Accountable Health Community Profile: Baltimore, MD

By Dan Kamyck | June 12, 2017 at 1:27 PM

Last spring, the Centers for Medicare and Medicaid Services announced a $157 million innovation round focused on building “Accountable Health Communities.” These communitywide partnerships screen patients for unmet social needs and connect them from the health care system to community resources. 

The City of Baltimore won approval for their five-year, $4.2 million Accountable Health Community project designed to "move beyond one-off programs that connect patients to resources and toward a city-wide ecosystem that addresses patients’ social needs comprehensively."


CMS releases new standardized screening tool for health-related social needs

By Dan Kamyck | June 1, 2017 at 2:52 PM

Nine in ten physicians serving low-income communities believe patients’ social needs are as important to address as their medical conditions. But according to the Centers for Medicare & Medicaid Services (CMS), screening for social needs is not yet standard clinical practice due to "the absence of established pathways and infrastructure and perceptions of inadequate time to make community referrals."

New social screening tool: CMS is out with a new 10-item screening tool to identify patient needs across five domains of social needs. The tool was designed to be "short, accessible, consistent, and inclusive," with input from experts at Kaiser Permanente, Boston Children's, Hennepin Health, and other organizations.