Food, Heat, Housing:
A Path to Addressing Social NeedsIHI National Forum on Quality Improvement in Health CareDecember 2016
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Agenda Item Timing
Introductions and Overview 7 minutes
What is the role and responsibility of health systems with respect to social
need?
10 minutes
Introduce domains and discussion 10 minutes
Small group discussion 20 minutes
Full group dialogue 20 minutes
Close out 7 minutes
“There’s a spectrum from, at one extreme, simply pretending these issues don’t exist in our patients’ lives, and,
at the other, just going ahead and building affordable housing.
We know neither of these are the right answer, but we need to understand the sweet spot that we, the healthcare
system, should occupy between the two.”
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Consider the spectrum, where do you believe
the role and responsibility of the health system sits?
Polling Results
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The New Environment
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• Increased social acuity and economic stress
• Decreased coverage for low-income people• Increased provider stress
• Decreased resources for social services (especially public benefits)
• Increased challenges navigating resource landscape
Intensified urgency of now?
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How will the election results impact the pace of change around social need in you
own organization?
Speed up?Slow down?No impact?
Polling Results
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Our Vision
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In partnership with communities, healthcare
organizations should identify and address individuals’ most
pressing basic human needs as an integral part of quality
healthcare
What Good Looks Like in Addressing Social Need
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• Collaboratively produced in Summer & Fall 2016• Drafted over three Regional Meetings: Milwaukee, Boston, and
Oakland
• “Comment Period” for further iteration throughout Fall 2016
• “Pencils down” on first draft in December 2016!
• Authored by 40 healthcare leaders, representing 22 healthcare institutions
©2016 Health Leads Inc. 11
Patient Identification & Screening
Navigation & Resource
Connections
Social Health Needs Team &
Workflow
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Understand and document social needs at patient and population
level
Navigate patients to community resources
Integrate social needs program into workflow with accountable
staff
Data and Evaluation
Evaluate to build the quality/value case for addressing social needs
Community Partnerships
Collaborate/partner with community resources to enable
successful navigation & identify/reduce gaps
Leadership and Change
Management
Stakeholder engagement and change management to enable
institutional social needs integration
Key Activities to Addressing Social Needs
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In which domain would you say your institution currently
strongest?
Polling Results
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In which domain do you see the most
barriers?
Polling Results
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Small Group Discussion Questions
• How are you innovating? What are you learning?
• What barriers did you encounter and how did you break them?
• What advice would you give to those who identified this domain as the hardest?
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Join UsLoel Solomon
Vice President of Community Health, Kaiser Permanente
Jeff ThompsonExecutive Advisor, Gundersen Health System
Kelly Hall Managing Principal, Health Leads
Taylor Woods-GauthierDirector, Health Leads