US Publications

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  • Building the Evidence for Domestic Violence Services and Interventions: Intermediate Health and Patient-Centered Outcomes
    July, 2017 - Since 2015, JSI has partnered with the Blue Shield of California Foundation (BSCF) to support strengthening the evidence base for the impact of DV programs in order to sustain DV services and interventions long-term. As part of this work, JSI conducted a literature review to determine the range of intermediate ...
  • Care Management Summary - Colorado Team-Based Care Initiative Change Package Tool
    May, 2017 - Care Management Summary from the Team-Based Care Initiative Change Package Toolkit. Ensuring patients who are at high risk or have complex needs are well cared for during and between office visits. Download (PDF, 160 KB) ...
  • Domestic Violence Health Care Partnerships (DVHCP) Sustainability Primer
    June, 2017 - The Domestic Violence Health Care Partnerships (DVHCP) Sustainability Primer is a tool that will provide DVHCP partners guidance on three fundamental aspects of sustainability: Developing a value proposition Designing a funding approach Identifying funding sources. There is no one-size-fits-all approach or single, adequate source of funding. These materials and concepts ...
  • Framing Paper: Opportunities for Medi-Cal to Support Community Health Initiatives
    May, 2018 - Medi-Cal managed care plans (MCPs) and community health initiatives have a shared interest in improving the health of populations by addressing social determinants of health and improving health equity. Yet there are many barriers to collaboration and aligning resources across sectors including mismatched timeframes and difficulty ensuring that benefits accrue ...
  • Health Homes Rate Setting Tool
    February, 2018 - The Health Home Rate Setting tool is designed to support health center leaders in considering the costs, staffing, and infrastructure needs associated with implementing Health Homes. Health Homes is the care management and care coordination program supported by DHCS for individuals with multiple chronic conditions; the program is expected to ...
  • Health Homes Rate Setting Tool - Guidance and Instructions
    February, 2018 - This guidance document accompanies the Health Homes Rate Setting Tool developed by John Snow, Inc. in 2017, with generous support from The California Endowment (TCE). The tool is designed to support health center leaders in considering the costs, staffing, and infrastructure needs associated with implementing Health Homes. Health Homes is ...
  • Partnering to Succeed: How Small Health Centers Can Improve Care and Thrive under Value-Based Payment
    March, 2018 - In California, CHCs serve more than 4 million people annually. Many CHCs in California and nationally are experimenting with strategies to improve and expand care, such as finding ways to integrate behavioral health, bolster team-based care, and proactively reach out to patients with unmet preventive or chronic care needs. In ...
  • Redesigning Primary Health Care Teams for Population Health and Quality Improvement
    May, 2017 - Over a the-year period, Penobscot Community Health Care, a federally qualified health center in Maine, implemented a primary care transformation initiative that redesigned its care teams and their workflows. Under this “Delegate Model,” Penobscot physicians assign tasks that they used to perform to trained care team medical assistants (CTMAs). The ...
  • Rising Risk: An Overview of Identification and Intervention Approaches
    January, 2018 - This brief, produced with generous support from Blue Shield of California Foundation, explores the concept of rising risk in the health field. Given that it is well understood that a small group of “familiar faces” consume a disproportionate percentage of healthcare resources (the top 5% of patients are responsible for ...
  • Risk Adjustment's New Frontier: Social Determinants of Health
    June, 2017 - MassHealth is incorporating a new risk adjustment method as part of an important shift toward recognizing and ultimately addressing behavioral risk factors and social determinants of health. This short brief seeks to articulate why this development offers substantial promise. We also will attempt to demystify risk adjustment for non-experts. JSI, ...
  • Team Based Care: Joy in Practice
    March, 2018 - Examples to ensure all staff find meaning and fulfillment in their work while removing impediments to joy and preventing burnout Download (PDF, 146 KB) ...
  • Using Data to Manage Population Health Under Risk-Based Contracts
    June, 2017 - With value-based care, providers are increasingly being asked to take on more accountability, and in some cases financial risk, for cost and quality outcomes for a defined population. By reviewing this document, health centers can assess whether they are investing sufficiently in the clinical and administrative infrastructure and analytics to ...
  • What is value-based payment and why are health centers considering payment reform?
    2016 - Many health centers are at the crossroads of needing to invest in updating their care model so they can engage in the evolution of the health care system, and maintaining financial sustainability in what remains largely a fee-for-service world. By helping to shape value-based payment models in their services areas, ...