About Stephen Horan

This author has not yet filled in any details.
So far Stephen Horan has created 73 blog entries.
29 12, 2016

The Playbook: Better Care for People with Complex Needs

2017-03-20T14:01:48+00:00December 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+00:00December 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+00:00December 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+00:00December 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.

22 12, 2016

City Health Works: Better Health at Lower Cost with Community Health Workers

2017-03-20T16:20:53+00:00December 22nd, 2016|

Research and experience show that Community Health Workers (CHWs) can make a healthy difference in the lives of the people they serve.  The keys to optimizing CHWs include local design, close collaboration with primary care providers, a neighborhood-based workforce, effective training and support, and a focus on achieving specific outcomes for defined populations.  City Health Works has assembled these keys into a coaching and care coordination program that is helping patients with chronic conditions chieve healthier outcomes.

Click here for a detailed outline of what City Health Works does, and the outcomes it aims to achieve.

Click here to […]

20 12, 2016

Closing the Gaps between Medical, Dental, and Behavioral Health Care

2018-07-02T14:44:59+00:00December 20th, 2016|

medical-dental-behavioralIf we were to examine the leading causes of death within a typical community of modest size and diversity, we would likely find heart disease, cancer, stroke, respiratory diseases, diabetes, Alzheimer’s, and possibly suicide.  If we switched our lens to causes of disability, we would probably see depressive disorders, anxiety disorders, and substance use disorders on the list.   If we turned to risk factors for premature death and disability, we would find smoking, overweight, poor diet, sedentary lifestyle, and substance abuse.

One thing we would probably not see among the statistical summaries is […]

9 12, 2016

A Much-Needed Playbook for Integrating Behavioral Health and Primary Care

2016-12-13T14:44:49+00:00December 9th, 2016|

the-academyIn our continuing evolution toward whole-person health, it is critically important to integrate behavioral health and primary care for folks who have multiple risks if not multiple diagnoses.  AHRQ has created an online Academy for Integrating Behavioral Health and Primary Care.  Within the Academy is an  Integration Playbook that can be used as a guide for integrating behavioral health in primary care and other ambulatory care settings.  At Community Health Solutions we are helping people use this playbook for as a guide for optimizing integration in the […]

1 12, 2016

The Five Most Important Questions You Can Ask about Your Organization

2017-03-20T16:22:03+00:00December 1st, 2016|

[one_fourth last=”no” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”top” border_size=”1px” border_color=”#1e73be” border_style=”solid” padding=”5″ margin_top=”5″ margin_bottom=”5″ animation_type=”0″ animation_direction=”down” animation_speed=”0.1″ animation_offset=”” class=”” id=””]In today’s environment it is the job of leadership to ensure that everyone in the organization is equipped to think and act according to the five questions.  This is one of the most important things you can do to assure that your organization is delivering value and sustaining its mission for the future. [/one_fourth][three_fourth last=”yes” spacing=”yes” center_content=”no” hide_on_mobile=”no” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” hover_type=”none” link=”” border_position=”all” border_size=”0px” border_color=”” border_style=”” padding=”” margin_top=”” margin_bottom=”” animation_type=”” animation_direction=”” animation_speed=”0.1″ animation_offset=”” […]

28 11, 2016

How a Health Clinic Made a Local Grocery Store Part of its Prescription

2017-03-20T16:22:24+00:00November 28th, 2016|

Sue Joss and Jason Barbosa might seem to be unlikely economic development partners. She is the veteran CEO of a major nonprofit health care provider in Brockton, Massachusetts, just south of Boston. He is the operations manager of a family-run grocery company launched by his immigrant father in the same working class city.

Was there a way they could create jobs, grow their local economy, and reduce blight?

Read their story at Yes! Magazine…

Learn about the innovative funding model (the Healthy Futures Fund) through this video profile produced by the Kresge Foundation…


27 11, 2016

How Oklahoma Developed What May Be the Best Health Information Exchange in the Country

2017-03-20T14:05:22+00:00November 27th, 2016|

Health information exchange can be critically important for improving health care.  Enabling health information exchange is possible but challenging for states and communities across the country.   Oklahoma has an exemplary health information exchange that started locally and has expanded to serve much of the state.  As stated on the organization’s website:

MyHealth Access Network is a non-profit health information exchange that links more than 2,000 providers and their patients in a community-wide health information system that will help provider’s better monitor and improve care to:

  • Reduce health care costs associated with redundant testing, hospital admissions, and emergency department visits
  • Improve care […]