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Rethinking complex care measurement: Using patient- and staff-reported measures
Complex care stakeholders across the nation are committed to finding new ways to measure quality and impact of complex care programs, ways that incorporate the holistic goals of caring for individuals with complex health and social needs. The Blueprint for Complex Care and Measuring Complexity, seminal reports in the complex care field, highlighted the need […]...Read more
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Person-centered implementation of patient-reported outcome measures (PROMS) in complex care programs
This brief from the National Center for Complex Health and Social Needs and the Kaiser Permanente Institute for Health Policy and Care Management Institute examines the factors that support or hinder the implementation of patient-reported outcome measures (PROMs) in complex care programs. The authors found that simply including PROMs in a complex care measurement strategy […]...Read more
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Breaking the homelessness-jail cycle with Housing First: Results from the Denver Supportive Housing Social Impact Bond Initiative
This report by the Urban Institute tracked and evaluated the implementation of the 2016 Denver Supportive Housing Impact Bond Initiative (Denver SIB), an initiative that provides supportive housing through a Housing First approach. This report includes the randomized-control trial and evaluation results of the efficacy of the supportive housing initiative over a five-year period. Read […]...Read more
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Best practices from the field: Using social determinants of health resource and referral data to increase equitable access and connection rates to essential resources
This brief by Health Leads provides guidance for organizations adopting resource databases as a technology solution to support social determinants of health programs, providing examples to demonstrate the ways in which data usage and interpretation can impact equitable access to essential resources and improve connection rates. Read the brief...Read more
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Policy options for integrating health and housing for low-income older adults
This report by the Center for Consumer Engagement in Health Innovation (CCEHI), with support from Arnold Ventures and in partnership with the Leading Age LTSS Center @UMass Boston, describes barriers and solutions to successfully linking low-income older adults to affordable housing and healthcare. Through focus group interviews, CCEHI identified key building blocks for achieving success, […]...Read more
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Using data strategies to advance health and racial equity
This set of resources from the National Academy for State Health Policy (NASHP) illustrates how convergent analysis — which helps to depict the extent that different health conditions coexist at their worst level — can be applied to publicly available data sets to advance health and racial equity. The toolkit includes examples of convergent analysis […]...Read more
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Introducing a toolkit of resources for new and developing complex care teams
The National Center for Complex Health and Social Needs recently released the Complex Care Startup Toolkit. This toolkit contains over 200 tools, templates, and guides to support new and developing complex care teams. The toolkit contains resources from the Camden Coalition of Healthcare Providers and dozens of partner organizations to help new and growing programs […]...Read more
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Open meeting on the National Center’s evaluation and next five years
Ahead of its five year anniversary, the Camden Coalition’s National Center for Complex Health and Social Needs partnered with Mathematica to assess how well its programming delivers on its mission. Funded by the Robert Wood Johnson Foundation, the evaluation, and the conversations that flow from it, will inform the next phase of the National Center’s […]...Read more
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Interventions to address social isolation and loneliness: Lessons learned from programs around the globe
This brief from the Social Interventions Research and Evaluation Network (SIREN) provides a deep dive into what interventions are needed to address social isolation and loneliness. The brief includes literature review, surveys, and case studies help to highlight the rapidly evolving global effort to develop, implement, and scale necessary interventions, as well as key lessons […]...Read more
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Targeted text message outreach can increase WIC enrollment, pilots show
This report by Benefits Data Trust and the Center on Budget and Policy Priorities draws on lessons learned from individual state Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) outreach pilots and discusses: The effectiveness of text message outreach to families who are adjunctively eligible for WIC at reaching families, engaging them, and […]...Read more
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Do no harm guide: Applying equity awareness in data visualization
This guide for researchers and analysts, constructed by the Urban Institute, focuses on how data practitioners can approach their work through a lens of diversity, equity, and inclusion, and aims to encourage thoughtfulness in how analysts work with and present their data rather than prescribe what to do or not to do. Read the report...Read more
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Complex Care Startup Toolkit
Starting or growing a new complex care program can be overwhelming. With the goal of providing person-centered care that bridges organizations and sectors, complex care programs are often structured differently than traditional healthcare or social service programs. Our Complex Care Startup Toolkit is a practical collection of guides, templates, and other tools to help you launch and […]...Read more
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Addressing health equity in HIV care delivery
Linking young HIV-positive African American and Latino men who have sex with men to medical care, supportive services, and antiretroviral treatment is essential to improving their health outcomes, their quality of life, and their ability to achieve viral suppression. Unfortunately, due to persistent structural and societal inequities, these populations generally fare worse in linkage to […]...Read more
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Inverting the burden: A health equity strategy for delivering complex care
“Inverting the burden” is an operational approach to achieving health equity by placing the burden of addressing racism and other inequities on institutions rather than individuals. It includes techniques for addressing the “downstream” immediate needs of complex care patients, the “midstream” supply of affordable housing, quality jobs, and insurance coverage, and the “upstream” root causes […]...Read more
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Shared measurement: Collaborating with communities toward equitable health outcomes
The various systems within communities — including medical care, public health, housing, education, transportation, justice, and human services — directly influence the health and well-being of community members. Yet often, these systems’ policies and practices have excluded, marginalized, and disadvantaged some communities of people — especially people of color — creating long-standing inequities in health […]...Read more
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Building trust through community health workers in a rural environment
Supporting health-related social needs is increasingly recognized as important in addressing health disparities among vulnerable patients, but a patient’s willingness to engage in social needs screening and support requires trust in their care team. Rural communities’ emphasis on self-reliance and general distrust of institutions are barriers providers often face when seeking to develop trust with […]...Read more
