Moving the Needle on Patient Outcomes through Upstream Care
Mar 22, 2018
| Manik Bhat, CEO and Co-founder of HealthifyRishi Manchanda MD MPH, President and Founder of HealthBegins
In this video, Manik Bhat, CEO and Co-founder of Healthify, and Rishi Manchanda MD MPH, President and Founder of HealthBegins outline the critical steps healthcare system leaders need to take to build the infrastructure and support required for holistic care delivery in their organizations....
Workflow Models and Strategies to Collect Standardized Data on the Social Determinants of Health Using PRAPARE
Mar 28, 2018
| Michelle Jester, Research Manager at NACHC
The National Association of Community Health Centers presented this webinar to help those who are interested in implementing the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE).
Learn the following skills:
1. Apply strategies to...
SIREN Webinar Recording: Identifying Food Insecurity in Health Care Settings
The discussion highlighted existing evidence on the validity of food insecurity screening tools, patient acceptability of food insecurity screening, and ways to implement screening programs.
Linking Medical Homes to Social Service Systems for Medicaid Populations
Feb 21, 2018
| Sarah Scholle, DrPH, MPH, National Committee on Quality AssuranceKeri Christensen, MS, National Committee on Quality Assurance
Social risk factors such as low socioeconomic status are linked to poor health outcomes, increased emergency department (ED) visits and impact health care quality, cost, and use. Assessing and addressing these social risk factors can lead to improved patient outcomes. However, making connections...
Addressing Social Determinants of Health through Medicaid ACOs: Early State Efforts
Feb 14, 2018
| Tricia McGinnis, CHCS Mathew Spaan, Minnesota Department of Human Services Deborah Morales, Rhode Island Executive Office of Health & Human Services Deborah Faulkner, Faulkner Consulting Group Rachael Matulis, CHCS
Accountable care organizations (ACOs) have become increasingly prevalent in state Medicaid programs as a way to improve health care quality and control costs. Some states are beginning to use their ACO programs to address social determinants of health (SDOH) — such as living environment and...
Systems for Action Webinar: Carrying Capacity of Health/Social Services to Absorb Increased Referrals
Feb 07, 2018
| Danielle Varda, PhD, University of Colorado DenverKatie Edwards, MPA, The Nonprofit Centers Network
Presenters discuss their Systems for Action-funded projects focused on system alignment between medical and public health referrals to community resources as the result of increased screening for social determinants of health, with a focus on the following:
What kinds of resources
Accountable Health Communities: CMS Health-Related Social Needs (HRSN) Screening Tool
Sep 25, 2017
| Alexander Billioux, MD, DPhil | Katherine Verlander, MPH | Laura Gottlieb, MD, MPH
Dr. Billioux and Ms. Verlander share information on the new social needs screening tool developed by Centers for Medicare and Medicaid Services (CMS) for use in the Accountable Health Communities (AHC) model program. Alexander Billioux and Katherine Verlander of the Center for Medicare and...
Using Community Health Workers and Volunteers to Reach Complex Needs Populations
May 17, 2017
| Caitlin Thomas-HenkelLara ShadwickJane EmmertLinda DunbarDebra HickmanDemetrius FrazierWill TorrienteRachel Davis
To effectively reach individuals with complex medical and social needs, health care delivery systems are increasingly incorporating alternative roles into care teams, including community health workers, volunteers, neighborhood navigators, community paramedics, or pharmacists. This three-part...
Measuring Social Determinants of Health among Low-Income Populations: Early Insights from State Initiatives
Understanding the health-related social needs of patients could help guide state Medicaid and other public agencies in supporting interventions to improve health outcomes for individuals with complex health and social needs. Scant best practice information is available, however, to inform state...