Table 3.
Open in new tab

Theme 2 and subthemes.

 Representative quotes
Theme 2: Health systems engage in a variety of diverse activities that benefit communities and address social determinants of health

  • “Workforce development is one that we've leaned really heavily on for two reasons. Financial stability shows up in almost all of our community health needs assessment across our footprint. And two, we have a workforce crisis in terms of shortage…. We're 60% rural.…Not only does it raise the tide of economics within the community, but… if they already have ties to the community, know their community, love their rural community, have family there, it's a little different than recruiting and bringing people in.”—Interviewee #5

Subthemes
 1. Workforce and economic development“…those multimillion dollar investments aren't counted in community benefit because there's a tie of either these are going to [our] employees or folks that go through it and make a commitment to work for us for a certain number of years. We do have education, academic and workforce investments that do count to some extent, but there are some significant restrictions on what counts in the community benefit and what doesn't.”—Interviewee #6
 2. Supplier diversity“… [I was] visiting with a friend who was diagnosed with lung cancer…. So, I came back and I said, do we have hair care products for black women in our hospitals? And the answer was, no…I mean, I know it's a little thing, but it makes a difference in everyday life for people. And so, now we have our procurement people specifically looking locally, if there's someone we could purchase haircare products from. So, you don't really count that in your community benefit, but it's something that's very important in our communities.…”—Interviewee #7
 3. Community-building initiatives“You can't deal with someone's diabetes when they don't have secure housing, secure source of food. It's like, no, we gotta meet them where they're at right now. They care about their dog and their shopping cart and where they're gonna go. Right?…. And so it's that kind of work that I think hospitals need to do more of.”—Interviewee #2
 4. Health care access“…we work with local shelters, and it allows us to bring our expertise, our medical clinical care, our home care into the shelter. Oftentimes shelters require individuals to leave for the day. [Our] patients… are allowed to stay at the shelter outside of the normal rules… we've seen a 70% reduction in ED [emergency department] utilization, a reduction in total cost of care. And more importantly, our patients report a better quality of life.”—Interviewee #9
 Representative quotes
Theme 2: Health systems engage in a variety of diverse activities that benefit communities and address social determinants of health

  • “Workforce development is one that we've leaned really heavily on for two reasons. Financial stability shows up in almost all of our community health needs assessment across our footprint. And two, we have a workforce crisis in terms of shortage…. We're 60% rural.…Not only does it raise the tide of economics within the community, but… if they already have ties to the community, know their community, love their rural community, have family there, it's a little different than recruiting and bringing people in.”—Interviewee #5

Subthemes
 1. Workforce and economic development“…those multimillion dollar investments aren't counted in community benefit because there's a tie of either these are going to [our] employees or folks that go through it and make a commitment to work for us for a certain number of years. We do have education, academic and workforce investments that do count to some extent, but there are some significant restrictions on what counts in the community benefit and what doesn't.”—Interviewee #6
 2. Supplier diversity“… [I was] visiting with a friend who was diagnosed with lung cancer…. So, I came back and I said, do we have hair care products for black women in our hospitals? And the answer was, no…I mean, I know it's a little thing, but it makes a difference in everyday life for people. And so, now we have our procurement people specifically looking locally, if there's someone we could purchase haircare products from. So, you don't really count that in your community benefit, but it's something that's very important in our communities.…”—Interviewee #7
 3. Community-building initiatives“You can't deal with someone's diabetes when they don't have secure housing, secure source of food. It's like, no, we gotta meet them where they're at right now. They care about their dog and their shopping cart and where they're gonna go. Right?…. And so it's that kind of work that I think hospitals need to do more of.”—Interviewee #2
 4. Health care access“…we work with local shelters, and it allows us to bring our expertise, our medical clinical care, our home care into the shelter. Oftentimes shelters require individuals to leave for the day. [Our] patients… are allowed to stay at the shelter outside of the normal rules… we've seen a 70% reduction in ED [emergency department] utilization, a reduction in total cost of care. And more importantly, our patients report a better quality of life.”—Interviewee #9

Source: Authors’ analysis of data from semi-structured interviews.

