ENGAGING HOSPITALS IN SUSTAINABLE FINANCING

EXAMPLES OF SUCCESSFUL PARTNERSHIPS

How hospitals in one state (New York) are engaging in Community Health

The Role of Hospitals in Improving Non-Medical Determinants of Community Population HealthThis report by the New York State Health Foundation outlines which hospitals in New York State and nationally are addressing non-medical determinants of community population health, as well as facilitators of and barriers to this work. (NEW YORK)Health Affairs published this blog based on the report.

Lessons learned from successful hospital/public health/community partnerships

Improving Community Health through Hospital-Public Health Collaboration: Insights and Lessons Learned from successful Partnerships This study identified and examined successful partnerships involving hospitals, public health departments, and other stakeholders who share commitment to improving the health of communities they jointly serve and describes key lessons learned from their collective experience.

Examples of hospital systems who are successfully financing community efforts

Hospitals Building Healthier Communities This Democracy Collaborative report provides an in-depth look at six hospitals in five cities that are rethinking their economic and community engagement strategies. (Features Mayo Clinic in Rochester, MN; Gundersen Lutheran Health System in La Crosse, WI; Bon Secours Health System in Baltimore; Henry Ford Health System in Detroit; University Hospital System and Cleveland Clinic Health System in Cleveland, OH).

Hospital-based Strategies for Creating a Culture of HealthThe guide discusses how hospitals are contributing to community health improvement, and offers a model of the hospital’s role in building a culture of health.

NEW MODELS OF CARE (ACOS, AHC, ETC.)

Accountable Care Organizations (ACOs)

ACO Cheat Sheet (attached): 2-page educational briefing on ACOs, originally designed for health care suppliers and service providers, but helpful to anyone who would like a quick primer.

ACO Business Model Sustainable Success in Accountable CareThis NAM Discussion Paper seeks to complement and build on conversations surrounding the business case and financial investment needed for a complete transition to the ACO business model. It then provides a roadmap for transition and ongoing investments necessary to sustain better care and health outcomes at lower cost.

Playbook for Accountable Care

This Advisory Board Company publication (attached) offers lessons for the transition to total cost accountability

Next-Gen ACOs CMS Announces Next Generation ACO

ParticipantsAdvisory Board Daily briefing post on the CMS announcement, as well as links to additional resources on “What ACOs Need to Know” and factors to consider when choosing an ACO model.

Accountable Health Communities

CMS to test whether addressing beneficiaries’ housing, food needs improves their healthBlog post overviewing the 5-year, $157M Accountable Health Communities grant program recently announced by HHS designed to connect Medicare and Medicaid beneficiaries to needed non-medical supports.  The post outlines who is

eligible to apply for the program and what the three tracks look like (boosting awareness of services, providing navigation services to help patients access services, and encouraging partner alignment to ensure services are available). Original press release.

Accountable Communities for Health (ACH)

Aligning Community-Healthcare Partnerships with Community Prevention: A PI Report for VermontACHs integrate medical care, mental and behavioral healthcare, and social services with actions to improve the community conditions that shape health in a geographical area. In its report, the Prevention Institute (PI) profiles five national sites engaged in work aligned with ACH principles, as well as regional efforts across Vermont. The report offers recommendations for how to strengthen existing work and extensively details the core elements that, taken together, can realize the full potential of an ACH model.

Community-Centered Health Homes (CCHH)

Community-Centered Health Homes: Bridging the gap between health services and community preventionIn this report, Prevention Institute outlines an approach that community health centers can take to promote community health even as they deliver high quality medical services to individuals. Lessons learned since the publication of the original report linked above are also available: The Community-Centered Health Homes Model: Updates & Learnings.” While this report is designed with primary care clinics, and particularly safety net clinics, in mind, the spirit of the model, the guiding principles, and suggested activities could be useful to a hospital, or to any sites that may be engaging a clinic.

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

MACRA Fact SheetMedicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA), bipartisan legislation that replaced the flawed Sustainable Growth Rate formula with a new approach to paying clinicians for the value and quality of care they provide.

MAKING THE CASE

Step-by-step guidance on how to establish a sustainable financing plan

Financing Regional Health Transformation: A PrimerThis Financing Primer helps regional leaders think through key questions around the investment and financing of long-term, health reform ventures.It focuses on what sustainable financing is, why it is important, the critical elements of a financing plan, and what others around the country have been doing to frame and finance their work.

Understanding Non-Profit Hospital Community Benefit Requirements

A Healthy Community Leader’s Guide to Understanding Hospital Community Benefit Requirements. This guide focuses on Arizona, but has good examples and guidance on what community benefit is and how to work with your hospital to leverage that funding. (ARIZONA)

General guidance and examples of WHY and HOW hospitals should invest in communities

Can Hospitals Heal America’s Communities? – This Democracy Collaborative report illuminates the possibilities of whether hospitals can heal communities and explores how “all in for mission” is the emerging healthcare model.

Framework for hospitals to understand their impact on community health

The Anchor Dashboard This report identifies twelve critical areas where anchor institutions can play an effective role. Additionally, it develops illustrative indicators that: 1) provide a baseline to assess conditions in the community; and 2) evaluate institutional effort—e.g., dollars spent, procurement shifted, people hired, policies and accountability procedures in place.