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Nice Ride Community Partnership

The program started in 2016 as a collaboration between the mental health and cardiology teams at Hennepin County Medical Center, in an effort to implement a holistic approach to treating patients. Through this program, patients can make therapeutic lifestyle changes that reduce their risk of a heart attack or stroke — while simultaneously improving their mental health. Patients are given “prescriptions” to ride a bicycle as a form of treatment. With support from the Nice Ride MN bike share program, patients can rent a bicycle free of charge.

The Nice Ride Community Partnership serves adults with Serious and Persistent Mental Illness (SPMI) who participate in the program. The program is guided by the notion that better physical health equals better mental health. The program combines clinical goals from the William W. Jepson Day Treatment Program with the Comprehensive Cardiovascular Prevention Program (C2P2) to address multiple health concerns in their populations and track results over time. Nice Ride MN and U.S. Bank provide bicycles and funding for the program.

In its first year (2016), the program had 31 participants who logged a total of 957 hours. A cardiologist form Hennepin County Medical Center tracks participant progress over time.

The Intersection of Health and Transportation

West 25th Street Community Transformation

MetroHealth’s mission is a healthier community. In addition to good health care, for individuals and families to become healthier they need affordable and safe housing, access to fresh nourishing food, and employment. MetroHealth is taking steps to revitalize the neighborhood surrounding the hospital campus. As MetroHealth embarks on a multi-million-dollar campus transformation that includes a new hospital, it is focusing on the growth of residential, commercial, and retail development in the area. The five-year goal is to revitalize the neighborhood to attract new residents and commerce by improving public transportation, offering a mix of moderate and market rate housing, and stimulating job growth so current residents can move on up, not out.

The largest concentration of Hispanics in Ohio is in the neighborhoods surrounding MetroHealth Medical Center, and median incomes are close to the federal poverty level for most families. MetroHealth, a primary anchor in the community, is the largest employer on the west side of Cleveland. To accelerate revitalization, MetroHealth is creating the CCH Development Corporation, a nonprofit 501(c)(3), which will secure funding from private and public sources. It will acquire land and other assets, construct residential and commercial buildings, own and manage real estate, and have the authority to form legal partnerships with private and public entities.

Many hospital departments, such as Arts in Medicine, Aamoth Family Wellness Center, and specific specialties will provide programs and care to enhance lives and ensure better health. MetroHealth also is working with private, governmental, and nonprofit partners to promote economic and community development.

The economic and community development activities will contribute to population health. There will be “placemaking” enhancements to improve the quality of life of residents and those who come to work, visit, shop, and play in the West 25th Street neighborhood.

Healthy Youth Transitions

Memorial Healthcare System in Hollywood Florida started the Healthy Youth Transitions (HYT) Program 7 years ago as a result of an investigation of the child welfare system which identified gaps in services when youth unsuccessfully transitioned to adulthood with little support, skills or preparation. HYT helps youth and young adults age 15 to 22 who are aging out of foster care make the transition to independent living.

The program structure is provided by Memorial Life Coaches, who develop rapport and engage youth in an open, honest professional relationship in order to assist them with successful transition to an acceptable, responsible, productive adulthood. Typically, the youth distrust the very systems they have relied on as they have been disappointed frequently by foster care agency staff turnover, lack of services, frequent group home relocations (several youth served have been in over 20 homes in the 10-12 years they have been in foster care) and being separated with the siblings. By building a safe and nurturing relationship, HYT youth being to realize that the Memorial staff are here to help them grow, mature and develop into the adults they desire to become but did not have the role models or consistent caring adults in their lives. The Life Coach aims to help each participant gain skills and self-sufficiency to navigate the logistics of daily living, health management, social relationships, education, employment and money management, and other aspects of young adulthood.

All of Memorial Healthcare System’s Community programs and initiatives are rooted in collaborative partnerships that work to strengthen families and communities. HYT involves internal collaboration, with partnership from the primary care, specialty services, and behavioral health departments. External community partners include local universities, food banks, legal service providers, and the sheriff’s office.

Current outcome measures of the program found that 96% of the females have had no new pregnancies, 98% of all youth have had no new law violations, 98% demonstrated proficiency in employability and/or job retention skills, 86% made progress in school, were promoted, graduated, or obtained a GED, and 89% have obtained stable housing.