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Community Health:
Improving Health for All
John Vu, Vice President of Strategy
Community Health
Copyright ©2019 Kaiser Permanente International
To provide high-quality, affordable health care
services and to improve the health of our
members and the communities we serve.
Our Mission
The social health practice is KP’s effort to
integrate social health with physical and mental
health across the enterprise by focusing on
systems, tools, interventions, and culture
change required to support KP members. KP will
address social factors that impact the health of
our members by identifying social needs,
connecting members to resources, and
establishing support and follow-up. The social
health practice includes tools like Thrive Local,
and KP funded resources to reach KP members
for food, housing, and other social needs.
Our Social Health Practice
MEMBERSIntegrate social health
practice into Kaiser
Permanente’s care model
LOCAL IMPACTSupport social health in
our communities
SOCIETAL SHIFTSupport integration of social
health into other
health care systems
and communities
Copyright ©2019 Kaiser Permanente International, Slide 4
Our National Community Health Priorities
Housing &
Homelessness
Environmental
Stewardship
Public PolicyWellness in
Schools
Affordability &
Access
Economic
Opportunity
7
We work to ensure health access, improve community conditions for health and equity, and advance the future of
community health through innovation.
Social Care
Copyright ©2019 Kaiser Permanente International, Slide 5
Identify Connect
The Social Health Playbook provides guidance on
identification, connection, and follow up.
Support and
Follow up
Program Evaluation
& Performance
Monitoring
Inform, Adjust
& Implement
Data Prevalence
& Predictive
Modeling
Building Kaiser Permanente’s Social Health Framework
MEMBERS Integrate social health practice into Kaiser Permanente’s care model
SOCIETAL SHIFT Support integration of social health into other health care systems and communities
LOCAL IMPACT Support social health in our communities
CATALYZING CHANGE THROUGH MEANINGFUL PARTNERSHIPS
Screen for
Social Needs
• Housing
• Food
• Financial strain
• Social isolation
• Other social needs
Proactive outreach
based on social risk
DATA ANALYTICS
Sharing Information
from Thrive Local
Resource Directory
Thrive Local
Connections Call
Center for Members
Two-Way Service
Referrals via Thrive
Local Community
Networks
SNAP Outreach
& Enrollment
Assistance
Enhanced
Nutrition via
Medically Tailored
Meals
Integrated Model
for Member
Housing Surge
Resources
to Mitigate
Social Isolation
Programs to
Combat Financial
Insecurity
CONNECTIDENTIFY
Other Social
Needs KEY
Kaiser Permanente’s Social Health Practice Framework
Housing
for HealthFood for Life
Follow Up
• Ensure social needs
were met
• Screen for additional
needs
SUPPORT &
FOLLOW UP
Provides guidance on identification, connection, and follow up:
SOCIAL HEALTH PLAYBOOK
Thrive Local
Individualized support
• Peer support to
increase uptake of
resources
• Coordinate care
CONFIDENTIAL – NOT FOR DISTRIBUTION9
699 schools
68% elementary
32% middle & high
Thriving SchoolsImproving Health for students, staff and teachers
37 school districts
472,691 students
& 29,345 staff
77% free and reduced
price meal eligible
Copyright ©2019 Kaiser Permanente International, Slide 11
Copyright ©2019 Kaiser Permanente International, Slide 12
Image courtesy of nhpr.org
Addressing Mental Health/Trauma in Schools
Adverse Childhood Experiences (ACEs) include abuse, neglect and household dysfunction in childhood that impact adultoutcomes of disease, life quality, care utilization and mortality.
Copyright ©2019 Kaiser Permanente International, Slide 13
End Chronic
Homelessness in
Our Communities
through unique
partnerships and
programs
Catalyze
Innovation Across
Programs through
technology and
partnerships
Increase
Affordable
Housing Supply in
the regions and
cities that need it
most
Shape Policy on
Federal and Local
Levels by working
with national, state
and city leaders
Transform Health
Care and Housing
with social care
interventions
Affordable Housing and Homelessness
Paid sick leave
High-quality,
universal pre-k
Affordable
housing/
inclusionary
zoning
Complete
streets
Alcohol sales
zoning
Tobacco 21
Clean
indoor air
Food safety/
restaurant
inspection
rating
Healthy food
procurement
Shaping Public Policy
Supporting 40 largest U.S. cities for
policies for health and quality of life
Working to increase national
spending on housing and
homelessness programs
Copyright ©2019 Kaiser Permanente International, Slide 16
Economic Opportunity
Setting goals and targets for how we HIRE, PURCHASE, INVEST and BUILD for community impact and create economic opportunity.
Copyright ©2019 Kaiser Permanente International, Slide 17
Advancing a healthy climate for healthy communities
Environmental Stewardship
Copyright ©201 Kaiser Permanente International, Slide 18