Bridging the silos of service delivery for high-need, high-cost individuals

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)421-428
Number of pages8
JournalPopulation Health Management
Volume19
Issue number6
DOIs
StatePublished - Dec 1 2016

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Costs and Cost Analysis
Community Health Planning
Health Care Reform
United States Public Health Service
Vulnerable Populations
Social Work
Health Care Costs
Delivery of Health Care

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Public Health, Environmental and Occupational Health

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Bridging the silos of service delivery for high-need, high-cost individuals. / Sherry, Melissa; Wolff, Jennifer; Ballreich, Jeromie M; Dugoff, Eva; Davis, Karen; Anderson, Gerard F.

In: Population Health Management, Vol. 19, No. 6, 01.12.2016, p. 421-428.

Research output: Contribution to journalArticle

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