Bridging the Gap Between Public Health and Hospital-based Care: a Review of Partnerships Between Local Health Departments and Non-profit Community Hospitals in Metropolitan Atlanta Using an Evaluation of Community Needs Assessments PDF Download
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Author: Mallory Bembry
Publisher:
ISBN:
Category : Public health
Languages : en
Pages : 0
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Book Description
Author: Mallory Bembry
Publisher:
ISBN:
Category : Public health
Languages : en
Pages : 0
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Book Description
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309055342
Category : Medical
Languages : en
Pages : 497
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Book Description
How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536
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Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Author: Natalie Zavala
Publisher:
ISBN:
Category :
Languages : en
Pages : 40
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Book Description
Health care in the United States is beginning to shift away from fee-for-service towards value-based care focusing on addressing determinants of health as a means to tackle the nation's rising health costs (Solomon, 2018). Through the enactment of the Affordable Care Act's "Additional Requirements for Charitable Hospitals," nonprofit hospitals are held to greater accountability and transparency to impact their surrounding community's health needs by partnering with state, city, hospital and community organizations to produce triennial Community Health Needs Assessments (CHNAs) and resulting implementation strategy reports. This literature review aimed to evaluate the components of the CHNAs and identify a framework for quality assessments. The Pennel, Mcleroy, Burdine & Matarrita-Cascante (2015) 16-point criteria was identified as a comprehensive framework as it evaluated characteristics including involvement of partner and stakeholders, organizational structure, community served definition, assessment of data, identification and prioritization of community health issues, examination of relationship of root cause of health problem, incorporation of local feedback, assessment of resources and positive and negative characteristics (ex. assets vs. death rates), clear goals and measurable objectives, subsequent implementation strategies, evidence-based strategies, priorities address social determinants of health, process description, feasibility and sustainability, evaluation of plan and availability of plan. A qualitative analysis was used applying the 16-point Pennel et al. (2015) framework to assess the quality of the 2013 and 2016 Kaiser Permanente Southern California's Kaiser Foundation Hospitals CHNAs and implementation strategy reports. Findings showed that the Kaiser Foundation Hospital CHNAs and implementation strategies fulfilled the 16-point criteria. However, there is opportunity to elevate the clear and measurable objectives and use of evidence-based strategies criteria. After two rounds of CHNAs, the effectiveness of the assessments in addressing health disparities and inequity is yet to be determined, however, nonprofit hospital efforts alone are not enough. Policymakers must look upstream to address the determinants of health and tackle the health care system issue that perpetuates the rising costs, inefficiency of resource and population health disparity.
Author: Catholic Health Association of the United States
Publisher:
ISBN:
Category : Political Science
Languages : en
Pages : 160
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Author: Lawrence D. Prybil
Publisher:
ISBN: 9780692288108
Category : Health & Fitness
Languages : en
Pages : 0
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Book Description
This is a report of a study with recommendations. Limited access to healthcare across the country is requiring stronger focus on prevention and population health will require better communications and more effective collaboration among hospitals (and their parent systems), public health departments, and other key parties in the health field. Previous studies have examined the nature and extent of collaboration between hospitals and public health departments. However, there is broad consensus that decades of limited communications, lack of mutual understanding, and incongruent goals have inhibited collaboration between hospitals and public health departments. Therefore, the overall purpose of this study is: To identify, compare, and contrast exceptional models of collaborative partnerships involving community hospitals, public health departments, and other stakeholders who share commitment to improving community health and determine the key lessons learned from their experience. The design of this study involves six principal phases: Phase 1. Identify Core Characteristics of Successful Collaborative Partnerships Phase 2. Communicate and Cooperate with Others Who Share Our Team's Interests Phase 3. Identify Exceptional Collaborative Partnerships Phase 4. Make On-site Visits to a Substantial Sub-set (Up to Ten) of These Collaborative Partnerships Phase 5. Data Analysis and Preparation of Reports Phase 6. Distribute Findings, Conclusions, and Recommendations
Author: California. Office of Statewide Health Planning and Development
Publisher:
ISBN:
Category : Community health services
Languages : en
Pages : 102
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Author: Sara Young
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
The Affordable Care Act of 2010 set into motion major changes in the health services industry. The United States infrastructure of public health--local health departments, polices, and regulations--has been hit by this change in the wake of the ACA with an opportunity for collaboration on community health assessments. This is a two part study that first looks at these health assessments from a non-profit hospital perspective and discusses the use of asset-mapping methodology in a community health needs assessment. Second, this study examines local health departments using a health systems thinking perspective to understand what factors are associated with collaboration with non-profit hospitals on community health assessments. Results of this study help to shape the direction of the public health infrastructure post-ACA world, indicating an important use of asset-mapping in modern day assessments and also demonstrating important local health department characteristics that exist within hospital and health department collaboration.
Author: Sharyn Potter
Publisher: Routledge
ISBN: 1317775872
Category : Political Science
Languages : en
Pages : 178
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Book Description
In recent years researchers have asserted that the once-salient distinctions between not-for-profit and for-profit hospitals are quickly eroding. These converging outcomes represent a striking departure from past differences. Historically, not-for-profit hospitals were larger and treated a higher proportion of seriously ill patients than for-profit hospitals. Not-for-profit hospitals also had larger medical staffs and offered greater opportunities for medical training. Researchers have vigorously debated the implications of the fading distinction between for-profit and not-for-profit hospitals. As these researchers note, numerous communities support not-for-profit hospitals with tax-payer dollars, income and property-tax exclusions and tax-free financing and contributions. Many are concerend that not-for-profit hospitals will jettison community service in an attempt to reduce operating costs. Despite such important implications this literature is full of philosophical discussions, typically employing limited empirical data, limited time frames and limited consideration of the hospital environment. This limited consideration of environmental factors (i.e. policy, supply and demand) leaves an important question unanswered: How do environmental factors combine to produce the narrowing distinction between not-for-profit and for-profit hospitals? Potter's book examines the claims of a narrowing distinction between not-for-profit and for-profit hospitals by analyzing short-term general hospital outcomes in the 48 contiguous states over a fifteen-year period in conjunction with various environmental factors. In particular, this book analyzes the claims of a declining distinction between hospital types by focusing on both hospital efficiency and community service outcomes. It examines whether the efficiency and community service outcomes of not-for-profit and for-profit hospitals have converged, finding that hospital type was most significant in explaining the variance in hospital outcomes in the early 1980s than in the mid-1980s and early 1990s. The story is quite different when we examine community-service outcomes. In particular, Potter does not find evidence that hospitals are reducing their provision of community care in an effort to reduce expenses.
