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5 Case Example of Investment by a Health Care Organization
Pages 27-36

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From page 27...
... The panel was moderated by Gary Gunderson of Wake Forest Baptist Health and Stakeholder Health. Gunderson emphasized that this discussion is about "real neighborhoods," and about a health care leader sustaining their commitment to the real communities where their patients and employees live.
From page 28...
... (DePompei) • To meet the health care and community-based needs identified by the ­Community Advisory Board and patient/caregiver and provider surveys, UH opened the Rainbow Center for Women & Children as a new medical home in the community.
From page 29...
... Buy Local UH planned to put money into the local economy through engagement with local businesses, especially women-owned and minority-owned businesses. One example described by Gartland was a $1 million investment in the development of the Green City Growers neighborhood coopera­ tive, from which UH could then purchase fresh produce.
From page 30...
... The assessment found there was a lack of trust between the community and UH. There were aspects of health care that the community believed were not being sufficiently addressed, especially access to behavioral and mental health services and access to dental care.
From page 31...
... Responding providers understood the need to address the social determinants of health, DePompei said, and they were interested in guidance on how to accomplish this while keeping up with busy clinic schedules. A New Medical Home in the Community In partnership with patients and families and the Community Advisory Board, UH set out to build a medical practice that would meet both health care and community-based needs.
From page 32...
... Health Care Innovation Award in 2012. Part of the project included the build ing of a new office that was first slated for the suburbs, near where the providers lived, but was ultimately built in one of the Greater University Circle neighborhoods near UH, where the population to be served lived.
From page 33...
... Gartland said she would like to have much more coordination across contractual arrangements with managed care organizations. She noted the challenge of translating innovative total cost of care models across five separate contracts.
From page 34...
... She said that although health systems compete on patient care, there should not be competition on community health. From an economic perspective, Gartland said that UH has established itself as an anchor health care institution that continues to invest in the community, and other businesses are eager to be "anywhere UH is." DePompei said that basic short- and longer-term health care delivery metrics were established as part of the original CMMI award (e.g., reducing emergency pediatric psychiatry inpatient admissions by addressing behavioral and mental health in outpatient visits; reducing the rate of children needing dental surgery due to untreated dental caries by applying fluoride varnish to newly erupted molars; increasing immunization rates)
From page 35...
... The Step Up to UH Program was launched to help local residents gain entrylevel jobs in health care and to access ongoing workforce training needed for career advancement. Gartland mentioned the Bridge to Your Future workforce development program in association with local community colleges that helps employees to develop the skills needed to pursue a certification or college degree.
From page 36...
... She mentioned several community health initiatives that the health systems have worked on collectively, for example, First Year Cleveland, which is focused on reducing infant mortality, and the Northeast Ohio Hospital Opioid Consortium. She noted that federal antitrust regulations prohibit the health systems from discussing the core business aspects of their care delivery, but allow the systems to work together to address issues of public health.


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