About Stephen Horan

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So far Stephen Horan has created 69 blog entries.
22 12, 2016

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

2017-03-20T16:20:53+00:00 December 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

2017-03-20T14:04:06+00:00 December 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+00:00 December 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+00:00 December 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+00:00 November 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+00:00 November 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 […]
14 11, 2016

Study Indicates Earned Income Tax Credit Can Support Health

2017-03-20T16:23:40+00:00 November 14th, 2016|

A new study by researchers at Columbia University’s Mailman School of Public Health reports that the Earned Income Tax Credit program is not only good for people’s pocketbooks, but also for their health. Findings showed that the program is much more cost-effective than many health interventions and has the added benefit of reversing mortality trends among low-income Americans in some states that have been experiencing increases in mortality in recent years.

Learn more about the study and its implications for health…

13 11, 2016

Poverty and the Myths of Health Care Reform

2017-03-20T16:24:02+00:00 November 13th, 2016|

From The Physicians Foundation:

Physicians Foundation commissioned the release of “Poverty and the Myths of Health Care Reform,” a thought-provoking and data-rich book documenting the impact of social determinants on healthcare costs. Authored by the late Richard (Buz) Cooper, MD, the book draws on decades of health research and economic data to demonstrate the pervasive, debilitating effects of poverty on healthcare costs, resource utilization and overall patient outcomes. The book is published by Johns Hopkins University Press.

Click here to read an excerpt and review the table of contents.

Learn more […]

11 11, 2016

Health Affairs Issue Brings Culture of Health into Focus

2017-03-20T16:24:24+00:00 November 11th, 2016|

The November issue of Health Affairs explores where action is most needed to successfully build a Culture of Health and identifies how we might start.

This month’s Health Affairs DataGraphic provides a pictorial view of key facts about how population well-being affects life expectancy.

Click here to view the table of contents and links to abstracts for the full November issue.



9 11, 2016

Poverty and Brain Development

2017-03-20T16:30:13+00:00 November 9th, 2016|

From Youtube:

Chaya Kulkarni, Director, Infant Mental Health Promotion, Hospital for Sick Children explains how poverty affects a child’s brain development and what parents can do to mitigate.