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HEALTH EQUITY
All Americans deserve the opportunity to achieve their highest level of health. Unfortunately, disparities persist across low-income communities in the United States, exacerbated by factors such as race/ethnicity, gender, sexual orientation/gender identity, and disability status. The Black community, in particular, experiences worse health outcomes when compared to white Americans — driven UNITE US CARE PLATFORM Unite Us is a technology company that builds coordinated care networks of health and social service providers — enabling partners to use data-driven insights to improve care delivery. With Unite Us, providers across sectors can LEVERAGING VALUE-BASED PAYMENT APPROACHES TO PROMOTE This report identifies six connected strategiesto guide stakeholders in developing equity-focused payment approaches as partof broader efforts to mitigate health disparities at the state and local level. MEDICAID ADULT DENTAL BENEFITS COVERAGE BY STATE Advancing innovations in health care delivery for low -income Americans | www.chcs.org SEPTEMBER 2019 . Medicaid Adult Dental Benefits Coverage by State . This document is a THE BETTER CARE PLAYBOOK The Better Care Playbook. People with complex needs face many challenges, such as chronic health conditions, behavioral health issues, trauma history, food insecurity, and homelessness. When these individuals require medical services, they often encounter a TRAUMA-INFORMED CARE IMPLEMENTATION RESOURCE CENTER This resource center shares tools and strategies from trauma-informed care leaders across the country to help improve patient outcomes, increase patient and staff resilience, and reduce avoidable health care service use and costs. SAMHSA’S NATIONAL CENTER FOR TRAUMA-INFORMED CARE This resource center provides resources on developing a trauma-informed approach, including: (1) interventions; (2) national referral resources; and (3) information on how to shift from a paradigm that asks, “what’s wrong with you?” to one that asks, “what has happened to you?”THE SANCTUARY MODEL
The Sanctuary Model is a theory-based approach to changing and sustaining a trauma-informed organizational culture. Created by Sandy Bloom, MD, the Sanctuary Model offers an evolving, whole system organizational change process that is comprised TRAUMA TOOLBOX FOR PRIMARY CARE Trauma Toolbox for Primary Care. This toolkit was developed to educate primary care providers and guide them in discussing exposure to ACEs with families. This six-part series was designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families THE ATTITUDES RELATED TO TRAUMA-INFORMED CARE (ARTIC A validated tool used by organizations and service systems to measure staff attitudes toward trauma-informed care. One of the first and most widely used tools available to measure TIC, the ARTIC Scale has been administered globally to more than 20,000 professionals.HEALTH EQUITY
All Americans deserve the opportunity to achieve their highest level of health. Unfortunately, disparities persist across low-income communities in the United States, exacerbated by factors such as race/ethnicity, gender, sexual orientation/gender identity, and disability status. The Black community, in particular, experiences worse health outcomes when compared to white Americans — driven UNITE US CARE PLATFORM Unite Us is a technology company that builds coordinated care networks of health and social service providers — enabling partners to use data-driven insights to improve care delivery. With Unite Us, providers across sectors can LEVERAGING VALUE-BASED PAYMENT APPROACHES TO PROMOTE This report identifies six connected strategiesto guide stakeholders in developing equity-focused payment approaches as partof broader efforts to mitigate health disparities at the state and local level. MEDICAID ADULT DENTAL BENEFITS COVERAGE BY STATE Advancing innovations in health care delivery for low -income Americans | www.chcs.org SEPTEMBER 2019 . Medicaid Adult Dental Benefits Coverage by State . This document is a THE BETTER CARE PLAYBOOK The Better Care Playbook. People with complex needs face many challenges, such as chronic health conditions, behavioral health issues, trauma history, food insecurity, and homelessness. When these individuals require medical services, they often encounter a TRAUMA-INFORMED CARE IMPLEMENTATION RESOURCE CENTER This resource center shares tools and strategies from trauma-informed care leaders across the country to help improve patient outcomes, increase patient and staff resilience, and reduce avoidable health care service use and costs. SAMHSA’S NATIONAL CENTER FOR TRAUMA-INFORMED CARE This resource center provides resources on developing a trauma-informed approach, including: (1) interventions; (2) national referral resources; and (3) information on how to shift from a paradigm that asks, “what’s wrong with you?” to one that asks, “what has happened to you?”THE SANCTUARY MODEL
The Sanctuary Model is a theory-based approach to changing and sustaining a trauma-informed organizational culture. Created by Sandy Bloom, MD, the Sanctuary Model offers an evolving, whole system organizational change process that is comprised TRAUMA TOOLBOX FOR PRIMARY CARE Trauma Toolbox for Primary Care. This toolkit was developed to educate primary care providers and guide them in discussing exposure to ACEs with families. This six-part series was designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families THE ATTITUDES RELATED TO TRAUMA-INFORMED CARE (ARTIC A validated tool used by organizations and service systems to measure staff attitudes toward trauma-informed care. One of the first and most widely used tools available to measure TIC, the ARTIC Scale has been administered globally to more than 20,000 professionals. ACCELERATING CHILD HEALTH TRANSFORMATION Accelerating Child Health Transformation (ACHT), an initiative led by the Center for Health Care Strategies (CHCS) with support from the Robert Wood Johnson Foundation, is seeking to accelerate the adoption of key elements necessary to advance family-centered pediatricpractice.
