Tuesday, October 29, 2019

Medical-Legal Partnership Improves Quality of Life for Patients in Communities


Rutgers Law School Medical-Legal Partnership and the Camden Coalition of Healthcare Providers support and improve basic health needs of community with help from 50,000 grant.
October 25, 2019 - The medical-legal partnership program at Rutgers University is poised to receive a $50,000 grant from Rowan University/Rutgers-Camden Board of Governors to help bolster what has already been a successful effort to address the social determinants of health for vulnerable New Jersey patients. 
“The Joint Board’s funding has been crucial to our ability to build the MLP and expand the type and number of cases that we can take,” says Kimberly Mutcherson, Rutgers Law School co-dean. “Their support helps us bring needed legal services to the people of Camden.”
Since The Rutgers Law School Medical-Legal Partnership (MLP) and the Camden Coalition of Healthcare Providers partnered in 2017, they have successfully addressed key social determinants of health and improved quality of life for patients dealing with complex care issues.
Specifically, the MLP has assisted 60 patients, obtained more than $10,000 in reduced fines and fees, and secured more than $10,000 in disability benefits for patients. 
This particular partnership allows Camden-area residents the opportunity to work with Jeremy Spiegel, MLP attorney, to resolve legal issues. Cases often include assisting in clean-up of old cases of unpaid fines and fees, helping clients avoid eviction from their homes, and preventing employers from wrongfully limiting employees’ disability benefits.
Social workers and community health staff will work alongside the Camden Coalition nurses to coordinate patient care by connecting patients with a primary-care physician or specialist and arrange transportation to get them to appointments. 
Unresolved legal issues can add to the stress that vulnerable patients are already experiencing, which could affect their medical conditions and their ability to make decisions, says Spiegel. “Sometimes, patients don’t even recognize that the issues they have and the barriers they confront are actually of a legal nature.” 
Plans coming down the pipeline for MLP include creating a clinical program housed at Rutgers Law School in Camden to have faculty-supervised student- lawyers work with clients to offer opportunities to students, from such disciplines as nursing and social work, to participate in the MLP.
“There are many patients in the Camden area with legal needs, and we want to serve a greater number,” says Spiegel. 
Healthcare organizations can create community healthcare partnerships to drive continuous patient engagement and an overall culture of health. 
Legal firm Cook County Health & Hospitals Systems (CCHHS) and LAF Chicago, two community-based organizations, partnered to address and tackle the complex social needs that affect patient health in their respective communities. 
LAF Chicago, which offers free legal service for underserved individuals in non-criminal cases, was poised to help patients and providers overcome legal barriers in addressing the social determinants of health.
“There is an overlap between the clients that LAF serves—low income Cook County residents who have civil legal needs—as well as the patients that the CCHHS provides care for,” Kathy Chan, Cook County Health & Hospitals Systems (CCHHS) Director of Policy told PatientEngagementHIT.com in an interview.
The partnership between the two community-based organizations showed great promise in addressing the complicated social needs that affect patient health by looking introspectively at city public workgroups and focusing on priority areas. 
“Including community voice in the practice of creating a partnership like this or creating programming like this was really key,” explained Alice Setrini, who currently serves as LAF’s medical-legal partnership project supervisory attorney. “It strengthens the relationship that we have with different community organizations because there is a reality of addressing real problems the community faces with solutions that are coming from the community.” 
The social determinants of health (SDOH) are becoming increasingly relevant in the healthcare space. As the healthcare industry continues toward patient-centered care, experts are exploring patient health outside of the hospital’s four walls. 
Medical-legal partnerships are one of many efforts organizations are putting forward to address social determinants of health, in addition to housing and food assistance programs.

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