Health system-based housing navigation for homeless patients: A new care coordination framework

Unstructured Abstract: Homeless patients are among the most disadvantaged in our society, suffering from poor health outcomes and exhibiting disproportionately high hospital utilization and spending. However, to date, hospitals have only scantily devoted time or resources to the housing coordination...

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Bibliographic Details
Main Authors: Eappen, B. (Author), Koh, K.A (Author), Martin, A.F (Author), Mecklai, K. (Author), Plevyak, S. (Author), Velasquez, D.E (Author)
Format: Article
Language:English
Published: Elsevier B.V. 2022
Subjects:
Online Access:View Fulltext in Publisher
LEADER 02901nam a2200529Ia 4500
001 10-1016-j-hjdsi-2021-100608
008 220420s2022 CNT 000 0 und d
020 |a 22130764 (ISSN) 
245 1 0 |a Health system-based housing navigation for homeless patients: A new care coordination framework 
260 0 |b Elsevier B.V.  |c 2022 
856 |z View Fulltext in Publisher  |u https://doi.org/10.1016/j.hjdsi.2021.100608 
520 3 |a Unstructured Abstract: Homeless patients are among the most disadvantaged in our society, suffering from poor health outcomes and exhibiting disproportionately high hospital utilization and spending. However, to date, hospitals have only scantily devoted time or resources to the housing coordination aspect of homelessness. Implementing better systems to coordinate housing for homeless patients may improve health outcomes and reduce health care utilization for this population. This objective is now more important than ever as the economic impact of COVID-19 is expected to exacerbate the homelessness crisis. Ensuring that patients are properly connected to temporary or permanent housing is valuable to patient health, health care system metrics such as excess spending and utilization, and provider performance under Accountable Care Organizations or other risk-bearing payment models. Here, we propose a health systems-based housing coordination framework that may improve care delivery for patients experiencing homelessness. This framework relies on the coordination between dedicated hospital-based housing navigators who can identity patients experiencing homelessness and outpatient housing navigators equipped to coordinate short- and long-term housing specifically for patients experiencing homelessness who frequently interact with the health care system. © 2021 
650 0 4 |a accountable care organization 
650 0 4 |a Article 
650 0 4 |a Care coordination 
650 0 4 |a coronavirus disease 2019 
650 0 4 |a COVID-19 
650 0 4 |a demography 
650 0 4 |a electronic medical record 
650 0 4 |a emergency shelter 
650 0 4 |a health care 
650 0 4 |a health care delivery 
650 0 4 |a Health care delivery 
650 0 4 |a health care facility 
650 0 4 |a health care system 
650 0 4 |a homeless person 
650 0 4 |a Homeless Persons 
650 0 4 |a homelessness 
650 0 4 |a housing 
650 0 4 |a Housing 
650 0 4 |a Housing 
650 0 4 |a human 
650 0 4 |a Humans 
650 0 4 |a learning 
650 0 4 |a outpatient 
650 0 4 |a pandemic 
650 0 4 |a Patient Acceptance of Health Care 
650 0 4 |a patient attitude 
650 0 4 |a SARS-CoV-2 
650 0 4 |a social work 
700 1 0 |a Eappen, B.  |e author 
700 1 0 |a Koh, K.A.  |e author 
700 1 0 |a Martin, A.F.  |e author 
700 1 0 |a Mecklai, K.  |e author 
700 1 0 |a Plevyak, S.  |e author 
700 1 0 |a Velasquez, D.E.  |e author 
773 |t Healthcare