Blue Shield of California
Acute Care Patients, All Californians/No Specific Population, Ambulatory Care Patients, Batterers/Perpetrators of Violence, Families, Foster Children & Families, Gay, Lesbian, Bisexual & Transgender, Homeless, Immigrant, Incarcerated, Limited-English Proficient, Low income-up to or less than 100% of the Federal Poverty Level (FPL), Low Income-up to or less than 133% of FPL, Low Income-up to or less than 150% of FPL, Low Income-up to or less than 185% of FPL, Low Income-up to or less than 200% of FPL, People with Disabilities, PWA/HIV+, Refugees, Substance Abuse, Uninsured, Veterans, Victims of Abuse
ref. Blue Shield of CA Fnd.pdf – June 2018, Dan Abrahamson
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Themes, Keywords & Tags: Demographics; Population Served
Blue Shield of California
Roots most closely serves the neighborhoods of East Oakland, including Eastmont, Elmhurst, Stonehurst, Brookfield, Castlemont, and Sobrante Park within zip codes 94603, 94605, and 94621. Roots also has a Pediatrics Clinic in Fruitvale (2700 International Blvd. #11, Oakland, CA 94601), and our Social Enterprise Clean360 is headquartered in the Temescal neighborhood of Oakland (4107 Broadway, Oakland, CA 94611). Roots operates satellite health clinics at Laney College (900 Fallon St., Oakland, CA 94607), Berkeley City College (2000 Center St., Berkeley, CA 94704), and Dreamcatcher Youth Services (583 5th St., Oakland, CA 94607). Roots' mobile clinic program, STOMP (Street Team Outreach Medical Program), provides comprehensive primary care medical services and connection to social services to persons who reside in homeless encampments, on the streets, and under the freeways across the city of Oakland, from the San Leandro border to West Oakland/Emeryville. Outside of Alameda County, Roots has an adult primary care clinic in San Jose (1898 The Alameda, SanJose, CA 96126), and a social enterprise location in Inglewood, Los Angeles (212 E Regent St., Inglewood, CA 90301).
ref. Blue Shield of CA Fnd.pdf – June 2018, Dan Abrahamson
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Themes, Keywords & Tags: Demographics; Population Served
ASCEND BLO Accelerator
Roots provides its services across all age-ranges, from newborns to seniors, and tailors its services to the needs of each population, and within each population to the unique medical, social and legal needs of each patient/client. In terms of numbers, the Roots' largest age group of members is 25 – 55 years old; consistent with our Whole Health approach, we conduct outreach that ensures our patient mix is reflective of our African American surrounding community in terms of age and gender (51% boys/men).
ref. ASCEND BLO Accelerator Application_FINAL.docx – Dan Abrahamson
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Themes, Keywords & Tags: Demographics; Population Served
Innovations in Reentry Pilot Project
The majority of Roots’ adult patients are from East Oakland, where our main clinical site and behavioral services are located, and eighty-seven percent are on Medi-Cal. Prior to care through Roots, many of our patients have had no medical coverage since childhood, some only received care on an emergency basis, others only in correctional facilities. Some continue to be homeless or without stable housing. A general mistrust of institutions is a common theme especially prevalent among our African American patients, and more so among the formerly incarcerated or institutionalized. For this population, personal safety is often understandably equated with “avoidance of the system,” including the medical system. We recognize that our services must we welcoming and engender trust to overcome the multitude of barriers that exist.
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Themes, Keywords & Tags: Demographics; Population Served
Reducing Disparities in Diabetes Care
In line with the pattern of health inequity in Alameda County, African Americans have a disproportionately high diabetes prevalence (11.0%), more than twice that among Whites (4.3%). Residents with incomes less than 200% of the federal poverty level (FPL) have twice the prevalence of diabetes when compared to those living at or above 200% FPL (10% versus 5.0% respectively). African Americans experience the highest rates of diabetes hospitalizations (2,082.9 per 100,000 women; 1,946.3 per 100,000 men), rates that are three times higher than those of the lowest groups (API males and females and White females). The next highest rates are seen among Latino/Hispanic males and females (1,170.6 and 1,165.1 per 100,000 population respectively).
