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FUSE Data in Hamilton County

FUSE Data in Hamilton County

Presentation By: Tyler Yount, Director of Special Projects/City of Chattanooga
March 18, 2019

Total Jail Population with Mental Health Indicator
➢ 5,244 individuals committed in three year period with a mental health indicator
➢ Average of 3 committals and 48 days in jail
➢ Median was 1 committal and 2 days in jail
➢ Individual with highest number of committals had 13
➢ Individual with highest number of days had 930

Hospital Usage Overall -
➢ Of 5,244 inmates with mental health indicator...
➢ 3,940 individuals visited Emergency Room 25,278 times and had 2,524 inpatient visits in 3 years.
➢ Total charges to Hospitals = $161 million, $72 million in Emergency Room charges

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Transcript

  1. Our data Journey 2 Learning about each org’s data Learning

    about data needs to start FUSE Pulling jail and homelessness data Working with healthcare on HIPAA Partnering with UTC First round of matching - top 30% 30 day test Second round of matching & determining criteria
  2. Total Jail population with mental health indicator ➢ 5,244 individuals

    committed in three year period with a mental health indicator ➢ Average of 3 committals and 48 days in jail ➢ Median was 1 committal and 2 days in jail ➢ Individual with highest number of committals had 13 ➢ Individual with highest number of days had 930 4
  3. Target Jail population for FUSE 1. 3+ Committals in Past

    Three Years 2. 75+ Total Days in Jail in Past Three Years 3. Mental Health Indicator 200 Individuals meet these criteria with a total of 1,071 committals and 27,794 days spent in jail costing over $2,692,960 in 3 years 5
  4. Who are Jail frequent users? 8 Name Race Gender Age

    Commitals Days in Jail Date of First Arrest Cycling for James Black Male 48 6 348 1987 32 years David White Male 35 4 221 2015 4 years Susan White Female 27 5 147 2012 7 years Robert White Male 40 3 356 2000 19 years Richard White Male 30 6 213 2013 6 years Chris White Male 39 12 220 2003 16 years
  5. 10 Hospital Usage Overall - ➢ Of 5,244 inmates with

    mental health indicator... ➢ 3,940 individuals visited Emergency Room 25,278 times and had 2,524 inpatient visits in 3 years. ➢ Total charges to Hospitals = $161 million, $72 million in Emergency Room charges
  6. 11 Hospital Usage Top 30% of jail and homelessness lists

    - 388 individuals ➢ Erlanger ◦ 172 individuals visited Emergency Room 410 times in 9 months. Total cost of $2.9 million ➢ Memorial ◦ 118 individuals visited Emergency Room 407 times in 2 years. Total cost of $354,211.
  7. 13 Insurance Example - BlueCare 74 individuals of a top

    30% list of 388 individuals covered by BlueCare during a 3 year period
  8. Mental Health Institute usage ▸ 8% of jail inmates from

    2015-2018 had at least one visit at Moccasin Bend ▸ 419 jail inmates from 2015-2018 have severe and persistent mental illness ▸ In a 30 day period, 3 of 110 frequent users checked into Moccasin Bend 15
  9. Homeless Population 5,026 total individuals used homeless services tracked in

    the Homeless Management Information System from 2015-2018 17
  10. Homeless Healthcare 19 ➢ 271 of 388 top frequent users

    of homelessness and Jail visited Homeless Healthcare Center ➢ 269 went for a Case Management Appointment ➢ In a 30 day period - 22 of 110 frequent users came to Homeless Healthcare
  11. Summary 5,243 Users in Jail System with Mental Health Indicators

    5,026 Users in Homeless Shelters 110 Frequent Users in Top 30% Usage of both 20 3,940 Users in Hospital System ER and Inpatient
  12. Main Takeaways ➢ Frequent users cost a lot of money

    for everyone - ◦ $2.7 million in jail costs in 3 years ◦ At least $3.3 million in emergency room costs in 1 year ◦ $6 million in healthcare and jail costs alone 21
  13. Main Takeaways ➢ They are receiving behavioral health and medical

    treatment, some case management, and have access to homeless services but continue to cycle ➢ About ⅓ have Tenncare, ⅓ are Uninsured, ⅓ are private, medicare, or unknown 22
  14. Main Takeaways ➢ Our target group of Frequent Users in

    Hamilton County is about 100-200 people 23