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  • EngagingCommunitiestoAdvanceHealthinAmericaJULIA J RESNICK, MPH

    SENIOR PROGRAM MANAGER, HEALTH RESEARCH & EDUCATIONAL TRUST

    AMERICAN HOSPITAL ASSOCIAT ION

    NATIONAL ACADEMY OF MEDICINE MAY 5, 2017

  • HealthResearch&EducationalTrustPracticeAreas

    PopulationHealth

    PatientandFamily

    Engagement

    HighReliability

    Organizations

    DeliverySystem

    Innovation

    Crosscuttingareasoffocus:Healthequityandphysicianengagement

  • PopulationHealth

    POPULATIONHEALTHMANAGEMENT

    Improvingclinicalhealthoutcomesofadefinedgroupofindividuals

    Carecoordinationandpatientengagement

    Focusonhighneed,highcostindividuals

    Supportedbyappropriatefinancialandcaremodels.

    COMMUNITYHEALTH

    Nonclinicalapproachesforimprovinghealth,preventingdisease,reducinghealthdisparitiesandimprovinghealthequity

    Addressingsocial,behavioral,environmental,economicandmedicaldeterminantsofhealth

    Geographicallydefinedpopulation.

    Strategiestoadvancethehealthandwellbeingofindividualsandcommunities

  • HospitalrolesforpopulationhealthSpecialist:Focusonafewspecificissues

    Promoter: Supportsotherorganizationsinitiatives

    Convener: Bringstogetherhospitalandcommunitystakeholderstoworktowardsharedgoals

    Anchor:Leadscommunityhealthinitiatives

    5

    Source:HealthResearch&EducationTrust,2014.

  • BuildingBlocksforPopulationHealthDeterminantsofhealth

    Collaborationwithcommunitystakeholders

    Qualityandhealthequity

    Diversityandinclusion

    Accesstohealthcareforvulnerablepopulations

    Focusoncomplexpatients

  • Addressingthedeterminantsofhealthneedstobeacommunitywideeffort.

  • Clinicalcareisonlyonecomponentofhealth

    Source:UniversityofWisconsinPopulationHealthInstitute.CountyHealthRankings&Roadmaps 2016. www.countyhealthrankings.org.

    20% 20% 60%

    Healthcare Genetics Social,EnvironmentalandBehavioralFactors

  • DeterminantsofHealth

    Education

    Employmentandincome

    Socialsupport

    Poverty

    Communitysafety

    Naturalandbuiltenvironment

    HousingandTransit

    Personalhealthpracticesandbehaviors

    Healthservicesaccessandquality

    ofcare

    Gender

    Biologyandgenetics

    Cannotsucceedinpopulationhealthwithoutaddressingallthedeterminantsofhealth

  • Partnershipisessentialfortoimprovethehealthofcommunitiesandpopulations

  • Howdohospitalspartner?

    NotinvolvedNocurrentpartnershipswiththistypeoforganization

    NetworkingExchangeideasandinformation

    AllianceFormalizedpartnership(i.e.,bindingagreement)amongmultipleorganizationswithmergedinitiatives,commongoalsandmetrics

    CollaborationExchangeinformationandshareresourcestoalteractivitiesandenhancethecapacityoftheotherpartner

    FundingGrantmakingcapacityonly

    Source:HealthResearch&EducationalTrust,2015.

  • Partnerships0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

    Otherhospitals

    Publichealthdepartment

    Publicsafety

    Housing/communitydevelopment

    Transportation

    Notinvolved Funding Networking Collaboration Alliance

    Source:HealthResearch&EducationalTrust,2015.

  • CommunityisatthecenteroftheCHNAprocess.

    Source:AssociationforCommunityHealthImprovement,2017.

  • LearninginCollaborativeCommunitiesTencommunitiesworkingtobuildaCultureofHealth

  • NationalUrbanLeague ConnecthospitalCEOswithlocalUrbanLeagueleaderswhoareinterestedinopportunitiestoserveonthegoverningboardsofhospitalsandhealthsystems

    Developresourcesforcommunityhealthworkerprogramssothathospitalscanincorporatetheseprogramsintotheirdeliveryofcaremodelsandtheirpopulationhealthstrategies

    Promotesharedpolicysolutionstotheongoingchallengesthataffectthehealthofvulnerablecommunities

  • Source:Interactio

    nInstitu

    te/And

    rewW

    eizm

    an,2016

    Equityisnecessaryforahealthypopulation

  • Inclusion

    Source:C

    enterforStorybased

    Strategy,2016

  • The#123forEquityPledgeTakeactioninthenext12monthstoimplementstrategiesto: increasethecollectionanduseofrace,ethnicityandlanguagepreferencedata increaseculturalcompetencytraining increasediversityinleadershipandgovernance.

    Pledgesignedby1,486hospitalsandhealthsystems and60stateandmetropolitanhospitalassociations.

    EquityofCare.org

  • Accesstocareisnecessarytoensurethehealthofacommunity.

  • AHATaskForceonEnsuringAccessinVulnerableCommunities

    Characteristicsofvulnerablecommunitiesaresimilarforruralandurbanareas

  • EmergingStrategiesforVulnerablePopulations

    VirtualCareStrategiesSocialDeterminants

    Inpatient/OutpatientTransformationUrgentCareCenter

    RuralHospitalHealthClinicEmergencyMedicalCenter

    GlobalBudgetsFrontierHealthSystemIndianHealthServices

  • JuliaResnick,MPHSeniorProgramManagerHealthResearch&EducationalTrust

    Thankyoujresnick@aha.org