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. 2016 Dec;19(6):421-428.
doi: 10.1089/pop.2015.0147. Epub 2016 Mar 23.

Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals

Melissa Sherry  1 , Jennifer L Wolff  1 , Jeromie Ballreich  1 , Eva DuGoff  2 , Karen Davis  1 , Gerard Anderson  1
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Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals

Melissa Sherry et al. Popul Health Manag. 2016 Dec.

Abstract

Health care reform efforts that emphasize value have increased awareness of the importance of nonmedical factors in achieving better care, better health, and lower costs in the care of high-need, high-cost individuals. Programs that care for socioeconomically disadvantaged, high-need, high-cost individuals have achieved promising results in part by bridging traditional service delivery silos. This study examined 5 innovative community-oriented programs that are successfully coordinating medical and nonmedical services to identify factors that stimulate and sustain community-level collaboration and coordinated care across silos of health care, public health, and social services delivery. The authors constructed a conceptual framework depicting community health systems that highlights 4 foundational factors that facilitate community-oriented collaboration: flexible financing, shared leadership, shared data, and a strong shared vision of commitment toward delivery of person-centered care.

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Conflict of interest statement

Drs. Wolff, DuGoff, Davis, and Anderson, Ms. Sherry, and Mr. Ballreich declared no conflicts of interest with respect to the research, authorship, and/or publication of this article.

The authors received the following financial support: This study was supported by the Commonwealth Fund. The sponsor was not involved in its study concept or design, recruitment of subjects or acquisition of data, data analysis or interpretation, or in the preparation of this manuscript.

Figures

<b>FIG. 1.</b>
FIG. 1.
Community health systems conceptual framework
See this image and copyright information in PMC

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References

    1. Kindig DA, Asada Y, Booske B. A population health framework for setting national and state health goals. JAMA. 2008;299:2081–2083 - PubMed
    1. Tai-Seale M, McGuire T, Zhang W. Time allocation in primary care office visits. Health Serv Res. 2007;42:1871–1894 - PMC - PubMed
    1. Saunders MR, Alexander GC. Turning and churning: loss of health insurance among adults in Medicaid. J Gen Intern Med. 2009;24:133–134 - PMC - PubMed
    1. Bradley EH, Elkins BR, Herrin J, Elbel B. Health and social services expenditures: associations with health outcomes. BMJ Qual Saf. 2011;20:826–831 - PubMed
    1. Schroeder SA. Shattuck Lecture. We can do better—improving the health of the American people. N Engl J Med. 2007;357:1221–1228 - PubMed

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