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Community Ecosystem Learning Collaborative: Office hours
Staff from the National Center for Complex Health and Social Needs presented on the Community Ecosystem Learning Collaborative, a 15-month learning collaborative starting April 2021 that will give teams from across the country the opportunity to develop complex care ecosystems in their communities. During this webinar, staff reviewed the learning collaborative’s goals, the request for […]...Read more
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National care coordination standards for children and youth with special healthcare needs
This report from the National Academy for State Health Policy and the Lucile Packard Foundation for Children’s Health outlines the core, system-level components of high-quality care coordination for children and youth with complex care needs. The standards are designed to help state officials and other stakeholders develop and strengthen high-quality care coordination for children with the goal […]...Read more
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Collaboration in communities to address COVID-19
This report from the Robert Wood Johnson Foundation follows nine diverse communities across the US from the start of the COVID-19 pandemic through October 2020. It details how cross-sector collaboration is contributing to ongoing response and recovery efforts. Communities that had cross-sector collaborations in place before the pandemic have been able to rely on strong […]...Read more
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COVID-19 social health playbook
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
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Creating new connections: How philanthropy can support better care of people with complex health and social needs
This report from Grantmakers In Aging and Grantmakers In Health, in association with the Seven Foundations Collaborative, summarizes key issues relevant to understanding complex care and offers resources and case studies for funders interested in entering the field or deepening their existing work. In the hope of engaging more funders and inspiring increased investment in […]...Read more
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Bringing lawyers onto the health center care team to promote patient & community health
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
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Building ecosystems for positive change
This report from the Systems Sanctuary provides guide to building and strengthening multi-organizational ecosystems in a community. The report shares common challenges to ecosystem-building, along with insights and frameworks to overcome those challenges. Read the report...Read more
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Brief: Leveraging the electronic health record (EHR) to link health center patients with MLP services
This brief from the National Center for Medical Legal Partnership describes how the electronic health record (EHR) represents a largely untapped resource to take action on health inequities experienced by patients. The brief focuses on structured data collection and sharing for medical legal partnership programs, but can also be applied to other complex care needs. […]...Read more
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Community resource referral platforms: Going from 1.0 to 2.0
Community resource referral platforms have been growing in popularity as a way for healthcare and social sector organizations to coordinate services for individuals with complex needs — a demand that has intensified during the COVID-19 pandemic. Promising practices on how to structure and maintain these tools and workflows are emerging, but organizations seeking to implement […]...Read more
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Increasing inclusion of people with lived experiences
Over the last several months, conversations about diversity and inclusion have become increasingly commonplace. No matter the issue at hand, people with lived experiences understand the challenges and barriers experienced by their communities, and can provide insight into the opportunities to bring about lasting and positive change. While many healthcare and social service professionals support […]...Read more
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Rush COVID-19 community response playbook: Strengthening our commitment to health equity
This playbook from Rush University Medical Center provides a case study for how health systems can work with residents, community leaders, nonprofit organizations, and other healthcare institutions to be a catalyst for community health and vitality by dismantling barriers to health, and by promoting health equity both within and outside of the institution. It describes […]...Read more
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5 actions to promote housing access during and beyond the COVID-19 pandemic
This short paper from the American Hospital Association (AHA) describes five actions hospitals and health systems can take to address housing instability and improve health in their communities: Screening patients for social needs and connecting them with community partners Informing patients and employees about available housing resources and protections Providing access to safe, temporary living […]...Read more
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Data sharing and the law: Overcoming health care sector barriers to sharing data on social determinants
This paper from the Social Interventions Research and Evaluation Network (SIREN) at University of California, San Francisco and Manatt Health addresses legal concerns related to sharing data between healthcare systems, community-based organizations, and others. It sheds light on the circumstances in which healthcare organizations can exchange personal information outside the healthcare sector in compliance with […]...Read more
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Trauma and equity toolkit
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
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Direct care work is real work: Elevating the role of the direct care worker
This report from PHI National is part of a series providing a comprehensive, current-day analysis of the direct care workforce and its critical role in the long-term care system in the United States. This report examines the current training landscape for direct care workers. This irregular and under-resourced system fails to prepare workers to succeed […]...Read more
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Thrive framework
This publication from the Corporation for Supportive Housing (CSH) provides a roadmap to undoing structural racism and taking an anti-racist approach to creating the policies and programs that will lead to thriving and equitable communities. The framework includes sections on moving: From crisis to stability From stability to thriving From individual to community From community […]...Read more
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Change package: Person-centered change at the organizational level
This toolkit from Community Catalyst’s Center for Consumer Engagement in Health Innovation (CCEHI) and the Health Care Transformation Task Force (HCTTF) is a guide for leaders and staff at organizations across the health care spectrum — hospitals, large medical practices, health clinics, health plans, accountable care organizations, and more — to aid in developing meaningful […]...Read more
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Community-based workforce principles for pandemic response and resilience
This set of principles from Health Begins are designed for state and local health departments for implement alongside community leaders as part of evolving COVID-19 community response and resiliency efforts, including contact tracing. Each principle includes suggested strategies and resources, and the site also includes a guide to help states, counties, and cities advance the […]...Read more
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The opioid crisis and the Black/African American population: An urgent issue
This issue brief from the Substance Abuse and Mental Health Services Administration (SAMHSA) presents recent data on prevalence of opioid use disorder and death rates in the Black/African American population, contextual factors and challenges to prevention and treatment, innovative outreach and engagement strategies to connect people to evidence-based treatment, and the importance of community voice. […]...Read more
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Addressing health-related social needs among Medicaid beneficiaries: Mapping cross-sector partnership roles
This technical assistance tool from the Center for Health Care Strategies (CHCS) was developed to support Medicaid agencies, managed care organizations, health care providers, and community partners in mapping cross-sector partnership roles for addressing health-related social needs based on the strengths of each stakeholder. Activities included in the framework are organized under five key categories […]...Read more
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Charting a path to measurement: Next steps in standardizing quality measures for complex care
The Blueprint for Complex Care laid out a number of important opportunities for advancing the field of complex care, including the need for standardized quality measures that can be used to evaluate and demonstrate the impact of complex care programs beyond cost and utilization. As a first step toward this goal, a new report from […]...Read more
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Engaging people with complex health and social needs in advocacy (and beyond!)
