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Getting Home: Outcomes from Housing High Cost Homeless Hospital Patients

Economic Roundtable Research Report, 2013

72 Pages Posted: 2 May 2016  

Daniel John Flaming

Economic Roundtable

Susan Lee

Independent

Patrick Burns

Economic Roundtable

Gerald Sumner

Independent (Deceased)

Date Written: September 1, 2013

Abstract

This study evaluates outcomes from April 2011 to May 2013 for 163 hospital patients screened by the 10th Decile Project in Los Angeles, which works with hospitals to identify the 10 percent of homeless patients with the highest public and hospital costs – the 10th decile – and provide immediate services for placing these individuals into permanent supportive housing. This is affordable housing that provides access to health and social services, such as mental health and addiction therapy, medical care, and case management.

The triage tools that are used for screening employ accurate, simple to use statistical models that analyze information about individuals that is available in hospitals, jails and homeless service agencies affiliated with medical clinics to identify the one-tenth of homeless persons with the highest public costs and the acute ongoing crises that create those high costs. Because there are multiple paths into this highest-cost group, ranging from young persons with psychoses who are publicly disruptive to older persons are simply very sick, each tool uses a cluster of statistical models specifically designed to assess risk factors for different age and gender groups. An analysis of cost outcomes shows that housing 10th decile patients resulted in avoidance of significant public and hospital costs.

Keywords: 10th Decile, Behavioral Health, Chronic Homelessness, Continuity of Care, Cost, Avoidance, Disabilities, Evaluation, Health Care, Health Home, Homelessness, Housing, Integrated Care, Los Angeles County, Permanent Supportive Housing, Prevention, Risk, Screening, Service Integration, Welfare

JEL Classification: C81, D63, H51, H53, I18, I31, I32, I38, R31

Suggested Citation

Flaming, Daniel John and Lee, Susan and Burns, Patrick and Sumner, Gerald, Getting Home: Outcomes from Housing High Cost Homeless Hospital Patients (September 1, 2013). Economic Roundtable Research Report, 2013. Available at SSRN: https://ssrn.com/abstract=2772242

Daniel Flaming (Contact Author)

Economic Roundtable ( email )

315 W. 9th Street, Suite 502
Los Angeles, CA 90015
United States
2138928104 (Phone)
2138928104 (Fax)

HOME PAGE: http://economicrt.org/

Susan Lee

Independent ( email )

No Address Available

Patrick Burns

Economic Roundtable ( email )

315 W. 9th Street, Suite 502
Los Angeles, CA 90015
United States

Gerald Sumner

Independent (Deceased)

No Address Available

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