rwjf-tag: Hub or network structures

Sharfstein, J.M., Gerovich, S., Moriarty, E., & Chin, D.C. (2017, August 16). An emerging approach to payment reform: All-payer global budgets for large safety-net hospital systems. Washington, DC: The Commonwealth Fund.

This article assesses the feasibility and likely outcomes of implementing global all-payer budgets in hospital systems in the United States, particularly in large safety-net hospital systems. The article reviews this concept based on the experiences of global hospital budgeting programs implemented in Maryland and planned for Pennsylvania. The article concludes that to be successful, all-payer… Read more »

Oostra, R., & Zuckerman, D. (2018, May). Embracing an anchor mission: ProMedica’s all-in strategy. Toledo, OH and Washington, DC: ProMedica and The Democracy Collaborative.

This report describes ProMedica’s (a mission-based, not-for-profit healthcare organization serv- ing northwest Ohio and southeast Michigan) shift to an Anchor Mission. This mission is embedded in an overall strategy related to addressing the social determinants of health as a whole. With that in mind, ProMedica has made a commitment to apply its economic power and… Read more »

Hacke, R., Deane, K.G., & Schwarz, D. (2017, March). Improving community health by strengthening community investment. Cambridge, MA: Center for Community Investment.

This brief examines how community investment community Investment, as a sector, positions itself to confront social determinants of health deficiencies that are the result of market failures. The authors conducted hundreds of interviews with stakeholders from community organizations, government agencies, foundations, banks, and nonprofits. Additionally, a literature review was conducted that looked more broadly at… Read more »

Zuckerman, D. (2013). Hospitals building healthier communities: Embracing the anchor mission. Takoma, MD: The Democracy Collaborative.

This report argues that hospitals are well situated to lead community revitalization strategies by embracing their “anchor institution mission.” Such a strategy: 1) aligns with a hospital’s commitment to promote health, 2) generates economic returns to both the community and institution, 3) helps satisfy its community benefit requirements to the federal government, and 4) provides… Read more »

Chokshi, D., Singh, P., & Stine, N.W. (2014, April 16). Using community health trusts to address social determinants of health [Web log post].

Although health care systems deliver care for patients with chronic diseases, most medical centers are ill-equipped to tackle the social determinants of health themselves. This is a significant blind spot for the vision of a patient-centered, population health–driven system, and one that community health trusts could help address. In this article, the authors offer Community… Read more »

Butler, S., Grabinsky, J., & Masi, D. (2015). Hospitals as hubs to create healthy communities: Lessons from Washington Adventist Hospital. Washington, DC: Brookings Institute.

This paper explores the potential of hospitals to be such hubs by examining the experience of Washington Adventist Hospital (WAH), a community hospital in Maryland. The WAH experience highlights several challenges facing hospitals seeking to be community hubs. In this paper, the authors first describe Maryland’s unique health care financing system, which has helped encourage… Read more »

Chernof, B. (2015, August 20). Making the case for effective health care community-based organization partnerships. Huffington Post.

This article discusses the need for healthcare systems to focus on coordinated programs and include nonmedical and community-based service providers. The article discusses the economics of these partnerships. The author argues that it is time for all providers serving Americans with daily functional needs to break out of their individual silos and proactively connect to… Read more »

Helman, H.J., & Artiga, S. (2015). Beyond health care: The role of social determinants in promoting health and health equity. Menlo Park, CA: The Henry J. Kaiser Family Foundation.

Social determinants of health are the conditions in which people are born, grow, live, work and age that shape health. This brief provides an overview of social determinants of health and emerging initiatives to address them. It shows: social determinants of health include factors like socioeconomic status, education, neighborhood and physical environment, employment, and social… Read more »

Dayton Children’s Hospital. (2016, September 9). Innovative social needs intervention at Dayton Children’s Hospital connects patients to community resources [Press release].

This website article explains how Dayton Children’s Hospital is addressing unmet social needs like food, transportation, and housing by connecting families in need with community resources. To address these issues, Dayton Children’s Hospital Center for Child Health and Wellness launched a program called the Family Resource Connection to screen patient families for unmet social needs… Read more »

Norris, T., & Howard, T. (2016). Can hospitals heal America’s communities? “All in for mission” is the emerging model for impact. Washington, DC: Democracy Collaborative.

This paper examines the possibilities and explores how “all in for mission” is the emerging healthcare model, and discusses how some healthcare systems are expanding their focus to address the social determinants of health. The authors use the term “anchor mission” to describe hospital systems that are working to improve the community surrounding their institutions…. Read more »

Miller, J. (2017, October 7). Community health and literacy center, Philadelphia, Pennsylvania: A hospital partners with a city to develop a health literacy recreation hub [Web log post].

This blog post reports on the Community Health and Literacy Center, a first-of-its-kind hospital-city partnership. The center includes a Children’s Hospital of Philadelphia (CHOP) pediatric clinic, a full-service community health center run by city’s Department of Public Health, a public library branch, and a recreation center with playground and green space run by city’s Department… Read more »

Chen, M.A., Unruh, M.A., Pesko, M.F., Jung, H., Miranda, Y., Cea, M., Garcel, J.M., & Casalino, L.P. (2016, April). The role of hospitals in improving non-medical determinants of community population health. New York, NY: New York State Health Foundation.

This report examines how hospitals can define the population to which they are accountable, either as the patients attributed to them by payers, and/or as the people living in the surrounding communities. They can focus on medical care and/or create initiatives that impact the non-medical determinants of health for that population. Hospital executives are the… Read more »

Kohli, J., & De Biasi, A. (2017). Supporting healthy communities: How rethinking the funding approach can break down silos and promote health and health equity. The Deloitte Center for Government Insights.

This report presents the findings of a collaborative study by the Trust for American’s Health and Monitor Deloitte. A series of expert interviews and workshops were conducted in 2016 with the aim of identifying ways to leverage the growing focus on social determinants of health and increase in value-based incentive structures to move toward a… Read more »

Humana. (2018). 2018 bold goals progress report: Health happens where you are #morehealthydays.

This reports describes Humana’s Bold Goal, a comprehensive business and health strategy dedicated to improving the health of the communities Humana serves by 20% by 2020. Humana is prioritizing conditions and social determinants of health, both inside and outside of the clinical setting and tracking their progress using the CDC population health tool, Healthy Days…. Read more »