Addressing social determinants to improve healthcare quality and reduce cost.

Shauna R. Roberts, Jane Crigler, William E. Lafferty, Aaron J. Bonham, Jennifer L. Hunter, Andrew J. Smith, Julie W. Banderas, Gerald L. Early, Roderick K. King

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Most healthcare quality improvement and cost reduction efforts currently focus on care processes, or transitions-for example, the hospital discharge process. While identification and adoption of best practices to address these aspects of healthcare are essential, more is needed for systems that serve vulnerable populations: to account for social factors that often inhibit patients' ability to take full advantage of available healthcare. Our urban safety net healthcare system developed and implemented an innovative quality improvement approach. The programs, Guided Chronic Care(TM) , and Passport to Wellness, use Assertive Care and provide social support for patients between medical encounters, enabling patients to make better use of the healthcare system and empowering them to better manage their conditions. Results: The majority of patients reported problems with mobility and nearly half reported anxiety or depression. Early indications show improved quality of care and significant reduction in costs. Challenges encountered and lessons learned in implementing the programs are described, to assist others developing similar interventions.

Original languageEnglish (US)
Pages (from-to)12-20
Number of pages9
JournalJournal for healthcare quality : official publication of the National Association for Healthcare Quality
Volume34
Issue number2
StatePublished - Mar 2012
Externally publishedYes

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Quality of Health Care
Delivery of Health Care
Costs and Cost Analysis
Quality Improvement
Aptitude
Vulnerable Populations
Practice Guidelines
Social Support
Anxiety
Depression
Safety

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Roberts, S. R., Crigler, J., Lafferty, W. E., Bonham, A. J., Hunter, J. L., Smith, A. J., ... King, R. K. (2012). Addressing social determinants to improve healthcare quality and reduce cost. Journal for healthcare quality : official publication of the National Association for Healthcare Quality, 34(2), 12-20.

Addressing social determinants to improve healthcare quality and reduce cost. / Roberts, Shauna R.; Crigler, Jane; Lafferty, William E.; Bonham, Aaron J.; Hunter, Jennifer L.; Smith, Andrew J.; Banderas, Julie W.; Early, Gerald L.; King, Roderick K.

In: Journal for healthcare quality : official publication of the National Association for Healthcare Quality, Vol. 34, No. 2, 03.2012, p. 12-20.

Research output: Contribution to journalArticle

Roberts, SR, Crigler, J, Lafferty, WE, Bonham, AJ, Hunter, JL, Smith, AJ, Banderas, JW, Early, GL & King, RK 2012, 'Addressing social determinants to improve healthcare quality and reduce cost.', Journal for healthcare quality : official publication of the National Association for Healthcare Quality, vol. 34, no. 2, pp. 12-20.
Roberts, Shauna R. ; Crigler, Jane ; Lafferty, William E. ; Bonham, Aaron J. ; Hunter, Jennifer L. ; Smith, Andrew J. ; Banderas, Julie W. ; Early, Gerald L. ; King, Roderick K. / Addressing social determinants to improve healthcare quality and reduce cost. In: Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 2012 ; Vol. 34, No. 2. pp. 12-20.
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