Moving Health Care Upstream

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Examples in Action

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


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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


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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


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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


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Comer Children’s Hospital; Chicago, IL

Feed1st In-House Food Pantry
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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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