ADVANCING INTEGRATED MODELS Advancing Integrated Models (AIM), led by the Center for Health Care Strategies and made possible through support from the Robert Wood Johnson Foundation, is a national multi-site demonstration assisting health systems and community providers in integrating innovative, “next-generation” person-centered approaches for individuals with UNITE US CARE PLATFORM Unite Us is a technology company that builds coordinated care networks of health and social service providers — enabling partners to use data-driven insights to improve care delivery. With Unite Us, providers across sectors can LEVERAGING VALUE-BASED PAYMENT APPROACHES TO PROMOTE This report identifies six connected strategiesto guide stakeholders in developing equity-focused payment approaches as partof broader efforts to mitigate health disparities at the state and local level. THE BETTER CARE PLAYBOOK The Better Care Playbook. People with complex needs face many challenges, such as chronic health conditions, behavioral health issues, trauma history, food insecurity, and homelessness. When these individuals require medical services, they often encounter a INTEGRATED CARE PROGRAM: PERFORMANCE MEASURES RECOMMENDATIONS Center for Health Care Strategies Integrated Care Program: Performance Measures Recommendations – 3 Introduction oday, more than seven million Americans are defined as "dual eligibles" – low-income people who are elderly or have disabilities and are covered by both Medicare and Medicaid. STRATEGIES FOR ENCOURAGING STAFF WELLNESS IN TRAUMA BRIEF: Strategies for Encouraging Staff Wellness in Trauma-Informed Organizations www.chcs.org 2 Often, these indirect exposures to trauma can contribute to burnout, a form of physical, mental, and emotional exhaustion caused by chronic work-related stress.3 Burnout is possible in any career and is not necessarily related to hearing about or empathizing with patients’ MLTSS RATE-SETTING RESOURCE CENTER: RISK ADJUSTMENT FOR Look Before You Leap: Risk Adjustment for Managed Care Plans Covering Long-Term Services and Supports (August 2016, CHCS) This brief reviews risk-adjustment strategies in MLTSS programs that account for enrollees’ functional and cognitive status to improve the accuracy of capitation rates, as well as technical challenges and state program features that may affect the need to use risk adjustment.THE SANCTUARY MODEL
The Sanctuary Model is a theory-based approach to changing and sustaining a trauma-informed organizational culture. Created by Sandy Bloom, MD, the Sanctuary Model offers an evolving, whole system organizational change process that is comprisedTHE EMPATHY EFFECT
The Empathy Effect. Source: Institute for Healthcare Communication. In every aspect of health care, trusting relationships between the health care team and patients are essential for optimal care. In health care, as in all human interactions, people hold ideas and feelings about others that may involve judgment, demonstrate stigma and reflectHEALTH EQUITY
All Americans deserve the opportunity to achieve their highest level of health. Unfortunately, disparities persist across low-income communities in the United States, exacerbated by factors such as race/ethnicity, gender, sexual orientation/gender identity, and disability status. The Black community, in particular, experiences worse health outcomes when compared to white Americans — driven UNITE US CARE PLATFORM Unite Us is a technology company that builds coordinated care networks of health and social service providers — enabling partners to use data-driven insights to improve care delivery. With Unite Us, providers across sectors can THE BETTER CARE PLAYBOOK The Better Care Playbook. People with complex needs face many challenges, such as chronic health conditions, behavioral health issues, trauma history, food insecurity, and homelessness. When these individuals require medical services, they often encounter a MEDICAID ADULT DENTAL BENEFITS COVERAGE BY STATEMEDICAID COVERAGE FOR NUTRITIONAL SUPPLEM…MEDICAID SUPPLEMENT A PDFMEDICAID SUPPLEMENT PROGRAMMEDICARE AND MEDICAID COVERAGE TOGETHER Advancing innovations in health care delivery for low -income Americans | www.chcs.org SEPTEMBER 2019 . Medicaid Adult Dental Benefits Coverage by State . This