People with lived experience of complex health and social needs have important insights that are needed to create better systems of care for their communities. Now more than ever, people are using their lived experiences as the impetus to become advocates for change. Advocacy can mean many things, but we define “consumer advocacy” as any […]...Read more
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System-wide strategies for re-housing in the COVID-19 era
Quarantine hotels/motels have been important models among health and community-based organizations working to protect individuals experiencing homeless or housing instability during the COVID-19 pandemic. The strategies and approaches in communities are now shifting from these urgent and temporary initiatives towards a comprehensive re-housing strategy....Read more
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Quarantine hotels: Promising practices and resources
Quarantine hotels/motels are a common approach among health and community-based organizations working to protect individuals experiencing homelessness or housing instability during the COVID-19 pandemic. While promising practices are beginning to emerge, these resources are incomplete. Programs that are newer to housing may not be aware of the resources that do exist or how to adapt them […]...Read more
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Insights from the social sector: A cross-sector response to health disparities in the COVID-19 pandemic
Cross-sector partnerships are more critical than ever as the COVID-19 pandemic threatens the health and broader social systems of communities across the country. This is especially dire for individuals with complex health and social needs who may already have difficulty accessing needed services....Read more
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Complex care and the COVID-19 pandemic in rural and frontier environments
Every community has been impacted by not only the COVID-19 pandemic itself, but also the pandemic’s effects on the economy and available resources. Rural and frontier environments across the country are not immune to these issues. The pandemic has exacerbated existing barriers to care for individuals with complex needs in these areas including physical distance, limited […]...Read more
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Racial disparities and disproportionality index
A data tool from CSH that measures whether a racial and/or ethnic group’s representation in a particular public system is proportionate to, over or below their representation in the overall population (proportionality) and also allows for the examination of systematic differences between groups and geographies (disparities). Distinguishing the Racial Disparities and Disproportionality Index (RDDI) from […]...Read more
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Measuring complexity: Moving toward standardized quality measures for the field of complex care
For the field of complex care to show its value in improving outcomes and to evaluate programs’ delivery and impact, there is a need to identify and standardize measures that are used for evaluation and quality improvement. One of the recommendations of the Blueprint for Complex Care was to develop standard quality measures for complex […]...Read more
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Immediate approaches for collaboration during the COVID-19 pandemic
On April 17, the National Center for Complex Health and Social Needs held the third convening of our community forum series on the impact of the COVID-19 pandemic on complex care. The conversation explored the ways in which this fragmented system is impeding care delivery for complex patients and identified near-term opportunities to address them […]...Read more
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Supporting complex care teams during the COVID-19 pandemic
On April 10, the National Center for Complex Health and Social Needs held a second community forum on unique issues facing complex care teams. Issues such as disruption of care delivery, staffing, and burnout were discussed. Once again, participants shared personal experiences and resources with their peers. The full list of resources is linked below. ...Read more
Events & Webinars
Using the complex care core competencies
Date: January 27, 2021
Time: 2:00-3:00 pm ET
Webinar
Recent News
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A 2021 New Year’s resolution: Speak up
By Mark Humowiecki, Senior Director, National Center for Complex Health and Social Needs If 2020 tau...
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Teamwork, resilience, and health justice: Putting Care at the Center 2020 conference recap
By Hannah Mogul-Adlin, Communications Manager Every year the National Center brings the complex care...
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Introducing the Community Ecosystem Learning Collaborative: Develop a complex care ecosystem in your community
By Rebecca Koppel, Program Manager for Field Building & Resources At last year’s National Center...
The National Center for Complex Health and Social Needs is an initiative of the Camden Coalition.