The webinar will start with an introduction on Allina Health as an organization and health care provider. Next, I’ll review Allina Health’s SDoH journey from pilot to Accountable Health Communities (AHC) cooperative agreement, to evolution and scaling of the Health-Related Social Needs (HRSN) program. I’ll review the process used to develop our current model and provide an overview of lessons learned from AHC. I’ll share data from AHC and how data was used to build momentum internally and to collaborate externally. I’ll then transition the presentation to Sara, a clinical supervisor at the Chaska Clinic to discuss the screening process in clinic, and how she leads the work at the site level. Sara will also discuss social needs informed care and how that comes to life for providers and other care team members. Sara will then transition the presentation to Kristen. Kristen supervises the Care Guides that provide navigation support to patients that have requested additional support with resolving their needs. Kristen will describe the navigation process, tracked referrals, and share some recent patient stories of those benefiting from this intervention. I’ll wrap up the presentation reviewing our HRSN program data and next steps. The goal is to leave the last 15-20 minutes for open dialogue and questions.
- Sustainable and efficient health-related social need screening (HRSN) and navigation processes
- Human-centered design approach to developing a model that works for your organization
- Importance of the use of data to drive systems change internally and externally along with collaborative community partnership to support HRSN
- HRSN impact on reduction of disparities and more equitable, patient-centered care
- Incorporating HRSN into care plan across the care continuum
- HRSN prevalence and impact of HRSN on utilization and clinical quality outcomes