This tool from New York City Health + Hospitals features open-source implementation tools which can be customized and used to support health systems’ efforts to identify, understand, and treat patientswith complex needs. This guide provides step-by-step guidance on: Risk scoring and stratification: using data and analytics to identify patients with complex needs Segmentation: combining analytics...

Read more

This playbook from Kaiser Permanente provides guidance on caring for patients with social needs within a COVID-19 context. The playbook includes information on how to assess patients’ social needs, connect them to resources to address those needs, and follow up to ensure needs were met and to coordinate care as appropriate. It is intended for...

Read more

This toolkit from the National Center for Medical Legal Partnership provides the health center community with information and resources to start, strengthen, and sustain a medical-legal partnership (MLP). The toolkit can be used both by health centers new to MLP who want help with the initial planning process and by health centers that are already...

Read more

This toolkit from the Center for Community Resilience at George Washington University’s Milken Institute School of Public Health aims to help us collectively see the historical underpinnings of structural racism and the traumas and disparities that result and conduct constructive conversations that lead to policy change. It emphasizes the importance of centering equity at the...

Read more