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Moving upstream to achieve the Quadruple Aim: Practical steps and novel strategies to improve social determinants of health


Dr. Rishi Manchanda is a physician leader, health system innovator, and author. He is President of HealthBegins, a social enterprise that provides healthcare professionals with tools and support to improve care and the social factors that make people sick in the first place. Manchanda has led healthcare systems in different settings. He has been a Chief Medical Officer for a large self-insured employer; a lead physician for homeless primary care at the VA Greater Los Angeles Healthcare System; and the first director of social medicine for a network of community health centers in south central Los Angeles. In these leadership roles, Manchanda has led transformation efforts and built cross-sector clinical and community programs that have improved health outcomes in vulnerable communities by focusing on health-related social risk factors, such as homelessness, slum housing and food insecurity. In his 2013 TEDbook, The Upstream Doctors, he introduced a new model of the healthcare workforce that includes “upstreamists” who improve social determinants of health. Dr. Manchanda earned his bachelor’s, medical, and master’s of public health degrees from Tufts University and was the first graduate of UCLA’s combined internal medicine and pediatrics residency.


Upcoming Events

CCO Oregon is planning events for Fall 2018... stay tuned! And, in the meantime, check out our most recent event the 2018 Annual Meeting ...

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