Nine Lessons for Leaders of Health and Human Services Integration Initiatives (And for the Grantmakers That Want Them to Succeed)

Nine Lessons for Leaders of Health and Human Services Integration Initiatives (And for the Grantmakers That Want Them to Succeed)

"Collectively addressing the environmental and social factors that influence health, a process known as health and human services integration, is not a new concept in the United States, but our understanding of the value of integration is far ahead of our implementation of integration. Visionary leaders have shown that real integration is possible, that integration can effectively diminish health disparities, and that community life—and human lives—are better off when it can be achieved. Yet, significant barriers continue to stand in the way of integration, including isolated government departments, data systems that rarely “speak” to each other, and siloed funding sources—all of which have emerged organically over many years.

To better understand the current state of health and human services integration across the United States, the Kresge Foundation and the Center for Healthcare Research and Transformation (CHRT) at the University of Michigan embarked on an exploration of integration efforts across the country. We tracked the goals of these initiatives; the groups, systems, and programs that had been integrated; the factors that proved critical to success; the outcomes for those who are the most vulnerable (populations such as youth at risk, seniors, and those living in poverty); and, importantly, we recorded the challenges and lessons learned along the way."

Marianne Udow-Phillips, Kathryne O'Grady, Phyllis Meadows | July 10, 2018

This piece appears in Health Affairs Magazine.

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The Health & Housing Starter Kit

The Health & Housing Starter Kit

A guide for public health departments, housing authorities, and hospitals working at the intersection of health and housing. How can we help decision makers and public agencies understand the connection between health and housing? What ways have hospitals used to get involved in housing? How can local institutions partner with each other to improve community health outcomes? What performance indicators can we use to measure success? ChangeLab Solutions developed The Health & Housing Starter Kit to explore these questions.

This excerpt is taken from ChangeLab Solutions.

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Raising Places Building Child Centered Communities

Raising Places Building Child Centered Communities

“The environments where children grow up have immense impact on their health and wellness. And places where children can thrive are places where all of us want to be. What do child-centered communities look like? And how might we work together to create more of them in America?”

Raising Places explored these questions in six diverse U.S. communities. This report is a synthesis of the trends, insights and lessons they've learned.

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Charting a Course for Social Determinants of Health

Charting a Course for Social Determinants of Health

Healthcare systems are talking about moving upstream. The Upstream Strategy Compass can help them get there. The Upstream Strategy CompassTM from HealthBegins, for example, uses levels of prevention (i.e. primary, secondary, and tertiary) and levels of intervention (i.e. individual, organizational, community) to help healthcare systems and their community partners understand local needs as well as the opportunities to improve specific social determinants of health for priority patient populations.2 

Rishi Manchanda 

This piece appears in the Practical Playbook Blog

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Inclusive Healthy Places

Inclusive Healthy Places

The Framework and supporting analysis presented in the Inclusive Healthy Places report and on Gehl Institute's site represent a synthesis of research and expertise in public health and urban planning and design, with specific focus on the social determinants of health that can be viewed clearly through the lens of public space.

The framework and analysis can be found on Gehl Institute’s site.

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Partnering to Catalyze Comprehensive Wellness

An Actionable Framework for Health Care and Public Health Collaboration: 

Health professionals working to protect and improve health in communities and across the nation realize that none of our distinct systems – not health care, public health, nor social services – is fully equipped to accomplish its mission alone. There is mounting recognition that to truly improve health outcomes in the U.S. and curb chronic diseases there must be an interdisciplinary, coordinated, and cross-sector approach to address acute conditions and the upstream social factors that contribute to poor health outcomes. This approach requires transformation of the way the health and human service systems traditionally interact.

In pursuit of this goal, members of the PUBLIC HEALTH LEADERSHIP FORUM (PHLF) and HEALTH CARE TRANSFORMATION TASK FORCE (HCTTF) developed a framework to help catalyze and facilitate collaborative working relationships between the public health and health care sectors. Such partnerships are an essential component of the “comprehensive community wellness approach,” one in which effective, collaborative relationships across sectors ensure more seamless care and prevention services for all. Under this approach, public health, health care, and social service and community organizations intentionally build high-functioning partnerships to address health needs in their communities, and invest in the time, staff, information platforms, and oversight structures needed to sustain them.  The framework outlines essential elements of collaboration and presents key tactics and strategies for forming or reshaping effective partnerships.

Public Health Leadership Forum | June 13, 2018

This piece appears in Health Care Transformation’ Task Force’s Transformation Resources Page.

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Embracing an Anchor Mission: ProMedica's All-In Strategy

Embracing an Anchor Mission: ProMedica's All-In Strategy

This report offers an in-depth look at how the Toledo, Ohio based health system aligned its institutional operations and clinical practice to better tackle the social determinants of health. From an innovative hospital-owned grocery store in a food desert to investments in preserving affordable housing, this exploration of ProMedica's decade-long journey to understand how their resources as a healthcare anchor could be used for the wellbeing of the communities they serve is a useful guide for hospitals and health systems embarking on similar shifts.

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A Blueprint for More Equitable Transportation Planning

A Blueprint for More Equitable Transportation Planning

The Mobility Equity Framework offers a method to assess and compare different transportation modes based on positive and negative impacts on low-income people. It also advocates for community planning processes like participatory budgeting, a structured process by which community members can make recommendations and direct decisions on public spending and planning., to ensure that planners are actually addressing community needs.

Sarah Trent | April 2, 2018

This piece appears in Next City: Inspiring Better Cities

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HOLC "redlining" maps: The persistent structure of segregation and economic inequality

HOLC "redlining" maps: The persistent structure of segregation and economic inequality

Eighty years ago, a federal agency, the Home Owners’ Loan Corporation (HOLC) created “Residential Security” maps of major American cities. These maps document how loan officers, appraisers, and real estate professionals evaluated mortgage lending risk during the era immediately before the surge of suburbanization in the 1950’s. Neighborhoods considered high risk, or “Hazardous” were often “redlined” by lending institutions, denying them access to capital investment which could improve the housing and economic opportunity of residents.

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