hospitalsandschoolsashubs_butler_diaz_120516
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Economic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior Fell hospitalsandschoolsashubs_butler_diaz_120516low in the Economic Studies Department at the Brookings Institution.Carmen Diaz co-authored this report while a Research Assistant at the Brookings Institution. She is currentty the Innovation Project Manager at Sibley Memorial Hospital in Washington. DC. This report does not represent the views of hospitalsandschoolsashubs_butler_diaz_120516Sibley Memorial Hospital or the Johns Hopkins Medical Center.The Brookings Institution is a nonprofit organization devoted to independent research andhospitalsandschoolsashubs_butler_diaz_120516
policy solutions. Its mission is to conduct high-quality, independent research and. based on that research, to provide innovative, practical recommenEconomic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior Fell hospitalsandschoolsashubs_butler_diaz_120516reflect the views of the Institution, its management, or its other scholars.Support for this publication was generously provided by the Robert Wood Johnson Foundation.Brookings recognizes that the value it provides is in its absolute commitment to quality, independence, and impact. Activities suppor hospitalsandschoolsashubs_butler_diaz_120516ted by its donors reflect this commitment.ContentsIntroduction.........................................................................1Challenges forhospitalsandschoolsashubs_butler_diaz_120516
Hospitals and Schools as Hubs.........................................4Data Collection and Value Measurement.........................................Economic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior Fell hospitalsandschoolsashubs_butler_diaz_120516................... 6Recommendations..................................................................... 9Improve Data Collection and Sharing...............................................9Rethink Business Models..........................................................13Increase Budget Flexibility hospitalsandschoolsashubs_butler_diaz_120516......................................................27Appendix: Advisory Group Members....................................................30Referenchospitalsandschoolsashubs_butler_diaz_120516
es..........................................................................31IntroductionPractitioners and policymakers have become increasingly awarEconomic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior Fell hospitalsandschoolsashubs_butler_diaz_120516ing focus on social determinants of health, for instance, stems from the understanding that there are many ■'Upstream' factors that influence health, from housing conditions to poverty and education, and that community development in lower-in-come communities can help improve residents' health.1 On hospitalsandschoolsashubs_butler_diaz_120516the other side of the same coin, we know that a person s health condition can be an important factor in their success at school and in the 'workplace,hospitalsandschoolsashubs_butler_diaz_120516
influencing their ability to move up the economic ladder. An analysis of spending patterns across countries shows that the United States is an outlieEconomic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior Fell hospitalsandschoolsashubs_butler_diaz_120516 in general health may be achieved more effectively by spending outside the medical sector. Research on the balance of health and social spending at the state level suggests the same conclusion?Thus it is important to find ways for different sectors—such as housing, education, and health—to collabor hospitalsandschoolsashubs_butler_diaz_120516ate more effectively, to be more flexible in the sharing of resources, and to achieve the broad goals of each sector. Collaboration does not occur inhospitalsandschoolsashubs_butler_diaz_120516
a vacuum; It is much more of an organic process. In communities and particularly in lower-income communities, institutions often provide a crucial focEconomic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior Fell hospitalsandschoolsashubs_butler_diaz_120516 an organization or institution that IS a focal point in a community and helps blend together a range of stakeholders and services that improve the health and economic mobility of residents. It does not necessarily lead activities or function as the sole focal point—often it is a partner with other hospitalsandschoolsashubs_butler_diaz_120516institutions. But through partnerships and its own services it enables organizations and people with particular skills, assets, and connections to worhospitalsandschoolsashubs_butler_diaz_120516
k more effectively together to improve the neighborhood. A hub might be a school. It could be a hospital, church, or housing project. It could be a coEconomic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior Fell hospitalsandschoolsashubs_butler_diaz_120516lopment and Health,’■Squires and Anderson. ’U.S Health Ca'e from a Global Perspective.'' Bradley et al ’Variation in Health Outcome* ’Economic Studies at BROOKINGS1tion In a particular neighborhood, there are likely to be multiple hubs with different characteristics that partner with each other, suc hospitalsandschoolsashubs_butler_diaz_120516h as a clinic linked with a school.In this report we feature two such institutions that potentially can play a major role in helping to enhance healthhospitalsandschoolsashubs_butler_diaz_120516
and long-term economic mobility in a community: hospitals and schools. We make six broad recommendations involving a number of steps. These are addreEconomic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior Fell hospitalsandschoolsashubs_butler_diaz_120516ution—treating illness and educating children—but rather how they can play a collaborative role as a hub for a range of services. The purpose of the report IS to suggest ways to create the best policy environment for these hubs to fulfill their enormous potential.Why did we pick these two particular hospitalsandschoolsashubs_butler_diaz_120516 institutions7 It is not that others are unimportant, but that we believe that with an improved policy environment hospitals and schools could play ahospitalsandschoolsashubs_butler_diaz_120516
much larger role in improving the health and economic mobility of many communities.Economic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior FellEconomic Studies at BROOKINGSHospitals and Schools as Hubs for Building Healthy CommunitiesStuart ButlerCarmen Diaz42675Stuart Butler IS a Senior FellGọi ngay
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