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Aligning Up Close: A Community’s Response to a Pandemic
Case Study

Aligning Up Close: A Community’s Response to a Pandemic

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This case study highlights how in 2020, Elevate Health, an Accountable Communities of Health (ACH) organization in Pierce County, Washington, partnered with clinical services, social services, and public health to respond to the COVID-19 pandemic.

Elevate Health’s mission is to ensure that every person in Pierce County, Washington has the same, ready access to exceptional health care. As an ACH organization, it carries out this critical work by addressing the core challenges of inequitable health systems and practices at the community, region, and state levels. Elevate Health brings together leaders from multiple health sectors with a common interest in improving health and health equity.

During the COVID-19 pandemic, Elevate Health leveraged insights obtained from its integrated health data to address patients’ clinical and social needs. Elevate Health also automated its care coordination approach and empowered its partner care teams to facilitate their at-risk and acute patients’ health status monitoring. Through collaborative processes, care coordinators and community health workers were able to focus on providing better patient outcomes.

Aligning Systems for Health: Health Care + Public Health + Social Services, supported by the Robert Wood Johnson Foundation and managed by the Georgia Health Policy Center, is focused on learning from stakeholders across the nation about effective ways to align these three sectors to better meet people’s goals and needs.

Components of Alignment

Data Icon Data
Financing Icon Financing
Shared Purpose Icon Shared Purpose

Author Organization

Aligning Systems for Health

Publication Date

02.18.2021

Topic Area

Complex Care
Public Health
Social Needs
Brief

Intermediary Organizations Are Urgently Needed to Assist in Modernizing Public Health and Addressing the Drivers of Health in the United States

This issue brief describes the different roles intermediaries can play; provides examples of where they have been used in practice; and identifies the risks, benefits, and possible innovations of intermediaries as well as policy approaches that might facilitate their appropriate use.

Publication

“More Than Just Giving Them a Piece of Paper”: Interviews with Primary Care on Social Needs Referrals to Community-Based Organizations

This publication characterizes referrals to community-based organizations by primary care practices, which are increasingly being used by healthcare organizations to invest in social care.

Publication

Revising the Foundational Public Health Services in 2022

This publication provides a framework outlining the unique responsibilities of governmental public health and can be used to explain the vital role of governmental public health in a thriving community; identify capacity and resource gaps; determine the cost for assuring foundational activities; and justify funding needs

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