Moving Health Care Upstream

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To move the needle on population health, health care organizations need strategic layers of upstream, midstream, and downstream tactics. For inspiration, see our gallery of Examples in Action below. Please email [email protected] if you’d like to have your health care organization’s work included.

 

Illustration Citation: “Meeting Individual Social Needs Falls Short Of Addressing Social Determinants Of Health,”  Health Affairs Blog, January 16, 2019. DOI: 10.1377/hblog20190115.234942

 

Upstream efforts seek to create community-level impact and improve community conditions by addressing social determinants of health through policy, laws, and regulations. Midstream efforts seek to create individual-level impact by meeting individuals’ social needs through screenings, referrals, and other individually-focused processes/protocols. Downstream efforts seek to create patient-level impact by providing clinical care. For more, CLICK HERE.

Immigrant Child Health Toolkit; Washington, DC metropolitan region

A model resource- Guidelines for anyone providing care or services to immigrant families
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DC Health Matters

Progress through Partnerships to Improve Health Outcomes in Washington, DC
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Addressing Food Insecurity at Los Angeles County Clinics; Los Angeles, California

Using data to advance organizational policies to screen for food insecurity
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Nemours National Office of Policy & Prevention

An example of how health systems can advance upstream health by strategic organizational structure
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Nemours Children's Student Health Collaboration

An innovative approach to sharing student health records with school nurses
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Increasing Developmental Screening and Promoting Social Emotional Development in Florida

Healthy Food Access: Healthy Tarrant County Collaboration

Partnering to create access to healthy foods for the most under served population  
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Project HOPE Consortium Shared Geography: New Jersey

Boston Children’s Community Asthma Partnership; Boston, MA

Building systems in community health centers to support patients and families
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Addressing Disproportionate Infant Mortality in Oklahoma

Children’s Hospital of Wisconsin; Milwaukee, WI

Partnering with schools & communities to improve health outcomes for children
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Scaling a Promising Model Statewide to Address Inequities in Washington State

Comer Children’s Hospital; Chicago, IL

Health & Wellness Alliance for Children; Dallas, TX

Building & strengthening the continuity of care to reduce asthma-related hospital visits
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Michigan Pathways to Better Health; Ingham, Saginaw & Muskegan Counties; MI

A multi-sector partnership working to create a culture of health.
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Nationwide Children’s Hospital; Columbus, OH

Healthy Neighborhood, Healthy Families is a place-based revitalization collaborative.
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NewYork-Presbyterian Hospital; Central Harlem, NY

Building Bridges, Building Knowledge, Building Health Coalition
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Ravenswood MHCU Collaborative; East Palo Alto, CA

Our work focuses on closing the achievement gap by focusing on the early years.
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Salud Para la Gente; Watsonville, CA

Integrated community care for Central California agriculture workers
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Seattle Children’s Hospital; Seattle, WA

Seattle Children’s is refocusing on children’s health by deepening community partnerships.
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The Children’s Clinic- Serving Children & Their Families; Long Beach, CA

Decreasing food insecurity and social isolation among our ethnically diverse population
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The Mayerson Center for Safe & Healthy Children at Cincinnati Children’s Hospital; Cincinnati, OH

Working to create better childhoods by building safe & nurturing environments for our kids
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Working in Neighborhoods Strategically (WINS); Dallas, TX

WINS is focused on improving the health and well-being of communities in Dallas County.
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