Our 2020 Goal

8.4

San Antonio, Texas is ready to become one of the healthiest cities in America. By 2020, we plan to move from a baseline of 10.5 Unhealthy Days to 8.4, by improving mental and physical health by 
20 percent. We know that health happens locally, which is why we are working with community, physician and clinician partners to help solve some of San Antonio’s toughest barriers to health – like access to healthy behaviors, health literacy, poor nutrition and food insecurity. Let’s make health easier in San Antonio, together.

Conditions, barriers and solutions

Priority condition

Putting the focus on local health issues.

  • Diabetes
  • Behavioral Health

Barriers to health

Overcoming roadblocks that prevent good health.

  • Unhealthy Behaviors
  • Health Literacy
  • Poor Nutrition
  • Food Insecurity

Health ecosystem

Connecting people with care and community resources to get healthy and stay healthy. 
Improving health with a network of goods, services and essential resources.

community-infographic

Get involved in San Antonio

PILOTS AND INITIATIVES:

The EMS Mobile Integrated Healthcare pilot addresses behavioral health and health literacy in San Antonio. In partnership with City of Schertz EMS, we leverage an EMS paramedic mobile integrated health program to proactively work with Humana’s high ER utilizers to decrease ER admits and non-emergent ER utilization. In 2014, over 285 San Antonians called 9-1-1 more than 10 times each for medical assistance. San Antonians are seeking treatment from an ER facility rather than a Primary Care Physician or Urgent Care, which is the most costly and least effective form of care for these episodes.

The telepsychiatry pilot increases access to behavioral health services via technology that enables a clinician to diagnose and treat a patient from a remote location. In partnership with Humana Behavioral Health and Humana Integrated Care Services, telepsychiatry units are embedded in Humana-owned clinics in San Antonio. Patients are evaluated and referred by their Primary Care Physician, who oversees the telepsychiatry visit and corresponding treatment.

The myStrength pilot focuses on access to behavioral health services and providers for mild-to-moderate anxiety and depression. In partnership with myStrength.com, Humana associates have access to web and mobile-based platforms designed to improve mental health and overall well-being through personalized tools, resources and applications.

The Humana Mobile Outreach pilot addresses A1C, colorectal, medication adherence, and open gaps in primary care. In partnership with San Antonio Market POINT, we are testing the concept of a Humana mobile health unit that offers specific health and wellness services to patients in the San Antonio market, with emphasis on those patients who have open gaps in care.

Path to Wellness addresses diabetes, nutrition and health literacy in San Antonio. In partnership with H-E-B, YMCA of Greater San Antonio, MCCI, and Partners in Primary Care (PIPC), a Primary Care Physician (PCP) refers Medicare patients with diabetes into the program. This program combines one-on-one Medical Nutritional Therapy and guided nutritional store tours with a Registered Dietitian, as well as disease-specific education and physical activity measurement and education with the YMCA. The PCP and Care Coach at PIPC support the patient throughout the program, through quarterly office and lab visits.

The FitCity Community Resource Directory focuses on behavioral health, diabetes and healthy behaviors. In partnership with the San Antonio Health Advisory Board (SAHAB) and the Mayor’s Fitness Council, we are developing a centralized database of health-related community resources to make health easier for everyone in San Antonio by giving them a central access point for valuable health-related services and support.

San Antonio Health Advisory Board

The San Antonio Diabetes Resource Guide helps those living with diabetes in San Antonio. In partnership with the American Diabetes Association and San Antonio Health Advisory Board (SAHAB), we are uniting community diabetes resources to break down silos and improve communication across partner organizations to improve community-wide Healthy Days. By working with physicians, we provide patients with community resources and support to get healthy and stay healthy.

San Antonio Health Advisory Board

Our Health Information Exchange pilot addresses behavioral health, diabetes and healthy behaviors in San Antonio. We know that connectivity is a fundamental barrier to Integrated Care Delivery, so we established a two-tiered strategy for connectivity, in partnership with Health Access San Antonio (HASA). We built and developed a local market Humana Health Information Exchange that connects PIPC and MCCI PCPs, preferred specialists and the Hospital systems via HASA. We then implemented a formal partnership with HASA to allow connectivity and sharing with the local market hospital systems.

San Antonio Health Advisory Board

The Health Literacy pilot focuses on nutrition and health literacy. In partnership with H-E-B, a regional grocery chain, we leveraged the Humana Guidance Center to provide education on healthy eating, shopping and cooking. By partnering with H-E-B, we are able to address these health barriers by educating consumers about nutrition, how to read labels, how to shop around the perimeter of the store and simple dietary substitutions.

The Food Insecurity pilot addresses food insecurity in the community. MCCI has four clinics that are serving as food distribution sites for the San Antonio Food Bank, which allows qualifying community patients to come to the MCCI Activity Center once a month to collect 50 pounds of produce, dairy, meat, and shelf-stable items. Treatment of food insecurity is more cost-effective than treating the consequences of food insecurity. Over 200 individuals – some MCCI patients and some who are not – benefit from this program.

The Third Party Influencer pilot tracks medication adherence and disease management for chronic conditions like Congestive Heart Failure. In partnership with Humana Pharmacy, we test whether patients who receive reminders from a trusted third party or a combination of third parties are more adherent than patients who do not receive reminders. The third parties in this pilot include a trusted spokesperson, using a combination of voice activation technology and written message reminders.