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Putting Care at the Center 2019: Workshop resources
Find all available resources from Putting Care at the Center 2019 workshops here. Not seeing your resources or want to add additional resources? Email meetingsadmin@horizonmeetings. Workshop: Addressing social complexity: Lessons for adult health from pediatric screening and performance quality measurement Facilitators: Kathleen Noonan, Simon Hambidge, Holly Henry, Mia Matthews, Colleen Reuland Organizations: Camden Coalition of […]...Read more
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Preventing adverse childhood experiences (ACEs): Leveraging the best available evidence
This report from the Centers for Disease Control and Prevention (CDC) provides an overview of how adverse childhood experiences (ACEs) impact health and opportunity, and lays out a series of strategies to prevent ACEs. These strategies include: Strengthening economic supports to families Promoting social norms that protect against violence and adversity Ensuring a strong start […]...Read more
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Building to a sum greater than its parts: A hands-on guide to cultural integration in community health partnerships and alliances
This guidebook from the California Health Care Foundation (CHCF) aims to help community health organizations mitigate cultural risks associated with partnering while simultaneously harnessing cultural strengths to build sturdier, more effective partnerships. Tools in the guidebook include actionable insights, hands-on exercises, and real-world examples. Using the guidebook, readers will learn: How to define what culture […]...Read more
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From siloed systems to ecosystem: The evolution of the Camden Coalition’s complex care model
While discussions about the social determinants of health are featuring more prominently in the nation’s current health policy conversation, many organizations, like the Camden Coalition of Healthcare Providers, have been working for years to understand and address this intersection. In the spirit of reflection and continuous learning, we thought it was time to share the […]...Read more
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The state of the field of complex care: A message from the Field Coordinating Committee
This handout from the 2019 Putting Care at the Center conference introduces the new Field Coordinating Committee (FCC), launched in 2019 to oversee field-building activities taking place across the country, and highlights trends in complex care identified by the FCC, including: Widespread engagement by health systems and payers to meet social needs Recognition of consumer […]...Read more
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Upcoming National Center activities
This handout from the 2019 Putting Care at the Center conference outlines upcoming activities and opportunities from the National Center, including: The second round of regional convening applications opening January 15, 2020 The new Complex Care Resource Exchange LinkedIn group Upcoming virtual learning opportunities Upcoming complex care ecosystem tools and resources Download the one pager...Read more
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What matters most in driving cross-sector partnerships for complex populations
It is widely recognized that good outcomes for patients with complex care needs are achievable when health care providers work locally and in tandem with community, government, and other partners. Interprofessional, cross-sector, and cross-agency collaboration between organizations that share responsibility for serving a group of individuals living in a community or particular geography is an […]...Read more
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Cross-sector collaboration for vulnerable population reduces utilization and strengthens community partnerships
Adventist Health Clear Lake, a critical access hospital serving Lake County, CA, and the surrounding areas, provides medical care to people with complex needs. Its patients’ social needs often manifest in clinical settings, prompting Adventist Health to pursue creative solutions to community issues. This led to the development of Project Restoration, a cross-sector intervention designed […]...Read more
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Screening for social needs: Guiding care teams to engage patients
This tool from the American Hospital Association is designed to help hospitals and health systems facilitate sensitive conversations with patients about their nonmedical needs that may be a barrier to good health. It includes strategic considerations for implementing a screening program, tips for tailoring screenings to hospitals’ unique communities, case examples and a list of […]...Read more
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Addressing the social needs of older adults: A practical guide to implementing a screening and referral program in clinical settings
This guide from West Health Institute and the University of California, Irvine details how to implement a social needs screening and referral program for older patients into clinical practice. It is intended for primary care providers serving older patients, but can also be applied to other clinical settings such as emergency departments. The interactive guide […]...Read more
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Advancing primary care innovation in Medicaid managed care: A toolkit for states
This toolkit from the Center for Health Care Strategies (CHCS) is designed to help state Medicaid agencies leverage their managed care purchasing authority to advance primary care innovation. The content is based on the experience of states participating in CHCS’ Advancing Primary Care Innovation in Medicaid Managed Care learning collaborative, and outlines design considerations and shares sample […]...Read more
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Medications for addiction treatment: Providing best practice care in a primary care clinic
This best practices toolkit, published by the Camden Coalition’s National Center for Complex Health and Social Needs and co-authored by Shelly Virva (Camden Coalition of Healthcare Providers) and Grace “Katie” Bell (Telewell Indian Health MAT Project), is intended for for program administrators and clinical care teams who want to establish effective medications for addiction treatment […]...Read more
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Integrating social care into the delivery of health care: Moving upstream to improve the nation’s health
A consensus study report from the National Academies of Science, Engineering, and Medicine (NASEM)’s Committee on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation’s Health. The committee was convened by NASEM to examine the potential for integrating social care services into the delivery of health care with the ultimate […]...Read more
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A look at people who have persistently high spending on health care
This online brief from the Kaiser Family Foundation and Peterson Center on Healthcare’s Health System Tracker takes a closer look at the amounts and types of health spending for people with employer-based health insurance who have continuing high health care spending (for three consecutive years). The analysis includes data on what types of care people with persistently high spending are […]...Read more
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Rural communities (September-October 2019)
Rural areas present unique challenges and opportunities for individuals with complex needs and those providing their care. These environments may face healthcare workforce shortages, rising rates of opioid use, and geographical barriers to care. However, rural communities often foster close-knit social networks and an entrepreneurial approach to complex health and social issues....Read more
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Resource referral guide & template
