Evidence & Resource Library
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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.
CommunityRx: Optimizing a community resource referral intervention for minority dementia caregivers
J Appl Gerontol
Community resource referral systems have been implemented into care settings that serve persons with dementia but with little input from caregivers.
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.
Adjusting quality measures for social risk factors can promote equity in health care
Risk adjustment of quality measures using clinical risk factors is widely accepted; risk adjustment using social risk factors remains controversial.
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.
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).