April 2020 Newsletter during COVID19

Introduction

Welcome to the April 2020 newsletter. You can find past newsletters with additional background materials, and different stories and initiatives in my LinkedIn articles and on my website. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

Shannah’s Insights and Reflections

We’ve experienced a sustained month of COVID19 and lock down/social distancing. It has also been a jarring exposé on health disparities and the implications of living conditions on individuals’ and families’ health status, health risks and access to care. I am again breaking away from my standard reporting this month and instead will highlight the ways the pandemic exposes the many drivers of health disparities and our need to address the fundamental inequities across all segments of our society.

Inequalities, prejudices and social and economic disparities lay the disastrous foundation for the disparate risks, impacts and treatment experienced by African Americans, Hispanics, immigrants, low income people and communities and elderly populations. This past month coverage focuses on the need for data. There is a growing voice that the disparities not only result from social determinants and comorbidities, but prejudice and discrimination. Unfortunately, how individuals and institutions treat individuals can be influenced or dictated by factors that should have no role in testing, treatment or services. Gaining true insight on this aspect will also be data dependent.

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March 2020 Newsletter During COVID-19



Photo by Anshu A on Unsplash

Introduction

Welcome to the March 2020 newsletter. You can find past newsletters with additional background materials, and different stories and initiatives in my LinkedIn articles and on my website. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

Shannah’s Insights and Reflections

Nothing in March is business as usual and this newsletter is no exception. I gather my intel on living conditions and health from google alerts. The first Coronavirus online story that surfaced (based on my search terms) was on March 8th about the first case in Kansas and that she was isolating at home. Just this statement underscores how living conditions or social determinants will be part of the fabric in which people manage through this pandemic. “Isolating” and “home” are two fundamental factors for how individuals who test positive will fair. Do they have a support network, albeit remote, that will help them through this challenge? Do they have a home in which they can isolate/self-quarantine, manage needed services and resources and avoid infecting others?

There was no further mention in my alerts until a COVID-19 Q&A on the 20th and an article identifying protection for rideshare drivers. This article discussed helping drivers know if they have been exposed to the virus, particularly medical rideshare drivers who are critical for patients needing rides. Drivers are at greater risk for exposure from patients and in turn are potentially exposing others.  The drivers may also want riders to wear protective gear that is increasingly difficult for even healthcare workers to get. Since that story the intersection of the pandemic and living conditions was regularly reported.

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February 2020 Newsletter

Early Signs of Spring!

Introduction

Welcome to the February 2020 newsletter. You can find past newsletters with additional background materials, and different stories and initiatives in my LinkedIn articles and on my website. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: the politics of health inequality; varying roles of plans and hospitals in communities, services and investments; New Mexico and Rhode Island thinking more holistically; Colorado and California trying new levers to address social needs; Healthy Alliance IPA convener model for CBO collaboration; several community investments – Molina, OneCity, Inspira Health and the AMA; research and metrics continue to grow and be debated; and some past and future SDOH events.

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January 2020 Newsletter

Apparently Punxsutawney Phil says winter will be shorter this year!

Introduction

Welcome to my first 2020 newsletter. You can find past newsletters with additional background materials, and different stories and initiatives in my LinkedIn articles and on my website. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Community Care Corps; Lyft’s grocery access program; strengthening Human Services; Medicaid block grants, the public charge rule; the proposed Social Determinants Accelerator Act; DC Senior Housing Summit; ACP position on SDOH; Life experiences and income inequality; RISE SDOH benchmark survey; the impacts of closing Auto plants; Knowality; and recent eHI & WEDI and NASEM events.

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2019 Year-end Newsletter

Wishing You Peace, Health and Happiness

Introduction

Welcome to my 2019 year-end newsletter and some aspirations for 2020. You can find past newsletters with additional background materials, and different stories and initiatives in my LinkedIn articles and on my website. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Forbes 8 solutions for improved living conditions; West Virginia’s sustained community improvement; Humana’s no senior eats alone; ChristianaCare’s community investment; states finding the right balance between social and health investments, Don Berwick’s thoughts on change from within the healthcare system; and CHIME’s concerns about the no-blocking rule.

