The NIC Collaboration Hub2024-03-28T13:54:54Zhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/feed/allAccountabilityhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/accountability2020-11-12T17:51:05.000Z2020-11-12T17:51:05.000ZDaniel Bachhttps://hub.nic-us.org/members/DanielBach<div><p><span style="font-size:12pt;">California enacted the <a target="_blank">State Leadership Accountability Act (SLAA)</a> requires all state agencies to monitor their internal control systems to minimize fraud, errors, waste, and abuse of government funds. Is there a way to lobby for a national version of this process to spur integration and blending of funding? </span></p><p><span style="font-size:12pt;">Here is the latest updates: <a href="https://www.library.ca.gov/government-publications/slaa/" target="_blank">SLAA Reports</a></span></p></div>Engaging Those That Matterhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/engaging-those-that-matter2020-11-12T17:43:04.000Z2020-11-12T17:43:04.000ZDaniel Bachhttps://hub.nic-us.org/members/DanielBach<div><p><span style="font-size:12pt;"><a href="https://www.calendow.org/building-healthy-communities/" target="_blank">Building Healthy Communities</a> is an is a 10 year, $1 billion comprehensive community initiative launched by The California Endowment in 2010 to advance statewide policy, change the narrative, and transform <a href="http://www.calendow.org/places">14 of California’s communities</a> devastated by health inequities into places where all people and neighborhoods thrive.</span></p><p><span style="font-size:12pt;">It's cycle is winding down, and transforming into a new direction. What can we learn from their efforts on engaging at risk groups and those with lived experience? </span></p></div>Examples: Building on Integration and 211https://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/examples-building-on-integration-and-2112020-11-09T16:26:54.000Z2020-11-09T16:26:54.000ZDaniel Bachhttps://hub.nic-us.org/members/DanielBach<div><div class="column-bg-overlay"><span style="font-size:12pt;">Are you aware of any statewide resources that are making strides forward to share resourcesa nd integrate? Here is an example:</span></div><div class="vc_column-inner"><div class="wpb_wrapper"><div id="fws_5fa96b1a08f2d" class="wpb_row vc_row-fluid vc_row inner_row standard_section"><div class="col span_12 left"><div class="vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding instance-1"><div class="vc_column-inner"><div class="wpb_wrapper"><div class="wpb_text_column wpb_content_element"><div class="wpb_wrapper"><h2><span style="font-size:12pt;">NCCARE360</span></h2></div></div></div></div></div></div></div><div class="wpb_text_column wpb_content_element vc_custom_1592842700255"><div class="wpb_wrapper"><h4><span style="font-size:12pt;">NCCARE360 is the first statewide network that unites health care and human services organizations with a shared technology that enables a coordinated, community-oriented, person-centered approach for delivering care in North Carolina. NCCARE360 helps providers electronically connect those with identified needs to community resources and allow for feedback and follow up. This solution ensures accountability for services delivered, provides a “no wrong door” approach, closes the loop on every referral made, and reports outcomes of that connection. NCCARE360 is available in all 100 counties across North Carolina</span>. </h4><p> </p><p><span style="font-size:12pt;"><a href="https://nccare360.org/" target="_blank">NCCARE360</a> </span></p></div></div></div></div></div>How to Address Patients’ Social and Legal Needs During COVID-19 webinar on November 10https://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/how-to-address-patients-social-and-legal-needs-during-covid-19-we2020-11-05T14:32:24.000Z2020-11-05T14:32:24.000ZGillian Dunnhttps://hub.nic-us.org/members/Gillian_Tucker<div><p>We discussed Medical/Legal partnerships in our intersession meeting yesterday, and I came across this webinar which may be of interest to some in our group: <a href="https://www.aha.org/education-events/how-address-patients-social-and-legal-needs-during-covid-19">https://www.aha.org/education-events/how-address-patients-social-and-legal-needs-during-covid-19</a></p></div>Return on Investmenthttps://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/return-on-investment2020-11-01T20:12:50.000Z2020-11-01T20:12:50.000ZDaniel Bachhttps://hub.nic-us.org/members/DanielBach<div><p><span style="font-size:12pt;">I found this very thought provoking and wondered if anyone has experience using calculator's of this type? </span></p><p><span style="font-size:12pt;">This calculator is designed to help community-based organizations and their health system partners plan sustainable financial arrangements to fund the delivery of social services to high-need, high-cost (HNHC) patients. HNHC patients, who account for a large share of overall health care spending, often have social needs, clinically complex conditions, cognitive or physical limitations, and/or behavioral health problems.