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This study extends previous research examining the impact of the Affordable Care Act and state Medicaid expansion on the safety net. The paper analyzes how the current political context is impacting the safety net sector while also examining overall adaptations to health reform, understanding its consequences, and identifying safety net stakeholders’ policy and philanthropy recommendations for future reform. This research focused specifically on the safety net in western Cook County and eastern DuPage County, Illinois (the western suburbs of Chicago).
In 2010, 29.9% of African American Medicare beneficiaries in Chicago who were hospitalized were readmitted within 30 days of discharge, more than 50% higher than the national average readmission rate of 19.2%. The stark disparity in this statistic led our Health & Medicine Center for Long-Term Care Reform team to dig deeper on readmissions-related statistics and learn about any best practices to address the gaps that could lead to such a disparity. We are pleased to share our findings this report.
In 2013, the Illinois ACEs Response Collaborative successfully petitioned the Illinois Department of Public Health to include an ACE module in the State’s Behavioral Risk Factor Surveillance System (BRFSS)—a CDC-developed survey that collects information on health risk behaviors, chronic diseases, use of preventive health practices, and health access. Our report presents findings from the 2013 BRFSS and examines the prevalence of ACEs among adults in Illinois and Chicago, including assessing racial/ethnic and gender differences, and the association of ACEs with negative health outcomes.
The Chicago AHEC Health Careers Handbook provides career profiles of over 60 different health professions as well as information about education, financial aid, job descriptions, and salary information.
Health & Medicine Policy Research Group’s Center for Long-Term Care Reform started the Behavioral Health-Primary Care Integration Learning Collaborative in 2015 to guide local advocacy and facilitate practice-level change to improve the lives of people with mental illness and substance use disorder. This Playbook shares the lessons from building and operating a Learning Collaborative and from our three Workgroups. We hope that others can use these as tools to launch or enhance quality improvement and collaborative learning projects.
For people with mental health and/or substance use disorders, behavioral health equity enables recovery. This brief presents an approach for individuals and institutions working in healthcare and public health to engage people with behavioral health conditions around their health and social needs, preferences, and values.
In the Fall of 2015 Health & Medicine distributed a survey to gather input from a broader constituency, beyond the membership of the Learning Collaborative, in order to understand the diverse perspectives on integrated behavioral-primary health care across the state. This presentation shows the results of that survey and some of the key lessons we learned.
This working paper reflects our initial investigation of the current state of best practice in physical and behavioral health integration. The purpose of the paper is to solicit responses from experts and advocates with experience in this field who can advance our understanding of the current state of integration models and guide the direction of the Learning Collaborative.
This policy and practice review of national work examines how the safety net can use this time of health reform opportunity to shift toward addressing social determinants of health, structural determinants of health inequities, and ultimately health equity.