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November 2019 Newsletter

Introduction

Welcome to my November 2019 newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Bernard Tyson; Detroit medical students caring for the homeless; Oversight for the $1.5B ANC Healthcare trust in NC; alternatives to provider centric community initiatives such as land trusts, collaborative networks and public health initiatives; the role of CHCs in disasters and prevention; CMS changes in Medicaid flexibility and delay in consumer access regulations; hospital system investments in communities; Aetna/CVS’ loneliness program; US life expectancy downturn; Neighborhood Atlas and Healthify’s latest investment round.

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October 2019 Newsletter

Hopefully more treats than tricks!

Introduction

Welcome to my October 2019 newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Elijah Cummings; Michael Jordan’s investment in NC clinics; 50th anniversary of a White House Food, Nutrition and Health Conference; A Medicare executive order and open enrollment; More Medicaid programs embracing Lyft; NQF’s call to action; Foundational principals for healthcare initiatives in SDoH; Kaiser’s California food initiative; WellCare analysis of SDoH referrals; physician disagreement about focusing on social injustice; Technologies from, Urban institute; Sales Force, Aunt Bertha in partnership with Innovaccer and Socially Determined; eHI’s webinar about proposed ICD-10 Z code implications for improved living conditions; and, Patchwise Labs the Dispatch.

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Summer 2019 Volume 2

Summer’s end and Fall begins

Introduction

Welcome to Volume 2 of my Summer 2019 newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: caregiving realities; the growing role of home care in improved living conditions; ALICE (Asset Limited, Income Constrained, Employed) in Frederick Maryland, an example of a non-healthcare sustained investment in improved communities; USDA and USCIS policies threatening living conditions, providers opposing the USCIS rule while the healthcare industry continues to invest in needed community support; CAN Community health’s LGBT youth mentorship program; Intermountain Health, CVS Aetna and Cedar Sinai continue to expand their efforts; Many studies – one saying few hospitals and physician practices screen for top 5 social needs, another saying the US spending on social services is comparable to other countries, parent focus groups raising concerns about certain pediatric screening questions and AmeriHealth Caritas showing substantial impact on hospital utilization; A NASEM consensus report recommending 5 goals for integrating social care into healthcare; AHRQ announcing 12 semifinalists in an SDOH visualization challenge; and a new BU Community Wellbeing Index.

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Summer 2019 Volume 1

My favorite place all year round

Introduction

Welcome to Volume 1 of my Summer 2019 newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Realizing a personal bias; many community transportation initiatives; an introduction to some of the non-health driven community investments; a new health literacy definition; Medicaid directors view on where funding to address social determinants of health should go; Geisinger Food Farmacy; CareSource Job Connect; AHIP’s Project Link; Modern Healthcare articles on the SDoH symposium and Insurers and loneliness; Updating the definitions of ADLs and IADLs; Potential Medicare savings of $4B; United Hospital’s Framework for building Clinical Community partnerships; AAFP wants more consistency and clarity around SDoH terminology; Kaiser’s survey indicates patients want providers to help with social needs; Pilot study on the benefits of home meal delivery programs; Lifting the funding ban on a unique patient identifier; Guiding principles for ethical use of SDoH data; and three data partner initiatives.

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May 2019 Newsletter

Introduction

Welcome to the May 2019 monthly newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: My recent blog on why asking for help shouldn’t be so hard; Fannie Mae’s innovation awards for improved housing; several stories about the substantial impacts of poor living conditions on healthcare in hospitals, FQHCs and primary care and the breadth of needed changes; More initiatives from Cerner and Kaiser and Blues plans investing in Solera Networks; a Health Affairs’ article on the need for further research; and many surveys from different vantage points.

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