Evidence & Resource Library
Search through our entire Evidence & Resource Library
The SIREN Evidence & Resource Library has expanded to include both peer-reviewed publications and other types of resources such as webinars and screening tools/toolkits on medical and social care integration. To limit your search to peer-reviewed articles, select Peer Reviewed Research under Resource Type. If you have questions about how to use the library or suggestions about additional resources, view this help document or write us at email@example.com.
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Safety-Net Accountable Health Model partnership drives inpatient connection to outpatient social services, reducing readmissions in a population experiencing homelessness
Prof Case Manag
Purpose of Study: To evaluate whether screening for homelessness during hospitalization and deploying outpatient care managers (CMs) to the inpatient setting to rapidly connect patients to community social services reduce hospital readmissions.
Social determinants matter for hospital readmission policy: Insights from New York City
This study assessed the impact of individual social risk factor variables and social determinants of health (SDOH) measures on hospital readmission rates and penalties used in the Centers for Medicare and Medicaid Services (CMS) Hospital Readmissions Reduction Program (HRRP).
Effects of permanent supportive housing on health care utilization and spending among New Jersey Medicaid enrollees experiencing homelessness
Background: Permanent supportive housing (PSH) programs have the potential to improve health and reduce Medicaid expenditures for beneficiaries experiencing homelessness. However, most research on PSH has been limited to small samples of narrowly defined populations.
Prescribing phones to address health equity needs in the COVID-19 Era: The PHONE-CONNECT program
J Med Internet Res
Vulnerable populations have been identified as having higher infection rates and poorer COVID-19–related outcomes, likely due to their inability to readily access primary care, follow public health directives, and adhere to self-isolation guidelines.
Use of social determinants of health codes in home-based primary care
J Am Assoc Nurse Pract
Background: The Affordable Care Act created funding for nurse practitioner education programs to transform the primary health care workforce through student awareness of how social, political, economic, and environmental factors influence individual and population health.
Multisector partnerships such as ACHs: How can they improve population health and reduce health inequities?
Health Affairs Blog
Over the past year, the United States has witnessed tremendous health inequities from COVID-19 across populations defined by race, ethnicity, geography, and disability.
Addressing social risk factors in value-based payment: Adjusting payment not performance to optimize outcomes and fairness
Health Affairs Blog
As payers are increasingly holding providers financially accountable for outcomes under value-based payment arrangements, there is growing concern that organizations caring for populations with greater social risk factors are unfairly penalized.
Does housing improve health care utilization and costs? A longitudinal analysis of health administrative data linked to a cohort of individuals with a history of homelessness
Background: Individuals who are homeless have complex health care needs, which contribute to the frequent use of health services.
Using malnutrition and food insecurity screening to identify broader health-related social needs amongst older adults receiving emergency department care in the Southeastern United States: A cross-sectional study
Health Soc Care Community
Unmet health‐related social needs are common amongst older US adults and impact both quality of life and health outcomes.