{"title":"Reimagining Healthcare to Meet Communities' Needs Outside Hospital Walls.","authors":"Randy Oostra","doi":"10.1097/HAP.0000000000000157","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000157","url":null,"abstract":"<p><p>Identifying and addressing the social determinants of health is an integral part of the mission at ProMedica as a health and well-being organization and an anchor institution in the communities we serve. For more than a decade, ProMedica has been on a progressive journey to integrate identification, screening, and interventions with important drivers of adverse outcomes to create a new model for healthcare, a model designed to bend the cost curve and enhance the health of our patients, clients, and communities. We are living our commitment to a healthier, thriving community by coupling high-quality care with community outreach and strategically implemented social care. Initiatives include job training, affordable housing initiatives, and financial coaching.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 2","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reverse Ride-Alongs Connect Medical Caregivers With Their Community.","authors":"Janice G Murphy","doi":"10.1097/HAP.0000000000000155","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000155","url":null,"abstract":"<p><p>Many police departments have ride-along programs in which community residents accompany police officers in the field. Community organizers in one Cleveland, Ohio, neighborhood took that concept and flipped it to create a \"reverse ride-along\" program. During a reverse ride-along, police officers take part in community tours and dialogues to learn more about the area they serve and explore issues involving trust and trauma. In 2019, the reverse ride-along program added medical care providers from St. Vincent Charity Medical Center. The program was designed to connect residents and medical professionals for conversations in which learned knowledge and lived knowledge are valued equally. Participants identify barriers that deter positive health outcomes and prohibit effective engagement with the medical system. They do that by defining the social constructs unique to the community, then developing opportunities to address the barriers.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40478895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ESG and Healthcare's Responsibility for Social Equity.","authors":"Carla J Sampson","doi":"10.1097/HAP.0000000000000159","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000159","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 2","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Equity Rx: Boston Medical Center's Work to Accelerate Racial Health Justice.","authors":"Kate Walsh","doi":"10.1097/HAP.0000000000000158","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000158","url":null,"abstract":"<p><p>In November 2021, after more than a year of investigating the racial health disparities across its organization, Boston Medical Center launched the Health Equity Accelerator, a system-wide approach to holistically address the root causes of health inequities among people of different races and ethnicities and speed improvements in health outcomes. This article discusses lessons learned during the institution's process of discovery, shares examples of the work to dismantle a structural narrative that impedes health justice, and outlines interventions that can be applied to other healthcare systems across the United States.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 2","pages":"4-16"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Guadalupe County Hospital: Facing Unique Social Challenges.","authors":"Christina R Campos","doi":"10.1097/HAP.0000000000000154","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000154","url":null,"abstract":"<p><p>Social determinants of health (SDOHs) are the \"conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks\" (Healthy People 2030 2021). These conditions include economic stability, education access and quality, healthcare access and quality, neighborhood and built environment, and social and community context. Ultimately, social determinants affect health status and outcomes to a greater degree than direct clinical care. Although these factors are experienced at a personal level, their impact can be seen on a community level. Also, while SDOHs vary, they tend to be more negatively impactful in rural communities-which then experience more harmful effects on health outcomes than their urban or suburban counterparts (National Advisory Committee on Rural Health and Human Services 2017). The unique experiences and challenges of rural communities require unique solutions. Guadalupe County Hospital in Santa Rosa, New Mexico, collaborates with community partners to address SDOHs. These efforts have a positive impact on their communities and can be replicated in other rural settings.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 2","pages":"43-48"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Effective Response to Healthcare Disparities Begins With a Strategic Plan.","authors":"Denise Brooks-Williams","doi":"10.1097/HAP.0000000000000153","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000153","url":null,"abstract":"<p><p>For too long, healthcare disparities have negatively affected underrepresented groups in urban areas throughout the United States. Disparities in care and outcomes related to social determinants were known, and efforts were made to address them. Effective change for all moved up to top priority in the wake of COVID-19's arrival, police brutality, social unrest, and the murders of Black Americans, including George Floyd. Henry Ford Health (HFH), working with leading local community organizations, immediately pledged to address social and racial injustices. Unfortunately, many neighborhoods still suffer disproportionately from maternal and infant mortality, food insecurity, and other social vulnerabilities. HFH's commitment to equity includes creatively meeting the needs of the underserved. HFH has developed innovative ways to address the social, economic, and educational challenges to the health of Metro Detroit. Through thoughtful consideration and passionate leadership, HFH is strategically creating authentic and scalable social change to address racism and discrimination in healthcare.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 2","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Climate Change and Healthcare: A Complicated Relationship.","authors":"Kathy Gerwig","doi":"10.1097/HAP.0000000000000148","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000148","url":null,"abstract":"<p><p>Climate change is a crisis with a devastating impact on health. The warming atmosphere is increasing the tolls of deaths and illnesses from heat waves, extreme weather, poor air quality, insect-borne diseases, and other conditions. Healthcare is connected to climate change in a way that is not fully appreciated by many healthcare leaders-in fact, the sector generates a significant share of greenhouse gas emissions that cause climate change. As additional costs, healthcare providers' margins are put at risk from treating more climate-related disease and illness, supply chain disruptions, and damage from severe storms and wildfires. These connections provide a compelling rationale for healthcare executives to create more resilience in operations, lead efforts toward decarbonization, and catalyze for climate action.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 1","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40352515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How a Faith-Based Healthcare Organization Is Turning the Tide of Environmental Impact.","authors":"Craig Cordola","doi":"10.1097/HAP.0000000000000145","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000145","url":null,"abstract":"<p><p>The healthcare sector's role in every community is inextricably linked to the health of those it serves. As research and media reports point to the significant impact of people on our planet's ecosystems, Ascension has responded by setting several environmental sustainability goals. Our work is defined by three pillars: Net Zero Places focuses on carbon sources associated with Ascension's physical environments-carbon footprint, operational efficiency of facilities, and sustainable transportation.Responsible Supply Chain focuses on the flow of goods from procurement to disposition-responsible purchasing, product usage management, recycling, and waste management.Healthy Communities focuses on the relationship between sustainability and social determinants of health (SDOH)-linking determinants to Ascension's mission to sustain and improve the health of those we serve, especially the poor and vulnerable. When we think about future generations, we realize that this work cannot wait. That is why we are reimagining today what environmental impact and sustainability could look like through the next decade and beyond. We are setting our corporate sights on net zero carbon and zero waste by 2040 and encourage other healthcare organizations to join us in these efforts. Working together, we can make a difference.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 1","pages":"11-19"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40352516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ESG and Healthcare's Leading Role in Saving Our Planet.","authors":"Carla J Sampson","doi":"10.1097/HAP.0000000000000151","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000151","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40352513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Value of Sound Environmental Practices in Healthcare Facilities Management.","authors":"Jonathan J Flannery","doi":"10.1097/HAP.0000000000000147","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000147","url":null,"abstract":"<p><p>The time has come for healthcare organizations to improve their efforts regarding their impact on the environment, particularly on the communities they serve. For years, healthcare has been at the forefront in addressing social needs with public health initiatives but has lagged on environmental concerns. By carefully reviewing their energy usage and aging infrastructures, healthcare leaders and their facility managers can do a better job of controlling healthcare's environmental impact. Green practices are key indicators of an organization's ethically focused sustainability efforts. So, while healthcare has traditionally focused on its social impact-providing healthcare services is, after all, inherently social-it must expand its community engagement by considering the environmental impact of hospitals and health systems on their communities in the context of climate change.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"39 1","pages":"20-25"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40352517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}