About the Session
It is well-documented that unmet needs, like inadequate food or housing, both cause and perpetuate health disparities. This seminar will share how, in 2012, Main Line Health established a volunteer program that engages second-year medical students from Philadelphia College of Osteopathic Medicine as health advocates to identify and address social determinants of health. As part of the Patient Centered Medical Home Team, MSAs interact with patients in the ambulatory, ED and community settings and assist patients with accessing community resources to address unmet nonclinical needs.
In 2018, in an effort to better support its most complex patients and address their medical, psychological and social needs, MLH’s Lankenau Medical Center partnered with its Medicaid Managed Care payer, Keystone First, to establish a multidisciplinary team known as Cornerstone Care. With this team, MLH aims to create sustainable partnerships with Keystone First and local safety net institutions, like Spectrum Health, to support care coordination for complex patients. Cornerstone Care will help patients interface with the healthcare system in many ways such as by encouraging patients to schedule and attend follow-up appointments and alerting patients’ primary care physicians about unmet medical needs. Faculty will discuss the program’s goals and projected outcomes, sharing advice for you to take to your organization to begin addressing complex patients’ nonclinical needs.
- Examine two programs that are addressing a health system’s most complex patients’ unmet psychosocial resource needs.
- Review case study examples on how health systems can collaborate with payers to address social determinants to improve health outcomes for diverse communities.