Sharing Social Needs Data Across Sectors: Lessons From the Centers for Medicare and Medicaid Services Innovation Center's Accountable Health Communities Model.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Practice Pub Date : 2024-09-01 DOI:10.1177/15248399241275618
Alyssa Bosold, Barbara Singhakiat, Maya Talwar-Hebert, Shauna Robinson, Alek Shybut, Gigi Crane, Toni Abrams Weintraub
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Abstract

Health-related social needs (HRSNs), like unstable housing, inability to afford utilities, food insecurity, unreliable transportation, and lack of personal safety, profoundly affect people's health and well-being. Between 2017 and 2022, awardees of the Accountable Health Communities Model (AHC) addressed the health-related social needs of Medicare and Medicaid beneficiaries through screening, referral, and community navigation services. Using and sharing HRSN data between clinical and community partners was a critical component of these efforts. This article shares findings from focus groups and interviews with 19 AHC awardees and seven of their partners. It explores the following:1. Whether sharing HRSN data with clinical partners informed clinical care2. Successes and challenges related to sharing data with community-based organizations (CBOs) and clinical partners3. How awardees collected and used HRSN data to advance health equityHalf of awardees interviewed documented HRSNs in electronic health records and shared aggregated HRSN data with CBOs. HRSN data enabled some clinicians to adjust patient care, although most were uncertain about how to do so. Participants described how sharing HRSN data with communities informs program and funding priorities to improve equity. However, CBOs noted that they had limited incentive to participate in data-sharing platforms. Our work highlights opportunities to provide guidance to clinicians on how to use HRSN screening results in care, standardize HRSN screening results in electronic health records, and co-create data-sharing initiatives with CBOs and patients to ensure meaningful participation.

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跨部门共享社会需求数据:从医疗保险和医疗补助服务中心创新中心的 "负责任的健康社区模式 "中汲取的经验教训》(Centers for Medicare and Medicaid Services Innovation Center's Accountable Health Communities Model)。
与健康相关的社会需求(HRSNs),如住房不稳定、负担不起水电费、食品不安全、交通不可靠以及缺乏人身安全等,都会对人们的健康和福祉产生深远影响。2017 年至 2022 年间,"负责任健康社区模式"(AHC)的获奖者通过筛查、转诊和社区导航服务,满足了医疗保险和医疗补助受益人与健康相关的社会需求。在临床和社区合作伙伴之间使用和共享 HRSN 数据是这些工作的重要组成部分。本文分享了与 19 位 AHC 获奖者及其 7 位合作伙伴进行的焦点小组讨论和访谈的结果。文章探讨了以下问题:1. 与临床合作伙伴共享 HRSN 数据是否有助于临床护理2.与社区组织 (CBO) 和临床合作伙伴共享数据的成功经验和挑战3.半数受访的获奖者将 HRSN 记录在电子健康记录中,并与 CBO 共享 HRSN 的汇总数据。HRSN 数据使一些临床医生能够调整对患者的护理,尽管大多数人并不确定如何调整。参与者介绍了如何与社区共享 HRSN 数据,为改善公平性的计划和资金优先事项提供信息。然而,社区组织指出,他们参与数据共享平台的动力有限。我们的工作凸显了为临床医生提供如何在护理中使用 HRSN 筛查结果的指导、在电子健康记录中对 HRSN 筛查结果进行标准化以及与社区组织和患者共同创建数据共享计划以确保有意义的参与的机会。
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来源期刊
Health Promotion Practice
Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
5.30%
发文量
126
期刊介绍: Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.
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