scholarly journals MEETING SOCIAL NEEDS TO IMPROVE HEALTH OUTCOMES: PARTNERSHIPS BETWEEN COMMUNITY-BASED ORGS AND HEALTH CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S499-S500
Author(s):  
Traci L Wilson ◽  
Suzanne R Kunkel ◽  
Jane Straker ◽  
Marisa Scala-Foley ◽  
Elizabeth Blair
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Social Services ◽  
Health Care Providers ◽  
Health Care Use ◽  
Social Needs ◽  
Care Providers ◽  
Community Based ◽  
Cross Sectional ◽  
Improve Health

Abstract Unmet social needs negatively affect individual and population health, and better integration of community-based supports and health systems is a promising approach to improve health outcomes and avoid unnecessary health care use. Community-based organizations (CBOs) such as Area Agencies on Aging (AAAs) and Centers for Independent Living (CILs), as providers and coordinators of social services, are well-positioned within their communities to coordinate care and provide for unmet social needs. Partnerships between CBOs and health care entities have clear potential to improve health care outcomes while also reducing expenditures. This paper will present a cross-sectional analysis of a national survey of AAAs, CILS, and other CBOs at two time points (2017: n=593; 2018: n=763) to understand the extent, type, and evolution of CBO engagement with health care providers. In addition, longitudinal analysis (n=374) shows movement at the organization level: 33% of organizations who did not have a contract at T1 but were pursuing one had achieved a contract by T2. This presentation will: describe details of the services delivered, contracting arrangements, and populations served under CBO/health care contracts, as well as challenges experienced by CBOs; examine differences by state and organizational structure; and discuss the implications of state policy on integrated care and contracting.

scholarly journals Impacting Quadruple Aim Through Sustainable Clinical-Community Partnerships: Best Practices From a Community-Based Organization Perspective

2020 ◽  
Vol 14 (5) ◽  
pp. 524-531
Author(s):  
Marc Rosen
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Financial Risk ◽  
Community Setting ◽  
Community Partnerships ◽  
Social Needs ◽  
Care Providers ◽  
Community Based ◽  
Community Based Organizations ◽  
Payment Models

Health reform initiatives have caused disruptive change throughout the US health care system. A key driver of change is the adoption of alternative payment models that apply financial risk on physicians and hospital systems. Success in these value-based payment models requires health care provider and payor organizations to continue developing population-based approaches, including partnerships with community-based organizations that provide services within a community setting. Community-based organizations are positioned to serve as an extension of the care continuum because they provide desired access points to upstream services that address nonclinical factors. Yet many health care providers fail to enter into sustainable contracts with community organizations. This limits their ability to treat patients’ social needs and widens the clinic-to-community gap, both of which must be addressed for success in value-based contracts. Future cross-sector collaboration will require stakeholders to abandon transactional partnership arrangements primarily concerned with referral systems in favor of transformational arrangements that better align partnership aims and more equally distribute ownership in solving for capacity building, evaluation, and sustainability. The following practices are based on the experience of local YMCAs and YMCA of the USA in establishing clinic-to-community partnerships throughout the country that can influence clinical cost and quality measures.

Spending Too Much on the Wrong Things

Pained ◽  
2020 ◽  
pp. 107-110
Author(s):  
Michael D. Stein ◽  
Sandro Galea
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Health System ◽  
Social Services ◽  
Health Care Providers ◽  
Entire Population ◽  
Health Care Spending ◽  
Care Providers ◽  
The Social ◽  
Per Capita

This chapter addresses overspending in health care. Americans spend half as many days in hospital as persons living in other high-income countries. They take fewer pills per person, and they have fewer doctors per capita. Yet Americans spend two to three times as much on health care as other countries, and they have poorer health outcomes. This is because they overpay. Talking about overspending suggests that certain partners in the health system are charging more than they should. Since about one third of health care spending is related to hospitals and another 20% is paid to health care providers, these are the obvious culprits. If Americans spent less on hospitals and clinicians, they could spend more on the social services required to prevent or reduce illness, to make their entire population healthier.

scholarly journals INTEGRATING SOCIAL NEEDS CARE INTO THE DELIVERY OF HEALTH CARE TO IMPROVE THE NATION’S HEALTH FOR OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S496-S497
Author(s):  
Tamara J Cadet ◽  
Robyn Golden ◽  
Keegan Warren-Clem
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Outcomes ◽  
Social Workers ◽  
Delivery Of Health Care ◽  
Social Needs ◽  
Determinants Of Health ◽  
Care Providers ◽  
Community Based ◽  
Term Care

