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PUTTING THE COMMUNITY IN COMMUNITY BENEFIT
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Source: Tarlov AR. Public policy frameworks for improving population health. Ann NY Acad Sci 1999
Social & Economic Factors
Health Behaviors
Genes & Biology
Physical Environment
Health Care
WHAT DETERMINES HEALTH
Source: Tarlov AR. Public policy frameworks for improving population health. Ann NY Acad Sci 1999
Social & Economic Factors
Health Behaviors
Genes & Biology
Physical Environment
Health Care
WHAT DETERMINES HEALTH
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HEALTH & SOCIAL SPENDING BY % OF GDPHEALTH & SOCIAL SPENDING BY % OF GDP
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My countryMy country
My stateMy state
My communityMy community
My familyMy family
My healthMy health
Forces Affecting Health
SocialCulturalEconomic
Where changes are most impactful.
Where most health interventions happen.
Source: CDC
BENDING THE INTERVENTION CURVE
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Hospitals and health systems get it.
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“72% of surveyed hospitals report not having dedicated funds to address social needs for all of their target populations.”
Deloitte Survey: How are hospitals &
health systems investing in and addressing social needs?
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“IRS-related community-benefit obligations of non-profit hospitals represent, albeit unevenly, some of the most notable long-term healthcare industry financing for community health-related projects.”
Population Health Investments by Health Plans and Large Provider Organizations: Exploring the Business Case
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“Community Benefit and Social Determinants should be best friends.”
My 3 year-old niece
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COMMUNITY BENEFIT IN OREGON
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COMMUNITY BUILDING
$1.6 $1.5 $1.4
$0.0
$0.5
$1.0
$1.5
$2.0
$2.5
$3.0
'11 '12 '13 '14 '15
$0.8 $0.7
$4.0
$0.0
$1.0
$2.0
$3.0
$4.0
$5.0
'11 '12 '13 '14 '15
COMMUNITY BUILDING
$1.6 $1.5 $1.4
$0.0
$0.5
$1.0
$1.5
$2.0
$2.5
$3.0
'11 '12 '13 '14 '15
$0.8 $0.7
$4.0
$0.0
$1.0
$2.0
$3.0
$4.0
$5.0
'11 '12 '13 '14 '15
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COMMUNITY HEALTH IMPROVEMENTCOMMUNITY HEALTH IMPROVEMENT
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CASH & IN-KIND CONTRIBUTIONSCASH & IN-KIND CONTRIBUTIONS
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$0.0
$1.0
$2.0
$3.0
$4.0
$5.0
$6.0
$7.0
$8.0
11 12 13 14 15
TOTAL
$0.0
$1.0
$2.0
$3.0
$4.0
$5.0
$6.0
$7.0
$8.0
11 12 13 14 15
TOTAL
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WHAT DOES ALL THIS TELL US ABOUT COMMUNITY BENEFIT &
SOCIAL DETERMINANTS?
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NOT MUCH!
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hospitalcommunitybenefit.org
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Mobile Health Clinic
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Collaboration is Key
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• Family Residency of Idaho• Terry Reilly Health Services• Southwest District Health• Community Council of Idaho• Idaho Labor Department• Idaho Food Bank • Family Eyecare Associates• BSU GED Program• U of I Extension• Catholic Charities• ISU Pharmacy Program• Centro de Comunidad y Justicia• Faith Community Nurses
Collaborative Partners
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DISCUSSION & QUESTIONS