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Rural Health Information Hub

Models & Innovations Search Results for: social determinants of health

47 Models & Innovations webpages matched your search. Here are matches 41 - 47:

41. NC-REACH: NC-Rurally Engaging and Assisting Clients who are HIV positive and Homeless
Reviewed: Nov 30, 2020

Medical home staff model expanded to provide care coordination for HIV patients with mental health, substance abuse, and unstable housing/homelessness challenges.

...health comorbidities. Other challenges associated with the social determinants of health, like housing stability issues...

42. NEON Pathways Community Hub
Reviewed: Jul 6, 2020

A pay-for-outcomes approach that uses community health workers to ensure at-risk community members receive needed evidence-based health and social services.

...determine which of the seven available evidence-based pathways will be most suitable. These pathways focus on key areas of health and social...

43. Community Health Worker-based Chronic Care Management Program
Added: May 12, 2020

By improving diabetes quality measures and decreasing healthcare costs, a community health worker-based Chronic Care Management program implemented in a 3-state area of Appalachia gained sustainability due to insurance carrier support.

...health workers Diabetes Philanthropy Reimbursement and payment models Social determinants of health States served Kentucky...

44. Prevention through Care Navigation Outreach Program
Reviewed: May 2, 2020

A program that uses community health workers to create a system of coordinated care in order to reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.

...health. Accountable Health Communities (AHC) Health-Related Social Needs (HRSN) Tool : Social Determinants of Health...

45. Regional Initiatives in Dental Education (RIDE)
Reviewed: Feb 14, 2020

To meet the unique oral health needs of patients in rural and underserved areas, a special training program, RIDE, was created by the University of Washington's School of Dentistry.

...Regional Initiatives in Dental Education (RIDE) --- To meet the unique oral health needs of patients...

46. COPD Readmission Prevention Program
Reviewed: Dec 17, 2019

Genesis HealthCare System, Zanesville, Ohio, created a post-discharge care coordination program with impact not only on readmission rates, but access to acute and chronic care.

...social determinants of health, for example, the ability to purchase and correctly use medications. When...

47. Families Plus Comprehensive Health and Mentoring for Underserved Youth
Added: Mar 22, 2019

In rural Delta County, Colorado, behavioral health services were successfully integrated into physical health services for underserved children accessing a primary care clinic.

...social media campaign with an estimated 75,000 impressions, sustainability efforts were impacted by increased donations and recruitment of new volunteers to assist with meeting the social determinants of health...