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Community-Centered Health Home Model: An Overview Grantmakers In Health Fall Forum: Foundations & Health Reform Washington, DC November 6, 2014 Rea Paares, MHS Senior Advisor Overview Community Prevention & Health System


  1. Community-Centered Health Home Model: An Overview Grantmakers In Health Fall Forum: Foundations & Health Reform Washington, DC November 6, 2014 Rea Pañares, MHS Senior Advisor

  2. Overview  Community Prevention & Health System Transformation  The Community-Centered Health Home Model  Blue Cross and Blue Shield of North Carolina Foundation experience  Opportunities & Challenges  Discussion

  3. “ Simply put, in the absence of a radical shift towards prevention and public health, we will not be successful in containing medical costs or improving the health of the American people. ” - President Obama

  4. The T he Triple Aim riple Aim Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills IHI Triple Aim image courtesy of Northern New England Accountable Care Collaborative: http://nneacc.com/

  5. The Spectrum of Prevention Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills Swift & Cohen. Injury Prevention (1999)

  6. “ I diagnosed ‘abdominal pain’ when the real problem was hunger; I confused social issues with medical problems in other patients, too. …I had neither the skills nor the resources for treating them, I ignored the social context of disease altogether . ” - Laura Gottlieb, MD “Funding healthy society helps cure health care” August 23, 2010

  7. Community-Centered Health Homes

  8. Community Community-Oriented Oriented Primar Primary Car y Care Photo Credit: Daniel Bernstein

  9. “ The last time we looked in the book, the specific therapy for malnutrition was food. ” - Jack Geiger, MD

  10. Commu Community nity-Cen Cente tered ed Hea Health lth Home Home Patien tient-Cen Cente tered ed Med Medical ical Home Home Med Medical ical Ho Home me

  11. From Individuals to Communities PATIENT INTAKE Transferable to: DIAGNOSIS Community Prevention TREATMENT

  12. Community-Centered Health Home Model CTION UIRY SIS ACTION ALYSIS Coordinate INQUIR activity with community partners ANAL INQ Collect data on Review health Advocate for AN social, & safety trends community health economic & Identify community Mobilize patient priorities & conditions populations strategies with Aggregate community Strengthen prevalence data partners Partnerships Establish model organizational practices Capac Ca pacities ities Nee Needed ded f for or Im Implem plementa entation tion Partnerships Innovative Leadership Dedicated & Diverse Team Staff Training & Continuing Education

  13. Community-Centered Health Home Model CTION UIRY SIS ACTION ALYSIS Coordinate activity INQUIR with community partners ANAL INQ Advocate for Collect data on Review health & community health AN social, safety trends economic & Mobilize patient Identify priorities community populations & strategies conditions with community Strengthen Aggregate partners Partnerships prevalence data Establish model organizational practices Ca Capac pacities ities Nee Needed ded f for or Im Implem plementa entation tion Partnerships Innovative Leadership Dedicated & Diverse Team Staff Training & Continuing Education

  14. Community-Centered Health Home Model CTION UIRY SIS ACTION ALYSIS Coordinate activity INQUIR with community partners ANAL INQ Advocate for Collect data on Review health community health AN social, economic & safety trends & community Mobilize patient Identify conditions populations priorities & Aggregate strategies with Strengthen prevalence data community Partnerships partners Establish model organizational practices Ca Capac pacities ities Nee Needed ded f for or Im Implem plementa entation tion Partnerships Innovative Leadership Dedicated & Diverse Team Staff Training & Continuing Education

  15. Community-Centered Health Home Model CTION UIRY SIS ACTION ALYSIS Coordinate INQUIR activity with community partners ANAL INQ Collect data on Review health & Advocate for AN social, economic safety trends community health & community Identify priorities conditions Mobilize patient & strategies populations Aggregate with community prevalence data partners Strengthen Partnerships Establish model organizational practices Ca Capac pacities ities Nee Needed ded f for or Im Implem plementa entation tion Partnerships Innovative Leadership Dedicated & Diverse Team Staff Training & Continuing Education

  16. Community-Centered Health Home Model CTION UIRY SIS ACTION ALYSIS Coordinate activity INQUIR with community partners ANAL INQ Advocate for Collect data on Review health & community health AN social, economic safety trends & community Mobilize patient Identify priorities conditions populations & strategies Aggregate with community Strengthen prevalence data partners Partnerships Establish model organizational practices Capac Ca pacities ities Nee Needed ded f for or Im Implem plementa entation tion Partnerships Innovative Leadership Dedicated & Diverse Team Staff Training & Continuing Education

  17. “ You can do more than bail out these medical disasters after they have occurred… go upstream from medical care to forge instruments of social change that will prevent such disasters from occurring in the first place. ” - Jack Geiger, MD Photo Credit: Daniel Bernstein

  18. www.preventioninstitute.org 221 Oak Street Oakland, CA 94607 Tel: (510) 444-7738 Follow us on: Sign up for our media alerts: http://www.preventioninstitute.org/alerts

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