The Upper Connecticut River Valley of New Hampshire (NH) and Vermont (VT) is home to Dartmouth College and the Dartmouth-Hitchcock Medical Center—major players in the regional economy and the local health system. The region faces challenges including high per-capita health costs, rapidly declining Medicaid reimbursements, rising unemployment, an aging population. Additionally, the region’s rural nature creates challenges for accessing primary care. Aspiring to a healthy and sustainable local economy, leaders from Dartmouth challenged Upper Valley residents to join together in addressing high healthcare costs and imagining a stronger future for the entire region—and they turned to ReThink Health for technical assistance.
Type: Case studies
Category: Regional Initiatives, Stewardship
Like many communities, Columbia is facing serious health-related challenges, including rising costs, growing incidence of chronic disease, and unequal access to healthcare services—particularly in the low-income Eau Claire community, where one in three residents is uninsured. In 2010, local leaders from Eau Claire and across the city forged a coalition to improve health, increase access to care, decrease costs for citizens and providers, and achieve sustainable, long-term improvements. With hands-on coaching and support from ReThink Health, leaders of the coalition, called Healthy Columbia, dedicated months to outreach—identifying, recruiting, and preparing leaders to take collective action.
In 2010, a group of Pueblo’s veteran health leaders decided to take action by committing to the Triple Aim of better care for individuals, better health for populations, and lower per capita costs. Rather than seeking incremental change, members of the Pueblo Triple Aim Coalition wanted first to concentrate on the big picture and clarify the group’s governance, structure, and strategy—all critical to sustaining long-term collaborative work. With the goal of creating sustainable improvements, the Coalition’s leaders began working with ReThink Health and our Dynamics Model.
Category: Dynamic Modeling, Strategy
During a series of public meetings, beginning in July 2012, members of the Atlanta Regional Collaborative for Health Improvement (ARCHI) began thinking about ways to improve the health of their community and the quality of their health system. To find answers, the ARCHI steering committee turned to ReThink Health, asking us to configure our Dynamics Model to represent key elements of the Atlanta health system.
Category: Dynamic Modeling, Regional Initiatives
In recent years, there has been an evolving understanding of the factors that create health, including an acknowledgement that incarceration is a social determinant of health. However, many people believe that incarceration’s impact on health occurs almost entirely at the individual level and that it is addressed by providing incarcerated individuals with healthcare in prisons and jails. The Minnesota Department of Health knew the story was much bigger and more complicated. So the department teamed up with ReThink Health to explore the relationship between health and incarceration by using a “systems thinking” approach that analyzed the the structures and forces at work within the health and criminal justice systems.
Category: Non-health Sectors
In 2012, the Centers for Medicare and Medicaid Services (CMS) awarded a Special Innovation Project (SIP) to Telligen (then the Colorado Foundation for Medical Care) to use data to build community capacity to improve health. SIPs are typically two-year health care quality improvement projects that align with CMS’s quality strategy goals and are expected to generate a significant impact if successfully scaled. ReThink Health and Telligen worked in five regions (through their respective state quality improvement organizations – QIOs) to explore innovative ways to improve health and health care and lower costs for Medicaid beneficiaries. The project’s goal was to help the communities and their QIOs learn how they could work together to address local health challenges such as residents with multiple chronic diseases; amputation and diabetes care; high costs associated with low quality; inefficiency; and healthcare disparities.
Smarter investments backed by sustainable financing can drive profound health reform in regions across the country. This Financing Primer helps regional leaders think through key questions around the investment and financing of long-term, health reform ventures. It focuses on what sustainable financing is, why it is important, the critical elements of a financing plan, and what others around the country have been doing to frame and finance their work.
Type: Publications, Tools
Category: Financing & Investment
This guide will help you and your colleagues reimagine and transform health in your region. It teaches local leaders how to develop and sustain effective stewardship.
Looking at a 30 year time horizon, the authors argue that investments in the prevention-based initiatives that target behavioral and environmental risks are imperative to success of health care cost reduction strategies. When looking at the short-term, ten-year benefits of many health care strategies, such preventative efforts that influence the underlying system dynamics of risk […]
This white paper looks at the state of New Jersey’s health care costs and trends, identifies important themes, and generates ideas about the future. It makes clear that New Jersey’s health care costs are unsustainable, and lays out a path for action