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PUTTING THE COMMUNITY IN COMMUNITY BENEFIT
Source: Tarlov AR. Public policy frameworks for improving population health. Ann NY Acad Sci 1999
Social & Economic Factors
Health Behaviors
Genes & Biology
Physical Environment
Health Care
WHAT DETERMINES HEALTH
Source: Tarlov AR. Public policy frameworks for improving population health. Ann NY Acad Sci 1999
Social & Economic Factors
Health Behaviors
Genes & Biology
Physical Environment
Health Care
WHAT DETERMINES HEALTH
HEALTH & SOCIAL SPENDING BY % OF GDPHEALTH & SOCIAL SPENDING BY % OF GDP
My countryMy country
My stateMy state
My communityMy community
My familyMy family
My healthMy health
Forces Affecting Health
SocialCulturalEconomic
Where changes are most impactful.
Where most health interventions happen.
Source: CDC
BENDING THE INTERVENTION CURVE
Hospitals and health systems get it.
“72% of surveyed hospitals report not having dedicated funds to address social needs for all of their target populations.”
Deloitte Survey: How are hospitals &
health systems investing in and addressing social needs?
“IRS-related community-benefit obligations of non-profit hospitals represent, albeit unevenly, some of the most notable long-term healthcare industry financing for community health-related projects.”
Population Health Investments by Health Plans and Large Provider Organizations: Exploring the Business Case
“Community Benefit and Social Determinants should be best friends.”
My 3 year-old niece
COMMUNITY BENEFIT IN OREGON
COMMUNITY BUILDING
$1.6 $1.5 $1.4
$0.0
$0.5
$1.0
$1.5
$2.0
$2.5
$3.0
'11 '12 '13 '14 '15
$0.8 $0.7
$4.0
$0.0
$1.0
$2.0
$3.0
$4.0
$5.0
'11 '12 '13 '14 '15
COMMUNITY BUILDING
$1.6 $1.5 $1.4
$0.0
$0.5
$1.0
$1.5
$2.0
$2.5
$3.0
'11 '12 '13 '14 '15
$0.8 $0.7
$4.0
$0.0
$1.0
$2.0
$3.0
$4.0
$5.0
'11 '12 '13 '14 '15
COMMUNITY HEALTH IMPROVEMENTCOMMUNITY HEALTH IMPROVEMENT
CASH & IN-KIND CONTRIBUTIONSCASH & IN-KIND CONTRIBUTIONS
$0.0
$1.0
$2.0
$3.0
$4.0
$5.0
$6.0
$7.0
$8.0
11 12 13 14 15
TOTAL
$0.0
$1.0
$2.0
$3.0
$4.0
$5.0
$6.0
$7.0
$8.0
11 12 13 14 15
TOTAL
WHAT DOES ALL THIS TELL US ABOUT COMMUNITY BENEFIT &
SOCIAL DETERMINANTS?
NOT MUCH!
hospitalcommunitybenefit.org
Mobile Health Clinic
Collaboration is Key
• Family Residency of Idaho• Terry Reilly Health Services• Southwest District Health• Community Council of Idaho• Idaho Labor Department• Idaho Food Bank • Family Eyecare Associates• BSU GED Program• U of I Extension• Catholic Charities• ISU Pharmacy Program• Centro de Comunidad y Justicia• Faith Community Nurses
Collaborative Partners
DISCUSSION & QUESTIONS