This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, tests the feasibility of a multi-sector tribally-operated data system and dashboard for documenting health and social service needs and service referrals among youth members of the Coeur d-Alene tribe. The integrated data system is designed to achieve data sovereignty and improve timeliness and coordination in the delivery of health and social services for the tribal youth population, thereby dismantling forms of structural racism and inequity created by reliance on fragmented non-tribal service delivery and financing systems.

A vast majority of older Americans who are eligible for federal nutrition assistance programming remained un-enrolled, placing them at increased risk of food insecurity and its associated adverse health conditions and healthcare costs. A research team led by Benefits Data Trust and the UPMC Center...

Low socioeconomic status and other social risk factors are linked to poor health outcomes and increased emergency department (ED) visits. Assessing and addressing these social risk factors can help improve these outcomes. However, connecting social services organizations addressing these risk...

Current health care payment methods do not reflect the need for effective chronic disease prevention, nor do they address the social determinants of health. Historically, common payment standards intended to link private healthcare providers with payers did not factor in coding or language to cover...

Borawski, Elaine A., et al. “Study Design and Protocol for Nourishing Beginnings, an Integrated Service Delivery Model Addressing Food Insecurity and Social Needs of Low-Income Pregnant Individuals.” Contemporary Clinical Trials, vol. 133, Oct. 2023, p. 107310. ScienceDirect, https://doi.org/10.1016...

Populations with diabetes can successfully manage their condition if they have regular access to primary care along with access to quality food, physical, and social environments that support healthy lifestyles. Lack of safe, convenient, and affordable transportation options can make it difficult...

Massar, Rachel E., et al. “Social Needs Screening and Referral in Pediatric Primary Care Clinics: A Multiple Case Study.” BMC Health Services Research, vol. 22, no. 1, Nov. 2022, p. 1369. BioMed Central, https://doi.org/10.1186/s12913-022-08692-x. Detail Resource: Article Related: Grantee Research...

For many mental health conditions, effective programs to restore health and social functioning require collaborative efforts that go far beyond the healthcare sector. Individuals who are newly diagnosed with psychosis often require a carefully coordinated mix of specialty services including...

This study examines how the allocation of resources across medical, social, and public health services at the county level influences the relative success in controlling the progression of the COVID-19 pandemic. The project focuses on resource allocation decisions across sectors as a collective...

Rosenbaum, Elena, et al. “Breaking Down the Barriers Between Health and Social Care Services: Implementing a Social Determinants of Health Network.” NEJM Catalyst, vol. 4, no. 6, 17 May 2023, https://doi.org/10.1056/cat.22.0286. Detail Resource: Article Related: Grantee Research Project