The Maryland Health Enterprise Zone Initiative Reduced Hospital Cost And Utilization In Underserved Communities

Gaskin, Darrell J.; Vazin, Roza; McCleary, Rachael; Thorpe, Roland J.

doi:10.1377/hlthaff.2018.0642

Cited by 13 publications

(19 citation statements)

References 21 publications

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“…Gaskin 4 Between 2013 and 2016 communities with an HEZ reduced inpatient admissions at Maryland hospitals and saved the state's health system about $93.4 million, said the study authors. 4 Residents in the zones reported that they had become more aware of their health and were exercising more and monitoring their diets. Providers said that the HEZs helped patients manage their chronic conditions.…”

Section: Primary Care Where Everybody Knows Your Namementioning

confidence: 99%

“…With its investment of $800,000, Maryland's health system saved $13.1 million that would have otherwise been spent on hospital care at AAMC or another hospital serving residents in the HEZ ZIP code, according to the study by Gaskin and coauthors. 4 The Anne Arundel HEZ had the best return on investment, it found.…”

Section: Overcoming Patients' Initial Reluctancementioning

confidence: 99%

“…Though Maryland's current governor, Larry Hogan, didn't renew the HEZs, their work helped many Marylanders have better access to health care, improve their health outcomes, and save money, according to an October 2018 study by Darrell J. Gaskin 4 Between 2013 and 2016 communities with an HEZ reduced inpatient admissions at Maryland hospitals and saved the state's health system about $93.4 million, said the study authors. 4 Residents in the zones reported that they had become more aware of their health and were exercising more and monitoring their diets.…”

Section: Primary Care Where Everybody Knows Your Namementioning

confidence: 99%

“…However, the cost of those visits was offset by the much larger reduction in hospital stays, which enabled the program to save money. 4 Why ED visits increased isn't clear. One explanation may be the state's shift after 2010 to encouraging hospitals to allow patients to receive observation services such as x-rays, lab tests, and medication in the ED, according to the study.…”

Section: Building Relationshipsmentioning

confidence: 99%

“…One explanation may be the state's shift after 2010 to encouraging hospitals to allow patients to receive observation services such as x-rays, lab tests, and medication in the ED, according to the study. 4 Patients in the HEZs who then went to the ED for those services could be sent home, instead of being admitted. However, the study's authors said it also wasn't clear why the observation shift would have disproportionately affected the HEZs.…”

Section: Building Relationshipsmentioning

confidence: 99%

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Primary Care Where Everybody Knows Your Name

Vaida

2019

Health Affairs

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Section: Primary Care Where Everybody Knows Your Namementioning

confidence: 99%

Section: Overcoming Patients' Initial Reluctancementioning

confidence: 99%

Section: Primary Care Where Everybody Knows Your Namementioning

confidence: 99%

Section: Building Relationshipsmentioning

confidence: 99%

Section: Building Relationshipsmentioning

confidence: 99%

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Primary Care Where Everybody Knows Your Name

Vaida

2019

Health Affairs

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Patients From Medically Underserved Areas Are at Increased Risk for Nonhome Discharge and Emergency Department Return After Total Joint Arthroplasty

Holbert

Cheema

Brennan

et al. 2022

The Journal of Arthroplasty

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Hospital Partnerships for Population Health: A Systematic Review of the Literature

Hilts¹,

Yeager

Gibson

et al. 2021

Journal of Healthcare Management

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EXECUTIVE SUMMARY The U.S. healthcare system continues to experience high costs and suboptimal health outcomes that are largely influenced by social determinants of health. National policies such as the Affordable Care Act and value-based payment reforms incentivize healthcare systems to engage in strategies to improve population health. Healthcare systems are increasingly expanding or developing new partnerships with community-based organizations to support these efforts. We conducted a systematic review of peer-reviewed literature in the United States to identify examples of hospital–community partnerships; the main purposes or goals of partnerships; study designs used to assess partnerships; and potential outcomes (e.g., process- or health-related) associated with partnerships. Using robust keyword searches and a thorough reference review, we identified 37 articles published between January 2008 and December 2019 for inclusion. Most studies employed descriptive study designs (n = 21); health needs assessments were the most common partnership focus (n = 15); and community/social service (n = 21) and public health organizations (n = 15) were the most common partner types. Qualitative findings suggest hospital–community partnerships hold promise for breaking down silos, improving communication across sectors, and ensuring appropriate interventions for specific populations. Few studies in this review reported quantitative findings. In those that did, results were mixed, with the strongest support for improvements in measures of hospitalizations. This review provides an initial synthesis of hospital partnerships to address population health and presents valuable insights to hospital administrators, particularly those leading population health efforts.

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The Maryland Health Enterprise Zone Initiative Reduced Hospital Cost And Utilization In Underserved Communities

Cited by 13 publications

References 21 publications

Primary Care Where Everybody Knows Your Name

Primary Care Where Everybody Knows Your Name

Patients From Medically Underserved Areas Are at Increased Risk for Nonhome Discharge and Emergency Department Return After Total Joint Arthroplasty

Hospital Partnerships for Population Health: A Systematic Review of the Literature

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