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Program: ACDDRI
Themes, Keywords & Tags: Demographics; Population Served; Diabetes
Blue Shield of California
Population: Acute Care Patients, All Californians/No Specific Population, Ambulatory Care Patients, Batterers/Perpetrators of Violence, Families, Foster Children & Families, Gay, Lesbian, Bisexual & Transgender, Homeless, Immigrant, Incarcerated, Limited-English Proficient, Low Income-up to or less than 100% of the Federal Poverty Level (FPL), Low Income-up to or less than 133% of FPL, Low Income-up to or less than 150% of FPL, Low Income-up to or less than 185% of FPL, Low Income-up to or less than 200% of FPL, People with Disabilities, PWA/HIV+, Refugees, Substance Abuse, Uninsured, Veterans, Victims of Abuse
ref. Blue Shield of CA Fnd.pdf – June 2018, Dan Abrahamson
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Themes, Keywords & Tags: Demographics; Population Served
First5, East Oakland Ready for School
n Alameda County, babies of African Ancestry (A/A) die at almost four times the rate of other infants in their first year of life. They are 2.6 times more likely to be born low birthweight and very low birthweight, and A/A mothers are more likely to die of pregnancy-related complications than other women.1 These sad statistics, experienced across the United States, are trending sharply in the wrong direction in Alameda County (see Exhibit D), making this opportunity especially timely. Infant mortality rates are widely regarded as a sensitive measure of the overall health of a population, given their association with socioeconomic and environmental conditions. Worldwide, Alameda County’s black infant mortality rate (11.4) is closest to the infant mortality rates of Mexico (11.6), Tonga (11.3), the Bahamas (11.3), and Samoa (11.3). Tragically, many of the children that do survive experience a myriad of health and social problems, including over-representation in the child welfare system, poverty, low academic progress, higher hospitalization rates, and more frequent Emergency Department visits, among many other life-altering issues. Moreover, according to Alameda County Public Health Department, one in three A/A children across the county is living in poverty. And East Oakland A/A mothers are five times more likely to be unemployed than white mothers. While the problem of African American infant morbidity and vulnerability, along with the health and wellbeing of the parents, is spread throughout the county geographically, the widest disparities are persistent in East Oakland and parts of West Oakland.
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Themes, Keywords & Tags: Demographics; Population Served
East Oakland Ready for School
Alameda County, babies of African Ancestry (A/A) die at almost four times the rate of other infants in their first year of life. They are 2.6 times more likely to be born low birthweight and very low birthweight, and A/A mothers are more likely to die of pregnancy-related complications than other women.1 These sad statistics, experienced across the United States, are trending sharply in the wrong direction in Alameda County (see Exhibit D), making this opportunity especially timely. Infant mortality rates are widely regarded as a sensitive measure of the overall health of a population, given their association with socioeconomic and environmental conditions. Worldwide, Alameda County’s black infant mortality rate (11.4) is closest to the infant mortality rates of Mexico (11.6), Tonga (11.3), the Bahamas (11.3), and Samoa (11.3). Tragically, many of the children that do survive experience a myriad of health and social problems, including over-representation in the child welfare system, poverty, low academic progress, higher hospitalization rates, and more frequent Emergency Department visits, among many other life-altering issues. Moreover, according to Alameda County Public Health Department, one in three A/A children across the county is living in poverty. And East Oakland A/A mothers are five times more likely to be unemployed than white mothers. While the problem of African American infant morbidity and vulnerability, along with the health and wellbeing of the parents, is spread throughout the county geographically, the widest disparities are persistent in East Oakland and parts of West Oakland.
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Program: First5, East Oakland Ready for School
Themes, Keywords & Tags: Demographics; Population Served
On the Frontlines of Communities in the U.S. (FOCUS)
Roots Alliance, while comprised of unique, individual practices, emerges with a unified voice and singular agenda under the direction of Roots Clinic. Roots Alliance practices serve a traditionally “hard to reach” populations, including a large number of low-income African American patients, those re-entering society from prison, and those with substance abuse histories. Of the Alliance practices, ten have been selected to participate HealthSTATS: four pediatric clinics and 6 adult primary care clinics. Each of these practices is independent with unique patient populations. Importantly, one practice specializes in HIV care and one has a Hepatitis clinic.
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Program: HealthSTATS
Themes, Keywords & Tags: Demographics; Population Served
HepC Narrative
Our target population matches the target group for the RFP; 87% of Roots’ adult patients are on Medi-Cal and 82% are African-American. While clients come to Roots from all over Oakland and surrounding areas, ~30% come from West Oakland, and ~60% from East Oakland. Roots connects with vulnerable communities through three additional sites: our workforce site on 41st and Broadway; our Pediatric Clinic located in the lower Fruitvale neighborhood, and our recently acquired client empowerment site (computer skills, barrier removal, etc.) in Union City. Roots’ facility square footage has quadrupled in the past two years, deepening our service capacity and reach into the communities targeted for this RFP.
