For information on news and events,  join our mailing list.
Email Newsletter icon, E-mail Newsletter icon, Email List icon, 
E-mail List icon Sign up for our Email Newsletter and Listserve
For Email Newsletters you can trust

Community Driven Healthcare

 

Across the country there is a rapid evolution of community based collaborative models working to improve population health. Termed Commons Health Care Trusts (CHCT)1 or Accountable Community Organizations 2,3 examples include, but are not limited to, the Community Care of North Carolina Program, the RWJ supported Aligning Forces for Quality (AF4Q), and the Austen BioInnovation Institute effort in Ohio.

 

Community Reinforcing Loop  (4)

Generally, these models broadly encompass public health and community organizations addressing an entire spectrum of the social determinants of health, rather than a strict medical care focus. As well, they address the health outcomes of a geographic region, rather than specific health consumers. Finally, they generally include a mechanism to reinvest health savings back into population health (see above Figure).
 
In this commons healthcare model, the business of hospitals will increasingly reflect the interests of their healthy communities. In fact, just as with smoking bans, the leadership of hospitals in modeling and supporting healthy activities will be a community imperative. While other institutions and businesses will be similarly engaged, without the example of hospitals as institutions, it will be difficult for communities to incorporate prevention initiatives in their schools, workplaces, and homes.  
 
In the context of the global obesity epidemic and ecological health crisis, hospitals following a commons health agenda will recognize, promote, and support, health-promoting policies and practices within their institutions in partnership with the communities that they serve. See the Commons Health Care Challenge, a Minnesota based example of communities, clinicians, and healthcare working together at the local level.

 




[1] Harvie,J. The Case for Commons Health Care, Explore Vol 8., No. 1, Jan 2012


[2] Magnan,S. et al, Achieving Accountability for Health and Health Care: A White Paper developed from the State Quality Improvement Institute 2008-2010 in Minnesota, Academy Health and Commonwealth Fund, 2012


[3] Austen Biovision Institute, Healthier by Design: Creating Accountable Care Communities: A Framework for Engagement and Sustainability, 2012  http://abiakron.org/Data/Sites/1/pdf/accwhitepaper12012v5final.pdf


[4] Magnan,S. et al, Achieving Accountability for Health and Health Care: A White Paper developed from the State Quality Improvement Institute 2008-2010 in Minnesota, Academy Health and Commonwealth Fund, 2012