Abstract An ad hoc committee of the National Academies of Sciences, Engineering, and Medicine examined the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes and to address major challenges facing the U.S. health care system. These challenges, include persisting disparities in health outcomes among vulnerable subpopulations, often defined by a number of factors including age. Presenters will discuss and provide recommendations in the following areas: 1. evidence of impact of social needs care on patient and caregiver/family health and wellbeing, patient activation, health care utilization, cost savings, and patient and provider satisfaction; 2. opportunities and barriers to expanding historical roles and leadership of social workers in providing health-related social needs care and evidence-based care models that incorporate social workers and/or other social needs care providers in interprofessional care teams across the care continuum (e.g., acute, ambulatory, community-based, long-term care, hospice care, public health, care planning) and in delivery system reform efforts (e.g., enhancing prevention and functional status, care management, and transitional care; improving end-of-life care; integration of behavioral, mental, and physical health services); and 3. realized and potential contributions of social needs care to make health care delivery systems more community based, person- and family/caregiver-centered, and responsive to social and structural determinants of health, particularly for vulnerable populations and communities, such as older adults and low-income families. Examples for each of the three areas will also be presented.

scholarly journals People Affected by Leprosy Needs During Rehabilitation in Community: Study of Health Care Provider Perceptions

2021 ◽  
Vol 5 (2) ◽  
pp. 254
Author(s):  
Syahroni Bahtiar ◽  
Tantut Susanto ◽  
Dewi Rokhmah
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Social Needs ◽  
Care Providers ◽  
Adherence To Treatment ◽  
Community Based ◽  
Provider Perceptions ◽  
Basic Care ◽  
Community Based Rehabilitation ◽  
Depth Interview

Health care providers (HCPs) in Public Health Center (PHCs) have essential role to fulfil the various complexities of physical, psychological, economic, and social needs among people affected by leprosy (PALs) during treatment in communities. The complexity of these needs is important to prevent the stigmatization and discrimination of PALs for transmission and disability during their rehabilitation. Objective of this study to explore the experience of HCPs for fulfilling the PALs needs during attending community based rehabilitation in PHCs of Jember regency, Indonesia. A descriptive phenomenology was performed to HCPs during July to August 2020. In depth interview was saturated to six of HCPs who were responsibility to care PALs in community. Data was analyzed using systematic coding to all of verbatim of participants. Regarding our in depth interview for sixt of HCPs, we were identified of three of themes which explained into seven of subthemes and sixteen of categories. The main themes were adherence to treatment efforts, treatment to solve social limitation, and caring for preventing disability. The experiences of HCPs in caring for PALs during community based rehabilitation were identified in three main themes, namely: efforts to maintain adherence to treatment, efforts to prevent social barriers, and basic care to prevent disability. Therefore, regular visits through home visits can be carried out on PALs so that MDT compliance is good and reduces side effects. The formation of self-care groups is indispensable in teaching basic care skills in an effort to prevent future disability.

scholarly journals Evidence for the Effectiveness of Health and Social Services Partnerships

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 225-226
Author(s):  
Traci Wilson ◽  
Suzanne Kunkel ◽  
Amanda Brewster ◽  
Jane Straker ◽  
Elizabeth Blair ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Outcomes ◽  
Social Services ◽  
Independent Living ◽  
Social Needs ◽  
Care Utilization ◽  
Community Based ◽  
Health And Social Services ◽  
Community Based Organizations

Abstract Integration of health and social services is touted as a key method to address social needs and improve population health. We will share the latest evidence on how Area Agency on Aging (AAA) partnerships with health care entities and other organizations improve health outcomes for older adults, while reducing health care costs. AAAs are community leaders in cross-sectoral partnerships that effectively address social determinants of health for older adults, who account for a substantial share of overall health care spending. Results of a longitudinal study (2008 – 2016) which links data from four waves of the National Surveys of AAAs to data on county-level health outcomes show that AAA–health care partnerships and programs reduced health care utilization and costs. AAA partnerships with hospitals reduced Medicare spending by $136 per beneficiary. AAA involvement in evidence-based health promotion programs decreased potentially avoidable nursing home use by nearly one percentage point (representing a change of 6.5%). Finally, we will describe the prevalence and nature of contracting relationships between community-based organizations and health care entities, based on data from the 2020 CBOs and Health Care Contracting Request for Information, the third national RFI of AAAs, Centers for Independent Living, and other aging and disability community-based organizations.

scholarly journals Factors Associated with Patients’ Connection to Referred Social Needs Resources at a Federally Qualified Health Center

