A critical partner in this work is the Milwaukee Health Care Partnership, which includes local health systems, community health centers and government health agencies, all working together to reduce fragmentation to ensure that no one slips through the cracks—which happens all too frequently under the current, siloed system.
Housing instability, which includes homelessness and overcrowded properties, as well as structural problems with mold and lead, is one of the greatest threats to health in the Sixteenth Street community. The chronic stress caused by these housing challenges exacerbates many of Sixteenth Street patients’ most diagnosed health issues, including obesity, hypertension, diabetes, depression and anxiety.
Julie Schuller, MD, a practicing physician for 25 years before becoming Sixteenth Street’s president and chief executive officer, says, “As doctors, we recognize patients have these issues impacting their health, but there is only so much we can do within the context of an exam visit.”
As an example, she shares the story of a patient with allergies who developed asthma. Though she treated the asthma at the clinic, the patient had mold in her low-income housing apartment and an uncooperative landlord. Her housing voucher made it difficult to move. Dr. Schuller asks, “How can we address this? We want to take care of people beyond the exam room—where they live, work and play—but doctors don’t have expertise in housing and social services. Projects like this provide the expertise to augment what we’re able to do in the exam room.”
“In addition,” says Rosamaria Martinez, Vice-President of Community Health Initiatives, “trust is essential to the initiative’s success. Many staff members live in the community and want to make sure their community’s needs are recognized.” She says, “We are committed to our community and want to make sure the people—both within and beyond our clinic walls—have what they need to live healthy lives.”
Our state thrives when communities have strong foundations for health. Health care systems like Sixteenth Street play an important role in building these foundations by addressing issues impacting health and well-being within their communities. Says Dr. Schuller, “This project allows us to contribute to health not only in the clinic setting, but within our broader community as well.”