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From one to many: Exploring people’s progression to multiple long-term conditions in an urban environment
This report from Guy’s and St Thomas’ Charity in the UK combines stories and data to explore how people in disadvantaged neighborhoods progress from one chronic medical condition to multiple. The report features in-depth data visualizations showing everything from frequency of chronic condition by age to the sequence of acquisition of multiple conditions. The report […]...Read more
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A framework for advancing health equity and value: Policy options for reducing health inequities by transforming health care delivery and payment systems
This report from Families USA argues that the current shift from volume-based/fee-for-service payment models in healthcare to value or quality-based models is an important opportunity for advancing health equity. However, without including the communities most affected by health inequities in the design and implementation of delivery and payment reforms, there is the risk that this […]...Read more
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Housing and health: An overview of the literature
A literature review on the impact of housing on health by Lauren Taylor, co-author of The American Health Care Paradox, for Health Affairs. She explores four pathways that connect housing and health outcomes: housing stability, quality, safety, and affordability. The review closes with a discussion of policy implications for healthcare organizations, private sector businesses, community […]...Read more
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ROI calculator for partnerships to address the social determinants of health
A tool from The Commonwealth Fund designed to assist community based organizations and medical organizations make the case for how partnering to address complex health and social needs will generate a return on investment. Inputs include which social and medical services a partnership is planning to provide as well as baseline utilization rates and costs […]...Read more
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The 1115 Impact: The role of Medicaid Section 1115 Waivers in complex care
Medicaid Section 1115 Waivers are intended to provide an opportunity for states to design and implement innovative Medicaid policies and programs to better serve our country’s most vulnerable populations. Section 1115 Waivers can include reforms that go beyond just routine medical care, and include evidence-based interventions that impact social determinants and improve health and well-being....Read more
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Office Hours for Complex Care: How to Support Young Adult Peer Mentors in Recovery Programs
This Office Hours session featured Eric Martin, Director of the MetroPlus Association of Addiction Peer Professionals and trainer and supervisor of the 4th Dimension Youth Recovery Club and Peer Support Program, as well as Tony Vezina, Executive Director & Co-Founder of the 4th Dimension Youth Recovery Club and Peer Support Program. Addiction and substance use disorders […]...Read more
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Office Hours for Complex Care: Maximizing partnerships with the criminal justice sector
This Office Hours session features Laura Buckley, Senior Program Manager for Innovation Operations; Dawn Wiest, Director of Action Research and Evaluation; and Tyson Smith, Senior Program Manager for Qualitative Research, who all work on the Camden RESET program at the Camden Coalition of Healthcare Providers. Individuals with complex health and social needs interact with a […]...Read more
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Informational webinar: 2018 conference presentation opportunities
This informational webinar provides an overview of the three types of presentation opportunities for the Putting Care at the Center 2018 conference: workshops, Beehive presentations, and Satellite Sessions. Conference team members walked through the differences between each presentation category, described the application process, and took questions from potential applicants. To learn more about presenting at […]...Read more
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Eviction lab
The first nationwide database of evictions, from Princeton University. Housing has major impacts on health, and evictions are a common way for people to become homeless or unstably housed. This database allows you to see what eviction looks like in your community, and to create custom maps and charts to share with peers and decisionmakers. […]...Read more
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A legal approach to sharing health & education data
Legal restrictions can make data sharing to improve health difficult. This report from Data Across Sectors for Health (DASH) spotlights a cross sector data-sharing agreement between the Chicago Department of Public Health and Chicago Public Schools, detailing how these two institutions were able to legally collaborate and share limited data in order to improve student […]...Read more
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Research and evaluations from CHS’s FUSE model
CSH FUSE (Frequent Users Systems Engagement) is a proven model identifying frequent users of jails, shelters, hospitals and/or other crisis public services and then improving their lives through supportive housing. CSH collects examples of evaluated FUSE programs from across the country on their website. Browse the evaluations...Read more
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Addressing addiction at the Camden Coalition
This brief from the Camden Coalition of Healthcare Providers describes how addiction care can be woven into programs that care for people with complex health and social needs including housing, care management, maternal health and more. Read the brief...Read more
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Interactive complex care map
The Better Care Playbook has introduced an interactive map that let’s users learn about and connect with complex care programs based on target population, care model, and other important features. Programs represented in the Complex Care Map were identified by the Center for Health Care Strategies. The Better Care Playbook is a rich resource library on […]...Read more
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The opioid epidemic and Medicaid’s role in facilitating access to treatment
This issue brief from the Kaiser Family Foundation outlines the role that Medicaid coverage plays in facilitating access to treatment for individuals with opioid use disorders. KFF found: Among nonelderly adults with opioid addiction, those with Medicaid were twice as likely as those with private insurance or no insurance to have received treatment in 2016. […]...Read more
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Sympathy Leads to Charity, Empathy Leads to Change: A conversation about partnering with people to tell their own stories
There is growing support that telling personal, deeply human stories is an essential part of creating change. At the same time, storytelling can be resisted as a practice by providers, communications staff, and advocates who often view it as inherently exploitative to already marginalized communities. This webinar delves into a tension often ignored: research shows […]...Read more
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Modern justice: Using data to reinvent America’s crisis response systems
This report released by the Laura and John Arnold Foundation explores the consequences of individuals with complex health needs being admitted to jail instead of medical care. Authors of the report found that locking up individuals who are frequently admitted to the hospital often makes their root issues worse, while producing no improvement in public […]...Read more
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Cross-sector collaboration for data sharing
