Genesis Health Consulting is fully committed to dismantling racism and embedding health equity in our work.
Click to read our statement.
SERVICES
Genesis Health Consulting offers a cross-sector, systems-based approach to
improve and maintain the health of pediatric populations at a sustainable cost.
OUR SOLUTION >
We partner with clients to develop creative, focused strategies that drive good outcomes for business, kids, and communities.
I need help translating vision into strategy.
OUR SOLUTION >
We help our clients understand the impact of federal and state policy changes on current and future business opportunities, respond to proposed administrative rules, and design policy recommendations as part of a comprehensive product development approach.
I need help navigating policy environments.
PORTFOLIO
Genesis Health Consulting
has decades of experience working across sectors to improve the health of kids, families and communities.
Scroll down for examples of our work and testimonials from our clients.
Expertise
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Population health management & measurement
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Change management
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Clinical integration
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Value-based contracting
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Health equity
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Social determinants of health
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Policy analysis
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Public health
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Cross-sector facilitation & design
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Mental & Behavioral Health
STRATEGY
We partner with clients to develop creative, focused strategies that drive good outcomes for business, kids, and communities.
Embedding health equity into organizational strategy is challenging enough, but when your company is a membership-based entity representing dozens of distinct organizational cultures and operational environments, the challenges can seem even more substantial. Genesis was engaged by a national healthcare membership organization to develop a strategic approach to member engagement in health equity, one that would bring value to members and would support organizational growth. Genesis assessed the client’s growth objectives and organizational capacities relative to health equity. Additionally, Genesis surveyed member organizations to understand their health equity priorities, desired areas of support, and unique cultural and political environments in which they were operating. Based on assessment findings, Genesis facilitated the client in articulating a clear business rationale for pursuing health equity and identifying specific actions that the organization could take to root their work in equity principles. In addition, Genesis recommended key strategic investments to enhance internal capacities and competencies that would enable the client to support their members’ widely diverse health equity journeys in nuanced and sustainable ways.
Genesis partnered with a public health department of a major American city to answer the question: how might we build a strong, transformative strategic plan using anti-racist concepts, practices, policies, investments, and measures? Over a ten-month engagement, Genesis partnered with senior public health officials, community and business leaders, and residents to understand how a healthy public health department and community looks and feels. Two overwhelming needs emerged from these discussions; the need to recover from the shared trauma of the COVID-19 pandemic, and the need to shift the health department’s relationship with the community to one of chief health strategist (known as the Public Health 3.0 model). Stakeholders also agreed that meaningful and sustainable progress in these goals required acknowledgement of the impact that racism has on individual and public health; willingness and ability to identify racism in our programs, workplaces, and policies; and commitment to dismantle racism at every opportunity. In short, this client anchored their Public Health 3.0 model through an anti-racist lens. The resulting strategy is one that visually, meaningfully, and measurably links anti-racist practices with public health strategies, investments, and data.
The next frontier for healthcare service delivery is meeting people where they are: in their homes, in schools, in businesses. Genesis Health Consulting partnered with a nationally-recognized federally qualified health center to strategize how to use school-based health services to defend and grow pediatric market share. Genesis designed a model for school health centers informed by national best practices, local assets, and student health needs. Genesis paired this model with guidance on how to select and calibrate specific services within the center, staffing models, patient ratios, billing practices, and recommended performance and outcome measures to ensure ongoing financial sustainability and optimal market growth. Genesis also designed a tool and process to evaluate potential school partners for center expansion, and provided guidance on what additional data and investments would be material to the long-term success of this service line.
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Demonstrating Value
Whether in fee-for-services or in value-based arrangements, health systems are under increasing pressure to demonstrate value to their patient families and payers. We analyzed market, clinical and claims data from leading children's health systems to evaluate managed care and value-based arrangements with commercial and public payers. Using these insights, we helped systems articulate their "value proposition," and facilitated collaboration with care providers across the continuum to develop care processes and protocols to improve outcomes and reduce the total cost of care. Through attribution analysis, risk modeling, and the use of appropriate pediatric-specific measures, we facilitate how systems can drive value across a network of care.
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Designing for Kids: Pediatric Clinically-Integrated Networks
“Kids are not small adults.” This statement is repeated often by child health providers for a reason: kids are usually under-represented in medical research, program design, and spending. Child health providers know that to achieve the best outcomes for kids, we need health systems that consider the unique needs and experiences of childhood. Genesis has worked with several leading pediatric health systems that are demonstrating the power of child-focused clinically integrated networks. We recently partnered with one such pediatric CIN to inform the development of their care management program. Genesis' work ranged from a comprehensive assessment of current care management assets and capabilities, benchmarking against pediatric best practices, to the development of a five-year strategy to guide the evolution of care management operations and infrastructure.
