About Stephen Horan

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So far Stephen Horan has created 69 blog entries.
6 04, 2017

Trauma Informed Care

2017-04-06T19:19:36+00:00 April 6th, 2017|

4 04, 2017

Health Coaching

2017-05-30T18:30:18+00:00 April 4th, 2017|

7 03, 2017

Five Strategic Lessons for Community Health Improvement

2017-03-20T13:57:29+00:00 March 7th, 2017|

Community health improvement is a strategic priority for many hospitals, health systems, public health agencies, foundations, and other organizations with a mission for community health.  Experience shows that the work of community health improvement can become costly and complex if it is not guided by a clear strategic vision. At Community Health Solutions, we have supported dozens of community health initiatives over the past fifteen years, and we have learned a lot about what works (and what doesn’t) in community needs assessment and strategy development.  Here are five strategic lessons for community health improvement.

1. Start with leadership support. Community health improvement […]

26 02, 2017

Health Care and Healthy Food

2017-03-20T15:05:04+00:00 February 26th, 2017|

Food bank 2Good nutrition is essential for overall health and for management of many health conditions.  Access to health food can also be a challenge for many individuals with low income or lack of mobility.  The following resources describe how hospitals, health systems, and other health care providers are partnering with food banks to help people obtain healthy food.  The list is not exhaustive, and we don’t endorse any particular approach.  Our suggested approach is to scan the resources for ideas that might work in your particular setting.

Strategy Guides

  1. Making Food […]
26 01, 2017

Community Health Funds: Innovative Financing for Community Health Improvement

2017-03-20T16:07:19+00:00 January 26th, 2017|

Community Health Funds (CHFs) are a new method for making communities healthier while reducing costs and supporting collaboration. A new project is asking communities to share and spread lessons from CHF and other health partnership experiences. This article from the Robert Wood Johnson Foundation outlines the current states of CHFs and provides links to several working examples.

Click here to learn more about the potential and challenges of CHFs.




13 01, 2017

Dying and Living in the Neighborhood – A Street-Level View of America’s Healthcare Promise

2017-03-20T16:15:54+00:00 January 13th, 2017|

Dr. Prabhjot Singh is a physician and program director at Mount Sinai Health System.  In this groundbreaking book from Johns Hopkins University Press (2016), Dr. Singh defines how place matters for health in a unique and compelling way.  In summary, Dr. Singh:

  1. Clearly describes the neighborhood dynamics that can shape an individual’s ability to ‘assemble’ health;
  2. Profiles innovative people and programs working to change health at the neighborhood level;
  3. Looks across sectors to identify policy obstacles and other systemic barriers to health promotion; and
  4. Presents creative ideas for collaboration across healthcare, public health, and community development.

We found this […]

29 12, 2016

The Playbook: Better Care for People with Complex Needs

2017-03-20T14:01:48+00:00 December 29th, 2016|

the-playbook-for-complex-care-needsA new website provides curated resources about promising approaches to improving care for people with complex needs.  The content can be used to inform the design of local projects for vulnerable populations.  The Playbook is a collaborative project of The Commonwealth Fund, The John A. Hartford Foundation, Peterson Center on Healthcare, the Robert Wood Johnson Foundation, The SCAN Foundation, and the Institute for Healthcare Improvement.

The Playbook’s guiding questions include:

  • Why invest in redesigning care for people with complex needs?
  • Who are people with complex needs?
  • What care models are promising?
  • […]

28 12, 2016

Placemaking 101: Creating Communities that Support Health

2017-03-20T14:02:15+00:00 December 28th, 2016|

project-for-public-spacesAs we learn more about the power of place as an influence on individual and population health, the question arises:  How can we make places healthier?  One strategy is to take a systematic approach to placemaking.  The Project for Public Spaces defines ‘placemaking’ as

…both an overarching idea and a hands-on approach for improving a neighborhood, city, or region, Placemaking inspires people to collectively reimagine and reinvent public spaces as the heart of every community…With community-based participation at its center, an effective Placemaking process capitalizes on a local community’s assets, […]

27 12, 2016

A Positive Step toward Recognizing Social Risk Factors in Provider Payment Models

2017-03-20T16:20:27+00:00 December 27th, 2016|

Decades of research and experience show that patients with social risk factors such as low income or low education are at greater risk for adverse health outcomes.  One concern about value-based payment models is that providers who serve folks with social risk factors will be penalized if their patients require more resources or do not reach quality goals.  A positive step toward solving this challenge can be found in a recent report to Congress from the US Department of Health and Human Services.  This report presents a high-level framework for incorporating social risk factors into Medicare payment models. […]

26 12, 2016

Cambridge Health Alliance: Combining Clinical Care and Public Health for Community Impact

2017-03-20T14:03:30+00:00 December 26th, 2016|

One priority for innovation is better collaboration between health care and public health.  The Cambridge Health Alliance CHA integrates primary care, public health, and more into one community-focused organization.  CHA is a large and unique organization, but it offers ideas lessons for collaborative ventures of many different sizes and settings.  Learn more from the CHA website as well as the video below.