2021 ◽  
Vol 12 ◽  
pp. 215013272110243
Author(s):  
Tyler Lian ◽  
Kate Kutzer ◽  
Diwas Gautam ◽  
Howard Eisenson ◽  
Jane C. Crowder ◽  
...  
Keyword(s):  
Health Center ◽  
Social Services ◽  
Social Needs ◽  
Phone Call ◽  
Community Based ◽  
Factors Associated ◽  
Federally Qualified Health Center ◽  
Or Applications ◽  
Improve Health

Introduction: In an effort to improve health outcomes and promote health equity, healthcare systems have increasingly begun to screen patients for unmet social needs and refer them to relevant social services and community-based organizations. This study aimed to identify factors associated with the successful connection (ie, services started) to social needs resources, as well as factors associated with an attempt to connect as a secondary, intermediate outcome. Methods: This retrospective cohort study included patients who had been screened, referred, and subsequently reached for follow-up navigation from March 2019 to December 2020, as part of a social needs intervention at a federally qualified health center (FQHC). Measures included demographic and social needs covariates collected during screening, as well as resource-related covariates that characterized the referred resources, including service domain (area of need addressed), service site (integration relative to the FQHC), and access modality (means of accessing services). Results: Of the 501 patients in the analytic sample, 32.7% had started services with 1 or more of their referred resources within 4 weeks of the initial referral, and 63.3% had at least attempted to contact 1 referred resource, whether or not they were able to start services. Receiving a referral to resources that patients could access via phone call or drop-in visit, as opposed to resources that required additional appointments or applications prior to accessing services, was associated with increased odds (aOR 1.95, 95% CI 1.05, 3.61) of connection success, after adjusting for age, sex, race, ethnicity, education, number of social needs, and resource-related characteristics. This study did not find statistically significant associations between connection attempt and any variable included in adjusted analyses. Conclusion: These findings suggest that referral pathways may influence the success of patients’ connection to social needs resources, highlighting opportunities for more accessible solutions to addressing patients’ unmet social needs.

A survey of Cambodian health-care providers' HIV knowledge, attitudes and intentions to take a sexual history

2009 ◽  
Vol 20 (5) ◽  
pp. 346-350 ◽  
Author(s):  
G Webber ◽  
N Edwards ◽  
I D Graham ◽  
C Amaratunga ◽  
I Gaboury ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Theory Of Planned Behaviour ◽  
Sexual History ◽  
People Living With Hiv ◽  
Care Providers ◽  
Hiv Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Planned Behaviour

Cambodia has one of the highest prevalence rates of HIV in Asia and is scaling up HIV testing. We conducted a cross-sectional survey with 358 health care providers in Phnom Penh, Cambodia to assess readiness for voluntary testing and counselling for HIV. We measured HIV knowledge and attitudes, and predictors of intentions to take a sexual history using the Theory of Planned Behaviour. Over 90% of health care providers correctly answered knowledge questions about HIV transmission, but their attitudes were often not positive towards people living with HIV. The Theory of Planned Behaviour constructs explained 56% of the variance in intention to take a sexual history: the control providers perceive they have over taking a sexual history was the strongest contributor (51%), while social pressure explained a further 3%. Attitudes about taking a sexual history did not contribute to intention. Interventions with Cambodian health care providers should focus on improving skills in sexual history-taking.

The Adverse Health Outcomes, Economic Burden, and Public Health Implications of Unmanaged Attention Deficit Hyperactivity Disorder (ADHD): A Call to Action Resulting from CHADD Summit, Washington, DC, October 17, 2019

2021 ◽  
pp. 108705472110367
Author(s):  
Bob Cattoi ◽  
Ingrid Alpern ◽  
Jeffrey S. Katz ◽  
David Keepnews ◽  
Mary V. Solanto
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Outcomes ◽  
Health Care Providers ◽  
Economic Burden ◽  
Emotional Health ◽  
Care Providers ◽  
Health Implications ◽  
Adverse Health ◽  
Adverse Health Outcomes

Recent research has increasingly documented the adverse effects of ADHD on physical health in addition to its well-known effects on emotional health. Responding to this concern, CHADD organized a summit meeting of health care providers, governmental and other health-related organizations, and health care payers. A White Paper generated from the meeting reviewed the adverse health outcomes, economic burden and public health implications of unmanaged ADHD. Here we summarize the resulting Calls to Action to the various stakeholder groups including: increased awareness and education of providers; development of professional guidelines for diagnosis and treatment; insurance coverage of the relevant services; support of research targeting the role of ADHD in the etiology and treatment of physical illness; and public education campaigns.

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