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INNOVATION
We apply our deep experience in change management principles to co-create smart, effective, and sustainable systems change in support of child health and well-being.
Designing Better Systems: Health Begins at Home
Evidence proves what our common sense already knows: health begins at home. Genesis Health Consulting built from this premise when designing a new model of care for babies and toddlers with non-organic failure to thrive. Children in this population have difficulty gaining weight and growing at a health pace, despite being otherwise health. Clinician partners flagged this population because while they had every tool available to rule out physiologic ("organic") barriers to a child's growth, they had very few tools to fully assess social/emotional, environmental, or behavioral risk factors that are strongly correlated with non-organic failure to thrive. To reduce the number of children who were developing non-organic failure to thrive, and to help those who struggled to recover more quickly, clinicians needed to find a way to meaningfully engage a family in their home environment. Genesis led a multidisciplinary team of sub-specialists, primary care providers, pharmacists, policymakers, and lay health caregivers in design of a new care model that focused on home-based care, using clinic services as a "wrap-around" complement. Genesis identified the metrics used to determine whether the model improved care outcomes, experience and overall value. And, Genesis prioritized changes to policy that would remove barriers to accessing important public services, or coordinating care across different care teams.
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Facilitating Multi-Sector Collaboration
Often, society's best of intentions to serve those who are most vulnerable creates a reality where care and services are uncoordinated, complicated to understand, and difficult to improve. Sometimes, the hardest question to answer is "Where to begin?" We can help. We facilitated the design and launch of Wisconsin's first health home for children in foster care. Enrollment in this program ensures universal care coordination services are available to help biological families, foster families, and child advocates from all sectors achieve the best possible outcomes for these vulnerable children. At the close of the third year of operations, performance exceeded benchmarks in all targeted metrics, including immunization rates, lead screenings, rate of emergency department utilization, preventive dental care services, and mental health screenings.
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Connecting Health Care to Health Outcomes
Clinicians are powerful and distinctive leaders in advancing public awareness, policy development, and clinical practice around complex issues that impact health, like homelessness. Genesis Health Consulting partnered with a regional medical society to develop a multi-phase strategic framework to eliminate homelessness as a contributor to poor health of residents in a major metropolitan area. Over three months, we facilitated dialogue and learning amongst local clinicians, policymakers, service organizations, and community members to identify the most pressing needs and promising investments related to health and homelessness for area residents, and match those needs and opportunities with physician-identified and physician-led tactics and investments. The outcome is a realistic, meaningful, and measurable strategic plan that reflects the unique capacity of local physicians to improve the housing security of their patients.
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DESIGN
From developing new clinical workflows, to designing integrated care delivery models, we work with clients to develop new services that sustainably improve the health of kids, families, and communities.
Designing Collaborative Models for Preventive Mental and Behavioral Health
Genesis was tasked with assessing grassroots efforts to address the mounting need for mental and behavioral health (M/BH) support for youth and families by an accountable care organization (ACO). Genesis designed a three-pronged approach to better understand local capacity to support children and families in a selected ACO coverage area to determine what services are already being utilized in the community. The assessment included a national scan of emerging preventive M/BH models, interviewing of local M/BH leadership, and analysis of existing demographic data available for a specific community served by the ACO. Genesis set out to better understand existing primary prevention measures and recommended exploration of supporting community-led coalitions in the ACO’s coverage area to pool limited resources and address mental and behavioral health needs through a culturally-informed health equity lens. Genesis identified building relationships with local M/BH organizations, community members, school districts, community health centers, providers, and other constituents for coalitions as the cornerstone of effectively addressing localized and culturally-diverse M/BH needs.
Coaching Systems Through Change
One of the most consistent challenges our clients face is how to support employees through serious changes in their daily professional work. Change is stressful, regardless of a person's title, experiences, or belief in the change to come. One of the most important decisions leaders can make is to invest in change management support when tackling significant strategic and operational initiatives. Genesis Health Consulting recently partnered with a major West-coast pediatric health system to support a multidisciplinary leadership team through the final stages of strategic planning for a high-profile, multi-million dollar business and philanthropic investment in child health. Our engagement intentionally assessed all factors of success, from individual readiness and capacity for change, to process management and system infrastructure. We identified key risks and opportunities alongside front-line and executive leaders and documented actionable and measurable recommendations and performance indicators. This strategy improved the experience of change amongst system leaders, as well as the overall success and sustainability of their investment.
