The Hospital to Home (H2H) project strives to provide coordinated pathways to permanent supportive housing for some of Nashville/Davidson County’s most medically vulnerable, homeless residents. The newly assembled H2H Steering Committee, including representatives from 4 local hospitals, 3 federally qualified health centers, and the Metropolitan Homelessness Commission (MHC), met for the first time on March 4, 2016. Current H2H multi-sector strategic planning efforts addressing housing, care coordination, and data sharing are framed by a collective impact model – particularly suited for complex, systemic problems like improving stable housing placements and medical access and care for some of our most vulnerable neighbors.
Focus Strategies has recently provided technical assistance to MHC and the Metropolitan Development and Housing Agency (MDHA) producing recommendations on systems re-design – including the creation of a Housing Crisis Resolution System (HCRS). An HCRS speaks to systems transformation – shifting from a set of homeless services that only ameliorate the immediate crisis of homelessness to a crisis response system that can help prevent and resolve it. It is anticipated that the establishment of H2H Coordinating Teams at local health care delivery sites (i.e., emergency rooms, hospitals, health clinics) will become a component part of Nashville’s new coordinated entry system – an essential feature of the overall HCRS.