The goals of Detroits FUSE include:
- Develop and cultivate collaboration across systems, providers, and levels of government.
- Quantify the scale and scope of the problem and identify a target population.
- Develop criteria for defining frequent users and develop protocols and agreements to share data across systems.
- Conduct a data-match across the hospital and criminal justice systems to identify frequent users. The data-match will provide information on frequent users’ demographics and establish a baseline of participants’ use of crisis services.
- Create a programmatic model that links the target population to supportive housing.
- Identify and offer opportunities for sharing of best practices, training and knowledge exchange with partners and providers participating in FUSE.
- Develop a sustainable financing model and mechanism to fund jail/hospital in-reach, housing and service provision for this population.
- Reduce the costly and unnecessary utilization of hospitals, homeless shelters, and jails
CSH and FUSE partners will develop criteria for defining frequent users and develop protocols and agreements to share data across systems. Using these criteria, FUSE Workgroup will conduct a data-match across systems to identify frequent users.
CSH & MPRO (Michigan’s Quality Improvement Organization) will convene the Workgroup to further develop the program design, refine our shared goals, and create MOUs among partners, outlining the roles and responsibilities of each agency/organization.
The Workgroup will develop formal partnership and data-sharing agreements, and regularly share data across partners. CSH will engage partners to identify to identify housing subsidies for this initiative.
FUSE partners will identify 1-3 supportive housing providers in the community. Identified providers will work with FUSE partners to identify, engage and immediately link people to supportive housing upon exit from hospitals or MHC.
Training and knowledge exchange opportunities pertinent to the target population in FUSE will be offered to providers and partners through this initiative.
Providers, with support from CSH, will provide intensive outreach and engagement efforts to the target population, complemented by an initial concentration of intensive services to help participants gain stability in housing and the community, and to address the risk factors of recidivism, re-hospitalization, and homelessness.
CSH, MPRO (Michigan’s Quality Improvement Organization) and FUSE partners will analyze the financial and human impact of the initiative.
Impact and Outcomes
Detroit FUSE is working to:
- Establish a project subcommittee with representation from the homeless and hospital settings to establish hospital discharge protocols for those who are homeless. Henry Ford Hospital will provide a list of challenges they put together over the last year.
- Provide training on Permanent Supportive Housing to staff in hospital and community settings to familiarize them with PSH and the continuum of care for the homeless in Detroit.
- Provide access to all FUSE material through the CSH Michigan website.
- Establish and share progress on goals and objectives established and measured through the FUSE pilot project.
- Advocate on the local, county and state level for FUSE to be recognized as a best practice and replicated in other Michigan communities.