In 2006, Methodist Le Bonheur Healthcare (MLH) created the Congregational Health Network (CHN, TM pending) which works closely with clergy in the most under-served zip codes of the city to improve access to care and o...In 2006, Methodist Le Bonheur Healthcare (MLH) created the Congregational Health Network (CHN, TM pending) which works closely with clergy in the most under-served zip codes of the city to improve access to care and overall health status of the population. To best coordinate CHN resources around high-utilization and address the largest health needs in the community, MLH applied hot spotting and geographic information system (GIS) spatial analysis techniques. These techniques were coupled with the community health needs assessment process at MLH and qualitative, participatory research findings captured in collaboration with church and other community partners. The methodology, which we call “participatory hot spotting,” is based upon the Camden Model, which leverages hot spotting to assess and prioritize community need in the provision of charity care, but adds a participatory, qualitative layer. In this study, spatial analysis was employed to evaluate hospital-based inpatient and outpatient utilization and define costs of charity care for the health system by area of residence. Ten zip codes accounted for 56% of total system charity care costs. Among these, the largest zip code, as defined by a percentage of total charity costs, contributed 18% of the inpatient utilization and 17% of the cost. Further, this zip code (38109) contributed 69% of the inpatient and 76% of the outpatient charity care volume and accounted for 75% of inpatient and 76% of outpatient charity care costs for the system. These findings were combined with grassroots intelligence that enabled a partnership with clergy and community members and Cigna Healthcare to better coordinate care in a place-based population health management strategy. Presentations of the analytics have subsequently been made to HHS and the CDC, referred to by some as the “Memphis Model”.展开更多
The 1991 Booker Prize--winning novelist Ben Okri, while traveling in the Deep South after Barack Obama＇s victory in the November 2008 presidential election, wrote that Elvis Presley was a lingering deity in the city ...The 1991 Booker Prize--winning novelist Ben Okri, while traveling in the Deep South after Barack Obama＇s victory in the November 2008 presidential election, wrote that Elvis Presley was a lingering deity in the city of Memphis. The images of Elvis Presley, who earned the sobriquet ＂King of Rock＂ early in his career, and that of B. B. King, the exemplar extraordinaire of the Blues, are ubiquitous in the city of Memphis, which may be regarded as a metonym for the Blues and Rock ＇n Roll. The byline for the city of Memphis is, ＂Home of the Blues, Birthplace of Rock ＇n Roll＂, and this fact announces itself to the visitor as soon as he/she enters the arrivals concourse of the Memphis International Airport. As one proceeds towards the baggage claims area, the images which saturate the walkway create an aura that is redolent of the city＇s vibrant Rock ＇n Roll era. Drawing on Foucault＇s notion of heterotopias, as well as Jakobson＇s work on metonymy, this paper explores the hybrid musical spatiality of the city of Memphis and its environs, as well as its iconic status in the evolution of Rock ＇n Roll which was engendered by the Blues.展开更多
美国KPTiSSue公司CEO Mario Gosselin先生于2014年11月12日宣布，其公司正认真考虑再增加一台热风穿透干燥（TAD）卫生纸机。目前公司正在选址，并正做初步工程设计工作。KP曾于2013年初在其位于美国田纳西州Memphis市的纸厂投产了一台...美国KPTiSSue公司CEO Mario Gosselin先生于2014年11月12日宣布，其公司正认真考虑再增加一台热风穿透干燥（TAD）卫生纸机。目前公司正在选址，并正做初步工程设计工作。KP曾于2013年初在其位于美国田纳西州Memphis市的纸厂投产了一台TAD纸机。展开更多
文摘In 2006, Methodist Le Bonheur Healthcare (MLH) created the Congregational Health Network (CHN, TM pending) which works closely with clergy in the most under-served zip codes of the city to improve access to care and overall health status of the population. To best coordinate CHN resources around high-utilization and address the largest health needs in the community, MLH applied hot spotting and geographic information system (GIS) spatial analysis techniques. These techniques were coupled with the community health needs assessment process at MLH and qualitative, participatory research findings captured in collaboration with church and other community partners. The methodology, which we call “participatory hot spotting,” is based upon the Camden Model, which leverages hot spotting to assess and prioritize community need in the provision of charity care, but adds a participatory, qualitative layer. In this study, spatial analysis was employed to evaluate hospital-based inpatient and outpatient utilization and define costs of charity care for the health system by area of residence. Ten zip codes accounted for 56% of total system charity care costs. Among these, the largest zip code, as defined by a percentage of total charity costs, contributed 18% of the inpatient utilization and 17% of the cost. Further, this zip code (38109) contributed 69% of the inpatient and 76% of the outpatient charity care volume and accounted for 75% of inpatient and 76% of outpatient charity care costs for the system. These findings were combined with grassroots intelligence that enabled a partnership with clergy and community members and Cigna Healthcare to better coordinate care in a place-based population health management strategy. Presentations of the analytics have subsequently been made to HHS and the CDC, referred to by some as the “Memphis Model”.
文摘The 1991 Booker Prize--winning novelist Ben Okri, while traveling in the Deep South after Barack Obama＇s victory in the November 2008 presidential election, wrote that Elvis Presley was a lingering deity in the city of Memphis. The images of Elvis Presley, who earned the sobriquet ＂King of Rock＂ early in his career, and that of B. B. King, the exemplar extraordinaire of the Blues, are ubiquitous in the city of Memphis, which may be regarded as a metonym for the Blues and Rock ＇n Roll. The byline for the city of Memphis is, ＂Home of the Blues, Birthplace of Rock ＇n Roll＂, and this fact announces itself to the visitor as soon as he/she enters the arrivals concourse of the Memphis International Airport. As one proceeds towards the baggage claims area, the images which saturate the walkway create an aura that is redolent of the city＇s vibrant Rock ＇n Roll era. Drawing on Foucault＇s notion of heterotopias, as well as Jakobson＇s work on metonymy, this paper explores the hybrid musical spatiality of the city of Memphis and its environs, as well as its iconic status in the evolution of Rock ＇n Roll which was engendered by the Blues.