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Program: HealthSTATS
Themes, Keywords & Tags: Demographics; Population Served; HIV; Hepatitis C; Target Population
Alameda Alliance for Health
Roots has a patient base of almost 10,000 individuals, and this base is quickly growing. The RHN will be assigned a caseload of 50 of our highest-risk, highest-utilizing diabetic and hypertensive patients in the course of one year, prioritizing those with both diabetes and hypertension. The RHN with diabetes/hypertension specialization will provide additional training to our five incumbent RHNs, enabling them to enhance the support they deliver to their clients. These RHNs currently serve over 400 patients who are either recently released from incarceration, homeless, or both; approximately 50% of these patients have diabetes and/or hypertension. As such, we anticipate directly benefitting over 250 patients through improved self-management support and health coaching. By stabilizing our patients, we also anticipate indirectly benefitting their families, which—based on average family size—culminates in a positive impact on at least 700 additional community members.
Core Care Area: Navigation
Program: Navigator Initiative
Themes, Keywords & Tags: Demographics; Population Served; Diabetes; Hypertension
AB 109
Our primary care patient base numbers at over 8,000 individuals, with 1,200 people accessing wraparound services including case management and behavioral screening and therapy. A staff of 34 and board of seven work together to ensure delivery of patient-centered, culturally sensitive and compassionate services. Approximately 10% of our primary care patients have a diagnosed severe mental illness, and among our adult reentry patients, about 15% are severely mentally ill. Over 40% of our adult patient population has a past history of incarceration.
Core Care Area: Care
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Themes, Keywords & Tags: Demographics; Population Served
Getting to Zero
The Public Health Department’s 2014 African & African Ancestry Health Assessment states that “while rates of newly reported HIV infections among African/African Ancestry community members have declined from 70.8 per 100,000 people in 2006 to 27.5 per 100,000 people in 2012, African community members are disproportionately affected by the HIV/AIDS epidemic and have a higher rate of new HIV infection (27.5 per 100,000 people) compared with 12.6 for Latinos and 6.4 for Whites.” It further states that “despite representing only 3% of the county population, African/African Ancestry community members comprised 12% of the HIV/AIDS case load in the county in 2012…these findings have implications for how HIV prevention and treatment related resources should be allocated and suggest a need for a greater focus on this community.” With regard to STDs, data reveals communities of African descent suffer disproportionately to other ethnic groups. For example, the Syphilis rate for African descent communities is 19.1 per 100,000 compared with 3.5 for Whites; and in the case of Gonorrhea the rate for Africans is 40.3 per 100,000 while for the White communityWhites the rate is 5.1 per 100,000.
ref. Getting to Zero_FINAL draft – March 2017
Core Care Area: Navigation
Program: Getting to Zero
Themes, Keywords & Tags: Demographics; South Bay; HIV; AIDS; STD; PrEP
OSHPD – Annual Utilization Report of Primary Care
Annual Utilization Report of Primary Care Clinic 2017
ref. OSHPD_2017 – 2017
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Themes, Keywords & Tags: Demographics; Services; About
TCWF Narrative
Roots’ service area consists of low-income, high poverty, economically and socially distressed neighborhoods that are almost entirely within the city limits of Oakland. Lack of work opportunities for residents has led to an elevated rate of poverty. Nearly one out of four (24.9%) of the service area population lives below the poverty line and nearly one-half (49.3%) are below 200% of the federal poverty level (FPL). An additional 2,900 people live in situations where poverty status is not determined (homeless, group home residents, etc.), so it is likely that more than half of the population is in need of low- or no-cost healthcare services. Culturally competent care for the African-American community of the Oakland service area is greatly needed, as is demonstrated by the racial/ethnic composition of the area. The African-American population is the dominant racial/ethnic group, comprising 32.2%, compared to the County at 12.2% and the State as a whole at 6.0%, according to the U.S. Census. The white population (which includes Hispanics) follows at 30.8%, with those of other or multiple races and ethnicities next at 18.5%, Asians at 16.9%, Native Hawaiian and Pacific Islanders at 0.8%, and American Indian and Alaskan Natives at 0.7%. These demographics are very different for the service area than for the County and State, where whites are the largest percentage group (46.1% for Alameda County and 62.3% for California), followed by Asians (26.4% for the County and 13.2% for the State). Black/African American composes 12.2% of the County population and 6.0% for the State. The lack of culturally appropriate medical services in the service area is a barrier to care, which has a particular impact on African Americans. ROOTS’ patient base consists of individuals and families experiencing significant health challenges as well as ongoing violence and multi-generational poverty.
ref. ROOTS TCWF Request Narrative DRAFT 031915 (1) – March 2015
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Themes, Keywords & Tags: Demographics