This tool from New York City Health + Hospitals features open-source implementation tools which can be customized and used to support health systems’ efforts to identify, understand, and treat patientswith complex needs. This guide provides step-by-step guidance on: Risk scoring and stratification: using data and analytics to identify patients with complex needs Segmentation: combining analytics...
The Way Home is a short-form documentary series from KTF Films and Bread and Butter Films that focuses on the current homelessness epidemic in California — the state with the largest population of homeless people in the USA. The series highlights housing models being piloted in communities throughout California. These films were made possible with...
By Amanda Clarke, Director of Programs, California Health Care Safety Net Institute; Zoe So, Program Coordinator, California Health Care Safety Net Institute Community health workers (CHWs) and peer support specialists (peers) are vital members of complex care teams. They draw on their personal experiences and close community ties to develop trusting relationships with clients and...