Healthy Nevada: A Cerner Project Putting Health at the Heart of the Community Kelly Ast, Community Coordinator Denise Schuele, Health Strategist
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Healthy Nevada: A Cerner
ProjectPutting Health at the Heart of the Community
Kelly Ast, Community Coordinator
Denise Schuele, Health Strategist
Social Determinants of Health
40% SOCIAL AND
ECONOMIC FACTORS
10% PHYSICAL
ENVIRONMENT
20% CLINICAL
CARE
30% HEALTH
BEHAVIORS
BRNDEXP 3.0 © Cerner Corporation. All rights reserved.
This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.2
Source: Bankowitz, Richard A, EVP of American Health Insurance Plans (AHIP). “Future of Managed Care and Population Health.” The Seventeenth Population Health Colloquium. March 27, 2017.
Market Pulse
Leverage
system assetsInfrastructure
Clinical data
Wellness portal
Community
assessment
Reporting/analytics
Expand
partnershipsCommunity advancement
policy, system & practice
Health Systems
Employer Networks
Community Organizations
Schools
Public Health
Empower
individualsEquip with tools for health and
well-being opportunities
Personalized engagement
Member marketing
Community referral
Health navigation
Health coaching
Drive optimal well-being to improve health outcomes
and increase personal accountability for health.
Our model for community well-being
BRNDEXP 3.0 © Cerner Corporation. All rights reserved.
This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.5
Our roadmap to community well-being
Limited
Pathways
Getting By
Community
Used Car
Lots
E-cig Vape
Shops
Health + Care
Disconnect
Damaged
Side walks
Unhealthy
days
Fast
Food
Check
Cashing
Intermittent
Services Getting
Ahead
Community
Personal
Accountability
Wellness
at HomeHealthy days
Farmers Market
& Grocery
Advancement
Transportation
Models
Preventative
Screenings
Worksite
Wellness
Clean
indoor air
Financial
workshops
Walking &
Bike Routes
Clinical
Driven
BRNDEXP 3.0 © Cerner Corporation. All rights reserved.
This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent of Cerner.6
1. Clinical screening for social determinants
2. Referral to community services
3. Introduction of New Roles – Care team
Social & Community Health Workers
6 international models
4 domestic & 3 indexes
5 CMS domains
Social Determinants of Health – Market Pulse
“Emerging evidence show that
addressing health-related social
needs through enhanced clinical-
community linkages can improve
health outcomes and reduce costs.”
- CMS
Increases Risk of Chronic Conditions
Increases Health Care Costs
Reduces Individual’s Ability to Manage
Conditions
32 Accountable Health Communities
Regulatory Alignment - Top 3
MIPSAPM
(CPC+)Unmet Social Needs
CMS - Cost on Health Care
Social Determinants of Health & Cerner
Health System Innovators
Community Innovators
Cerner’s Academic &
Population Health Research
Client Case StudyHealthy Nevada
Healthy Nevada
Innovation Center connects community in town square
Address critical gap between clinical
care and community services
Focuses engagement tactics on improving
health behaviors, environment and lifestyles
Public and private partnership
Identifies and addresses social determinants of health
Healthy Nevada Population Health Community Model
Healthy Nevada Wellness Account
Community challenges have
led to 2,970 pounds weight lost
and 663,024,505 steps logged
Personal Health Assessments drive employee health efforts
96% completion among
small businesses
Easy access with
the Mobile App
3,395 LIVES
36 EMPLOYERS
80% of employers provide
health insurance
74% of employers
Identified productivity
and well-being as a top priority
94% of employers
provide paid leave
$15.64INCREASE IN MONTHLY
MEDICAL COSTS
ONE UNHEALTHY DAY
Healthy Nevada Improves the Health of Residents
Unhealthy
Days
Premature
Death
Health
Behaviors Social &
EconomicClinical
Care
Environment
Today’s HEALTH Tomorrow’s HEALTH
Health Outcomes
Health Factors
*based on Humana unhealthy day cost model – physical and mental health
Healthy Nevada – Vernon County Health Rankings
Healthy Nevada Takes #2 Seed in Rural, Missouri
HEALTHY NEVADA - VERNON, MO
Best Wins in Conference
HEALTH BEHAVIORS
HEALTH OUTCOMES
2nd
2nd
16th
19th
RANK
HEALTH BEHAVIORS
HEALTH OUTCOMES
LAST 5 SEASONS2012 to 2017
Rural Counties >20,000 PopulationOut of 29 Counties in Missouri Out of 268 Counties in Midwest
MISSOURI HEALTH OUTCOMES5 YEAR TREND
Healthy Nevada Improves Health Behavior Rank by 45%
Playgrounds, trails & bike
routes, sidewalk improvementMental health court established
30+ community
partners
PDMP First SW
Missouri county to adopt
100% employers tobacco-free
8.2% fewer mothers smoke115,000 + servings fresh produce to high-risk
633 million steps by adult challenge participants
7,600+ miles walked by students each month
140,000 minutes monthly reduced of
screen time by students
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