document is a TRAUMA-INFORMED CARE IMPLEMENTATION RESOURCE CENTER This resource center shares tools and strategies from trauma-informed care leaders across the country to help improve patient outcomes, increase patient and staff resilience, and reduce avoidable health care service use and costs. FISCAL MAPPING FOR EARLY CHILDHOOD SERVICES: A HOW-TO GUIDEDEFINE EARLY CHILDHOOD DEVELOPMENT PDFDEFINE EARLY CHILDHOOD DEVELOPMENT PDFDEFINITION OF EARLY CHILDHOOD DEVELOPMENTEARLY CHILDHOOD DEFINEEARLY CHILDHOOD DEFINEEARLY CHILDHOOD EDUCATION DEFINITION TECHNICAL ASSISTANCE TOOL | Fiscal Mapping for Early Childhood Services: A How -To Guide . Advancing innovations in health care delivery for low -income Americans TRAUMA-INFORMED CARE: OPPORTUNITIES FOR HIGH- NEED, HIGHTRAUMA INFORMED CARETRAUMA INFORMED CARE SCHOOL NURSESTRAUMA INFORMED CARE SCHOOLSTRAUMA INFORMED CARE TRAININGTRAUMA INFORMED HEALTHCARENATIONAL CENTER FOR TRAUMA INFORMED CARE 3 BRIEF | Trauma‐Informed Care: Opportunities for High‐Need, High‐Cost Medicaid Populations Advancing access, quality, and cost‐effectiveness in publicly financed care | www.chcs.org had experienced physical, emotional, sexual or psychological trauma as a child.8 For many of these individuals, eating served as a coping mechanism and a way to soothe anxiety, depression, KEY INGREDIENTS FOR SUCCESSFUL TRAUMA-INFORMED CARE ISSUE BRIEF: Key Ingredients for Successful Trauma -Informed Care Implementati on www.chcs.org 4 communication strategies are just beginning to emerge, and each organization will need to take its size and structu re into account when developing ways to discuss trauma-informed care.
MAKING THE CASE FOR TRAUMA-INFORMED CARE: TIPS FOR TALKINGTRAUMA INFORMED CARE MODEL PDFTRAUMA INFORMED CARE PLAN EXAMPLETRAUMA INFORMED CARE POLICY SAMPLETRAUMA INFORMED CARE HANDOUTTRAUMA INFORMED CARE PRINCIPLES HANDOUTPRINCIPLES OF TRAUMA INFORMED CARE Trauma-informed care can be championed by an individual at any level of an organization, but receiving buy-in from leadership is often a critical first step to sustaining any long-term commitment. HIRING A TRAUMA-INFORMED WORKFORCE FACT SHEET | NOVEMBER 2018 Hiring a Trauma-Informed Workforce . taff play an important role in setting the tone of any office environment. Hiring a workforce thatHEALTH EQUITY
All Americans deserve the opportunity to achieve their highest level of health. Unfortunately, disparities persist across low-income communities in the United States, exacerbated by factors such as race/ethnicity, gender, sexual orientation/gender identity, and disability status. The Black community, in particular, experiences worse health outcomes when compared to white Americans — driven UNITE US CARE PLATFORM Unite Us is a technology company that builds coordinated care networks of health and social service providers — enabling partners to use data-driven insights to improve care delivery. With Unite Us, providers across sectors can THE BETTER CARE PLAYBOOK The Better Care Playbook. People with complex needs face many challenges, such as chronic health conditions, behavioral health issues, trauma history, food insecurity, and homelessness. When these individuals require medical services, they often encounter a MEDICAID ADULT DENTAL BENEFITS COVERAGE BY STATEMEDICAID COVERAGE FOR NUTRITIONAL SUPPLEM…MEDICAID SUPPLEMENT A PDFMEDICAID SUPPLEMENT PROGRAMMEDICARE AND MEDICAID COVERAGE TOGETHER Advancing innovations in health care delivery for low -income Americans | www.chcs.org SEPTEMBER 2019 . Medicaid Adult Dental Benefits Coverage by State . This document is a TRAUMA-INFORMED CARE IMPLEMENTATION RESOURCE CENTER This resource center shares tools and strategies from trauma-informed care leaders across the country to help improve patient outcomes, increase patient and staff resilience, and reduce avoidable health care service use and costs. FISCAL MAPPING FOR EARLY CHILDHOOD SERVICES: A HOW-TO GUIDEDEFINE EARLY CHILDHOOD DEVELOPMENT PDFDEFINE EARLY CHILDHOOD DEVELOPMENT PDFDEFINITION OF EARLY CHILDHOOD DEVELOPMENTEARLY CHILDHOOD DEFINEEARLY CHILDHOOD DEFINEEARLY CHILDHOOD EDUCATION DEFINITION TECHNICAL ASSISTANCE TOOL | Fiscal Mapping for Early Childhood Services: A How -To Guide . Advancing innovations in health care delivery for low -income Americans TRAUMA-INFORMED CARE: OPPORTUNITIES FOR HIGH- NEED, HIGHTRAUMA INFORMED CARETRAUMA INFORMED CARE SCHOOL NURSESTRAUMA INFORMED CARE SCHOOLSTRAUMA INFORMED CARE TRAININGTRAUMA INFORMED HEALTHCARENATIONAL CENTER FOR TRAUMA INFORMED CARE 3 BRIEF | Trauma‐Informed Care: Opportunities for High‐Need, High‐Cost Medicaid Populations Advancing access, quality, and cost‐effectiveness in publicly financed care | www.chcs.org had experienced physical, emotional, sexual or psychological trauma as a child.8 For many of these individuals, eating served as a coping mechanism and a way to soothe anxiety, depression, KEY INGREDIENTS FOR SUCCESSFUL TRAUMA-INFORMED CARE ISSUE BRIEF: Key Ingredients for Successful Trauma -Informed Care Implementati on www.chcs.org 4 communication strategies are just beginning to emerge, and each organization will need to take its size and structu re into account when developing ways to discuss trauma-informed care.
MAKING THE CASE FOR TRAUMA-INFORMED CARE: TIPS FOR TALKINGTRAUMA INFORMED CARE MODEL PDFTRAUMA INFORMED CARE PLAN EXAMPLETRAUMA INFORMED CARE POLICY SAMPLETRAUMA INFORMED CARE HANDOUTTRAUMA INFORMED CARE PRINCIPLES HANDOUTPRINCIPLES OF TRAUMA INFORMED CARE Trauma-informed care can be championed by an individual at any level of an organization, but receiving buy-in from leadership is often a critical first step to sustaining any long-term commitment. HIRING A TRAUMA-INFORMED WORKFORCE FACT SHEET | NOVEMBER 2018 Hiring a Trauma-Informed Workforce . taff play an important role in setting the tone of any office environment. Hiring a workforce that CENTER FOR HEALTH CARE STRATEGIES June 2, 2021 Using Prospective Payment to Support Advanced Primary Care: Opportunities for States. As states gain experience in value-based payment, they may consider implementing prospective payment models that support practices in offering more comprehensive care, such as through integrating physical and behavioral health care, addressing health-related social needs, and creating ADVANCING INTEGRATED MODELS Advancing Integrated Models (AIM), led by the Center for Health Care Strategies and made possible through support from the Robert Wood Johnson Foundation, is a national multi-site demonstration assisting health systems and community providers in integrating innovative, “next-generation” person-centered approaches for individuals with INTEGRATED CARE PROGRAM: PERFORMANCE MEASURES RECOMMENDATIONS Center for Health Care Strategies Integrated Care Program: Performance Measures Recommendations – 3 Introduction oday, more than seven million Americans are defined as "dual eligibles" – low-income people who are elderly or have disabilities and are covered by both Medicare and Medicaid. IT’S NOT JUST RISK: WHY THE SHIFT TO VALUE-BASED PAYMENT The movement to adopt value-based payment (VBP) in the U.S. health care system tends to focus on getting providers to assume financial risk. Recently, for example, the Centers for Medicare & Medicaid Services (CMS) finalized its plans to facilitate the transition to financial risk for providers participating in the Medicare Shared Savings Program. . Under risk-based VBP models, providers are FISCAL MAPPING FOR EARLY CHILDHOOD SERVICES: A HOW-TO GUIDE Advancing innovations in health care delivery for low -income Americans | www.chcs.org 3 . 3. Why should you create a fiscal map? For example to: Understand total available resources; Track where you are spending and how much; Identify missed opportunities in how to usethe funding;
STRATEGIES FOR ENCOURAGING STAFF WELLNESS IN TRAUMA BRIEF: Strategies for Encouraging Staff Wellness in Trauma-Informed Organizations www.chcs.org 2 Often, these indirect exposures to trauma can contribute to burnout, a form of physical, mental, and emotional exhaustion caused by chronic work-related stress.3 Burnout is possible in any career and is not necessarily related to hearing about or empathizing with patients’ KEY INGREDIENTS FOR SUCCESSFUL TRAUMA-INFORMED CARE ISSUE BRIEF: Key Ingredients for Successful Trauma -Informed Care Implementati on www.chcs.org 4 communication strategies are just beginning to emerge, and each organization will need to take its size and structu re into account when developing ways to discuss trauma-informed care.
