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Strengthening Medicaid long-term services and supports in an evolving policy environment: A toolkit for states
This toolkit from the Center for Health Care Strategies (CHCS) and Manatt Health provides a menu of long-term services and supports (LTSS) reform strategies adopted by state innovators. It identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance LTSS reforms, along with case studies and advice for […]...Read more
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Quick reference guide to promising care models for patients with complex needs
This guide from The Commonwealth Fund summarizes the target populations, key features, and evidence of impact for 28 promising care models for adults with complex needs. It also includes a point of contact for each model. View the guide...Read more
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How do community health centers pay for social care programs?
Community health centers have long incorporated social correlates of health into their work, and this report from the Social Interventions Research & Evaluation Network (SIREN) and the Center for Care Innovations lays out ways in which community health center innovators initiate and sustain social care programs, as well as the many barriers they face in […]...Read more
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A conversation about social movements with Ai-jen Poo
Putting Care at the Center 2018 conference keynote Ai-jen Poo sat down with Jackie Judd to talk about building social movements around care from the bottom up. Ai-jen Poo is the co-director of Caring Across Generations and executive director of the National Domestic Workers Alliance. Jackie Judd, plenary moderator for the 2018 conference, has reported […]...Read more
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Systematic review of social risk screening tools
This meta-tool from Kaiser Permanente and the Social Interventions Research and Evaluation Network (SIREN) compiles and reviews social risk screening tools to allow researchers, health care system administrators, providers, and community partners to select social risk assessment tools most appropriate to their setting and population. Toolkit users can search for tools that screen for risk […]...Read more
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Medicaid benefits database
This database from the Kaiser Family Foundation and Health Management Associates provides a comprehensive look at the Medicaid benefits provided by each state across the country, including coverage for things like transportation, long term services and supports, and home and community-based care. Useful for policymakers and advocates looking to compare benefit offerings across states or […]...Read more
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Office Hours for Complex Care: Roundtable Discussion of the Blueprint for Complex Care
This Office Hours session features a small group discussion on the recently released Blueprint for Complex Care. Presenters provided feedback on the report and recommended next steps. Presenters: Mark Humowiecki, Senior Director, National Center for Complex Health and Social Needs Allison Hamblin, Senior Vice President, Center for Health Care Strategies Listen to the webinar here […]...Read more
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Fact sheet: Complex care health settings and medical-legal partnerships
This fact sheet from the National Center for Medical Legal Partnership, MLPB, the National Center for Complex Health and Social Needs, and PennMedicine Lancaster General Health captures learnings from a medical-legal partnership pre-conference held at our annual conference, Putting Care at the Center, in December 2018. It describes five complex care settings, including the Camden Coalition […]...Read more
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Re-envisioning care for people with involved disabilities
This video series from Community Catalyst’s Center for Consumer Engagement in Health Innovation (CCEHI) examines how to design person-centered care for people with involved disabilities. It aims to support clinicians and health system leaders in understanding and adopting principles of person-centered care through four short educational videos featuring Dr. Robert Master and other clinician and […]...Read more
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7-Day Pledge: Avoiding hospital readmissions through rapid connection to primary care
This evaluation of the Camden Coalition of Healthcare Providers’ 7-Day Pledge program, published in JAMA Network Open, shows that rapid connection to primary care after hospital discharge can help avoid readmission. Patients who had primary care appointments within seven days of hospital discharge had significantly lower numbers of 30- and 90-day hospital readmissions. Below, find […]...Read more
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Introducing the Blueprint for Complex Care: Opportunities to advance the field
This webinar featured Blueprint authors from the National Center for Complex Health and Social Needs, the Center for Health Care Strategies, and the Institute for Healthcare Improvement. Presenters outlined the goals of the Blueprint, discussed how it was developed, described recommendations for building the complex care field, and shared opportunities to get involved. Two experts […]...Read more
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Essential needs roadmap
This toolkit from Health Leads provides guidance, milestones, and supporting resources for healthcare organizations looking to incorporate social needs into their practice. The toolkit is broken down into ID & screening, navigation & resource connection, social health team & workflow, community partnerships, data & evauation, and leadership & change management sections. The entire roadmap is […]...Read more
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How ACOs are caring for people with complex needs
This report, authored by researchers from the Dartmouth Institute for Health Policy and Clinical Practice and supported by The Commonwealth Fund, The John A Hartford Foundation, Milbank Memorial Fund, Peterson Center on Healthcare, the Robert Wood Johnson Foundation, and The SCAN Foundation, provides an overview of strategies employed by accountable care organizations (ACOs) across the […]...Read more
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Expecting better: Improving health and rights for pregnant women who use drugs
This publication from the Open Society Foundations provides a framework for advocates and providers who work with pregnant people who use drugs, to ensure that their rights are respected and that they are connected to the services they need. The document includes sections on combatting misinformation and stigma surrounding drug use and pregnancy, connecting patients […]...Read more
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New faces of the complex care workforce: Reflecting and connecting with patients
A collection of profiles of “non-traditional health workers” from the Center for Health Care Strategies. The individuals profiled share experiences with the patients they serve and can provide a more personal approach to engagement and care coordination. They have titles like community health worker, care navigator, community paramedic, and peer specialist, and use their knowledge […]...Read more
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2018 Closing Remarks: Susan Cooper
Closing remarks from Susan Cooper, Senior Vice President/Chief Integration Officer of Regional One Health....Read more
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2018: The Next Generation of Movement Builders
