dgcastelblanco.bsky.social
(Grand)daughter. Tia Donna 🇨🇴 🇪🇨 Johns Hopkins DrPH student. Trauma Informed (Prenatal) Yoga. UPenn & Misericordia alum.
How do you show up and serve?
https://linktr.ee/donnacastelblanco
162 posts
14 followers
57 following
Getting Started
Active Commenter
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Dr. Sanjay Basu wrote a book and it's free!! Can't wait to read it! www.waymarkcare.com/blog/announc... #SIREN2025 @siren-ucsf.bsky.social
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"Think about what you can do that can help you get to the future state" - Dr. Damon Francis @siren-ucsf.bsky.social #SIREN2025
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Damon recommends checking out this article, looking forward to reading it! journals.sagepub.com/doi/abs/10.1... @siren-ucsf.bsky.social #SIREN2025
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"The people that we serve and the people who are served need to be better partnership" -Dr. Damon Francis @siren-ucsf.bsky.social #SIREN2025
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A question we need to always ask, "Is every dollar somehow getting back to the community it serves?" - Dr. Monica Soni @siren-ucsf.bsky.social #SIREN2025
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Primary care is a public good, may be within the community and serving the community. Thank you Monica #SIREN2025 @siren-ucsf.bsky.social
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Check out recently published Birthing Care Pathway report www.dhcs.ca.gov/CalAIM/Pages... #SIREN2025 @siren-ucsf.bsky.social
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Need to mindful of overlap and differences between social drivers of health and structural racism @siren-ucsf.bsky.social #SIREN2025
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"If we do our jobs well, we should be working ourselves out of our jobs." -Dr. Palav Babaria #SIREN2025 @siren-ucsf.bsky.social
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What are upstream efforts? We need to remind ourselves of the long game. How are we getting patients out of poverty? #SIREN2025 @siren-ucsf.bsky.social
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Screen and refer is a downstream effort, YES! Thank you, Palav! #SIREN20225 @siren-ucsf.bsky.social
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Research is great! It's not the what, it's the how that is challenging. Yes - thank you Palav! #SIREN205 @siren-ucsf.bsky.social
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Monica reminds us to go to your colleagues, your community to think about other ways to address a specific social care issue. For example, how can we offer medically tailored meals? #SIREN2025 @siren-ucsf.bsky.social
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"If healthcare isn’t doing it right, give money back to the patients” - Dr. Damon Francis #SIREN2025 @siren-ucsf.bsky.social
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Dr. Palav Babaria is the Chief Quality and Medical Officer for the California Department of Health Care Services. Dr. Sanjay Basu is a co-founder of Waymark, check them out here: www.waymarkcare.com #SIREN2025
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Dr. Monica Soni is the Chief Medical Officer for Covered California. She highlights a new program calls grocery support program, a flexible fund service, for many Californians for 1 year. WOW!! #SIREN2025 @siren-ucsf.bsky.social
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Fun fact: Berkowitz wrote this book, can't wait to check it! #SIREN2025 www.press.jhu.edu/books/title/...
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The report was shared! Here it is #SIREN2025 www.ncdhhs.gov/about/depart...
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Summary of helpful resources feom Dr. McCurley’s presentation on the flex program in MA! #SIREN2025 @siren-ucsf.bsky.social
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There were several implementation challenges related to payments, data sharing, and administrative burden #SIREN2025
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For housing recipients, experiences were mixed #SIREN2025
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In general pts in the flexible services program, were highly satisfied, helped with having enough food, and helped with easier healthier food #SIREN2025 @siren-ucsf.bsky.social
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MassHealth aka the state's Medicaid sends $$ to Mass General Brigham (a medicaid ACO) who then sends $$ to nutrition and housing orgs to offer services #SIREN2025 @siren-ucsf.bsky.social
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Okay this was one of my FAVORITE presentations! So wonderful!! Thank you! #SIREN2025
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Health Share of Oregon created a community of practices to support housing navigators and CBOs #SIREN2025
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Here are the qualitative findings of the housing benefit pilot #SIREN2025 @siren-ucsf.bsky.social
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Wahoo! A qualitative component, 32 semi-structured interviews with staff from 18 unique organizations #SIREN2025
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What a helpful slide! Check out what services were used and cost per member per month #SIREN2025 @siren-ucsf.bsky.social
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Pilot wrapped up in November 2024. Big overview findings - Medicaid is complicated, healthcare is complicated, AND housing is complicated! #SIREN2025 @siren-ucsf.bsky.social
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Sadly this pilot was paused in March 2023 and re-organized from 12 month benefit to 6 month benefit, this was to aligned with Medicaid Waiver in Oregon @siren-ucsf.bsky.social #SIREN2025
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Goal of this housing benefit pilot: prevent or shortwn time #Medicaid patients experience #homelessness #SIREN2025
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Oregon's largest coordinated care org serves 450K Medicaid members, wow! #SIREN2025
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Oregon adopted housing benefit in 2024, however this pilot was before and in anticipated of Medicaid 1115 waiver #SIREN2025 @siren-ucsf.bsky.social
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Check out services based in North Carolina to address IPV #SIREN2025
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Another state to highlight North Carolina with their Medicaid 1115 waiver: Healthy Opportunities Pilot (HOP), they have several IPV services #SIREN2025
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There are several Medi-Cal benefits that can prevent and address IPV including but not limited New Birthing Care Pathway the requires IPV screening and reframing all maternal health services to use trauma-informed lens #SIREN2025 @siren-ucsf.bsky.social
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Recommendation #5: contract with community-based IPV services #SIREN2025
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Recommendation #4: support privacy and confidentiality needs of survivors and those at risk #SIREN2025
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Reminder to self - check out Medi-Cal policies and how they compare to NYS NYHER policies (aka Medicaid 1115 Waiver) #SIREN2025
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Recommendation #3: integrate IPV services into behavioral health services #SIREN2025
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Recommendation #2: address social risks of IPV survivors and those at risk, how? non-medical services, home visiting, enhanced care management, CHWs #SIREN2025 @siren-ucsf.bsky.social