PUTTING THE COMMUNITY IN COMMUNITY BENEFIT

Source: Tarlov AR. Public policy frameworks for improving population health. Ann NY Acad Sci 1999

Social & Economic Factors

Health Behaviors

Genes & Biology

Physical Environment

Health Care

WHAT DETERMINES HEALTH

Source: Tarlov AR. Public policy frameworks for improving population health. Ann NY Acad Sci 1999

Social & Economic Factors

Health Behaviors

Genes & Biology

Physical Environment

Health Care

WHAT DETERMINES HEALTH

HEALTH & SOCIAL SPENDING BY % OF GDPHEALTH & SOCIAL SPENDING BY % OF GDP

My countryMy country

My stateMy state

My communityMy community

My familyMy family

My healthMy health

Forces Affecting Health

SocialCulturalEconomic

Where changes are most impactful.

Where most health interventions happen.

Source: CDC

BENDING THE INTERVENTION CURVE

Hospitals and health systems get it.

“72% of surveyed hospitals report not having dedicated funds to address social needs for all of their target populations.”

Deloitte Survey: How are hospitals &

health systems investing in and addressing social needs?

“IRS-related community-benefit obligations of non-profit hospitals represent, albeit unevenly, some of the most notable long-term healthcare industry financing for community health-related projects.”

Population Health Investments by Health Plans and Large Provider Organizations: Exploring the Business Case

“Community Benefit and Social Determinants should be best friends.”

My 3 year-old niece

COMMUNITY BENEFIT IN OREGON

COMMUNITY BUILDING

$1.6 $1.5 $1.4

$0.0

$0.5

$1.0

$1.5

$2.0

$2.5

$3.0

'11 '12 '13 '14 '15

$0.8 $0.7

$4.0

$0.0

$1.0

$2.0

$3.0

$4.0

$5.0

'11 '12 '13 '14 '15

COMMUNITY BUILDING

$1.6 $1.5 $1.4

$0.0

$0.5

$1.0

$1.5

$2.0

$2.5

$3.0

'11 '12 '13 '14 '15

$0.8 $0.7

$4.0

$0.0

$1.0

$2.0

$3.0

$4.0

$5.0

'11 '12 '13 '14 '15

COMMUNITY HEALTH IMPROVEMENTCOMMUNITY HEALTH IMPROVEMENT

CASH & IN-KIND CONTRIBUTIONSCASH & IN-KIND CONTRIBUTIONS

$0.0

$1.0

$2.0

$3.0

$4.0

$5.0

$6.0

$7.0

$8.0

11 12 13 14 15

TOTAL

$0.0

$1.0

$2.0

$3.0

$4.0

$5.0

$6.0

$7.0

$8.0

11 12 13 14 15

TOTAL

WHAT DOES ALL THIS TELL US ABOUT COMMUNITY BENEFIT &

SOCIAL DETERMINANTS?

NOT MUCH!

hospitalcommunitybenefit.org

Mobile Health Clinic

Collaboration is Key

• Family Residency of Idaho• Terry Reilly Health Services• Southwest District Health• Community Council of Idaho• Idaho Labor Department• Idaho Food Bank • Family Eyecare Associates• BSU GED Program• U of I Extension• Catholic Charities• ISU Pharmacy Program• Centro de Comunidad y Justicia• Faith Community Nurses

Collaborative Partners

DISCUSSION & QUESTIONS