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Alice Hm Chen, MD, MPH Deputy Director and Chief Medical Officer, SFHN

Improving Access to and Equity of Care for People with Serious Illness A View from the Safety Net: San Francisco Health Network. Alice Hm Chen, MD, MPH Deputy Director and Chief Medical Officer, SFHN Professor of Medicine, UCSF. Key Points. Relationship of health and poverty

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Alice Hm Chen, MD, MPH Deputy Director and Chief Medical Officer, SFHN

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  1. Improving Access to and Equity of Care for People with Serious Illness A View from the Safety Net: San Francisco Health Network Alice Hm Chen, MD, MPH Deputy Director and Chief Medical Officer, SFHN Professor of Medicine, UCSF

  2. Key Points • Relationship of health and poverty • Role of safety net • Vulnerabilities impacting care • Promising interventions

  3. Health Poverty Trap ACCESS TO CARE ENVIRONMENT - BEHAVIOR POVERTY POOR HEALTH Top 1% live longer than those in bottom 1% ♂︎ 15 ♀︎ 10 EDUCATION, EMPLOYMENT MEDICAL DEBT Khullar D, Chokshi DA. Health, Income, And Poverty: Where We Are And What Could Help,” Health Affairs Health Policy Brief, October 4, 2018.

  4. Safety Net Role INSTITUTE OF MEDICINE “Those providers that organize and deliver a significant level of health care and other health-related services to uninsured, Medicaid, and other vulnerable patients.” Kaiser Family Foundation, Medicaid in the United States. November 2018

  5. Multiplicity of Vulnerabilities

  6. Multiplicity of Needs LEP LFHL food insecurity HOUSING Insurance Data courtesy of Laura Gottlieb

  7. Universal Access to Care

  8. Screening and Connection for Social Needs

  9. Addressing Food Insecurity

  10. Bridging the Digital Divide

  11. ACKNOWLEDGEMENTS Radawn Alcorn, MSW, LCSW Ben Lui, MD, MPH Rita Nguyen, MD Neda Ratanawongsa, MD, MPH Shoba Sadasivaiah, MD

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