Rochelle G Prosser RN, CLNC

Just released! Our #SDOH and #HealthEquity Workgroup has published "Recommendations for Determinant Capture," suggested guidelines for standardizing how domain risk is captured in #EHRs. "Absence of clear guidelines for risk assessment and standardized representation of risks in EHRs hinders effective data exchange to inform interactions at the point of care," writes the Workgroup. Click here to download: https://ow.ly/WTaj50RpvuC

4

Check out the Freeman Health System Community Health Assessment Toolkit case study to learn how the health system has improved health in over 30 communities by collaborating with other major health organizations: https://ow.ly/ttfy50SpqfF #CHAToolkit

14

The call for poster abstracts is open for #CHSPR2025, our 37th annual health policy conference (Mar 3-4, 2025). Working on a primary care topic? Submit an abstract by Dec 16! Abstracts related to health services & policy research more generally are also welcome. More: https://lnkd.in/gw6btmwU #CHSPR2025 will confront the primary care crisis. With primary care stretched beyond its limits, it is necessary for provincially delivered and funded systems to learn from each other and more quickly apply evidence to practice. Speakers will engage with approaches that are being implemented to support patients in navigating primary care, address workforce shortages, decrease inefficiencies, and use data to transform care. Addressing challenges in our primary care systems requires co-designing strategies, collaborative dialogues, and coordinating activities, and the conference promises to engage in this transformative work.

4

The National Health Law Program’s Delivery Systems team champions transparency and accountability in Medicaid, ensuring low-income enrollees can access essential care. With managed care now the primary Medicaid delivery model—serving over 75% of enrollees—our team works to address barriers like narrow networks, prior authorization delays, and wrongful denials. These issues disproportionately impact underserved communities, including people with disabilities and BIPOC and LGBTQI+ individuals. We advocate for policies and protections that make health equity a core program goal, demanding systems that prioritize people over profits. #Medicaid #HealthEquity #AccessToCare https://lnkd.in/ekmU-Vtt

3

In our latest blog, Sarabeth Zemel discusses the support for utilizing Community Care Hubs in states' #Medicaid 1115 waivers as they work to address health related social needs (#HRSNs). Read more about the innovative strategies that states are implementing here: https://lnkd.in/g_xXDNQU #1115Waiver #NorthCarolina #NYS #CalAIM

10

Are you ready for the future of public health? THURS: Join the Public Health Accreditation Board (PHAB) and Institute for the Future (IFTF) for a webinar focused on elevating public health’s role in shaping long-term futures. IFTF will share how public health can build future-readiness to go beyond piecemeal and incremental solutions and catalyze systemic changes. We’ll learn about how to imagine bold new possibilities and create action pathways to achieve desired futures. Participants will leave with new ideas and tools to build a future-ready public health system.

3

🚨 Upcoming Webinar Alert! 🚨 Join the Region IV Public Health Training Center for an insightful webinar: Webinar Topic: Navigating the Public Health Data Landscape with Data Governance, Literacy, and Equity 🗓 Date: November 19 🕛 Time: 12 - 1:30 pm EST 🎤 Presenter: Jonathan Ong and Lauren Cook, Mecklenburg County Public Health Department In today’s rapidly evolving public health environment, building a strong foundation in data governance, literacy, and equity is essential for creating a data-driven and equitable public health system. This webinar explores how these foundational components can empower public health organizations to better serve communities and address health disparities. These efforts are essential for ensuring that public health workers are well-equipped to collect, manage, and utilize data responsibly and effectively. By fostering internal understanding and collaboration, public health organizations can lay the groundwork for supporting communities with the data-driven insights needed to improve health outcomes. 🔗 Register here: https://buff.ly/3Z4sDRv Don't miss this chance to learn and engage! 🌟

4

In this article, the authors discuss apply the PRISM framework w/ an equity lens to assess implementation & context, emphasizing the importance of representation, unintended consequences, capacity building, and sustained assessment of equity. 📎 https://lnkd.in/g26pvE_n

16

⚕ Public Health Uncoded - Episode 08: Sargassum 🌿 Host: Dr. Saroj Pachauri Guest: Dr. Norma Muñoz In this episode, Dr. Saroj Pachauri explored the pressing issue of sargassum with Dr. Norma Patricia Muñoz Sevilla, a leading expert in #marinebiology. Discover the far-reaching #impacts of this invasive #seaweed on #health, #tourism, and #localeconomies in the #Caribbean. Learn about its #ecologicaleffects, the #healthrisks posed by #heavymetals, and explore #innovativesolutions to turn this #environmentalchallenge into an opportunity. This insightful discussion bridges #climatechange and #publichealth, offering valuable perspectives on a complex issue. 🎧 Listen now: https://lnkd.in/gEUBDz24

