Social determinants of health is a problem that affects all American communities. Every hospital needs to assess their community’s social needs, some do it better than others. This podcast highlights one organization with a unique approach on how to identify individuals with social needs and address those needs.
Vice President, Marketing and Population Health
Population Health Strategic Development Manager
Kellie Goodson, MS, CPXP
Performance Improvement Program Director
[00:27] Cottage Health is located in Santa Barbara, California
[00:50] Cottage Health has centralized its population health efforts
[01:36] Santa Barbara has 12% of the overall population is below the poverty line, and the county has the highest percentage of homeless students and the third highest percentage of families in poverty.
[02:08] Ron Werft, Cottage Health CEO, started the organization’s vision for population health
[02:08] In 2015, Cottage Health changed their mission statement to include the words, “improve the health of our communities,” and then launched our new organizational focus on population health.
[02:33] Cottage Health’s Center for Population Health works to improve health and wellness, focusing on equity for the most vulnerable in their hospitals and in the community.
[03:00] Started with a community health needs assessment
[03:30] After collecting community data, they published the results on CottageData2go.com
[04:20] Cottage Health staffing for their Center for Population Health
[04:55] Cottage Health CEO and population health team conducted “Listening Tours” with up to 250 community members to gather their assessment of the community’s health needs.
[06:00] Learned that Cottage Health employees need help too.
[06:35] They set up the Employee Resource Connect to partner with human resources to screen all employees for food, housing, transportation and behavioral health needs. Discovered that 25% of their employees need help.
[07:00] Developed a food program for employees.
[08:50] Expanded screening to other patient populations.
Links | Resources:
Cottage Center for Population Health Click here
Cottage Health’s Community Health Needs Assessment Click here
Cottage Data2Go Click here
Modern Practice podcast, “The effect of COVID-19 on social determinants of health – Part 1” Click here
Modern Practice podcast, “The effect of COVID-19 on social determinants of health – Part 2” Click here
“Addressing Social Determinants of Health During COVID-19 and Beyond: Leveraging Collaboration and Partnerships,” Shaifali Ray and Karyl Kopaskie Click here
“Addressing Social Determinants of Health During COVID-19 and Beyond: Leveraging Data that Matters,” Heather Blonsky Click here
Addressing Social Determinants of Health During COVID-19 and Beyond: How to Find Your Organization’s Fit,” Shaifali Ray and Karyl Click here