National Center
For Complex Health and Social Needs
- Home
- Research & Resources
- Resources(current)
Resources
-
Increasing inclusion of people with lived experiences
Over the last several months, conversations about diversity and inclusion have become increasingly commonplace. No matter the issue at hand, people with lived experiences understand the challenges and barriers experienced by their communities, and can provide insight into the opportunities to bring about lasting and positive change. While many healthcare and social service professionals support […]...Read more
-
Rush COVID-19 community response playbook: Strengthening our commitment to health equity
This playbook from Rush University Medical Center provides a case study for how health systems can work with residents, community leaders, nonprofit organizations, and other healthcare institutions to be a catalyst for community health and vitality by dismantling barriers to health, and by promoting health equity both within and outside of the institution. It describes […]...Read more
-
5 actions to promote housing access during and beyond the COVID-19 pandemic
This short paper from the American Hospital Association (AHA) describes five actions hospitals and health systems can take to address housing instability and improve health in their communities: Screening patients for social needs and connecting them with community partners Informing patients and employees about available housing resources and protections Providing access to safe, temporary living […]...Read more
-
Data sharing and the law: Overcoming health care sector barriers to sharing data on social determinants
This paper from the Social Interventions Research and Evaluation Network (SIREN) at University of California, San Francisco and Manatt Health addresses legal concerns related to sharing data between healthcare systems, community-based organizations, and others. It sheds light on the circumstances in which healthcare organizations can exchange personal information outside the healthcare sector in compliance with […]...Read more
-
Trauma and equity toolkit
This toolkit from the Center for Community Resilience at George Washington University’s Milken Institute School of Public Health aims to help us collectively see the historical underpinnings of structural racism and the traumas and disparities that result and conduct constructive conversations that lead to policy change. It emphasizes the importance of centering equity at the […]...Read more
-
Direct care work is real work: Elevating the role of the direct care worker
This report from PHI National is part of a series providing a comprehensive, current-day analysis of the direct care workforce and its critical role in the long-term care system in the United States. This report examines the current training landscape for direct care workers. This irregular and under-resourced system fails to prepare workers to succeed […]...Read more
-
Thrive framework
This publication from the Corporation for Supportive Housing (CSH) provides a roadmap to undoing structural racism and taking an anti-racist approach to creating the policies and programs that will lead to thriving and equitable communities. The framework includes sections on moving: From crisis to stability From stability to thriving From individual to community From community […]...Read more
-
Change package: Person-centered change at the organizational level
This toolkit from Community Catalyst’s Center for Consumer Engagement in Health Innovation (CCEHI) and the Health Care Transformation Task Force (HCTTF) is a guide for leaders and staff at organizations across the health care spectrum — hospitals, large medical practices, health clinics, health plans, accountable care organizations, and more — to aid in developing meaningful […]...Read more
-
Community-based workforce principles for pandemic response and resilience
This set of principles from Health Begins are designed for state and local health departments for implement alongside community leaders as part of evolving COVID-19 community response and resiliency efforts, including contact tracing. Each principle includes suggested strategies and resources, and the site also includes a guide to help states, counties, and cities advance the […]...Read more
-
The opioid crisis and the Black/African American population: An urgent issue
This issue brief from the Substance Abuse and Mental Health Services Administration (SAMHSA) presents recent data on prevalence of opioid use disorder and death rates in the Black/African American population, contextual factors and challenges to prevention and treatment, innovative outreach and engagement strategies to connect people to evidence-based treatment, and the importance of community voice. […]...Read more
-
Addressing health-related social needs among Medicaid beneficiaries: Mapping cross-sector partnership roles
This technical assistance tool from the Center for Health Care Strategies (CHCS) was developed to support Medicaid agencies, managed care organizations, health care providers, and community partners in mapping cross-sector partnership roles for addressing health-related social needs based on the strengths of each stakeholder. Activities included in the framework are organized under five key categories […]...Read more
-
Charting a path to measurement: Next steps in standardizing quality measures for complex care
The Blueprint for Complex Care laid out a number of important opportunities for advancing the field of complex care, including the need for standardized quality measures that can be used to evaluate and demonstrate the impact of complex care programs beyond cost and utilization. As a first step toward this goal, a new report from […]...Read more
-
Engaging people with complex health and social needs in advocacy (and beyond!)
