SDOH Points of Light 2024 Case Study 13
Forming a Governance Committee to Address Patients’ HRSNs
In this case study, the collaborators worked to address health disparities and promote health equity by improving their screening and referral processes. Parkland Health formed a governance committee to develop comprehensive strategies and advocate for resource allocation. PCCI created a platform that relies on data analytics and machine learning to identify and address socioeconomic factors impacting patients’ health, and Epic’s integration helped care teams easily see patients’ social and clinical data. Additionally, thanks to funding from Center for Medicare and Medicaid Innovation (CMS Innovation Center), community health worker (CHW) positions were created. This initiative reduced ED visits and enhanced patient access to community resources.
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Key Findings:
- Executive Summary
- The Collaborators
- Points of Friction—Challenges to Be Solved
- Action Plan—How the Collaborators Worked Together to Reduce Friction
- Points of Light—Outcomes Achieved through Collaboration
- Lessons Learned—What Best Practices Can Other Organizations Apply?
- What's Next?—Vision for the Future
- Project Scalability & Replicability
Writer
Sarah Brown
Designer
Jess Wallace-Simpson
Project Manager
Kyle Chilton
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