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www.medical-legalpartnership.org The problems are visible. The solutions are not.

Www.medical-legalpartnership.org The problems are visible. The solutions are not

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Page 1: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

The problems are visible. The solutions are not.

Page 2: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Only 13% of Americans surveyed believe that

“lawyers contribute a lot to society.”

(Pew Research Study, July 2013).

Department of Health Policy

Page 3: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Three Sectors AddressSocial Determinants of Health in Silos

HEALTHCARE

treats illnesses caused or

exacerbated by SDOH.

LEGAL AIDensures access to

benefits & services, enforces laws that

keep people healthy.

PUBLIC HEALTH

tracks diseases on population level, addresses laws &

education aimed at prevention.

Page 4: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.orgwww.medical-legalpartnership.org

Healthcare, public health & civil legal aid coordinating care through a

medical-legal partnership approachis our vision for a

culture of health.

Page 5: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Presenter NamePresenter Title

Date

Making the connection:Legal problems are health problems.

Common Legal Problem Social Determinant of Health

Families wrongfully denied food supports or housing subsidies

Lack of basic resources

Children living in housing with mold or rodents, in violation of housing laws

Physical environment

Seniors wrongfully denied long-term care coverage

Lack of access to insurance

Page 6: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

MLPs help patients with I-HELP® issues

Page 7: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Individual patient legal interventions arepathways to finding the policy interventions

for improving population health.

The Medical-Legal Partnership Approach

Page 8: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Medical-legal partnership unlocks and stocks the pharmacy.

Most SDOH interventions assume resources exist and that there aren’t barriers to accessing them.

Page 9: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Stocking the housing pharmacy:An MLP patients-to-policy story

Unsafe housing brought more than a dozen children to the hospital. Health / legal

hotspotting led to the remodeling of several neighborhood buildings.

Page 10: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.orgDepartment of Health Policy

PATIENTlevel intervention

CLINIClevel intervention

POPULATIONlevel intervention

TRAINING

Training

Attorneys trained healthcare providers how to screen at-risk patients for utility shut off and write protection letters.

Healthcare providers wrote letters protecting 193 families.

What happened when the heat went off?

Page 11: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.orgDepartment of Health Policy

PATIENTlevel intervention

CLINIClevel intervention

POPULATIONlevel intervention

TRAINING

New Energy Clinic

Attorneys opened new legal clinic at hospital to help families who healthcare providers referred for utility shutoff.

Attorneys helped families get heat and electricity turned back on.

What happened when the heat went off?

Page 12: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.orgDepartment of Health Policy

PATIENTlevel intervention

CLINIClevel intervention

POPULATIONlevel intervention

TRAINING

Utility Letter in the EMR

Attorneys drafted form letter for patient EMR. Healthcare providers no longer had to draft from scratch.

Healthcare providers wrote 350% more letters helping 676 families. Saved clinic time.

What happened when the heat went off?

Page 13: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.orgDepartment of Health Policy

PATIENTlevel intervention

CLINIClevel intervention

POPULATIONlevel intervention

TRAINING

Testimony Changed Utility Regulations

Attorney / healthcare provider testimony reduced need for chronic disease re-certification and allowed nurses to sign letters.

Fewer families faced utility shutoff, preventing problem.

What happened when the heat went off?

Page 14: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Presenter NamePresenter Title

Date135 Hospitals

127 Health Centers

127 Legal Aid Agencies

32 Medical Schools

46 Law Schools

Page 15: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Presenter NamePresenter Title

Date

For more information:

www.medical-legalpartnership.org

NCMLP

National_MLP

Page 16: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Presenter NamePresenter Title

Date

Legal aid tends to talk about problems.

Page 17: Www.medical-legalpartnership.org The problems are visible. The solutions are not

www.medical-legalpartnership.org

Healthcare tends to talk about solutions.