Sharing Data to Help Food Bank Clients Manage Their Chronic Conditions

Sara Gorath, Manager of Community Outreach at North Texas Food Bank’s Our Community Pantry
DASH Project Spotlight: Food for Health: Coordinating Care Across Sectors to Improve Health Among Vulnerable Populations Lead agency: Parkland Center for Clinical Innovation Partners/collaborators: Parkland Health and Hospital System, North Texas Food Bank The challenge Not surprisingly, a growing body of evidence links food insecurity with diet-related medical conditions like diabetes and hypertension. These diseases can be nearly impossible to manage for people who lack reliable acce...
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Bridging the Data Gap Between Health Care and Social Services

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DASH Project Spotlight: Maine Data Across Sectors for Health (DASH) Lead agency: HealthInfoNet Partners/collaborators: Seven federally qualified health centers, three critical access hospitals, and two community action agencies The challenge In Maine, people living in isolated rural areas often face barriers to getting the care they need. Many lack adequate transportation to medical appointments or are forced to make difficult choices between paying for health care and other basic need...
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Creating a More Complete Picture of Health in NYC Neighborhoods

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DASH Project Spotlight: Neighborhood Tabulation Areas: Enhancing Community Health Improvement Capacity in NYC through Shared Information at the Small Area Level Lead agency: NYC Department of Health and Mental Hygiene Partners/collaborators: NYC Center for Innovation through Data Intelligence, NYC Department of Planning, United Hospital Fund of New York, the New York Academy of Medicine, the Fund for Public Health in New York The challenge In New York City (NYC), residents living just ...
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Linking Housing and Health Data to Improve Residents’ Well-being

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DASH Project Spotlight: King County Data Across Sectors for Housing and Health Lead agency: Public Health - Seattle & King County Partners/collaborators: King County Accountable Community of Health, King County Housing Authority, Seattle Housing Authority The challenge As one of the fastest growing cities in the nation, Seattle has seen rental prices increase by 41% in the past five years. This demand has left many low-income residents with fewer options for safe, low-cost housing. T...
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Integrated Care for People with Disabilities: Lessons from an Accountable Care Organization

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DASH Project Spotlight: Altair Accountable Care for People with Disabilities Lead agency: Lutheran Social Services of Minnesota Partners/collaborators: Altair Accountable Care Organization, four behavioral health specialists, six disability service providers, one primary care provider, and two local public health departments The challenge One out of every three people with intellectual and developmental disabilities may also have behavioral health issues. However, very little has been ...
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Engaging Neighborhoods to Use Data for Fall Prevention

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DASH Project Spotlight: Baltimore Falls Reduction Initiative Engaging Neighborhoods and Data (B’FRIEND) Lead agency: Baltimore City Health Department Partners/collaborators: Baltimore City Department of Housing and Community Development, CRISP (Maryland’s Health Information Exchange), Johns Hopkins University Center for Population Health and Information Technology, University of Maryland, leading community-based and nonprofit organizations The challenge Accidental injuries from falls t...
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Creating a Better System of Care for Patients with Complex Needs

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DASH Project Spotlight: Using a Connected Information System to Enable Spontaneous, Shared Community Treatment of Adults with Severe Mental Illness Lead agency: Center for Health Care Services Partners/collaborators: Healthcare Access San Antonio (HASA), Community Medical Directors Roundtable The challenge For people with co-occurring physical and behavioral health disorders, America’s fragmented health care system can be tough to navigate. Behavioral health issues can make it difficul...
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Connecting Data Across Sectors to Address Cardiovascular Disease

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DASH Project Spotlight: Allegheny County Data Sharing Alliance for Health Lead agency: Allegheny County Health Department Partners/collaborators: Allegheny County Department of Human Services, Allegheny County Economic Development, University of Pittsburgh Medical Center Health Plan, Jewish Healthcare Foundation, Carnegie Melon Traffic21 Institute, University of Pittsburgh Graduate School of Public Health, RAND Corporation The challenge In Allegheny County, Pennsylvania, much like the ...
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No Wrong Door: Improving Care Coordination on the White Earth Reservation

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DASH Project Spotlight: White Earth Nation WECARE Implementation Project Lead agency: White Earth Reservation Tribal Council Partners/collaborators: Circle of Life Academy School, Indian Health Service Clinic, White Earth Early Childhood/Child Care Program The challenge The long-term effects of poverty can be seen in the health and wellness challenges faced by the people living on or near the White Earth Reservation—a primarily Native American community of 9,000 people in rural northwe...
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