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Collaboratively addressing food insecurity during COVID-19 in urban environments
In the absence of comprehensive economic and antihunger policies, emergency food systems and healthcare organizations have organized to meet increasing demand during the COVID-19 pandemic. In this webinar, we heard from two collaboratives about their strategies to address acute food insecurity in urban environments. We heard how their strategies were tailored to their specific populations […]...Read more
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Information session: National Consumer Scholars 2021-2022 cohort
This virtual informational session was hosted by Evelyne Kane, the National Consumer Scholars Program Manager, as well as Alayna Tillman and Stephanie Burdick, two of our Consumer Scholar alumni. We welcomed people with lived experience who may be interested in applying to be a Consumer Scholar, as well as staff/providers of complex care organizations who […]...Read more
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Building partnerships to care for immigrant communities during COVID-19
COVID-19 has compounded long-standing economic and health disparities, disproportionately affecting Latinos and other people of color. The CARES Act did not confer equal access to stimulus relief or Medicaid to immigrants who are more vulnerable due to roles in essential jobs. To address these structural inequities, organizations like La Clínica del Pueblo in Washington, D.C. […]...Read more
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How health center care teams can address health and housing for patients involved with the justice system
This brief from the National Center for Medical Legal Partnership aims to provide an overview of both the civil and criminal justice systems in the United States, and describes the cyclical relationship between those systems and housing insecurity (including homelessness). The brief outlines potential workflow considerations for health centers working to reduce health disparities for […]...Read more
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Legal and policy approaches towards preventing housing instability
This toolkit from the Network for Public Health Law includes resources that explore state- and local-level legal and policy approaches towards reducing tenant displacement and eviction, and providing supports to prevent housing instability and homelessness. Explore the toolkit...Read more
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Contracting toolkit
This toolkit from the Aging and Disability Business Institute assists in preparing community-based organizations (CBOs) for contracting work by exploring the critical elements of CBO-healthcare contracts. Elements included in the toolkit are: A lexicon of contracting terms Contracting dos and don’ts Guide to insurance in contracting Model contracts for community-based integrated care networks Explore the […]...Read more
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Assessing the impact of complex care models: Opportunities to fill in the gaps
This brief from the Center for Health Care Strategies describes a process used to identify a set of patient- and staff-reported measures for the eight Advancing Integrated Models pilot sites. These measures can supplement traditional utilization, outcomes, and cost measures and support complex care programs interested in expanding their capacity to evaluate care delivery innovations. […]...Read more
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Framework for aligning sectors
This Align for Health interactive framework from the Robert Wood Johnson Foundation offers insights into what elements drive successful efforts to align the healthcare, public health, and social services sectors. These elements help address complex, community-level barriers to good health. Explore the toolkit...Read more
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Managing Medicare beneficiaries with chronic conditions during the COVID-19 pandemic
This brief from the Commonwealth Fund gives recommendation on how to reenvision care delivery models and develop policies and practices that protect Medicare beneficiaries living with chronic conditions after reviewing literature on how COVID-19 impacted these vulnerable populations. The brief: summarizes the ways in which the coronavirus pandemic has affected Medicare beneficiaries living with chronic […]...Read more
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Improving care transitions for older adults
In August 2019, Jewish Association Serving the Aging (JASA), a community-based organization, partnered with Healthfirst, a health insurer, to leverage their strengths and data-sharing capacities to deliver a community-based care transitions intervention supporting older adults with complex health and social needs. The intervention addresses the social determinants of health, prevents avoidable hospital admissions, and enables […]...Read more
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Exploring consumer engagement experiences: A research project co-led by the National Consumer Scholars
Consumer engagement is becoming a popular concept in healthcare, with organizations increasingly understanding the value in working closely with those they serve in order to improve their programs and outcomes. But what are the experiences of the program staff and consumers who take part in consumer engagement activities? A joint project between staff at the […]...Read more
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Caring for children with medical complexity through transformative family partnership
Health equity has taken center stage as our society reckons with the fallout of the COVID-19 pandemic. Vitally important to health equity is authentic partnership with people with lived experience, but that can remain an elusive goal in the context of healthcare transformation. Launched in 2017, the Collaborative Improvement and Innovation Network on Children with […]...Read more
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Reducing hospital utilization among Native Hawaiians by focusing on social determinants of health
Like many indigenous populations in the US, Native Hawaiians suffer from poor health outcomes as a result of displacement and colonization, which often show up as a high rate of homelessness and fewer opportunities to access education and build wealth. Native Hawaiians are overrepresented as the largest ethnic group experiencing homelessness in Hawaii. As the […]...Read more
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Best practices and strategies for tele-social care
The COVID-19 pandemic has emphasized and exacerbated the wide inequities in health outcomes and access to quality care that exist for people of color, older adults, people with intellectual and developmental disabilities, and other individuals with complex care needs. Social care — activities to prevent and address health-related social risk factors and social needs — […]...Read more
Events & Webinars
CHWs as community connectors and care team supervisors
Date: September 21, 2021
Time: 2:00-3:00 pm ET
Transform your engagement practices
Date: September 28, 2021
Time: 2:00-3:00 pm ET
Events | Webinar
Recent News
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Consumer Spotlight: Camden’s COVID Community Ambassadors
Maritza Gomez, Program Manager, Community EngagementEvelyne Kane, Program Manager, Community Engagem...
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2021 conference overview: Learning from trauma, building trust, and nurturing community healing
By Teri Willard, Administrative Coordinator, Field Building and Resources Trust, trauma, healing — t...
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New toolkit for developing complex care programs
By Rebecca Koppel, Program Manager for Field Building and Resources Starting and operating a new com...
The National Center for Complex Health and Social Needs is an initiative of the Camden Coalition.