Table of Contents
Acknowledgments xv
Introduction: Managing "Beyond the Wall" xvii
Section I Understanding a Community
Case 1 Characterizing a Community: HealthforAll Health System Connie J. Evashwick 7
Management Challenge 8
A Diagnostic Report 8
Questions 10
Reference 12
Useful Resources 12
Case 2 Community Asset Mapping: Sharp HealthCare Senior Health Center Jillian Warriner 13
Management Challenge 14
Background 15
Needs of Seniors 17
Continuum of Care 18
Asset Mapping 19
Caregivers and Workforce 22
Financial Arrangements 22
Questions 24
References 25
Useful Resources 26
Case 3 Conducting a Community Health Needs Assessment Deryk Van Brunt Claire Lindsay Sheila Baxter Kimberly Peeren Andrew Juhnke Sophia Blachman-Biatch Jenny Belforte 27
Management Challenge 28
Background: Oak Grove Community Hospital 29
The Community Health Needs Assessment Process 29
Final Report 40
Questions 41
References 42
Useful Resources 42
Section II Social Determinants of Health
Case 4 Social Determinants of Health: Sheltering People Experiencing Homelessness in Vermont Penrose Jackson Margaret Rost Margaret Bozik Chris Donnelly 47
Management Challenge 48
Background 49
University of Vermont Medical Center 50
Housing Challenges in UVM MC's Health Service Area 51
Call to Action 52
Coordinated Entry 56
Challenges 57
Impact on UVM MC 58
Conclusions and Lessons Learned 58
Questions 59
References 60
Useful Resources 61
Case 5 Lead Free or Die: Preventing New Hampshire's Wicked Problem Rosemary M. Caron 63
Management Challenge 64
Background 64
The Manchester Community 65
The Refugee Resettlement Process 68
Childhood Lead Poisoning as a Wicked Problem 69
Community Agencies and Stakeholders 70
Contemporary Concerns and Next Steps 73
Questions 73
References 74
Useful Resources 75
Section III Public Health
Case 6 Governance and Power Sharing: Building Community Partnerships for Population Health Gains in Rural Minnesota James A. Rice 81
Management Challenge 82
Background 82
Countryside Public Health and Its Leadership Agencies 85
Countryside's Efforts to Mobilize Community Health Partners 86
Building Collaborative Governance and Joint Partner Planning 87
Questions 89
References 90
Useful Resources 91
Case 7 Local Health Department Spearheads Collaboration Katherine A. Stamatakis Allese B. McVay Kristin D. Wilson Kevin Syberg Bert Malone Deborah Markenson Eduardo J. Simoes 93
Management Challenge 94
Background 94
A Logic Model for Obesity 96
A Measurement Challenge 97
Putting the Pieces Together 102
Next Steps 103
Questions 104
References 105
Useful Resources 106
Section IV Population Health
Case 8 Coordinating Care for Special Populations: Facilitating Care Coordination and Care Transition for People with Mobility Limitations Reena Joseph Tapan Mehta James H. Rimmer Charles L. Angel Jr. Jamie Wade Allyson Hall 113
Management Challenge 114
Background 115
Collaboration 118
Task Force Objectives 120
Questions 121
References 123
Useful Resources 123
Case 9 Serving Senior Veterans: Managing Cost and Quality for High-Risk Aged Veteran Populations Orna Intrator Bruce Kinosian Jim Rudolph Ranak Trivedi Ciaran Phibbs Marianne Shaughnessy 125
Management Challenge 126
Background 127
Strategies 131
Shirting from a Hospital Focus to a Home-Based Orientation 132
Jose Lopez and the Clinic in the Southwest 133
Questions 135
References 136
Useful Resources 138
Case 10 Financial Analysis: Evaluating an Anchor Mission for Chicago's Near West Side Jason S. Turner 139
Management Challenge 140
Background 140
Anchor Mission 141
Economic Engine 142
Evaluation 143
Charge to the Executive Leadership Team 145
Questions 146
References 147
Useful Resources 147
Case 11 Information Management: Creating a System to Care for the Homeless in Phoenix Marisue Garganta 149
Management Challenge 150
Background 150
A Strategy and Intervention for Caring for the Homeless Population 156
Questions 159
References 160
Useful Resources 161
Section V Healthcare Management Functions
Case 12 Organizational Mission and Ethics: Ethics and Population Health in Grove City Michael Rozier 165
Management Challenge 166
Background 166
Greenville Hospital and Its Mission 167
An Intervention for Severe Childhood Asthma 168
Select Ethical Principles 172
Key Points About Ethical Discernment 174
Moving Forward 176
Questions 176
Reference 177
Useful Resources 178
Case 13 Long-Term Care: Developing a Strategic Plan for Evergreen Continuing Care Retirement Community Robert E. Burke 179
Management Challenge 180
Background 180
The History and Context of Evergreen Continuing Care Retirement Community 182
Strategic Plan 186
Conclusion and Recommendations 189
Questions 189
Useful Resources 190
Case 14 Rural Healthcare Access and Physician Recruitment Donald Lewis 191
Management Challenge 192
Background 192
The State of Rural Healthcare 195
Human Resources and Recruitment 197
Telehealth and Rural Healthcare 199
Conclusion 201
Questions 201
Note 202
References 203
Useful Resources 204
Case 15 Communication and Marketing: Live Well San Diego Wilma J. Wooten Elizabeth Evashwick Nick Macchione Carleen Stoskopf Dale Fleming 205
Management Challenge 206
Background 206
The Communication Process 209
Keys to Effective Communication 210
Choosing Metrics 212
Choosing Media 212
Media Budget 213
Conclusion 214
Questions 214
References 215
Useful Resources 215
Case l6 Structure and Governance for Sustainability: Managing Resurgence of HIV/AIDS in a Community Keith Jennings 217
Management Challenge 218
Background 218
HIV/AIDS Reemergence 220
Community Overview 222
About Whitefield Health System 222
The Local Public Health Department 223
Positive Response Initiative 223
Sustainability 228
A Plan of Action 229
Questions 230
References 231
Useful Resources 232
About the Editors 233
About the Contributors 235
