EXTENDING HEALTHCARE INTO THE COMMUNITY
Golden Health Initiative is a tech enabled clinical services company with the goal of improving access to, and delivery of health care for the management of chronic conditions for at risk patient populations. Our platform allows primary care providers and specialists access to a personalized team of mid level specialist providers – certified diabetes educators, clinical social workers, behavioral health therapists, community based SDOH coaches – to promote program adherence and drive quality outcomes. GHI Platform will give users the power of on-demand precision health management with access to health care providers, health systems and relevant well-being content.
Partnering with local and national organizations allows us to extend healthcare into underserved communities consisting of high-risk and low-income individuals. Healthy Communities looks to serve local school districts, the homeless, as well as those re-entering the general population from incarceration. This preventative care entails education from our registered dietitians and certified dietitian educators, but also includes mentoring from trained lifestyle coaches and clinical social workers to ensure improved, quality outcomes. To learn more about our Healthy Communities, click here.
Over the last twenty years, the public heath community's attention has been drawn increasingly to the Social Determinants of Health (SDoH) which the CDC defines as conditions in the places where people live, learn, work, and play that affect a wide range of health and quality-of life-risks and outcomes. These conditions are factors apart from medical care influenced by social policies that can also shape health in powerful ways. SDoH is composed of five domains:
Economic Stability | Education Access and Quality | Health Care and Quality | Neighborhood and Built Environment Social and Community Context
Golden Health Initiative is striving to serve those who are underserved through social determinants of health. It is our aim that the scope of our work is to bring quality outcomes for these demographics through HIPAA compliant preventative care as 40% of outcomes are influenced by patients' SDoH. We believe it is not enough to refer a patient out for SDoH services without also obtaining visibility into the patient’s needs. Our tech resolves that issue as it provides that all members of the collaborative care team are tracking their patients’ progress.
Golden Health Initiative is also working with partners on veteran health management. GHI understands the lived experience of our nations warriors and are here to serve them and their family of care givers. Our team of highly skilled professionals are equipped to provide services ranging from TBI screening treatment protocol to psychosomatic social/cognitive behavioral health therapy, dietetics, and pharmacological assistance. While our clinical services are important, the best outcomes happen when we leverage a TEAM and GHI will facilitate this through our peer-to-peer lifestyle coaching model to maximize the opportunity for holistic wellness success.
School districts within the Phoenix area are also a location for underserved children. Golden Health Initiative has identified urban school districts that need assistance with the delivery of quality healthcare services to their students. As GHI intends to bring the full assortment of service that can be offered, school district leaders have insisted that the one service that will be invaluable from the beginning is clinical social work. As many are second generation immigrants from Latin America, helping them through challenging times as well as assisting parents in the healthcare process is a great humanitarian need. GHI will be on site to bring quality care to these students and local community organizations that have been on the front lines from the beginning, will be referred to by GHI for Medicaid enrollment, education, and even job placement.
Through community and clinical collaboration, we also extend into the LGBTQ community. With a suicide rate among LGBTQ youth much higher than the recorded average and depression and anxiety rates running especially high, this community is often left vulnerable with limited resources. Our engagement provides resources such as behavioral and mental health support, life-style coaches, and social determinant networks that create a safe, non-judgmental space for LGBTQ members. We understand the importance of reaching this group and continue to foster relationships with CBO’s and clinical providers to expand the range of support and care to this community.
Across the board, diabetes is the top health concern with all Native tribes in the U.S. as diabetes is one of the leading causes of death among American Indians and Alaskan Natives (2009-2011) according to Indian Health Service. With awards from IHS, tribes have been able to build physical fitness centers, bring in fitness trainers, and build better community health programs to help aid those in need. However, real challenges still exist on all reservations in the form of food deserts and lack of transportation. These economic realities bring forth that which GHI hopes to address with the Native American’s social determinants of health with a committed effort to work with local partners and food banks to bring healthy food choices and health education to this community.
According to Pew Research, in 2018, 25% (11.2 million) of the U.S. immigrant population originated from Mexico and the overall Hispanic population in America is roughly 57 million (CDC). In comparison to non-Hispanic whites in America, Hispanics are 23% more obese, 24% more suffer from poorly controlled high blood pressure, and they also have a 50% higher death rate from diabetes. And with many parents of these children not having access to transportation or not knowing where to go, many children go without proper healthcare needs. GHI has partnered with local community-based organizations with culturally sensitive outreach programs that rely on promotoras to educate and improve health care access and quality to this immigrant population.
The data on inmate health concerns surrounding chronic conditions such as diabetes has been on a steady rise since 2000 from 6% to 9% according to the CDC. The Bureau of Justice Statistics reported in 2004 that nearly 14% of the national prison population also suffered from hypertension. With an increasing rate of re-entry into the general population, this population is in dire need of healthcare services. With partnered community organizations and current negotiations with multiple state DOC’s, GHI is also dedicated to the quality care management of health care with those reentering from incarceration.
The 2020 Annual Homeless Assessment report to Congress by the U.S. Department of Housing and Urban Development found that over 500,000 people experienced homelessness on a single night in the United States this past year. The CY 2020 numbers are up 2.2 percent from the previous year and has gone up four consecutive years, according to the report. Through GHI’s partnerships with local community-based organizations, Acivilate and their platform Pokket, it is the goal of the Healthy Communities Collaborative to assist this growing number of people with housing opportunities, job placement, Medicaid enrollment, and quality healthcare.
With ease of access to hardware and technology for all patients, delivery to local clinics and community organizations allows for quick pick-up and training on devices with monitoring software pre-installed. GHI’s mission is to bring quality care to all of our patients and with delivery possible, it’s now feasable to serve the underserved demographics within our communities as well.
We empower patients to be healthier, and make it easy for patients and physicians to work together to manage diabetes and other chronic conditions through our social determinants of health emphasis model. It’s during the most challenging times that it is most important to support patients, physicians, and our healthcare community to keep patients on track for optimal outcomes.