Individuals with complex health and social needs often cycle through various systems— including healthcare, social services, and criminal justice— without cross-sector communication or coordination. Cross-sector data sharing can help break down some of the barriers to providing whole-person care, but the process of creating strong data-sharing partnerships can be daunting. With support from the Aetna […]...Read more
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Investing in social services as a core strategy for healthcare organizations: Developing the business case
This guidebook from The Commonwealth Fund explores the current landscape of healthcare organizations investing in services that target social determinants of health (SDOH), as well as approaches to accelerate the uptake of SDOH investments. It includes practical steps to build the business case as well as spotlights on existing programs. Read the guidebook...Read more
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Task‐sharing approaches to improve mental health care in rural and other low‐resource settings: A systematic review
This publication in The Journal of Rural Health focuses on the approaches to task sharing within community health worker and primary care provider roles and the impact on mental healthcare. The publication highlights how provider education, supervision, and partnerships with local communities can support task sharing. Findings suggest task sharing may improve reach and effectiveness […]...Read more
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The business, ethics, and quality cases for consumer engagement in nursing
This article published in the Journal of Nursing Administration, produced by Robert Wood Johnson Foundation, illustrates the impact of consumer engagement in decision making on health and financial outcomes. The research in this publication highlights the quality, safety, cost-effectiveness, and ethics of consumer engagement initiatives and identify promising practices and leadership strategies used by nursing leaders. The […]...Read more
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Beyond Cost and Utilization: Rethinking Evaluation Strategies for Complex Care Programs
This webinar, cosponsored by the Center for Health Care Strategies’ Complex Care Innovation Lab and the National Center for Complex Health and Social Needs (National Center), reviewed the merits and limitations of traditional complex care evaluation approaches, explored new ways to effectively evaluate these programs, and discussed the broader policy implications of evaluating complex care […]...Read more
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Health care data 101
This guide from Data Across Sectors for Health (DASH) introduces non-health sector professionals to healthcare data, answering questions such as: Who collects and uses health care data? What are some common types of health care data? How is health care data stored and what systems are used to store it? What are typical uses of […]...Read more
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The opioid crisis in America & the role medical-legal partnership can play in recovery
This issue brief from the National Center for Medical-Legal Partnership explores how legal services delivered as part of a medical-legal partnership (MLP) can function as one critical recovery service alongside medical treatment and other supportive services for substance use disorders. In MLP models, lawyers are embedded on-site in clinical settings and receive referrals from healthcare providers […]...Read more
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Office Hours for Complex Care: Demystifying data sharing
This Office Hours session features Lynn Overmann, VP for Data-Driven Justice at the Laura and John Arnold Foundation, and David Schwindt, Police Officer at the Iowa City Police Department. Building on their workshop “The Value of Cross-Sector Collaboration: Lessons from the Data-Driven Justice Initiative” presented at Putting Care at the Center 2017 in Los Angeles, CA, Lynn […]...Read more
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Using administrative data for randomized evaluations
This comprehensive guide from the Abdul Latif Jameel Poverty Action Lab (J-PAL) North America provides practical guidance on how to obtain and use existing nonpublic administrative data (rather than collecting new data) for a randomized evaluation. Government departments and other organizations collect administrative data for the purposes of registration, transaction, and record keeping, usually during […]...Read more
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Medications for opioid use disorder: For healthcare and addiction professionals, policymakers, patients, and families
This Treatment Improvement Protocol from the Substance Abuse and Mental Health Services Administration (SAMHSA) reviews three Food and Drug Administration-approved medications for opioid use disorder treatment—methadone, naltrexone, and buprenorphine—and the other strategies and services needed to support people in recovery. It includes an introduction to medication-assisted treatment (MAT), recommendations for addressing opioid abuse disorder in […]...Read more
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Consumer engagement structures and mechanisms: Current patient involvement in organizational governance among providers pursuing value
A survey of consumer engagement structures and mechanisms utilized by provider organizations in the design and governance of value-based payment programs from the Health Care Transformation Task Force. The Task Force interviewed senior decisions-makers involved in consumer-engagement related activities and efforts within their respective organization, and their findings emphasize that Consumer engagement is important at […]...Read more
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Partnerships for health: Lessons for bridging community-based organizations and healthcare organizations
A report from the Center for Health Care Strategies and the Blue Cross Blue Shield of Massachusetts Foundation that outlines characteristics of successful healthcare organization-community-based organization partnerships and provides recommendations to guide the development of successful collaborations between healthcare and social service organizations. The report seeks to examine the strategic, operational, and financial approaches that […]...Read more
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Office Hours for Complex Care: Making the case for social work in primary care
This Office Hours for Complex Care features Robyn Golden, Associate Vice President of Population Health and Aging at Rush University Medical Center. Social workers are integral members of healthcare teams, often called upon by providers for their expertise in areas that other medical providers may not be trained to navigate. However, few providers are able […]...Read more
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Student Hotspotting Information Session
Click below to view a recording of our 2018 student team webinar. ...Read more
Events & Webinars
Putting Care at the Center 2018: Satellite session applications open
Start date: April 16, 2018
End date: August 8, 2018
Office Hours for Complex Care: How to Share Ethical, Empowering Consumer Stories
Date: July 23, 2018
Time: 3:00 pm- 4:00 pm ET
Recent News
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National Center for Complex Health and Social Needs Signs Ai-jen Poo as Keynote Speaker for 2018 Conference in Chicago
June 27, 2018 Bestselling author, MacArthur genius, and executive director of the National Domestic ...
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Creating meaningful partnerships: Community, equity, and complex care in Chicago
Complex care is about addressing people’s social and medical needs, but most hospitals and health sy...
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“Consumers bring something special to the table”: Consumer leadership at the National Center
As we work to coalesce the field of complex care, it is people with complex health and social needs ...