Models for Population Health Improvement by Health Care Systems and Partners Tensions and Promise on the Path Upstream: Proceedings of a Workshop (2022) / Chapter Skim
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3 How Leadership and Organizational Structure Can Address Health-Related Social Needs and Advance Health Equity
3 How Leadership and Organizational Structure Can Address Health-Related Social Needs and Advance Health Equity
Pages 19-24
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From page 19... ...
REDESIGNING A HEALTH SYSTEM TO CREATE WELL COMMUNITIES Benjamin Carter of Trinity Health described what his organization is doing to manage and balance the ongoing tension between being a provider-based system with episodic health care management, population health management, and community health and well-being. As Carter explained, Trinity Health is a $19.3 billion Catholic health care organization based in Livonia, Michigan.
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(Wilkins) • Health care systems can engage in advocacy at the federal and state levels, as well as in shareholder advocacy to influence companies in their investment portfolio to align with their priorities.
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For example, as Carter explained, to address food deserts and lack of food access in Springfield, Massachusetts, where 100 percent of students qualify for free or reduced-price meals, Trinity partnered with Sodexo and the Springfield public schools to create a $21 million culinary and nutrition center. Another example of a community partnership is the Wellspring Greenhouse, which provides local fresh produce for hospital operations.
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She suggested that with a relatively large, siloed organization like VUMC, it would be difficult to influence the culture without both leadership support and organizational structure. Wilkins noted that changing the culture internally has been more challenging than forming relationships with the community.
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The executives of all 19 regions have the same goals related to community health and well-being as the chief executive officer. In addition, there is a senior vice president for community health who is on the executive leadership team and vice presidents in each region responsible for objectives related to community health and wellbeing locally.
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From page 24... ...
Carter responded that Trinity Health has been active in advocacy at the federal and state levels, including calling for legislation to increase the minimum tobacco sales age to 21, change opioid prescribing, increase housing access, and address gun violence. Given its large investment portfolio, the organization also engages in shareholder advocacy to influence companies such as CVS and Walmart to align with its priorities.
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