Table 3.
Open in new tab

Theme 2 and subthemes.

 Representative quotes
Theme 2: Health systems engage in a variety of diverse activities that benefit communities and address social determinants of health

  • “Workforce development is one that we've leaned really heavily on for two reasons. Financial stability shows up in almost all of our community health needs assessment across our footprint. And two, we have a workforce crisis in terms of shortage…. We're 60% rural.…Not only does it raise the tide of economics within the community, but… if they already have ties to the community, know their community, love their rural community, have family there, it's a little different than recruiting and bringing people in.”—Interviewee #5

Subthemes
 1. Workforce and economic development“…those multimillion dollar investments aren't counted in community benefit because there's a tie of either these are going to [our] employees or folks that go through it and make a commitment to work for us for a certain number of years. We do have education, academic and workforce investments that do count to some extent, but there are some significant restrictions on what counts in the community benefit and what doesn't.”—Interviewee #6
 2. Supplier diversity“… [I was] visiting with a friend who was diagnosed with lung cancer…. So, I came back and I said, do we have hair care products for black women in our hospitals? And the answer was, no…I mean, I know it's a little thing, but it makes a difference in everyday life for people. And so, now we have our procurement people specifically looking locally, if there's someone we could purchase haircare products from. So, you don't really count that in your community benefit, but it's something that's very important in our communities.…”—Interviewee #7
 3. Community-building initiatives“You can't deal with someone's diabetes when they don't have secure housing, secure source of food. It's like, no, we gotta meet them where they're at right now. They care about their dog and their shopping cart and where they're gonna go. Right?…. And so it's that kind of work that I think hospitals need to do more of.”—Interviewee #2
 4. Health care access“…we work with local shelters, and it allows us to bring our expertise, our medical clinical care, our home care into the shelter. Oftentimes shelters require individuals to leave for the day. [Our] patients… are allowed to stay at the shelter outside of the normal rules… we've seen a 70% reduction in ED [emergency department] utilization, a reduction in total cost of care. And more importantly, our patients report a better quality of life.”—Interviewee #9
 Representative quotes
Theme 2: Health systems engage in a variety of diverse activities that benefit communities and address social determinants of health

  • “Workforce development is one that we've leaned really heavily on for two reasons. Financial stability shows up in almost all of our community health needs assessment across our footprint. And two, we have a workforce crisis in terms of shortage…. We're 60% rural.…Not only does it raise the tide of economics within the community, but… if they already have ties to the community, know their community, love their rural community, have family there, it's a little different than recruiting and bringing people in.”—Interviewee #5

Subthemes
 1. Workforce and economic development“…those multimillion dollar investments aren't counted in community benefit because there's a tie of either these are going to [our] employees or folks that go through it and make a commitment to work for us for a certain number of years. We do have education, academic and workforce investments that do count to some extent, but there are some significant restrictions on what counts in the community benefit and what doesn't.”—Interviewee #6
 2. Supplier diversity“… [I was] visiting with a friend who was diagnosed with lung cancer…. So, I came back and I said, do we have hair care products for black women in our hospitals? And the answer was, no…I mean, I know it's a little thing, but it makes a difference in everyday life for people. And so, now we have our procurement people specifically looking locally, if there's someone we could purchase haircare products from. So, you don't really count that in your community benefit, but it's something that's very important in our communities.…”—Interviewee #7
 3. Community-building initiatives“You can't deal with someone's diabetes when they don't have secure housing, secure source of food. It's like, no, we gotta meet them where they're at right now. They care about their dog and their shopping cart and where they're gonna go. Right?…. And so it's that kind of work that I think hospitals need to do more of.”—Interviewee #2
 4. Health care access“…we work with local shelters, and it allows us to bring our expertise, our medical clinical care, our home care into the shelter. Oftentimes shelters require individuals to leave for the day. [Our] patients… are allowed to stay at the shelter outside of the normal rules… we've seen a 70% reduction in ED [emergency department] utilization, a reduction in total cost of care. And more importantly, our patients report a better quality of life.”—Interviewee #9

Source: Authors’ analysis of data from semi-structured interviews.

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