7

New #ManattOnHealth Insight by Julian Polaris and Katie (Rubinger) Platz: A new GAO report investigates #PriorAuthorization practices for children enrolled in #Medicaid #ManagedCare organizations (MCOs). #CMS agrees that some clarification is needed and may consider additional rulemaking or guidance to address these issues. For more, read Manatt’s latest newsletter. 

10

As we know, social determinants such as poverty, transportation, and access to community resources play a critical role in shaping #healthoutcomes — 𝘰𝘧𝘵𝘦𝘯 𝘮𝘰𝘳𝘦 𝘵𝘩𝘢𝘯 𝘨𝘦𝘯𝘦𝘵𝘪𝘤𝘴 𝘰𝘳 𝘢𝘤𝘤𝘦𝘴𝘴 𝘵𝘰 𝘩𝘦𝘢𝘭𝘵𝘩𝘤𝘢𝘳𝘦 𝘢𝘭𝘰𝘯𝘦. 🚘 𝐓𝐫𝐚𝐧𝐬𝐩𝐨𝐫𝐭𝐚𝐭𝐢𝐨𝐧 𝐢𝐬 𝐜𝐫𝐮𝐜𝐢𝐚𝐥 𝐢𝐧 𝐞𝐧𝐬𝐮𝐫𝐢𝐧𝐠 𝐚𝐜𝐜𝐞𝐬𝐬 𝐭𝐨 𝐜𝐚𝐫𝐞, 𝐞𝐬𝐩𝐞𝐜𝐢𝐚𝐥𝐥𝐲 𝐟𝐨𝐫 𝐫𝐮𝐫𝐚𝐥 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐰𝐡𝐨 𝐨𝐟𝐭𝐞𝐧 𝐭𝐫𝐚𝐯𝐞𝐥 𝐭𝐰𝐢𝐜𝐞 𝐚𝐬 𝐟𝐚𝐫 𝐭𝐨 𝐫𝐞𝐜𝐞𝐢𝐯𝐞 𝐦𝐞𝐝𝐢𝐜𝐚𝐥 𝐬𝐞𝐫𝐯𝐢𝐜𝐞𝐬. 📉 𝐄𝐜𝐨𝐧𝐨𝐦𝐢𝐜 𝐬𝐭𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐫𝐞𝐦𝐚𝐢𝐧𝐬 𝐚 𝐦𝐚𝐣𝐨𝐫 𝐜𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞, 𝐰𝐢𝐭𝐡 𝐦𝐚𝐧𝐲 𝐫𝐮𝐫𝐚𝐥 𝐫𝐞𝐬𝐢𝐝𝐞𝐧𝐭𝐬 𝐮𝐧𝐚𝐛𝐥𝐞 𝐭𝐨 𝐚𝐟𝐟𝐨𝐫𝐝 𝐭𝐡𝐞 𝐜𝐚𝐫𝐞 𝐭𝐡𝐞𝐲 𝐧𝐞𝐞𝐝. By addressing financial barriers, providing affordable medication options, and building stronger community resources, we can ensure patients receive the support necessary to improve their overall well-being. Understanding these social factors is 𝒆𝒔𝒔𝒆𝒏𝒕𝒊𝒂𝒍 to creating lasting, positive outcomes for the communities we serve. 🔹 𝘈𝘵 Archo Advocacy, 𝘸𝘦 𝘢𝘳𝘦 𝘤𝘰𝘮𝘮𝘪𝘵𝘵𝘦𝘥 𝘵𝘰 𝘭𝘦𝘷𝘦𝘳𝘢𝘨𝘪𝘯𝘨 𝘪𝘯𝘴𝘪𝘨𝘩𝘵𝘴 𝘢𝘯𝘥 𝘤𝘳𝘦𝘢𝘵𝘪𝘯𝘨 𝘪𝘯𝘯𝘰𝘷𝘢𝘵𝘪𝘷𝘦 𝘴𝘰𝘭𝘶𝘵𝘪𝘰𝘯𝘴 𝘵𝘰 𝘪𝘮𝘱𝘳𝘰𝘷𝘦 𝘢𝘤𝘤𝘦𝘴𝘴 𝘵𝘰 𝘤𝘢𝘳𝘦 𝘢𝘯𝘥 𝘥𝘦𝘭𝘪𝘷𝘦𝘳 𝘮𝘰𝘳𝘦 𝘩𝘰𝘭𝘪𝘴𝘵𝘪𝘤, 𝘱𝘢𝘵𝘪𝘦𝘯𝘵-𝘤𝘦𝘯𝘵𝘦𝘳𝘦𝘥 𝘴𝘦𝘳𝘷𝘪𝘤𝘦𝘴. #BridgeTheGap #PatientAdvocacy #RuralHealth #HealthcareInnovation #HealthEquity #SDOH #PatientOutcomes #PublicHealth

