Social Determinants of Health Series: Housing the Role of Hospitals

“Housing and the Role of Hospitals” is the second guide released by the AHA, HRET and ACHI as part of a series on how hospitals can address the social determinants of health.

Social Determinants of Health Series: Housing the Role of Hospitals – August  2017What is housing instability?

Each year, there are 1.48 million homeless individuals in the United States. In addition, some individuals are not homeless but live in unstable conditions. Housing instability—a term for the continuum between homelessness and stable, secure housing—can range from physical conditions such as poor sanitation, heating and cooling; exposure to allergens or pests; and substandard housing structures. Unstable access to housing and severe rent burden also contribute to housing instability.

How is housing instability related to health?

Where people live and how people live directly affect their well-being. Research shows that individuals experiencing housing instability have limited access to preventive care and are more likely to have infectious diseases and chronic health conditions like diabetes, cardiovascular disease and chronic obstructive pulmonary disease. Homeless individuals also have a shorter lifespan. This guide highlights a web of socio-economic factors that are interconnected, contribute to housing instability and influence health outcomes.

What is the role of hospitals in addressing housing barriers?

Hospitals and health systems can implement strategies and programs to improve housing stability, such as neighborhood revitalization, home assessment and repair programs, and care transition programs. This guide recommends a step-by-step pathway for hospitals to consider when developing housing programs. The guide also features five case studies on hospitals and health systems with innovative interventions to reduce housing barriers in their communities.

  • Bon Secours Baltimore Health System developed more than 700 affordable housing units for individuals and families in need.
  • Children's Mercy Kansas City's Healthy Homes program offers environmental health assessments and repairs and renovations to improve housing stability in the community.
  • St. Joseph Health, Humboldt County, in California, has a medical respite program for chronically homeless individuals who have been recently discharged from the hospital.
  • St. Luke's Health System and Saint Alphonsus Health System are developing a single-site Housing First program in Boise, Idaho, part of a collaboration with the city and local organizations.
  • University of Illinois Hospital & Health Sciences System is partnering with the Center for Housing and Health in Chicago to provide stable housing and supportive services to homeless individuals.

Watch the story behind St. Joseph Health's, Humboldt County, medical respite program, narrated by Joy Victorine, program manager, care transitions.

View an archive of the Housing and the Role of Hospitals webinar here.

View additional resources on housing from H&HN.

Guides in the social determinants of health series:

Food Insecurity Icon Housing Insecurity Icon Transportation Insecurity Health Behaviors Coming Soon logo
Education Coming Soon logo Social Support Coming Soon icon Violence Coming Soon icon Employment Coming Soon icon

Related Resources

Initiatives/Campaigns
Collaborating with community based organizations is more important now than ev
Advisory
Member
In its fiscal year 2019 inpatient prospective payment system final rule, the Centers for Medicare & Medicaid Services (CMS) updated federal gui
AHA Center for Health Innovation Market Scan
OODA Health, which focuses on removing inefficiency from health care administration, and Blue Shield of California are building a cloud-based platform to…
Magazine/Newspaper/Website
October 2018—Arkansas Children’s Hospital is advancing the health of its community through its social needs screening tool, which enables the hospital to…
Bibliography/Link Page
Ending the opioid epidemic requires a coordinated community response. Hospitals and health systems are actively partnering with organizations and people in…
Case Studies
Sinai Health System, Chicago