Health

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Third Sector works with communities to help build the capacity of service providers around outcomes orientation, improve timely access to health care and develop connections to routine care.

Through our engagements with 13 communities, we have supported programs to improve maternal and child health home visitation as well as worked to reduce lead poisoning, among others. We have launched two outcomes-oriented contracts that will potentially serve more than 22,250 individuals.

Health Insights

All Health Projects

Project Name Project Stage Project Scope Location Status
LA County DMH Project Advisory County Los Angeles County, CA Active
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

Third Sector has been engaged by LA County's Department of Mental Health to facilitate an agency-wide shift to an outcomes orientation, beginning with the transformation of approximately $102M in recurring intensive mental health services contracts. These Full Service Partnership (FSP) contracts assist individuals diagnosed with a severe mental illness, with the goal of providing intensive mental health services, and Third Sector is engaging County staff, providers, and other stakeholders to ensure that the contracts align with a "do whatever it takes" vision of mental health services and achieve outcomes for those most in need. In this first phase of the project, Third Sector will also provide technical assistance to DMH to leverage at least $50M of flexible Preventative & Early Intervention (PEI) funding to build inter-agency outcomes-oriented contracts with the County's Department of Child and Family Services and Department of Public Health. The transformation of these contracts will provide the groundwork for Third Sector, DMH, and County stakeholders to map out processes to align DMH's remaining $1.15B in recurring external contracts/services with meaningful life outcomes, focusing particularly on the $88M in recurring child FSP contracts.
Power to Decide Advisory County Washington, D.C. Closed
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

Power to Decide, the campaign to prevent unplanned pregnancy, collaborated with Third Sector in an 18-week engagement in an effort to build its institutional knowledge and understanding of outcomes orientation and innovative funding strategies, including an exploration of Pay for Success (PFS). By the end of the engagement, Third Sector built the capacity of Power to Decide around an outcomes orientation, including PFS funding strategies, developed a road map for an outcomes partnership, and engaged with potential project partners, funders, and end payers. This project closed in 2017.
Outpatient Treatment on Demand Launched Projects County King County, WA Closed
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

Outpatient Treatment on Demand aims to improve timely access to outpatient behavioral health care. Providers will be paid a bonus if they achieve performance targets tailored to the program's objectives around timely intakes and connections to routine care. The three-year program includes 23 different service provider agencies representing 93% of new outpatients served annually. — This project closed in 2018.
Cuyahoga County Lead (Cleveland) Advisory County Cuyahoga County, OH Active
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

The Cleveland Foundation asked the Cuyahoga County Board of Health to conduct a feasibility assessment of PFS applicability to reduce lead poisoning in the city of Cleveland and Cuyahoga County. Lead poisoning is a pervasive, irreversible public health problem in the community and can lead to reduced education outcomes and higher involvement with the criminal system in the long run; we are centered on housing remediation as our intervention to reduce lead poisoning and blood lead levels in the community. Third Sector is engaging with potential end payers to gauge interest in involvement in an outcomes-oriented/PFS structure from state, local, and federal government parties, as well as healthcare, education, and business institutions.
Administrative Data Pilot: San Diego Feasibility City San Diego, CA Active
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

Third Sector, in partnership with Stanford’s Center on Poverty and Inequality (CPI), is helping San Diego County’s Health and Human Services Agency (HHSA) to gain access to numerous administrative databases to better understand short- and long-term effects of the County’s various homelessness response efforts, specifically the Whole Person Wellness and Project One for All programs. Third Sector and CPI are helping to deploy data insights to improve and embed outcomes in the contracting structure of various homelessness and health initiatives, building the outcomes oriented contracting expertise that will assist in broader agency shifts. San Diego HHSA joins Santa Cruz County’s Human Services Department and Washington State’s Department of Early Learning in Third Sector and CPI's Social Innovation Fund Administrative Data Pilot cohort, which will also include a Learning Community designed to facilitate cross-site collaboration and technical/process training around data analysis and deployment.
Bridges Maternal Child Health Network Feasibility County Orange County, CA Closed
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

Third Sector led a feasibility assessment, in partnership with the Children and Families Commission of Orange County (Commission) and other partners, to explore the viability of using PFS to increase the financial sustainability of the Bridges Network. The Bridges Network provides screening and services related to home visiting and outcomes-based funding could provide an opportunity to sustain and improve these services that are critical to the health of infants and mothers in Orange County. This project closed in 2016.
Alameda County Asthma PFS Initiative Feasibility County Alameda County, CA Active
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

Third Sector is working with the Alameda County Health Care Services Agency to explore using PFS contracting to support the expansion of two of their asthma management and prevention services – Asthma Start and Healthy Homes. In Alameda County, approximately 45,000 children suffer from active pediatric asthma, representing nearly 13% of children in the County. The County has the capacity to only serve less than 9% of children diagnosed with asthma, and there is a significant need to scale the intervention and address unmet needs within the community. With support from the Nonprofit Finance Fund’s California PFS Initiative, Third Sector is conducting a feasibility study to determine how the County can serve more low-income youth and generate asthma-related health savings.  
Austin/Travis County Health and Human Services Feasibility County Austin/Travis County, TX Closed
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

Third Sector Capital Partners worked with Austin/Travis County, TX, with leadership from the Austin/Travis County Health and Human Services Department, to focus on determining the feasibility of PFS for reducing teen pregnancies among Hispanic youth and improving birth outcomes among African Americans. The geography served was the City of Austin and Travis County, TX. Measurable outcomes we anticipated on achieving with this engagement included clearly defined target population(s) and analysis of available administrative data. In addition, the engagement conducted an intervention assessment and preliminary evaluability assessment to determine which issue area would have the best viability for PFS. The intervention assessment focused on the Peer-to-Peer (P2P) teen pregnancy prevention program Maternal Infant Outreach Program (MIOP). — This project closed in 2016.
First Five Los Angeles Feasibility County Los Angeles County, CA Closed
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

Two of California’s largest First 5 Commissions – First 5 LA and the Children and Families Commission of Orange County – jointly explored the feasibility of using PFS contracting to support their maternal and child health home visitation programs, Welcome Baby and the Bridges Maternal Child Health Network. Third Sector conducted feasibility studies with the two Commissions with support from the James Irvine Foundation and Nonprofit Finance Fund’s California Pay for Success Initiative. — This project closed in 2015.
County of Los Angeles Blueprint Feasibility County Los Angeles County, CA Active
Project Stage: Feasibility/Technical Assistance, Social Innovation Fund
Issue Area: Child Welfare, Health
Region: Midwest

Description:

With support from the James Irvine Foundation and Nonprofit Finance Fund’s California Pay for Success Initiative, Third Sector partnered with Los Angeles County to complete a county-wide “Blueprint” released in October 2014, a report recommending how the county should develop one or more PFS projects. The county plans to develop at least one PFS pilot project pending Board approval.
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