WHAT IS TRAUMA?
What is the impact of trauma on relationships? Regardless of the type of trauma a person has experienced, traumatic experiences impact relationships.This includes, but is not limited to, relationships between people, communities, and the delivery systems that support individuals’ health and social needs. IMPORTANT INFORMATION With support from NYSHealth, the Center for Health Care Strategies (CHCS) is launching a 12-month learning collaborative for New York-based health care organizations (i.e., hospital systems, integrated health systems, primary care practices, federally qualified health centers or other clinics, community mental health centers, etc.) and their community partners to explore and develop effectiveTHE EMPATHY EFFECT
The Empathy Effect. Source: Institute for Healthcare Communication. In every aspect of health care, trusting relationships between the health care team and patients are essential for optimal care. In health care, as in all human interactions, people hold ideas and feelings about others that may involve judgment, demonstrate stigma and reflect Advancing innovations in health care delivery for low-incomeAmericans
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Addressing the Needs of Medicaid Populations During the COVID-19 Pandemic To support our partners, CHCS has compiled this compendium of resources aimed at lessening the impact of COVID-19 on Medicaid populations, particularly those at the highest risk » Addressing the Needs of Medicaid Populations During the COVID-19 Pandemic To support our partners, CHCS has compiled this compendium of resources aimed at lessening the impact of COVID-19 on Medicaid populations, particularly those at the highest risk » Medicaid Directors Selected for 10th Anniversary Class of the Medicaid Leadership Institute Six Medicaid directors — from Colorado, Mississippi, New Jersey, North Dakota, Texas, and Virginia — have been selected to participate as fellows in the 2021 class of the Medicaid Leadership Institute » Training and Supporting Community Health Workers and Promotores: Lessons for California and Other States This report outlines a set of training and professional recognition considerations for sustaining a robust community health workers and promotores workforce » There’s No Health Equity without Racial Justice A statement from the Center for Health Care Strategies on racial justice and healthequity »
Addressing the Needs of Medicaid Populations During the COVID-19 Pandemic To support our partners, CHCS has compiled this compendium of resources aimed at lessening the impact of COVID-19 on Medicaid populations, particularly those at the highest risk » Medicaid Directors Selected for 10th Anniversary Class of the Medicaid Leadership Institute Six Medicaid directors — from Colorado, Mississippi, New Jersey, North Dakota, Texas, and Virginia — have been selected to participate as fellows in the 2021 class of the Medicaid Leadership Institute » Training and Supporting Community Health Workers and Promotores: Lessons for California and Other States This report outlines a set of training and professional recognition considerations for sustaining a robust community health workers and promotores workforce » There’s No Health Equity without Racial Justice A statement from the Center for Health Care Strategies on racial justice and healthequity »
Addressing the Needs of Medicaid Populations During the COVID-19 Pandemic To support our partners, CHCS has compiled this compendium of resources aimed at lessening the impact of COVID-19 on Medicaid populations, particularly those at the highest risk » Medicaid Directors Selected for 10th Anniversary Class of the Medicaid Leadership Institute Six Medicaid directors — from Colorado, Mississippi, New Jersey, North Dakota, Texas, and Virginia — have been selected to participate as fellows in the 2021 class of the Medicaid Leadership Institute » Training and Supporting Community Health Workers and Promotores: Lessons for California and Other States This report outlines a set of training and professional recognition considerations for sustaining a robust community health workers and promotores workforce » There’s No Health Equity without Racial Justice A statement from the Center for Health Care Strategies on racial justice and healthequity »
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* Addressing the Needs of Medicaid Populations During the COVID-19Pandemic
* Medicaid Directors Selected for 10th Anniversary Class of the Medicaid Leadership Institute * Training and Supporting Community Health Workers and Promotores: Lessons for California and Other States * There’s No Health Equity without Racial JusticeFEATURED TOPICS
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Interactive Map State Policies to Improve Maternal Health OutcomesNovember 2020
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Toolkit Advancing Primary Care Innovation in Medicaid Managed Care: AToolkit for States
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------------------------- View all resources , projects , or news November 20, 2020 Tracking State Policies to Improve Maternal HealthOutcomes
Medicaid is the health insurer for 45 percent of births in the United States and 66 percent of all births to Black mothers. Given the disparate rates of maternal mortality and morbidity between Black and indigenous people and white people in the U.S., there is an opportunity for state Medicaid agencies to take the lead in implementing policies… Read more »View all blog posts
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