National Center
For Complex Health and Social Needs
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Complex care and the opioid epidemic
Between 1999 and 2016, opioid overdose deaths increased fivefold in the United States. As the country struggles to address this crisis, the complex care field offers a unique approach. Complex care goes beyond a single disease state and has applicability to public health crises, including the current opioid epidemic. It is imperative that the complex […]...Read more
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Office Hours for Complex Care: How to Support a Workforce Through Trauma-Informed Supervision and Mentorship
This Office Hours session features Linda Henderson-Smith, Director of Children and Trauma-Informed Services at the National Council for Behavioral Health. Linda provided information and answered questions on supporting staff wellness through trauma-informed supervision. Working with individuals with complex needs has the potential to change lives and provide wellness and self-sufficiency for those who need it […]...Read more
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Medicaid work requirements: What they are, who is affected, and how you can engage in advocacy
Earlier this year, the Centers for Medicare and Medicaid Services published new guidance that allows states to impose work requirements on Medicaid recipients using Section 1115 Waivers. Such waivers would require beneficiaries to prove employment or participation in job search activities in order to receive health coverage under the program. Work requirements create additional barriers […]...Read more
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Office Hours for Complex Care: How to Share Ethical, Empowering Consumer Stories
This Office Hours session features Kate Marple, Director of Communications for the National Center for Medical-Legal Partnership, discussed considerations for empowering collaborations with consumers and answer questions on related communications strategies involving consumer partners. Consumer narratives and storytelling can spur audiences to organized action and build capacity for advocacy in those sharing their lived experience. These […]...Read more
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Health benefits of primary care social work for adults with complex health and social needs: A systematic review
This 2016 paper from Health and Social Care in the Community reviewed the available literature from 1990-2015, aiming to identify and synthesize the available evidence on the health benefits of social work interventions in primary care settings for people with complex health and social needs. Results suggested a promising role for primary care social work […]...Read more
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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
Recent News
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Navigating political uncertainty: Collaboration, innovation, and community engagement in Oregon
In 2016, CareOregon, Oregon’s Medicaid health plan and longtime provider of complex care services to...
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New resources give how-tos for cross-sector data collaboration
Cross-sector data sharing is lauded as an integral part of complex care. Sharing data between multip...
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First 100 Days: Reflections from new CEO Kathleen Noonan on what’s ahead for the Camden Coalition
The National Center for Complex Health and Social Needs is an initiative of the Camden Coalition of ...