Hospitals, Collaboration, and Community Health Improvement

Somerville, Martha H.; Seeff, Laura C.; Hale, Daniel R.; O’Brien, Daniel J.

doi:10.1111/jlme.12217

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…Important to note is that the community benefit expectations for nonprofit hospitals to complete CHNAs include a requirement to consult outside stakeholders and at least one public health agency, which may encourage the development or strengthening of cross-sector partnerships ( Somerville, Seeff, Hale, & O'Brien, 2015 ). Indeed, there is growing evidence that hospitals are developing new partnerships after the ACA expanded community benefit requirements and that collaborating with health departments in particular leads to hospitals investing more dollars into community health activities ( Carlton & Singh, 2018 ).…”

Section: Theorymentioning

confidence: 99%

“…A number of factors have been proposed as encouraging hospitals to participate in external partnerships. As mentioned previously, new ACA requirements for nonprofit hospitals require consultation of public health departments and may encourage new collaborations ( Somerville et al, 2015 ). Other studies suggest that institutional and community characteristics may also shape hospital partnerships and that hospitals with strong partnerships tend to be larger, not-for-profit, members of a health system, teaching-affiliated, and located in urban areas ( Park, Hamadi, Apatu, & Spaulding, 2019 ).…”

Section: Theorymentioning

confidence: 99%

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Population health partnerships and social capital: Facilitating hospital-community partnerships

Cronin

Franz

Garlington

2021

SSM - Population Health

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Social capital refers to the social norms and networks that build trust and enable individuals to pursue shared objectives; it can vary considerably between communities and across time. Considerable evidence suggests that the presence of social capital at the local or state level is associated with improved individual health and lower community-level mortality, chronic illness, and diseases of despair such as substance abuse. Social capital may influence health outcomes because community-engaged institutions are more common in communities with strong social bonds and cross-sector partnerships are more easily leveraged. This study examines the impact of social capital on the effectiveness of health care organizations, specifically hospitals, in establishing population health partnerships which are critical for addressing health disparities and reducing preventable deaths. In a national sample of hospitals, we find that in communities with high social capital, hospitals are more likely to hold partnerships with public health and social service agencies. Social capital within communities may create the conditions in which hospitals are able to easily identify possible partnerships and engage in collaborative efforts to improve population health.

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Section: Theorymentioning

confidence: 99%

Section: Theorymentioning

confidence: 99%

Population health partnerships and social capital: Facilitating hospital-community partnerships

Cronin

Franz

Garlington

2021

SSM - Population Health

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“…These agencies have much to offer community members and patients, as well as learners. Better collaboration between all involved agencies only stands to improve care for our patients—“collaboration across sectors can incorporate complementary expertise and diverse perspectives into the needs assessment process.” 15…”

Section: Recommendations For Post-graduate Social Work Training Programs In Palliative Carementioning

confidence: 99%

“…Trainees should become skilled in developing and implementing care plans that are collaborative, evidence-informed and appropriate for the identified level of need; trainees should also become knowledgeable about local community resources and able to refer appropriately to those resources. 15,19 Additionally, trainees should be trained and have experience in emerging care delivery models, such as telehealth.…”

Section: Recommendations For Post-graduate Social Work Training Programs In Palliative Carementioning

confidence: 99%

Social Work Training in Palliative Care: Addressing the Gap

Thiel

Mattison

Goudie

et al. 2020

Am J Hosp Palliat Care

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As people live longer with chronic disease and serious illness in the U.S., palliative care teams are called upon to support patients and their families. Social workers are an integral part of the palliative care interprofessional team, and yet there are disproportionately few training programs for social workers who wish to specialize in this area. The curriculum of a post-graduate palliative care training program for social workers should be based on the current standards for palliative care and social work, as described by the National Association of Social Workers (NASW), Council for Social Work Education (CSWE) and the Center to Advance Palliative Care (CAPC). Trainees should develop skills to care for patients who have chronic or life-limiting illness, patients who are nearing their end of life, patients who are in the active dying phase and their families around end of life planning, medical decision making, grief and bereavement. A post-graduate social work training program that aims to prepare social workers to work in the field of palliative care should consist of clinical rotations at multiple sites, robust didactic curriculum and clinical supervision. Interprofessional learning is necessary and training should include opportunities for scholarly work, quality improvement activities, leadership, and teaching. Post-graduate training programs in palliative care will prepare future social workers to be experts in a sub-specialty skill set to meet the needs of people living with chronic disease. These needs and opportunities call on the social work profession to take action to develop post-graduate training programs in palliative care.

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“…Where people live also affects mortality outcomes (10–13). This evidence is an impetus for public and private sectors and the health sector to invest in revitalizing unhealthy communities (14–19). …”

Section: Introductionmentioning

confidence: 99%

Do Employees From Less-Healthy Communities Use More Care and Cost More? Seeking to Establish a Business Case for Investment in Community Health

et al. 2019

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Introduction Few studies have examined the impact of community health on employers. We explored whether employed adults and their adult dependents living in less-healthy communities in the greater Philadelphia region used more care and incurred higher costs to employers than employees from healthier communities. Methods We used a multi-employer database to identify adult employees and dependents with continuous employment and mapped them to 31 zip code regions. We calculated community health scores at the regional level, by using metrics similar to the Robert Wood Johnson Foundation (RWJF) County Health Rankings but with local data. We used descriptive analyses and multilevel linear modeling to explore relationships between community health and 3 outcome variables: emergency department (ED) use, hospital use, and paid claims. Business leaders reviewed findings and offered insights on preparedness to invest in community health improvement. Results Poorer community health was associated with high use of ED services, after controlling for age and sex. After including a summary measure of racial composition at the zip code region level, the relationship between community health and ED use became nonsignificant. No significant relationships between community health and hospitalizations or paid claims were identified. Business leaders expressed interest in further understanding health needs of communities where their employees live. Conclusion The health of communities in which adult employees and dependents live was associated with ED use, but similar relationships were not seen for hospitalizations or paid claims. This finding suggests a need for more primary care access. Despite limited quantitative evidence, business leaders expressed interest in guidance on investing in community health improvement.

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Hospitals, Collaboration, and Community Health Improvement

Cited by 5 publications

References 6 publications

Population health partnerships and social capital: Facilitating hospital-community partnerships

Population health partnerships and social capital: Facilitating hospital-community partnerships

Social Work Training in Palliative Care: Addressing the Gap

Do Employees From Less-Healthy Communities Use More Care and Cost More? Seeking to Establish a Business Case for Investment in Community Health

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