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Social Needs | Social Determinants of Health

Addressing social needs or social determinants of health and other tactics that strengthen emotional stability are essential for total patient health across all populations. How are some organizations leading the way?

UCLA Health CKD Risk Stratification and Management

Care Redesign

Proactively Catching the Declining Patient

A coordinated effort by UCLA leaders to identify a high-cost population with chronic kidney disease and to modify care processes and personnel has led to improved health and reduced utilization.

Time Spent Engaging Directly with 16 Camden RESET Participants or Coordinating Care on Their Behalf

Leadership

“Putting All the Pieces Back”: Lessons from a Health Care–Led Jail Reentry Pilot

The Camden Coalition’s jail-based reentry program illuminated the necessity and challenges of engaging people with complex health and social needs and helping to transform the systems that serve them.

Miller03_pullquote social determinants whole-person

Leadership

How a State Advances Whole-Person Health Care

Pennsylvania addresses social determinants of health by bringing together managed care and social services organizations to expand access to vital resources.

Michael Dowling and Charles Kenney headshots

Leadership

Rebooting Health Care: An Optimistic Outlook

The U.S. health care system may seem broken, but it’s on its way to greatness, according to the authors of Health Care Reboot. They discuss their optimism for U.S. health care reform, particularly on the social determinants of health, payment, consumerism, and technology.

30-Day Mortality Rates at Non-Teaching and Major Teaching Hospitals 2013-2014 - value-based care at academic medical centers

New Marketplace

What Value-Based Payment Means for Academic Medical Centers

Academic medical centers must become as dedicated to advancing operational and clinical efficiency as they have been to advancing the science of medicine.

VHA Whole Health System diagram

Care Redesign

Finding the Cause of the Crises: Opioids, Pain, Suicide, Obesity, and Other “Epidemics”

Until we redesign our health care system to address our patients’ personal determinants of health, we will continue to inadequately address our multiple chronic disease crises.

Elements of a Sustainable Complex Care Management Contract

New Marketplace

Sustainable Financing for Complex Care Management Is Critical to a Value-Driven Health Care System

Care management should be payer-agnostic at its core.

Finding the Resources to Resolve Public Health | Community Health Workers Are Critical - Panel Clip Still

Leadership

Community Health Workers Are Critical

Community health workers really do need to be from the community.

Finding the Resources to Resolve Public Health | Community Health Workers Are Critical - Panel Clip Still

Leadership

Finding the Resources to Resolve Public Health

To what extent do health departments find the necessary community resources to solve public health problems, and to what extent do they need to build from scratch?

Tapping into Community Resources for SDOH panel clip still

Leadership

Tapping into Community Resources for SDOH

Lessons from a safety-net health system and the VA on how health systems can work to address the social determinants of health.

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