This guide from Health Leads was developed from a workshop presentation at Putting Care at the Center 2018. The guide was created to help healthcare and community-based organizations create and maintain high-quality resource listings to address clients’ social needs, and includes the steps these organizations can take to better understand and proactively address barriers to […]...Read more
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Case study: Generalizability framework
This tool from the Abdul Latif Jameel Poverty Action Lab (J-PAL) North America was developed from a workshop presentation at Putting Care at the Center 2018. The resource introduces J-PAL’s “generalizability framework,” a practical approach for using evidence to assess whether a given program can be replicated or adapted to work in a new setting. […]...Read more
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Reducing health disparities: Strategies to support effective community health workers
This policy brief from the Penn Center for Community Health Workers, home of the IMPaCT community health worker (CHW) model, was developed from a workshop presentation at Putting Care at the Center 2018. The brief highlights financing and policy strategies – including value-based payments, program accreditation, and incentives to implement solutions correlated with high-quality programs […]...Read more
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Continuum case conferencing for an improved behavioral health system
This brief from Alameda County Care Connect and Bright Research Group details lessons and best practices learned from a pilot complex care intervention for high utilizers of psychiatric emergency services in Alameda County. The pilot convened monthly case conferences with a diverse group of providers from the psychiatric emergency system, County Health Care Service Agency, […]...Read more
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Helping our children grow and thrive: Leveraging the health care system to prevent and mitigate adverse childhood experiences and advance equity in childhood
This report from Families USA’s Center on Health Equity Action for System Transformation lays out policies and strategies to leverage the healthcare system to address adverse childhood experiences (ACEs). It includes recommendations for federal and state policymakers, state Medicaid agencies, health system leaders, and individual providers, arguing that new efforts to broaden the definition of […]...Read more
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Promising health and housing collaborations
This report from the National Housing Conference profiles health and housing initiatives in Oregon, Tennessee, and Massachusetts that exemplify practical and actionable ways that housing developers can work together with health systems and managed care organizations to build new affordable housing units while reducing unreimbursed medical costs in high-cost populations. The report includes insights from […]...Read more
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Accessing housing (July-August 2019)
Safe, stable housing is a key component of maintaining health and wellbeing. However, the identification documents required to qualify for public or affordable housing can be difficult to obtain for people with complex health and social needs. Individuals experiencing homelessness may lack the stability and resources needed to obtain the necessary documents for housing. ...Read more
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Home-based primary care resources
This toolkit from the American Academy of Home Care Medicine includes tools to help implement home-based primary care for high-risk, homebound patients in order to shift the use of healthcare services from emergency and inpatient care to community-based general care, and to improve patients’ quality of life. The toolkit includes a white paper, FAQ, video […]...Read more
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It’s about trust: Low-income parents’ perspectives on how pediatricians can screen for social determinants of health
This report from Public Agenda and United Hospital Fund provides the results of qualitative research aiming to better understand parents’ perspectives on social determinants of health, receptiveness to discussing social needs with pediatricians, and ideas for making social determinants of health screenings work well. Through focus groups with low-income parents in New York City, the […]...Read more
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Blueprint for health plans: Integration of CBOs to provide social services and supports
This report from The SCAN Foundation highlights successful partnerships between health plan networks and community-based organizations (CBOs) to help meet the needs of older adults with complex health and social needs. Focused on California, the report provides a framework for implementing sustainable health plan and CBO partnerships. Read the report...Read more
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Opportunities to advance complex care in rural and frontier areas
This brief from the Center for Health Care Strategies (CHCS) explores obstacles faced by rural and frontier health care organizations in providing complex care, including: workforce shortages, unique “rural” social determinants of health, and the self-sufficient character of many community members. It includes examples of rural communities that are enhancing complex care delivery through workforce […]...Read more
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HUD policy brief on rural homelessness: Understanding the impact and potential for health centers
This policy brief from CSH provides an overview of rural homelessness as well as ways that health centers can address rural homelessness in their communities. These strategies include partnering with local providers, screening for homelessness and housing instability, and participating in coordinated entry. Read the brief...Read more
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Multi-sector partnerships (May-June 2019)
To address individuals’ array of needs, the field of complex care must work across sectors at both the individual and systemic levels to break down silos. Effective multi-sector partnerships are essential to building a lasting ecosystem that provides whole-person care for vulnerable populations and helps to address the social determinants of health....Read more
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Supportive housing needs in the United States
This toolkit from CSH includes data visualizations, evidence, and research on supportive housing needs in the US. It includes a review of supportive housing research broken into outcomes and data reports of supportive housing need broken out by population. Explore the toolkit...Read more
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IMPACT! How consumers have shaped health system delivery reform
This report from Community Catalyst’s Center for Consumer Engagement in Healthcare Innovation highlights examples of how consumers with complex health and social needs, organized and supported by the Center’s state and local advocacy partners, have shaped policy and practice in delivery reform initiatives. It also provides a framework for understanding consumer impact, including process impacts, […]...Read more
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Recent News
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Putting Care at the Center 2019: Workshop resources
Find all available resources from Putting Care at the Center 2019 workshops here. Not seeing your re...
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It takes an ecosystem: Finding success in complex care
Read the adapted opening remarks by Kathleen Noonan, CEO of the Camden Coalition for Healthcare Prov...
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New Trails Navigators and Roots Community Health Center: Putting equity into practice through workforce development
As we wrote in the Blueprint for Complex Care, effective complex care must be equitable. This means ...
The National Center for Complex Health and Social Needs is an initiative of the Camden Coalition.