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Reorienting Health Care and Business Sector Investment Priorities Toward Health and Well-Being: Proceedings of a Workshop - in Brief
Pages 1-10

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From page 1...
... Sanne Magnan of HealthPartners Institute welcomed workshop attendees and opened the gathering with a quote from David Kindig's Purchasing Population Health: Paying for Results: "population health improvement will not be achieved until appropriate financial incentives are designed for this outcome." Magnan next referred participants to the commissioned infographic1 shared with attendees to provide some background for the topic of changing concepts of value and investment that would be discussed during the day (see Figure 1)
From page 2...
... Adams underscored the importance of focusing on the inequities in opportunities for good health, saying that "anyone's poor health is everyone's concern and cost." Adams stated repeatedly -- and drew from his personal experience to support his assertion -- that collaboration with other sectors and bringing new organizations and nontraditional partners to the table are essential to any effort to achieve better health and economic prosperity. PANEL DISCUSSION: HISTORY OF VALUE IN THE HEALTH CARE SECTOR In the panel discussion that followed the keynote address, Magnan moderated a conversation with James Knickman of New York University (NYU)
From page 3...
... In an answer to a question from Magnan about the apparent lack of progress, Pham said that people need to be convinced that "this is in their own economic self-interest" and that achieving value-based care and population health and well-being will be a worthwhile accomplishment, but the case has not yet been made with sufficiently convincing arguments. In responding to Magnan's first question about the fragility of the shift to a new concept of value, Knickman acknowledged that fee-for-service is "still king" and also that there is a need to build up the evidence concerning what is effective in influencing the social determinants of health.
From page 4...
... Knickman said that building the evidence base for the social determinants of health is doable and that there is guidance, including from Kaplan, on how this research could be built. In the course of speaking about helping health systems engage in improving community health, Pham suggested that populations prioritized by health systems, such as consumers with private insurance and Medicare beneficiaries, could ask providers, perhaps through the advocacy of consumer organizations, to pay attention to social factors of patient populations.
From page 5...
... counties on health outcomes and health-related factors has shown that the bulk of factors that shape health reside outside of the health care sector. In response to a question from Richter about how this recognition affected LISC's thinking, Jones offered an example of LISC's partnership with the ProMedica health system in Toledo, Ohio, where LISC built a $45 million social determinants of health fund with a focus on housing and economic development (including workforce and small business development)
From page 6...
... 8 Publicly traded as opposed to privately held companies. 9 For example, LISC partners with Morgan Stanley and The Kresge Foundation in the $200 million Healthy Futures Fund that finances the development of federally qualified health centers.
From page 7...
... To accomplish this, UH established a community advisory board, consulted with and formed relationships with stakeholders in the community, and surveyed community residents and patients about their needs, DePompei said. In addition to assembling data on health outcomes and the profound health disparities among neighborhoods, which were provided by the Cuyahoga County Board of Health, UH leadership also learned about the health-related social needs of the communities UH serves, such as the fact that patients and their families experience housing instability, food insecurity, and other challenges.
From page 8...
... He said that several participants commented on the importance of engaging community leaders and key organizations such as the local government and the local chamber of commerce. Meg Guerin-Calvert of FTI Consulting, a participant in the same group, said that the information that would be unearthed by a community health needs assessment was part of the discussion and that workforce development (e.g., providing training for medical staff, offering vocational training to community members)
From page 9...
... Some group members also commented on how they saw a shift to a more active role for the pension fund board as well as a recognition of the importance of building leadership among local residents to ensure the sustainability of some of the community change efforts. During the brief question-andanswer period, Terry Allan of the Cuyahoga County Board of Health said that for him the group discussions echoed the real conversations that take place in communities that are working to reimagine their futures and build a path forward.
From page 10...
... 2020. Reorienting health care and business sector investment priorities toward health and well-being: Proceedings of a workshop -- in brief.


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