The Homeless Health Navigation Project (HHNP) was launched in November 2020 to support unhoused individuals following hospital discharge. Recognizing the unique challenges faced by this population—including frequent emergency department visits and complex behavioral health issues—HHNP offers 90 days of post-discharge care. Led by Homeless Health Navigator Sandra Arzola, the program provides personalized support focused on medical follow-ups, housing stability, and financial assistance. By bridging patients to resources, the program fosters greater independence, stability and better connections within the community.Infographic:
Hospital readmissions reduced through personalized care
Patient outcomes improved through holistic care
Community support increased by connecting patients to resources
Why we did it
The need to address health disparities in rural areas, where access to specialized neonatal care is limited, drove the introduction of NICU telemedicine. By connecting local care teams with OHSU experts, Adventist Health aimed to improve health equity, reduce barriers to care, and provide families in underserved communities with high-quality support and resources.