Fourth Annual DC Public Health Case Challenge: The Changing American City and Implications for the Health and Well-Being of Vulnerable Populations

Sophie Yang, Amy Geller, Alina Baciu, Anna Alikhani, Breanne Bears, Mary Bonnell, Nadia Busekrus, Priya Davey, Paige Dunleavy, Keemi Ereme, Amoge Ezike, Rain Freeman (+25 others)
2017 NAM Perspectives  
We are in the midst of a transformation of our health care system. The shift from volume to value and the corresponding changes in payment models necessitate an evolution in focus from the acute medical needs of an individual to a more holistic view of improving the health of the population. This more holistic strategy includes a recognition of the importance of the environmental, social, and behavioral determinants of health and a paradigm shift with an implicit understanding that health is a
more » ... unction of a health care system embedded in an interconnected community. Health happens wherever families are-at home, in schools, in child care, in medical homes, and digitally at any location in the community. Building upon a variety of community-based models funded by the federal government, states, and private funders, as well as the Center for Medicare and Medicaid Services' Accountable Health Communities Model, this paper adapts these models of integrated care to seamlessly address the medical, social, and developmental needs of children and families, with a focus on shared accountability across sectors as well as financial sustainability.
doi:10.31478/201710e fatcat:bydu6pjjh5eabelwlk5dwj7i54