Building Connected Communities of Care: The Playbook For Streamlining Effective Coordination Between Medical And Community-Based Organizations, 1st Edition (Paperback) book cover

Building Connected Communities of Care

The Playbook For Streamlining Effective Coordination Between Medical And Community-Based Organizations, 1st Edition

Edited by Keith Kosel, Steve Miff

Productivity Press

248 pages | 10 B/W Illus.

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pub: 2020-03-10
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As a community, aligning efforts across a community to support the safety and well-being of vulnerable and under-served individuals is extraordinarily difficult. These individuals suffer disproportionally from health issues, job loss, a lack of stable housing, high utility costs, substance abuse, and homelessness. In addition to medical care, these individuals often critically need access to community social sector organizations that provide a distinct and complementary set of services, such as housing, food services, emergency utility assistance, and employment assistance. These services are just as vital as healthcare services to these individuals’ long-term health and well-being, with data suggesting that 80-90% of health outcomes can be attributed to factors beyond direct medical intervention. This book proposes a novel approach to the coordination of medicine and social services through the use of people, process and technology, with the goal being to streamline coordination between medical and Community-based Organizations and to promote true cross-sector patient and client advocacy. The book is based on the experience of Dallas, TX, which was one of the first metropolitan regions to develop a comprehensive foundation for partnership between a community’s clinical and social sectors using web-based information exchange. In the 5 years since the initial launch, the authors have been able to provide seamless connection, communication, and coordination between healthcare providers and a wide array of community-based social service organizations, criminal justice entities, and various other community organizations, including non-collegiate educational systems. This practical how-to guide is the codification of transferrable lessons from successes and challenges faced when working with clinical, community and government leaders. By reading this playbook, leaders interested in building (or expanding) connected clinical-community services will learn how to: 1) facilitate cross-sector care coordination; 2) enable community care partners to better provide targeted services to community residents; 3) reduce duplication of services across partnering organizations; and 4) help to bridge service gaps in the currently fragmented system. Implementation of services, as recommended in this book, will ultimately streamline assistance efforts, reduce repeat crises and emergency funding requests, help address disparities of care, and improve the health, safety, and well-being of the most vulnerable community residents.

Table of Contents

Foreword. Contributors. Preface. List of Commonly Used Abbreviations. Chapter 1 Playbook Overview. Chapter 2 The Readiness Assessment. Chapter 3 Governance Track. Chapter 4 Legal/Policy Track. Chapter 5 Technology Platform Track. Chapter 6 Clinical Providers Track. Chapter 7 Community Partners Track. Chapter 8 Program Sustainability Track. Chapter 9 Final Notes. Key Documents. References.

About the Editors

Dr. Keith Kosel, is Vice President of Strategic Enterprise Relationships at the Parkland Center for Clinical Innovation (PCCI), a leading non-profit artificial intelligence and cognitive computing organization. In his role, Dr. Kosel oversees the establishment and maintenance of relationships and partnerships between PCCI and its key stakeholders and partners. Dr. Kosel has responsibility for introducing innovative solutions and advisory services, and managing engagement to help clients address pressing needs related to population health, quality and safety and patient engagement. Dr. Kosel also works with the Grants Team at PCCI to help identify appropriate external funding opportunities and draft award-winning proposals ranging from small pilot projects to multi-year, multi-million dollar demonstration projects. Prior to PCCI, Dr. Kosel was Senior Vice President of Government Affairs at Vizient Inc. (formerly VHA, Inc.) in Irving, TX. in this role Dr. Kosel oversaw the Public Policy and Government Relations Office in Washington, DC that worked with Congress and the Administration on matters of healthcare policy and economics. He also let the Government Programs Group that was responsible for administering all government programs at the Federal and State levels, including multiple quality and safety improvement contracts with CMS and AHRQ. Before becoming SVP at Vizient, Dr. Kosel led the Vizient Hospital Engagement Network that was a part of the CMS Partnership for Patients initiative that result in dramatic reductions in patient harms nationwide. Prior to Vizient, Dr. Kosel was Director of Clinical Programs at Blue Cross Blue Shield of Michigan where he built, implemented and oversaw disease management, case management and utilization management programs. Dr. Kosel received his PhD in medicine from the University of Iowa College of Medicine, his MHSA from the University of Michigan and his MBA from the University of Detroit. Dr. Kosel has authored numerous publications and has held various faculty positions at the graduate school and medical school levels. He is currently on the faculty at the Texas Woman’s University where he teaches a course in quality and patient safety in the College of Health Professions. Dr. Steve Miff is the President and CEO of PCCI, a leading, non-profit, artificial intelligence, and cognitive computing organization. Before joining PCCI, Dr. Miff served as the General Manager at Sg2, a national advanced analytics and consulting business serving over 1,200 leading healthcare systems. he led the organization’s strategy, operations and growth, and had overall P&L responsibility for the $55M+ business. Dr. Miff also led Sg2 ‘s merger and integration during the VHA, MedAssets and Sg2 acquisition. Prior to Sg2, he was the Senior Vice President of clinical strategy, population health, and performance management at VA (Vizient Inc.). Dr. Miff was a member of the senior management team and the executive oversight committee. His role with VHA included P&L responsibility across seven national business units with a total of over $25 million in revenue. Dr. Miff launched and grew three new enterprise businesses, led the development and rollout of several key strategic partnership/acquisitions, and was a senior member of the integration team for the VHA, UHC, and Novation merger. Prior to VHA, Dr. Miff served in various roles at the Rehabilitation Institute of Chicago, National Institute of Standards and Technology, and St. Agnes. Dr. Miff earned his PhD and MS degrees in biomedical engineering and a BA in economics from Northwestern University. He has been an adjunct professor of biomedical engineering for more than five years and has authored more than 100 though leadership, white papers, and peer-reviewed publications. He has served on the Senior Board of Examiners for the Baldrige National Quality Program and on the Executive Quest for Quality Prize Board Committee for the American Hospital Association. He serves on multiple boards, including NurseGrid and SMU Disruptive Leadership. Dr. Miff was The Community Council of Dallas’ 2017 Social Innovator of the Year award recipient.

About the Series

HIMSS Book Series

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Subject Categories

BISAC Subject Codes/Headings:
BUSINESS & ECONOMICS / Infrastructure
BUSINESS & ECONOMICS / Management Science
BUSINESS & ECONOMICS / Quality Control
BUSINESS & ECONOMICS / Nonprofit Organizations & Charities / Management & Leadership
MEDICAL / Administration
MEDICAL / Health Care Delivery
MEDICAL / Hospital Administration & Care