Market characteristics associated with community health assessments by local health departments

Hilts, Katy Ellis; Jin, Xin; Yeager, Valerie A.; Ferdinand, Alva O.; Menachemi, Nir

doi:10.1016/j.puhe.2018.05.027

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…Previous studies reported that nonprofit hospitals partner with external organizations to support CHNA at higher rates than other hospital types (Ainsworth et al, 2013; Carlton & Singh, 2015; Laymon et al, 2015; Yeager et al, 2019). Furthermore, public health organizations are among the most common types of partners to support hospital CHNA activities (Beatty et al, 2015; Carlton & Singh, 2015; Ellis Hilts et al, 2018; Laymon et al, 2015; Wilson et al, 2014), which was consistent with our study. Specifically, we found that hospitals in our panel reported partnering with public health organizations with the greatest frequency across all years (2015 through 2017) and that these increases remained statistically significant when adjusting for all other factors.…”

Section: Discussionsupporting

confidence: 91%

Institutional factors associated with hospital partnerships for population health: A pooled cross-sectional analysis

Hilts

Gibson

Blackburn

et al. 2021

Health Care Manage Rev

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BackgroundHospitals are increasingly engaging in partnerships to address population health in response to national policies, such as value-based payment models. However, little is known about how institutional factors influence hospital partnerships for population health.PurposeGuided by institutional theory, we examine the association between institutional pressures (coercive, normative, and mimetic isomorphism) and hospital partnerships for population health.MethodologyA pooled cross-sectional analysis used an unbalanced panel of 10,777 hospital-year observations representing respondents to a supplemental question of the American Hospital Association’s annual survey (2015–2017). The analysis included descriptive and bivariate statistics, and regression models that adjusted for repeated observations to examine the relationship between key independent variables and partnerships over time.FindingsIn regression analyses, we found the most support for measures of coercive (e.g., regulatory factors) isomorphism, with nonprofit status, participation in accountable care organizations, and acceptance of bundled payments, all being consistently and significantly associated with partnerships across all organization types. Modest increases were observed from 2015 to 2017 for hospital partnerships with public health organizations (+2.8% points, p < .001), governmental organizations (+2.0% points, p = .009), schools (+4.1% points, p < .001), and businesses (+2.2% points, p = .007).Practice ImplicationsOur results suggest that institutional factors, particularly those related to regulatory policies and programs, may influence hospital partnerships to support population health. Findings from this study can assist hospital leaders in assessing the factors that can support or impede the creation of partnerships to support their population health efforts.

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Section: Discussionsupporting

confidence: 91%

Institutional factors associated with hospital partnerships for population health: A pooled cross-sectional analysis

Hilts

Gibson

Blackburn

et al. 2021

Health Care Manage Rev

View full text Add to dashboard Cite

show abstract

“…An additional five studies that focused on CHNA activities looked specifically at partnerships between hospitals and public health agencies to conduct these assessments (Beatty et al, 2015; Carlton & Singh, 2015; Ellis Hilts et al, 2018; Laymon et al, 2015; Wilson et al, 2014). One of these studies looked at hospitals’ likelihood of engaging in these partnerships and found that a little more than 40% were “cooperating” or “networking” with a local health department for a CHNA, approximately 24% were “coordinating” or “collaborating” with a local health department for a CHNA, and about 20% had no identifiable level of engagement with a local health department for a CHNA (Beatty et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The other four studies looking at hospital–public health partnerships did so from the perspective of public health agencies (Carlton & Singh, 2015; Ellis Hilts et al, 2018; Laymon et al, 2015; Wilson et al, 2014). Ellis Hilts and colleagues (2018) looked for associations between measures of the external market environment and local health departments’ likelihood of conducting a CHNA in partnership with a hospital. They found that the number of primary care physicians per 1,000 capita was positively associated with local health department (LHD)–hospital partnerships for CHNAs, and a higher violent crime rate in a market was negatively associated with LHD–hospital partnerships for CHNAs.…”

Section: Resultsmentioning

confidence: 99%

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Hospital Partnerships for Population Health: A Systematic Review of the Literature

Hilts¹,

Yeager

Gibson

et al. 2021

Journal of Healthcare Management

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EXECUTIVE SUMMARY The U.S. healthcare system continues to experience high costs and suboptimal health outcomes that are largely influenced by social determinants of health. National policies such as the Affordable Care Act and value-based payment reforms incentivize healthcare systems to engage in strategies to improve population health. Healthcare systems are increasingly expanding or developing new partnerships with community-based organizations to support these efforts. We conducted a systematic review of peer-reviewed literature in the United States to identify examples of hospital–community partnerships; the main purposes or goals of partnerships; study designs used to assess partnerships; and potential outcomes (e.g., process- or health-related) associated with partnerships. Using robust keyword searches and a thorough reference review, we identified 37 articles published between January 2008 and December 2019 for inclusion. Most studies employed descriptive study designs (n = 21); health needs assessments were the most common partnership focus (n = 15); and community/social service (n = 21) and public health organizations (n = 15) were the most common partner types. Qualitative findings suggest hospital–community partnerships hold promise for breaking down silos, improving communication across sectors, and ensuring appropriate interventions for specific populations. Few studies in this review reported quantitative findings. In those that did, results were mixed, with the strongest support for improvements in measures of hospitalizations. This review provides an initial synthesis of hospital partnerships to address population health and presents valuable insights to hospital administrators, particularly those leading population health efforts.

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Market Factors Associated with Comprehensive Behavioral Health Crisis Care Availability: A Resource Dependence Theory Study

Burns,

Vest,

Menachemi

et al. 2024

INQUIRY

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Behavioral health crisis care (BHCC) is a care delivery model for individuals experiencing acute distress related to a mental health or substance use disorder. We examined market factors associated with comprehensive BHCC availability using 2022 data on mental health treatment facilities (n = 9385) obtained from the Substance Abuse and Mental Health Services Administration. We aggregated facility-level data by county (n = 3142) and merged with county-level market factors. Logistic regression models were used to examine the adjusted associations between market factors and BHCC availability. We found that 468 (14.9%) counties had at least one mental health treatment facility offering comprehensive BHCC services. Specifically, counties with more mental health providers (Adjusted Odds Ratio = 2.26, Confidence Interval = 1.32-3.86) and metropolitan counties (AOR = 3.26, CI = 1.95-5.43) had higher odds of having a comprehensive BHCC facility. Our findings highlight the importance of developing the mental health workforce to increase BHCC availability and a need to address disparities in rural counties.

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Market characteristics associated with community health assessments by local health departments

Cited by 3 publications

References 21 publications

Institutional factors associated with hospital partnerships for population health: A pooled cross-sectional analysis

Institutional factors associated with hospital partnerships for population health: A pooled cross-sectional analysis

Hospital Partnerships for Population Health: A Systematic Review of the Literature

Market Factors Associated with Comprehensive Behavioral Health Crisis Care Availability: A Resource Dependence Theory Study

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