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The Role of Pediatric Health Systems in Population Health
Designing the Next Population Health Registry
Registries are a familiar tool to physicians, often used to gauge past performance to improve future patient care. But what if registries could anticipate patient needs, preemptively employing evidence-based care before a patient falls ill? We worked with primary care practitioners (PCPs), emergency room physicians, specialists, educators, and pharmacists to design a registry that enables proactive management for children with a genetic, chronic disease. By facilitating "upstream" interventions like the timely delivery of critical condition management drugs, the registry is able to reduce "downstream" crises, such as the use of Emergency Department services.
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Integrating Social Determinants of Health as a Standard of Care
Research proves what our common sense already knows: the biggest factors that affect our health are our daily choices and experiences. Health care systems that are able to seamlessly integrate these “social factors” into their care delivery and reimbursement strategies will be significantly more effective in managing health, improving experience, and creating value for their customers. We know this first-hand, after leading the development, implementation, and assessment of an internal protocol to assess social determinants of health – like adequate food, safe housing, and dependable relationships - as a standard of care at primary, specialty, and community-based care delivery sites. Outcomes from the first three years of work showed measurable pre/post improvement in patient health outcomes, family experience, and provider satisfaction while lowering total annual spending on healthcare.
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Video: Remembering Bob
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Social Determinants of Health within Pediatric Health Systems
Integrated Care
for Kids (InCK)
Genesis Health Consulting designed a cross-sector care delivery system model for a major American city. Led by their nationally-ranked children's hospital, in partnership with state health and education agencies, Genesis facilitated the development of a multi-sector, two-generation care delivery model for children and families enrolled in Medicaid. Children and families' needs were assessed based on medical, psychological and social risk factors. Participating programs - reflecting the full continuum of clinical, social, community and educational services - would then collaborate to address each family's needs, support family efforts to achieve personal health goals, and track their collective progress at the individual family and population-level over time. By pooling resources, aligning measures and developing new shared incentives, the community collaborative was designed to materially improve experience and access to needed services in real time, and begin to build a comprehensive longitudinal record of community health.
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POLICY
We help our clients understand the impact of federal and state policy changes on current and future business opportunities, respond to proposed administrative rules, and design policy recommendations as part of a comprehensive product development approach.
Care Coordination for Children with Medical Complexity (CMC)
Families of children with medical complexity often have to manage care plans that include professional supports across multiple sectors - specialty and primary care, school, pharmacy, and home care among others. While many children's hospitals have developed unique CMC care coordination services, most struggle to identify financially viable approaches to sustaining these critical services to enhance both the model delivery and payment approach to CMC services. Working in collaboration with clinicians and state Medicaid staff, a unique payment model was developed that will support the expansion of care coordination services for CMC. The program now serves nearly 5 times the children and families as the original model in a manner that is financially sustainable.
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Engaging Communities in Sustainable Change
Every family wants to have healthy environments for their children to live, learn, grow, and play. Research has shown that children who grow up in health homes, neighborhoods, and communities have better health, education, and economic outcomes over their lifetime. We designed and implemented a long-term, cross-sector initiative to improve local capacity within communities such that community residents could sustainably build healthier communities for their families. By partnering with community residents, neighborhood services organizations, and governmental agencies, we are supporting the resurgence of thriving communities from the roots up. Partner communities have demonstrated improvements in resident leadership, civic engagement, and crime reduction. All partner communities have organized resident-led community groups. One neighborhood successfully advocated for county reinvestment that brought community gardens and safe recreation spaces to the neighborhood, and violent crimes have significantly declined over the past 3 years.
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CLIENTS & COLLABORATORS
Government
Agencies
Health Care
Systems
Non-profit &
Community Organizations
Networks
Technology
Select Clients & Collaborators Include:
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Advancing a Healthier Wisconsin
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All Children's Hospital
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Arkansas Children's Hospital
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Belmont University
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Children's Hospitals and Clinics of Minnesota
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Children's Hospital Integrated Care Organization, Boston Children's Hospital
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Children's Hospital and Health System of Wisconsin
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Children's National Medical Center
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City of Milwaukee, Dept. of Public Health
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Every Child Thrives sponsored by the Greater Watertown Community Health Foundation
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Fortify Children's Health
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Genentech
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Healthy Start, Milwaukee
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Institute for eHealth Equity
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Lifecourse Initiative for Healthy Families
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Maternal & Child Health Bureau (HRSA)
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Medical Society of Milwaukee County
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Milwaukee Community School Partnership
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Milwaukee Health Department
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National Association of Medicaid Directors
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North Dakota, Title V/Department of Maternal Child Health
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Penfield Children's Center
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Prevent Child Abuse Wisconsin
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Seattle Children's Hospital
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Sixteenth Street Community Health Center
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Tufts Medicine/Wellforce ACO
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Vanderbilt Children's Hospital
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Wisconsin Collaborative for Health Quality