Genesis Health Consulting
has decades of experience working across sectors to improve the health of kids, families and communities.
Population health management & measurement
Social Determinants of Health
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 housing security of their patients.
Coaching Systems Through Change
One of the most consistent challenges our clients face is how to support employees through serious change 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 to improve not only the experience of change amongst system leaders, but the overall success and sustainability of their investment.
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, 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 use of Emergency Department services.
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.
Facilitating multi-sector design 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.
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. We worked with a leading clinical service 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 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.
Whether in fee-for-service 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.
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 healthy 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 service 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.
100% of Genesis Health Consulting clients stated they would "strongly recommend" our firm to their colleagues.
— Client exit surveys