, speak to the need, and empower others to advocate for medical respite facilities. 

Step #3 (July, August 2020) Administrative, Proposal Development, and Marketing: 

This step collates the work from Steps 1 & 2, fills in the gaps, and tailors it to the needs of client and state for a finalized proposal to encourage the development of medical respite beds. This step serves the final presentation and marketing needs, and also encourages support and participation. 

Step #4 (September, October 2020) Advocating for Development:

This is the culmination of discussions, meetings, research, discoveries, proposals and presentations to gather the support from nonprofits, city agencies, governing bodies, medical institutions, and humanitarian developers to realize the building of medical respite beds.