The Conversation About Community Health & Social Determinants Has Evolved. How We Count Hospitals’ Contributions Should Follow Suit

The Conversation About Community Health & Social Determinants Has Evolved. How We Count Hospitals’ Contributions Should Follow Suit

“The health care community, in partnership with public health experts, scientists, policymakers, patients, and community members, should reconsider what might be the most effective and appropriate ways for a hospital to be the best partner it can be in the multisector collaborative necessary to impact community health and health inequities and figure out how to operationalize that on a tax form.”

This article from Philip Alberti, Senior Director at the Health Equity Research and Policy at the Association of American Medical College, can be found on LinkedIn.

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Building Trust in Health Systems to Eliminate Health Disparities

“Health systems play a vital role in enhancing the health of the communities they serve, including historically underserved populations with disparate health outcomes. Eliminating health disparities is a critical aspect of enhancing population health that requires collaborative input from multiple entities including health systems, government agencies, community organizations, and residents. A lack of clarity among contributing entities about the roles and responsibilities of health systems in addressing root causes of health disparities make the challenging goal of eliminating them even more so. This raises questions in communities served about the extent to which health systems are truly committed to advancing health. The resulting tension compounds the historic lack of trust between health systems and underserved communities and undermines collaborative work toward mutually beneficial outcomes of improved health. Health system leaders need to lead in addressing this tension by building and sustaining trust with and for their communities.”

In this editorial from Jama Network’s Trust in Healthcare, the authors suggest that in order to address complex social problems, health system leaders will need to build trustworthy and lasting relationships with community institutions. Read the full article here.

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Social determinants of health - health care isn't just bugs and bacteria

Social determinants of health - health care isn't just bugs and bacteria

“Democrats and Republicans are coming together around a newly proposed, bipartisan legislation to help states and communities manage costs and improve outcomes for Medicaid recipients. Called the Social Determinants Accelerator Act, the bill was introduced on July 25 by Reps. Cheri Bustos (D-Ill.), Tom Cole (R-Okla.), Jim McGovern (D-Mass.) and Cathy McMorris Rodgers (R-Wash).

The bill received support from health-care industry groups like the American Hospital Association and Aligning for Health. It proposes planning grants and technical assistance for states and communities to address individual patient non-medical needs that are closely tied to health, like food security, housing stability, and employment. It also targets high-need Medicaid patients and improving the coordination of health and non-health services…”

While this is a good first step forward, ultimately, larger systematic problems like multi-generational poverty, institutional racism, and historic trauma will have to be addressed. To read the article in full, click here.

This article can be found in The Hill.

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Essential Communities

Essential Communities

From America’s Essential Hospitals, comes Essential Communities. This site provides a resource for hospitals on the journey to community-integrated health care. Learn more about how this network of hospitals works to address social and economic factors that influence health, take a virtual tour of population health programs nationwide, and share what you’re working on!

From a resource library to an interactive map of programs, and a roadmap for implementing community-integrated health care, visit this site to learn more.

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Social Determinants are Core of North Carolina's Medicaid Overhaul

Social Determinants are Core of North Carolina's Medicaid Overhaul

"North Carolina is trying to make taking care of patients' social and environmental needs a sustainable, everyday part of a healthcare organization's workflow, Dr. Mandy Cohen, the secretary of the North Carolina's Health and Human Services Department, explained Friday at Modern Healthcare's Women Leaders in Healthcare conference in Nashville. She described the goal as buying health—not healthcare. 

Looking beyond what happens in the hospital or clinic is becoming the financial imperative for U.S. healthcare organizations as they move toward alternative payment models and take on more financial risk for a patient's health, said Cohen, who took on the role of secretary in January 2017 after serving as chief operating officer and chief of staff at the CMS during the Obama administration..."

Shelby Livingston | August 3, 2018

To read the full article, please click here. This piece appears in Modern Healthcare.

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If health care is a small part of health, how does a safety net hospital adapt?

"At one of the busiest public hospitals in the nation, doctors have learned that to heal a patient on the inside, they must understand the patient’s world outside the exam room.

What kind of neighborhood do you live in? Are you buying healthy food? How are you getting to work? The questions are meant to uncover the root causes of what bring men and women into the Adult East Primary Care Clinic at the Los Angeles County-USC Medical Center, just east of downtown L.A. Once that screening takes place and a doctor understands how a patient's health is impacted by homelesses, lack of nutrious food or trauma, a team of providers is ready to help. Nurses, social workers, community advocates, nutritionists, mental health specialists, medical students, and volunteers are ready to link a patient to, say, food stamps or psychological care, said Dr. Jagruti Shukla, director of primary care at LAC+USC..."

Susan Abram | July 25, 2018

This piece appears in the Center for Health Journalism Fellowships Blog


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United Hospital Fund launches Second Phase of Early Childhood Development Initiative to Address Social and Economic Factors Affecting Children's Health

Eight hospitals are partnering with community-based organizations across NYC, with funding from United Hospital Fund, Altman Foundation, and the New York Community Trust. 

"United Hospital Fund announced that it is launching the second phase of its Partnerships for Early Childhood Development (PECD) initiative, which partners New York-area pediatric primary care practices with community-based organizations to better address the social and economic factors affecting the health of very young children.

PECD was launched in March 2017 with funding from a collaborative consisting of United Hospital Fund, the Altman Foundation, and The New York Community Trust. The first phase of the initiative was designed to help pediatric primary care practices screen children ages 0-5 for social and environmental risks that interfere with healthy development, and connect them, through partnerships with community-based organizations, with services that can address those risks."

To read the full article, please click here. This piece is from United Hospital Fund.

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What Montefiore's 300% ROI from social determinants investments means for the future of hospitals

What Montefiore's 300% ROI from social determinants investments means for the future of hospitals

"Montefiore Health System in the Bronx has tackled the social determinants of health by investing in housing, a move that has cut down on emergency room visits and unnecessary hospitalizations for an annual 300 percent return on investment.

Investing in the social determinants of health is becoming more commonplace even as hospitals and physicians ask whether it is their place to step outside of traditional care to not only look at, but try to fix, other reasons that keep patients from getting better."

Susan Morse | July 05, 2018

This piece appears in Healthcare Finance

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Intermountain Alliance to Address Social Determinants of Health

Intermountain Alliance to Address Social Determinants of Health

"Intermountain Healthcare plans to invest $12 million in programs to coordinate community care services that address the social determinants of health in two Utah cities, the organization recently announced. These funds will bolster the Utah Alliance for the Determinants of Health, a multi-stakeholder coalition aimed at reducing the adverse health impacts of the social determinants of health for Medicaid patients living in Ogden and St. George, Utah. Areas were selected as a result of a community health needs assessment analysis that revealed underserved areas within Utah that suffer from limited health equity."

Sarah Heath | July 5, 2018

This piece can be found in Patient Care Access News from Patient Engagement HIT

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NIH Funded Scientists Put Socioeconomic Data on Map

NIH Funded Scientists Put Socioeconomic Data on Map

The Neighborhood Atlas, a new tool to help researchers visualize socioeconomic data at the community level is now available. This online platform allows for easily ranking and mapping neighborhoods according to socioeconomic disadvantage. Seeing a neighborhood’s socioeconomic measures, such as income, education, employment and housing quality, may provide clues to the effects of those factors on overall health, and could inform health resources policy and social interventions. 

To view the tool, please click here.

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