1

Join us on 5/21 for a webinar featuring our recent consensus study report on sustaining health care services for women experiencing intimate partner violence (IPV) during steady state conditions and during public health emergencies. Speakers will discuss the report’s recommendations from the perspective of expert stakeholders in emergency planning and IPV-related care. Learn more and register here: https://ow.ly/utJn50RjsJZ #PublicHealthEmergency #HealthServices #WomensHealth #IntimatePartnerViolence

1

Join us on 5/21 for a webinar featuring our recent consensus study report on sustaining health care services for women experiencing intimate partner violence (IPV) during steady state conditions and during public health emergencies. Speakers will discuss the report’s recommendations from the perspective of expert stakeholders in emergency planning and IPV-related care. Learn more and register here: https://ow.ly/8GKr50RjsKp #PublicHealthEmergency #HealthServices #WomensHealth #IntimatePartnerViolence

2

Join us on 5/21 for a webinar featuring our recent consensus study report on sustaining health care services for women experiencing intimate partner violence (IPV) during steady state conditions and during public health emergencies. Speakers will discuss the report’s recommendations from the perspective of expert stakeholders in emergency planning and IPV-related care. Learn more and register here: https://ow.ly/27Uh50RjsKy #PublicHealthEmergency #HealthServices #WomensHealth #IntimatePartnerViolence

3

Under the CMS IQR program, hospitals must screen for social drivers of health starting in 2024. Learn about the impact of these measures in our blog: https://loom.ly/WpDXbtQ #HealthEquity #SDOH #HealthcareAnalytics #MedicalResearch #HealthcareReform #IQR #HealthPolicy

7

🌟 New Medicaid & CHIP Managed Care Rule Released 🌟 The release of the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality Final Rule (CMS-2439-F) signifies a significant development in #healthcareadministration. 🚨Key highlights include: 1. Access Enhancement: Establishment of standards for timely care access, including maximum wait times and independent surveys. 2. State-Directed Payments: Streamlining of payment processes to ensure fair rates and compliance. 3. Medical Loss Ratio: Mandate for transparency in expenditures and revenue reporting. 4. In Lieu of Services: Permission for innovative approaches to address health-related social needs. 5. Quality Strategies: Promotion of public engagement and robust quality assessments. This initiative underscores a commitment to #transparency, #accountability, and #qualityimprovement in #healthcare delivery. ▶️READ FULL #CMS REPORT: https://lnkd.in/eaQTVeMm Centers for Medicare & Medicaid Services HealthCare.gov #Medicaid #CHIP #ManagedCare #HealthcareQuality #AccessForAll

2

🌟 New Medicaid & CHIP Managed Care Rule Released 🌟 The release of the Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality Final Rule (CMS-2439-F) signifies a significant development in #healthcareadministration. 🚨Key highlights include: 1. Access Enhancement: Establishment of standards for timely care access, including maximum wait times and independent surveys. 2. State-Directed Payments: Streamlining of payment processes to ensure fair rates and compliance. 3. Medical Loss Ratio: Mandate for transparency in expenditures and revenue reporting. 4. In Lieu of Services: Permission for innovative approaches to address health-related social needs. 5. Quality Strategies: Promotion of public engagement and robust quality assessments. This initiative underscores a commitment to #transparency, #accountability, and #qualityimprovement in #healthcare delivery. ▶️READ FULL #CMS REPORT: https://lnkd.in/eaQTVeMm Centers for Medicare & Medicaid Services HealthCare.gov #Medicaid #CHIP #ManagedCare #HealthcareQuality #AccessForAll

5