YNHS Mission

To provide accessible, affordable, quality health care,

promote learning opportunities for students of health

professions, end homelessness and improve quality of life

in our communities.

Yakima Neighborhood Health Services

Yakima, Washington

2

40% Lower Per Capita Income Twice as Many Children on TANF Twice as Many Families Living in

Poverty 1 in 6 Adults Completed Less than

a 9th Grade Education

COMPARED TO WA STATE -

3

Agriculture - 26% of Industry*

Crops:

Apples

Cherries

Pears

Grapes

Asparagus

Hops

Spearmint/Peppermint

Onions

Peaches and Apricots 4

Migrant Population of Yakima – over 75,000

5

How Yakima Compares

to Other Counties in

Washington for

homeless populations

Homeless Population – Yakima County in the Middle of the Pack

6

We Are Who We Serve 200 Employees County

Wide

35% Hispanic

40% Bilingual English / Spanish

Multi-generational

Formerly MSFW

Formerly Homeless

Homeless Focus Groups

Board Representation

MSFW

Homeless

7

18,299 18,746

21,040

4,112 3,999 4,395

2,262 2,231 2,283

-

5,000

10,000

15,000

20,000

25,000

2012 2013 2014

All Users Agricultural Workers Homeless

11% Growth in All Users in 2014 10% MSFW, 3% Homeless

8

10% Growth in MSFW Visits in 2014

-

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

MSFW Homeless

2013 13,185

2013 10,694

2014 15,647

2014 10,534

9

More Wrap Around Services for Homeless

3.52

4.61

3.56

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

5.00

Universal Homeless Migrants

2014 Visits Per User

10

Health Coverage by Population Highest Uninsured is MSFW

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Universal Homeless Migrants

2013 31%

2013 47%

2013 38%

2014 17%

2014 20%

2014 26%

11

Partnering in our Communities

Neighborhood Health - Sunnyside

YNHS @ Southeast Community Center

Increased Access for Rural and Agricultural Communities

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Satellites Serve Special Populations Neighborhood Connections

(Health Care for the Homeless)

YNHS @ Central Washington Comprehensive Mental Health

The “PC” Clinic

13

Satellites Serve Special Populations

Homeless Respite – Recuperative Housing for those not sick enough to be

in the hospital, and those discharged from the hospital but not well enough to

go back to the streets

14

Support for Special Populations

YNHS Depot Homeless Resource

Center

Transitional and Permanent

Supportive Housing

15

More Homeless Live below Poverty

71%

85%

72%

60%

65%

70%

75%

80%

85%

90%

Universal Homeless Migrants16

More MSFW are Uninsured

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Universal Homeless Migrants

2013 31%

2013 47%

2013 38%

2014 17%

2014 20%

2014 26%

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Quality Measures

47%

46%

55%

40%

42%

44%

46%

48%

50%

52%

54%

56%

Universal Homeless Migrants

Cervical Cancer Screening

36%

49% 49%

0%

10%

20%

30%

40%

50%

60%

Universal Homeless Migrants

Colo-Rectal Cancer Screening

18

Quality Measures

70%

63%

53%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Universal Homeless Migrants

Controlled Diabetes

65%

53%

59%

0%

10%

20%

30%

40%

50%

60%

70%

Universal Homeless Migrants

Controlled Hypertension

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27%

56%

12%

0%

10%

20%

30%

40%

50%

60%

Universal Homeless Migrants

Substance Abuse/Mental Illness

Homeless have Highest Incidence of SA / Mental Illness

20

Similarities MSFW

Hard to Reach

No paid time off

Working in the fields and packing sheds

Working long hours

Fear of Immigration

Transportation issues

Not Proactive re Health Care -

Homeless

Hard to Reach

Many work odd and brief jobs

Move frequently

Shelters

Couch surfing

Avoiding others

Transportation issues

Not Proactive re Health Care -

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Differences

MSFW More families More cultural practices that

might influence health Religion Diet (good and bad) Family / Friends / Neighbors Social network

Less involved in substance abuse Less aware of services

Homeless

More single individuals

Often estranged from immediate family

Families often high in crisis / more support services needed

Unique sense of “normal”

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Five times the Rate of Infectious Disease than MSFW (TB, Hepatitis B&C, STDs )

Two times the rate of Hypertension than MSFWs

FIVE times the number of diagnoses for Substance Abuse and Mental Illness…

Twice as many referrals to Behavioral Health Specialists.

Our Homeless Patients in 2014…

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Higher percent of children with physical development issues than our homeless families (4% vs 1%).

Higher utilization of dental services

Our MSFW patients in 2014 had…

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Outreach & Health Literacy Required

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