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6 Stimulating and Supporting Business Engagement in Health Improvement
Pages 49-62

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From page 49...
... Neil Goldfarb, the executive director of the Greater Philadelphia Business Coalition on Health, described his organization as an example of a local business coalition engaged in population health. John Whittington, the lead faculty member for the Institute for Healthcare Improvement's Triple Aim initiative, described how ­ mployers have used the Triple Aim as a framework to improve the e health of their own employees and have also applied it via participation in multi-stakeholder coalitions in the communities that they serve.
From page 50...
... From the financial perspective, improved cost structure, enhanced customer value, increased asset utilization, and expanded revenue opportunities lead to long-term shareholder value (or strong financials for a nonprofit organization)
From page 51...
... The board also identified the health determinant for which the organization has many capabilities and high control (health care) , the health determinants where it has shared capabilities and shared control (health behaviors)
From page 52...
... 5) .2 For the sake of discussion, Isham suggested the following list of necessary elements of a community health business model: • All stakeholders engaged • Operate in a transparent and public manner • Leadership structure (in a community health business model)
From page 53...
... has been discussed as a way to bring together the various elements and partners in a community health business model (see Figure 6-2; Kindig, 2010; Kindig and Isham, 2014)
From page 54...
... Next Steps In preparation for the roundtable workshop, Isham and Kindig, along with their colleague, Kirstin Q Siemering, drafted a perspective article that put forth for discussion seven steps that need to be taken to assist businesses in taking a more active role in community health improvement (Kindig et al., 2013)
From page 55...
... The GPBCH mission, Goldfarb said, is to keep employees healthy and productive in the workplace; to accomplish this, the coalition recognizes that the employees will need health care that is accessible, affordable, high ­ uality, q and safe. As examples of business engagement in population health, Goldfarb described three current GPBCH population health initiatives addressing obesity, diabetes, and cancer screening and treatment.
From page 56...
... The plan involves developing central resources that communities can draw upon to help them implement actions specific to their communities. One size does not fit all, Goldfarb emphasized, and community health planning cannot be done at the aggregate level.
From page 57...
... Triple Aim is an approach for optimizing health system performance. As explained by Whittington of the IHI, system designs should simultaneously improve three dimensions: improving the health of populations; improving the patient experience of care, including quality and satisfaction; and reducing the per capita cost of health care.
From page 58...
... Business Engagement in Triple Aim Initiatives Employers have used the Triple Aim as a framework to improve the health of their own employees, Whittington concluded. Employers have also played a role in the multi-stakeholder coalitions in the communities
From page 59...
... DISCUSSION Several issues were raised by participants during the open discussion on the mechanisms for engagement, including sustainability, productivity as an aim, the need to work with the key leadership personnel, improving the built environment, and risk adjustment in outcomes measurement. Sustainability Moderator Alex Chan asked panelists what programmatic components or structural elements could help ensure that these multi-­ takeholder coali s tions survive past initial seed funding and are sustained over a long period of time.
From page 60...
... The argument that improving community health is part of the company's overall value proposition needs to reach this level of leadership, he said. The various functions within the company (e.g., benefits managers and corporate medical directors)
From page 61...
... The Built Environment A workshop participant emphasized the need to improve the built environment. Isham reiterated that from a business model perspective, a firm needs to identify its assets and capabilities and where it can exert control.
From page 62...
... . Process measures can help drive population health.


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