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Prevention Institute

Prevention Institute E-Alert: August 24th, 2015

How 'Accountable Communities for Health' in Vermont and Across the U.S. Can Foster Prevention

In a new report commissioned by the state of Vermont, Prevention Institute (PI) deeply examines a transformational model of health that's gaining steam in the U.S.-- one in which healthcare and community entities partner up, and emphasize community prevention of illness and injury.

Accountable Communities for Health (ACH) are emerging as a promising framework. ACHs integrate medical care, mental and behavioral healthcare, and social services with actions to improve the community conditions that shape health in a geographical area. In its report, PI extensively studied the mechanics of the work being done on the ground that reflects ACH principles, both in Vermont and at sites across the country.

"We looked at how to marshal healthcare-community partnerships to support community prevention populations," says report co-author and PI Managing Director Leslie Mikkelsen. "We also looked at what states can do to support and enhance the efforts of their regions that are implementing ACH elements and how they can cultivate strong retention of community prevention in the process."

In Accountable Communities for Health: Opportunities and Recommendations, PI profiles five national sites engaged in work aligned with ACH principles, as well as regional efforts across Vermont. The report offers recommendations for how to strengthen existing work (pages 19-25 of the report), and extensively details the core elements that, taken together, can realize the full potential of an ACH model (pages 10-18 of the report).

By exploring an ACH approach that highlights prevention and partnership, Vermont is one of several key states helping to lead the country toward a more effective and equitable system of health. It's clear that across the U.S., leaders in healthcare, public health, government, business and other sectors recognize that conditions in the community environment have an enormous impact on health. PI sees tremendous opportunity to advance community prevention as a key part of health system transformation.

Community-Centered Health Homes

Community-Centered Health Homes: Bridging the Gap Between Health Services and Community Prevention outlines an approach for upstream integration between community-based efforts and clinical services. Download here.

Sustainable Investments in Health: Prevention and Wellness Funds

How can we invest in keeping people healthy in the first place? This new PI paper introduces the concept of a Prevention and Wellness Fund and explores how funds can generate revenue; how they should be managed and where they should invest; how to assess effectiveness; and how to emphasize health equity. Download here.

Closing the Loop: Why we need to invest--and reinvest--in prevention

Prevention measures that restrict tobacco consumption or require the use of seat belts save lives—and money. But that money rarely gets used to fund new prevention efforts. In a paper published by the Institute of Medicine, PI’s Larry Cohen and The California Endowment’s Anthony Iton argue that we need to “close the loop” by ensuring that we invest and reinvent in prevention. Download here.

How Can We Pay for a Healthy Population?

Prevention Institute talked to health-system innovators around the country to identify emerging new approaches for financing population-health measures that prioritize community prevention. Download here.

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