In "Design of a Payment Decision-Support Tool for Coordinated Specialty Care for Early Psychosis", S4A investigators describe the design framework of an innovative payment model for coordinated specialty care (CSC), which includes a bundled case rate payment and an optional outcome-based payment. 

To read the full article, click here.

Overview

S4A investigators launch a national survey to community service networks, and based on the data, offer knowledge about the type and variety of health care services made available across communities and the multidimensional factors that are associated with the extent to which communities are responding to the homeless population's primary health care needs.

Read the full article in the Journal of Health and Human Services Administration.

Overview

S4A researchers at Johns Hopkins University take a closer look at governmental expenditure areas in the US and find communities have trended toward more spending on law and order than on health and social services. 

To read the full JPHMP Direct blog post "Following the Great Recession, Governments Spent More on Law and Order and Less on Health and Social Services", click here. 

Overview

New research from Systems for Action investigators at Johns Hopkins University analyzed state government expenditure data collected by the U.S. Census Bureau to estimate U.S. public health spending and found that the official government estimate (Public Health Activity Estimate) is an overestimation of how much is spent on public health. This heightens concerns about spending priorities: the U.S. spends far more on individual medical care than public health programs.

The results of this S4A study can inform decision-making about investments in public health to support COVID-19 response and recovery. Read the one-page report for more key findings and recommended action.

The Delaware Culture of Health Project aimed to increase healthcare access for the probation population by aligning health and social service systems. 

Key elements of the intervention included:

• a health navigator in the probation office to screen and refer probationers
• a cross-system “change team” to connect and empower multiple agencies
• an informational resource guide with health-related information
• a monetary incentive

Read how these strategies were associated with an increase in the proportion of individuals accessing care through a primary care physician. The brief reviews what solution was tested, the research findings and recommendations for action based on this evidence.

Details

Project: Implementing a Culture of Health among Delaware's Probation Population
Resource: Download
Date: 08/24/2020

Overview

S4A investigators at Johns Hopkins University highlight the profound, systems-level issues that constitute the state of rural public health from the 1980s until the present day in the American Journal of Public Health Rural Health.

Read "The State of Rural Public Health: Enduring Needs in a New Decade" here.

Jonathon P. Leider et al. “The State of Rural Public Health: Enduring Needs in a New Decade”, American Journal of Public Health 110, no. 9 (September 1, 2020): pp. 1283-1290. https://doi.org/10.2105/AJPH.2020.305728

Overview

In "Exploring the capacity of community-based organisations to absorb health system patient referrals for unmet social need", the research team highlights potential strategies for strengthening system alignment as organisations continue to develop unmet social need referral strategies.

To read the article in full, click here.

Hogg‐Graham, R, Edwards, K, Ely, TL, Mochizuki, M, Varda, D. Exploring the capacity of community‐based organisations to absorb health system patient referrals for unmet social needs. Health Soc Care Community. 2020; 00: 1– 9. https://doi.org/10.1111/hsc.13109

Overview

S4A investigator JP Leider, PhD explains how COVID-19 has brought renewed media attention on the issue of underinvestment in public health spending in the United States.

Read Dr. Leider's commentary "Yet Another Post on Public Health Spending" in JPHMP Direct.

Overview

S4A investigators examine the need for improved systems alignment through the lens of Thomas Frieden’s “health impact pyramid, and catalog the types of misalignments and their social, political, and systems genesis. They also identify promising opportunities to realign US health spending toward the socioeconomic factor base of the health impact pyramid and emphasize the need to integrate and align public health, social services, and medical care in the United States.

Read the full article in the American Journal of Public Health's special supplement "Testing New Ways of Connecting the Nation's Fragmented Medical, Social, and Public Health Systems".

J. Mac McCullough, Jonathon P. Leider, Beth Resnick, David Bishai, “Aligning US Spending Priorities Using the Health Impact Pyramid Lens”, American Journal of Public Health 110, no. S2 (July 1, 2020): pp. S181-S185.

Overview

S4A investigators examine the accuracy of official estimates of U.S. governmental health spending by coding administrative spending records from 2000 to 2018 for public health activities according to a standardized Uniform Chart of Accounts.

Read the full article in the American Journal of Public Health's special supplement "Testing New Ways of Connecting the Nation's Fragmented Medical, Social, and Public Health Systems".

Jonathon P. Leider, Beth Resnick, J. Mac McCullough, Y. Natalia Alfonso, and David Bishai, 2020: Inaccuracy of Official Estimates of Public Health Spending in the United States, 2000–2018 American Journal of Public Health 110, S194_S196, https://doi.org/10.2105/AJPH.2020.305709