</span></p><p><span style="font-size:12pt;"><a href="https://www.commonwealthfund.org/roi-calculator" target="_blank">Welcome to the Return on Investment (ROI) Calculator for Partnerships to Address the Social Determinants of Health</a></span></p><p> </p></div>Considerations from 10/16/20https://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/considerations-from-10-16-202020-10-21T16:53:02.000Z2020-10-21T16:53:02.000ZDaniel Bachhttps://hub.nic-us.org/members/DanielBach<div><p><span style="font-size:12pt;">Moving forward, how are we absorbing examples like, <a href="https://innovation.cms.gov/innovation-models/integrated-care-for-kids-model">Integrated Care for Kids</a> to inform our discussion on the Thomson Family and how do we move our general discussion on the family into key recommendations that may impact one or all of the family members at that upstream moment of contact? Is it a set of key data points that indicate a needed policy change, is it an opportunity for better use of technology to link information or maybe an opportunity to change the application of funding to better serve those who are at risk? </span></p><p><span style="font-size:12pt;">Review our initial comments on our exercise in the chart below:</span></p><p><span style="font-size:12pt;"><a href="{{#staticFileLink}}8059558880,original{{/staticFileLink}}">What we need from others?</a></span></p></div>October 16 Legal Services Breakout noteshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/october-16-legal-services-breakout-notes2020-10-21T16:37:34.000Z2020-10-21T16:37:34.000ZGillian Dunnhttps://hub.nic-us.org/members/Gillian_Tucker<div><p>Here is a link to the notes from our discussion on October 16. Please add your comments in "suggestion" mode by clicking on the pencil icon in the top right corner of the screen (below the share button), and scroll down to “suggesting” mode. This will add your comments in a different color so we can track the new comments since our meeting.</p>
<p><a href="https://docs.google.com/document/d/1sXNVU5PhVLfWJXai5_huSRZJOJ3xELbThyd8sr23oi8/edit">https://docs.google.com/document/d/1sXNVU5PhVLfWJXai5_huSRZJOJ3xELbThyd8sr23oi8/edit</a></p>
<p> </p>
<p>Thanks,</p>
<p>Gillian </p></div>October 15 Legal Services Intersession Meeting noteshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/october-15-legal-services-intersession-meeting-notes2020-10-21T16:19:57.000Z2020-10-21T16:19:57.000ZGillian Dunnhttps://hub.nic-us.org/members/Gillian_Tucker<div><p>WHile I previously sent out our Intersession notes via email, I am sharing them here as well. Please add your comments!</p>
<p><a href="https://docs.google.com/document/d/17AaNaRvaj69f77VJLYl372NO1Ylm0WitcfpVOL55oZk/edit" target="_blank">Oct 15 Legal Services Intersession notes</a></p></div>Initial Thoughts on Neighborhood and Physical Environment Discussions Questionshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/forum/topics/initial-thoughts-on-neighborhood-and-physical-environment-discuss2020-09-23T20:36:04.000Z2020-09-23T20:36:04.000ZEric Marcushttps://hub.nic-us.org/members/EricMarcus<div><p>In anticipation of our first Neighborhood and Physical Environment workgroup meeting on September 25, 2020, I have taken the liberty of putting together <strong><u>a list of discussion questions</u></strong> for consideration by the team. This is by no means intended as an inclusive list. Recognizing the challenges of starting with a blank page, it is my hope that this will give us a jump start. Please feel free to suggest different questions and topical areas as well as to suggest revisions and deletions. Are these the right questions for us to consider? What other questions would you propose?</p><p>The principal goal of the National Action Agenda Neighborhood and Physical Environment workgroup is <strong><u>to develop </u></strong><strong><u>a handful of actionable recommendations that ultimately could be implemented to improve equity and the social determinants of health</u></strong> focusing on interoperability and information-sharing.</p><p>Here are some initial ideas for our discussion -- <span style="text-decoration:underline;"><strong>please feel free to share your ideas and/or comment on any of these</strong></span>:</p><ul><li>Conditions in the neighborhoods surrounding our homes can have major health effects. Social and economic features of neighborhoods have been linked with mortality, general health status, disability, birth outcomes, chronic conditions, health behaviors and other risk factors for chronic disease, as well as with mental health, injuries, violence and other important health indicators.<ul><li>How can we encourage initiatives that promote equity and inclusion and promote smart growth and community design to improving community health along with neighborhood economic development to improve physical, social and service environments? Should we consider establishing timelines and metrics for measures such as:<ul><li>Reduce the percentage of families that spend more than 30% of their income on housing</li><li>Increase the percentage of the population that lives in a jurisdiction that adopted the Climate Smart Communities pledge</li><li>Increase the proportion of people who commute using alternate modes of transportation, i.e., public transportation, carpool, bike/walk, telecommute</li><li>Decrease the percentage of people who live greater than 1 mile from a supermarket or grocery store in urban areas, or greater than 10 miles from a supermarket or grocery store in rural areas</li><li>Increase the percent/number of buildings that meet the US Green Building Council's LEED (Leadership in Energy and Environmental Design) green building and neighborhood standards, or any other comparable set of standards.