People with lived experience of complex health and social needs have important insights that are needed to create better systems of care for their communities. Now more than ever, people are using their lived experiences as the impetus to become advocates for change. Advocacy can mean many things, but we define “consumer advocacy” as any […]...Read more
-
System-wide strategies for re-housing in the COVID-19 era
Quarantine hotels/motels have been important models among health and community-based organizations working to protect individuals experiencing homeless or housing instability during the COVID-19 pandemic. The strategies and approaches in communities are now shifting from these urgent and temporary initiatives towards a comprehensive re-housing strategy....Read more
-
Quarantine hotels: Promising practices and resources
Quarantine hotels/motels are a common approach among health and community-based organizations working to protect individuals experiencing homelessness or housing instability during the COVID-19 pandemic. While promising practices are beginning to emerge, these resources are incomplete. Programs that are newer to housing may not be aware of the resources that do exist or how to adapt them […]...Read more
-
Insights from the social sector: A cross-sector response to health disparities in the COVID-19 pandemic
Cross-sector partnerships are more critical than ever as the COVID-19 pandemic threatens the health and broader social systems of communities across the country. This is especially dire for individuals with complex health and social needs who may already have difficulty accessing needed services....Read more
-
Complex care and the COVID-19 pandemic in rural and frontier environments
Every community has been impacted by not only the COVID-19 pandemic itself, but also the pandemic’s effects on the economy and available resources. Rural and frontier environments across the country are not immune to these issues. The pandemic has exacerbated existing barriers to care for individuals with complex needs in these areas including physical distance, limited […]...Read more
-
Racial disparities and disproportionality index
A data tool from CSH that measures whether a racial and/or ethnic group’s representation in a particular public system is proportionate to, over or below their representation in the overall population (proportionality) and also allows for the examination of systematic differences between groups and geographies (disparities). Distinguishing the Racial Disparities and Disproportionality Index (RDDI) from […]...Read more
-
Measuring complexity: Moving toward standardized quality measures for the field of complex care
For the field of complex care to show its value in improving outcomes and to evaluate programs’ delivery and impact, there is a need to identify and standardize measures that are used for evaluation and quality improvement. One of the recommendations of the Blueprint for Complex Care was to develop standard quality measures for complex […]...Read more
-
Immediate approaches for collaboration during the COVID-19 pandemic
On April 17, the National Center for Complex Health and Social Needs held the third convening of our community forum series on the impact of the COVID-19 pandemic on complex care. The conversation explored the ways in which this fragmented system is impeding care delivery for complex patients and identified near-term opportunities to address them […]...Read more
-
Supporting complex care teams during the COVID-19 pandemic
On April 10, the National Center for Complex Health and Social Needs held a second community forum on unique issues facing complex care teams. Issues such as disruption of care delivery, staffing, and burnout were discussed. Once again, participants shared personal experiences and resources with their peers. The full list of resources is linked below. ...Read more
-
Unique impacts of the COVID-19 pandemic on individuals with complex health and social needs
The spread of COVID-19 in the United States and globally has made stark what we in the complex care field already knew: our fragmented care systems and frail safety net leave our most vulnerable community members at heightened risk, especially during times of national emergency. Individuals with complex health and social needs are particularly vulnerable […]...Read more
-
Using social needs screening and patient feedback for complex care
Understanding a patient’s social complexities is essential to support holistic clinical care, clinical quality improvement, and tailored care interventions. However, complex care programs may find it difficult to incorporate these factors into standard risk stratification methods. They may also face distrust from patients who have historically been poorly served or harmed by healthcare institutions. This […]...Read more
-
ICD-10-CM coding for social determinants of health
This fact sheet from the American Hospital Association introduces the ICD-10-CM “Z codes” that allow hospitals and other health settings to capture data on the social needs of their patient populations. Despite the availability and utility of these ICD-10-CM codes, hospitals have not widely adopted the use of Z codes. The fact sheet provides clarity […]...Read more
-
Organizational-level consumer engagement: What it takes
This report and series of case studies from the Center for Consumer Engagement in Health Innovation and the Health Care Transformation Task Force looks at how three organizations meaningfully engage patients, families, and caregivers to improve care. The case studies on Children’s Mercy Kansas City, Hudson River Health Care, and Trinity Health examine: The array of […]...Read more
-
Recognizing and sustaining the value of community health workers and promotores
This brief from the Center for Health Care Strategies (CHCS) explores how lay health workers — individuals with lived experience who are hired to support patient needs — are playing a key role in the health care system, in California and around the country. It highlights examples of the value that community health workers and […]...Read more
-
Virtual site visits for population health changemakers
This video series from the Center for Care Innovations takes viewers on a set of “virtual site visits” to organizations around the country with innovative programs for population health management. The series highlights: Chapa-De Indian Health, which introduced a new scheduling method that improved care Santa Barbara Neighborhood Clinics, which integrated registered nurses as panel […]...Read more
-
Engaging patients and community members in trauma-informed care implementation planning
This fact sheet from the Center for Health Care Strategies (CHCS) outlines considerations to guide health care organizations in meaningfully engaging patients and community members around designing and implementing a trauma-informed approach to care. Key considerations include: Incorporate patient and community member feedback early in the process Create a variety of outlets to solicit feedback […]...Read more
-
Five strategies to expand palliative care in safety-net populations
Safety net providers serve a substantial percentage of low-income individuals in the United States, many of whom have complex health and social needs including trauma, behavioral health conditions, and social determinant factors. As these individuals face serious medical illnesses and become eligible for palliative care, they may find that their care is misaligned with their […]...Read more
-
Trauma-informed approaches in clinic and community settings
The significance of trauma has become an increasingly accepted tenet of complex care. While there is general agreement on the core principles of trauma-informed care and that trauma can negatively impact an individual’s health and wellbeing, there are many ways to apply a trauma-informed approach in different settings. Presenters Katy Davis from the University of […]...Read more
Events & Webinars
Putting Care at the Center 2020: Virtual
Start date: October 27, 2020
End date: October 28, 2020
Time: 12:00-4:00 pm ET
Conference
Recent News
-
Responding to COVID-19: Finding and leveraging partnerships
By Carter Wilson, Associate Director for the National Center, and Rebecca Koppel, Program Manager fo...
-
Responding to COVID-19: Switching to virtual care delivery
By Carter Wilson, Associate Director for the National Center, and Rebecca Koppel, Program Manager fo...
-
Responding to COVID-19: Innovating and adapting to new services, populations, and opportunities
By Carter Wilson, Associate Director for the National Center, and Rebecca Koppel, Program Manager fo...
The National Center for Complex Health and Social Needs is an initiative of the Camden Coalition.