September 2017 Research Round-Up

See below for publications recently added to the SIREN Evidence Library.

As always, if you are aware of resources you think should be added to the Evidence Library, please send them our way.

Social Determinants of Health in Managed Care Payment Formulas
A.S. Ash, E.O. Mick, R.P. Ellis, C.I. Kiefe, J.J. Allison, & M.A. Clark
JAMA Internal Medicine
This study examines the impact of adding social determinants of health (SDH) variables to a diagnosis-based payment formula that allocates funds to managed care plans and accountable care organizations.

Community Health Worker Impact on Chronic Disease Outcomes Within Primary Care Examined Using Electronic Health Records
M. Ingram, K. Doubleday, M.L. Bell, et al.
American Journal of Public Health
This practice-based study uses electronic health records to examine the effect of community health worker exposure on chronic disease outcomes.

A Novel Income Security Intervention to Address Poverty in a Primary Care Setting: A Retrospective Chart Review
M.K. Jones, G. Bloch, A.D. Pinto
British Medical Journal Open
This study describes the development and implementation of the Income Security Health Promotion service in an urban primary care setting in Toronto, Canada. In the intervention, a trained health promoter provides a mixture of expert advice and case management to patients to improve income security.

Contingent Engagement: What We Learn from Patients with Complex Health Problems and Low Socioeconomic Status
M. Komaromy, E.F. Madden, A. Zurawski, et al.
Patient Education and Counseling
During in-depth interviews, Medicaid patients with complex health problems and high health care utilization identified key factors that enabled them to develop trust and engage with multi-disciplinary care teams, including: availability for extended intensive interactions, a non-judgmental approach, addressing patients' material needs, and providing social contact for isolated patients.

Clinical Population Medicine: Integrating Clinical Medicine and Population Health in Practice
A.M. Orkin, A. Bharmal, J. Cram, F.G. Kouyoumdjian, A.D. Pinto, R. Upshur
Annals of Family Medicine
In this paper, the authors showcase successes of integrating clinical care and community health and unite such integrators into a community of practice they call Clinical Population Medicine.

Coordinated Whole-Person Care that Addresses Social Determinants of Health: DASH Communities Generate Lessons Learned about the Required Data Infrastructure and Systems
Data Across Sectors for Health
This issue brief describes five projects funded by the Robert Wood Johnson Foundation-initiated Data Across Sectors for Health (DASH). Each project aims to develop the data infrastructure to support models of coordinated care across medical and community services.

Why Medicaid is the Platform Best Suited for Addressing Both Health Care and Social Needs
K. Witgert
Health Affairs Blog
This blog post describes opportunities to support and build on the Medicaid platform to address social determinants of health.