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

loel.solomon@kp.org

Jeff ThompsonExecutive Advisor, Gundersen Health System

JEThomps@gundersenhealth.org

Kelly Hall Managing Principal, Health Leads

khall@healthleadsusa.org

Taylor Woods-GauthierDirector, Health Leads

twoods@healthleadsusa.org18