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Strategic Plan Development Using the Hoshin-Kanri Model Homeless Health Access and Care Coordination Program (HHACCP)

• Michelle Murray o Herzing University o NU730 o Week 6

Hoshin-Kanri Elements 1.2, 1.2.1, and 1.2.2 Strategic Objectives and Required Resources

• Strategic goal 1: Promote access to health care by increasing mobile clinic and outreach.

• Objective: To expand access to primary care for homeless people by 30% in two years (Holland et al., 2026).

• Strategic Goal 2: Minimize avoidable ED presentations and re- attendance.

• Objective: Reduce ED utilization by 20% amongst enrolled patients within 2 years.

• Strategic Goal 3: Integrate physical, behavioral and social services.

• Objective: Mobile units, interdisciplinary staff, technology systems, community partnerships, funds.

Hoshin-Kanri Elements 2.1 and 2.1.1 – Goal 1

• Goal 1 Action Plan: Improving access to healthcare

• Send mobile health clinics to areas with a high need.

• Develop collaborations with shelters and community services (Kauffman et al., 2024).

• Offer preventive testing and immunizations.

• Implement follow-up care via Telehealth.

• Employ and develop outreach healthcare staff.

• Track success by the number of patients and visits.

Hoshin-Kanri Elements 2.1 and 2.1.1 – Goal 2

• Goal 2 Action Plan: Reduce ED Visits and Readmissions

• Provide full case management services.

• Create individual care plans for high-risk clients.

• Make post-hospital care visits.

• Utilize EHR for care coordination.

• Track care of chronic conditions results.

• Reduce ED visits and hospital readmissions.

Hoshin-Kanri Elements 2.1 and 2.1.1 – Goal 3

• Goal 3 Action Plan: Integrate Comprehensive Services.

• Integrate primary care and behavioral health services.

• Implement referral systems for housing and social service.

• Offer assistance for substance use disorders.

• Develop interdisciplinary care teams.

• Improve community partnerships and resource networks.

• Evaluate outcomes by measuring patient health and QOL improvements.

References

• Holland, E. J., Ash, E., Titchener, E., Schonewald, S., O’Donnell, A., Hosseini-Jebeli, S., ... & Jackson, K. (2026, March). Findings from the Process Evaluation of a Mobile Health Clinic Designed to Improve Equity of Access to Primary Healthcare for People with Substance Use Disorders and/or Homelessness in One Region in the North East of England, UK. In Healthcare (Vol. 14, No. 5, p. 670). MDPI. https://www.mdpi.com/2227-9032/14/5/670

• Kaufman, R. A., Mallick, M., Louis, J. T., Williams, M., & Oriol, N. (2024). The role of street medicine and mobile clinics for persons experiencing homelessness: a scoping review. International journal of environmental research and public health, 21(6), 760. https://www.mdpi.com/1660-4601/21/6/760

  • Slide 1: Strategic Plan Development Using the Hoshin-Kanri Model Homeless Health Access and Care Coordination Program (HHACCP)
  • Slide 2: Hoshin-Kanri Elements 1.2, 1.2.1, and 1.2.2 Strategic Objectives and Required Resources
  • Slide 3: Hoshin-Kanri Elements 2.1 and 2.1.1 – Goal 1
  • Slide 4: Hoshin-Kanri Elements 2.1 and 2.1.1 – Goal 2
  • Slide 5: Hoshin-Kanri Elements 2.1 and 2.1.1 – Goal 3
  • Slide 6: References