</li></ul></li></ul></li></ul><p> </p><ul><li>What legal/regulatory actions need to be taken to facilitate data sharing (e.g., across healthcare providers, housing providers, food providers, etc.) and leverage data in a way that helps to identify and find housing for people experiencing homelessness? How can we promote interdisciplinary teams to achieve these goals?</li></ul><p> </p><ul><li>Should we encourage healthcare systems to fund housing recognizing that housing is health? What data is needed? What would we propose?</li></ul><p> </p><ul><li>Should we consider “environmental justice” interventions that seek to reduce toxic exposures especially in the physical environment in communities with large concentrations of low-income residents, particularly low-income black and Hispanic residents if research demonstrates that hazardous wastes, pollution and other toxic substances are differentially concentrated in such communities?</li></ul><p> </p><ul><li>Should we consider strategies to reduce residential segregation along socioeconomic lines, for example through: zoning measures; expanding the supply of affordable housing in neighborhoods that offer opportunities for employment and quality schools; enforcement of fair housing laws, including the Federal Fair Housing Act; and a range of other initiatives?</li></ul><p> </p><ul><li>What actions could we take to increase the accessibility and affordability of healthy food including bringing retail food markets into disadvantaged communities that now have the most limited choices and increase access to affordable farmers markets for low socioeconomic status communities?</li></ul><p> </p><ul><li>At the federal level, should we propose provisions to the omnibus farm and transportation measures that present opportunities for new policy directions?<ul><li>Success could bring more accessible and affordable healthy foods and a transportation system that supports physical activity—safe streets, safe routes to school, and bike and pedestrian paths, for example.</li></ul></li></ul><p><strong> </strong></p><ul><li>At the state and local levels, should we propose oversight by regulatory agencies and boards (e.g., for clean air or healthy homes) to promote positive changes in core components of a healthy community?</li></ul><p> </p><ul><li>Should we consider home-sharing programs such as Silvernest (<a href="https://www.silvernest.com/">https://www.silvernest.com/</a>) to expand housing options, keep people in their homes, and reduce loneliness given limitations on affordable housing capacity?</li></ul><p> </p><ul><li>Should we propose expanding programs such as the South Dakota Governor’s House Program nationally? South Dakota Housing’s Governor’s House offers a low-maintenance, attractive dwelling that is attractive, reasonably sized and budget-friendly for those who are income-qualified. With 2,000+ sold since 1996, it’s part of how South Dakota Housing makes homeownership more affordable for all across the state. Built through a partnership with the Governor’s Inmate Training Program at one of the state’s prisons, participating inmates can learn skills and trades in building the Governor’s House properties to prepare them for related work upon release. Affordable housing and promoting job training.</li></ul><p> </p><ul><li>How can we match revitalization strategies to neighborhood conditions and align policies, programs, and investments across sectors, levels, and systems?</li></ul><p> </p><ul><li>How can we promote more parks especially to serve vulnerable communities?<ul><li>Conduct an assessment to identify barriers to accessing parks, fields, and recreational facilities in redeveloping, underserved, or economically challenged communities.</li><li>Develop recommendations for providing parks and non-traditional park amenities for communities that are redeveloping, underserved, or economically challenged.</li></ul></li></ul><p> </p><ul><li>Recognizing that only half of adults and about a quarter of high school students get the amount of physical activity recommended in national guidelines, how can we promote walkability?<ul><li>Encourage people to promote walking and make their communities more walkable including sidewalks, bike lanes, special bus lanes, comfortable and accessible transit stops, frequent crossing opportunities, median islands, accessible pedestrian signals, and curb extensions.</li><li>Design and maintain streets and sidewalks so that walking is safe and easy.</li><li>Adopt community planning, land use, development, and zoning policies and plans that support walking for people of all ages and abilities.</li><li>Locate schools, worksites, businesses, parks, recreational facilities, and other places that people regularly use within walkable distance of each other.</li></ul></li></ul><p> </p></div>