The Next Generation of Movement Builders was the final plenary session of December 2018’s Putting Care at the Center conference, the second annual conference of the National Center for Complex Health and Social Needs. In recent times, youth from across the Nation have banded together to demand a change to the status quo. Building a […]...Read more
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2018 Keynote: Ai-jen Poo
The keynote address of Putting Care at the Center 2018, the third annual conference of the National Center for Complex Health and Social Needs. Putting Care at the Center 2018 was December 5-7, 2018, in Chicago, IL. Ai-jen Poo, Director of the National Domestic Workers Alliance and the Co-Director of Caring Across Generations, presented on […]...Read more
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2018: The Power of Partnership in Transformation
The Power of Partnership in Transformation was the second plenary session of December 2018’s Putting Care at the Center conference, the third annual conference of the National Center for Complex Health and Social Needs. Health care consumers want care that is coordinated, convenient, cost-effective, well-communicated, and respects what matters to them. Consumers can—and should—play a […]...Read more
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2018: Uncertainty as the Norm
Uncertainty as the Norm was the opening plenary session of December 2018’s Putting Care at the Center conference, the second annual conference of the National Center for Complex Health and Social Needs. From the Affordable Care Act in 2010 to the Tax Cuts and Jobs Act of 2017, the institution of healthcare has become increasingly […]...Read more
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2018: The Blueprint for Complex Care
The Blueprint for Complex Care is a guide for advancing the field of complex care. Incorporating far-reaching perspectives from published literature, interviews, surveys, and convenings, the Blueprint presents a comprehensive picture of the field of complex care and a set of recommendations for building on existing work. Developed by National Center for Complex Health and […]...Read more
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2018 Opening Remarks: Kathleen Noonan
Opening remarks from Kathleen Noonan, CEO of the Camden Coalition of Healthcare Providers....Read more
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Office Hours for Complex Care: How to Incorporate Social Needs into Risk Stratification
This Office Hours session features Rachel Mix, Director, Glenda Armstrong, Care Management Clinical Manager, Kristin Steuck, Care Management Operations Manager, and Chelsea Bishop, Quality Manager at Sooner Health Access Network discussed how they have implemented this process in different practice settings and how providers can take the next steps once the patients are identified. Risk […]...Read more
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Beyond the grant: A sustainable financing workbook
This workbook from ReThink Health is specifically designed for multisector partnerships that are engaged in population health efforts. It provides modules with practical, user-friendly tools to answer common financing questions and develop action plans for moving beyond short-term grant funding. Explore the workbook...Read more
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Trauma-informed care implementation resource center
This new website from the Center for Health Care Strategies provides resources for organizations and individuals looking to become more trauma-informed in their care practices. These resources can help improve patient outcomes, increase patient and staff resilience, and reduce avoidable health care service use and costs. The site also includes case studies from organizations that […]...Read more
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Community Information Exchange toolkit: Collaboration and cross-sector data sharing to create healthier communities
This toolkit from 2-1-1 San Diego is designed to give communities insights and strategies on how to approach development of a local Community Information Exchange (CIE) in their community. A CIE is an ecosystem comprised of multidisciplinary network partners that use a shared language, a resource database, and an integrated technology platform to deliver enhanced […]...Read more
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Addressing social determinants of health via Medicaid managed care contracts and Section 1115 demonstrations
This report from the Association for Community Affiliated Plans and the Center for Health Care Strategies examines Medicaid managed care contracts or requests for proposals (RFPs) in 40 states, as well as 25 approved Section 1115 demonstrations, identifies common themes in the states’ approaches, and proposes recommendations for federal policymakers. Recommendations include: Make it easier […]...Read more
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Putting Care at the Center 2018: Workshop resources
Find all available resources from Putting Care at the Center 2018 workshops and Satellite Session here. Not seeing your resources or want to add additional resources? Email [email protected] Satellite Session: Transforming Care through Age-Friendly Health Systems Facilitators: Marie Cleary-Fishman, Raahat Ansari, MaeMargaret Evans, Karineh Moradian Organizations: American Hospital Association, IHI Advisory Council Member, Kaiser Permanente, Southern California Region Resource: Dow...Read more
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Blueprint for Complex Care
The Blueprint for Complex Care is a joint project of the National Center for Complex Health and Social Needs, the Center for Health Care Strategies, and the Institute for Healthcare Improvement, and provides a strategic plan to support these multidisciplinary innovations and accelerate opportunities to improve care for individuals with complex health and social needs. […]...Read more
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Inclusion and exclusion criteria for complex care programs: Survey of approaches
This resource from the Center for Health Care Strategies compares inclusion, exclusion, and graduation criteria from complex care programs across the country. Programs use these criteria to consistently and efficiently identify individuals in their patient population who can benefit from enhanced care coordination and also determine when to “graduate” patients out of their programs. Read […]...Read more
Events & Webinars
Office Hours for Complex Care: Building a trauma-informed care team
Date: April 24, 2019
Time: 1:00-2:00 pm ET
Office Hours
Putting Care at the Center 2019
Start date: November 13, 2019
End date: November 15, 2019
Conference
Recent News
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Demystifying person-centered care: A new video series from Community Catalyst
In early February, Community Catalyst’s Center for Consumer Engagement in Health Innovation (CCEHI) ...
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Looking ahead to 2019: Reflections on the field-building work of planning our conference
By Mavis Asiedu-Frimpong Before I started in my role as Director of National Initiatives at the Camd...
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Kaiser Permanente Care Management Institute and the National Center for Complex Health and Social Needs to Host Webinar on Innovative Approaches to Complex Care
Oakland, January 10, 2019 – Kaiser Permanente’s Care Management Institute will host a webinar with t...
The National Center for Complex Health and Social Needs is an initiative of the Camden Coalition.