Investing in Interventions That Address Non-Medical, Health-Related Social Needs Proceedings of a Workshop (2019) / Chapter Skim
Currently Skimming:
5 Interventions Addressing Multiple Social Needs
5 Interventions Addressing Multiple Social Needs
Pages 45-58
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 45... ...
(Regenstein) • Many organizations have community health worker pro grams or social determinants of health programs that they think are working but in fact are merely seeing regression to the mean.
|
From page 46... ...
The workshop's fourth panel moved the discussion from one focused on interventions to address specific social needs to one looking at interventions addressing multiple social needs or the whole person. The four speakers in this session were Shreya Kangovi, Assistant Professor of edicine at the University of Pennsylvania Perelman School of Medicine M and founding Executive Director of the Penn Center for Community Health Workers; Sarah L
|
From page 47... ...
Kangovi explained that what Hannah did for Maya was magical but not accidental, for Hannah was selected using a specialized algorithm designed to identify natural helpers and listeners. The questions annah asked Maya came from an interview guide that Kangovi's team H designed after interviewing thousands of low-income patients, and she documented her notes in an app co-designed with community health workers.
|
From page 48... ...
. Most individuals, she said, want informal psychosocial support or support for making health behavior changes, while nearly 15 percent want referrals to resources for daily life, such as housing or transportation.
|
From page 49... ...
The program is now in 27 locations in 12 states and has been shown to improve activities of daily living disability in older adults with multiple conditions, as well as reduce depressive symptoms. Overall, some 79 percent of participants improve, she added.
|
From page 50... ...
This program referred 825 patients in 1 year to program lawyers, who largely dealt with legal issues involving housing, public benefits, and education. The special population model targets specific clinical issues or lifestage issues.
|
From page 51... ...
organization sites of FQHC center patients legal document changes NOTES: * Legal services were not offered to the total patient population; therefore, the share of patients served at this organization underrepresents patient need for these services.
|
From page 52... ...
COMMUNITYRx: CONNECTING HEALTH CARE TO SELF-CARE CommunityRx, explained Stacy Tessler Lindau, was developed with a round one Health Care Innovation Award from CMS, which came with expectations that innovations would lead to a sustainable business model. In this case, she said, that expectation led her to create NowPow, a forprofit technology company, and MAPSCorps, a nonprofit youth workforce development and community asset mapping company.
|
From page 53... ...
inpatient units care satisfaction HRQOL, self- Middle age, older Academic Chicago Pragmatic trial, NIA R01e,f ABM under way efficacy Medicare/Medicaid primary care randomized by recipients (N = 411) and emergency alternating calendar medicine clinics week NOTE: ABCS = aspirin therapy, blood pressure control, cholesterol management and smoking cessation; ABM = agent-based model; AHRQ = Agency for Healthcare Research and Quality; COPD = chronic obstructive pulmonary disease; CVD = cardiovascular disease; HRQOL = health-related quality of life; NIA = National Institute on Aging; NIGMS CTSA = National Institute of General Medical Sciences Clinical and Translational Science Award; NIH = National Institutes of Health; NIMHD = National Institute on Minority Health and Health Disparities; RCT = randomized controlled trial.
|
From page 54... ...
For Lindau, a barrier is the lack of knowledge about all the working pieces that come together to make a community and the assets that a community has with which to build a successful program. One policy she would recommend adopting would be that every community organization that receives funding, whether from government or philanthropy, should meet certain infrastructure standards, such as having a full presence on the Internet and an Internet connection to make them easier to find -- this would require a shift away from allowing nonprofits to be funded without appropriate coverage of critical overhead costs.
|
From page 55... ...
Kangovi said that IMPaCT has training programs for health professionals that it has scaled across the country, as well as a program in which medical and nursing students apprentice for 2 to 4 weeks with community health workers to learn how to recognize the social determinants of health. Lindau added that health care professionals identify people's
|
From page 56... ...
edical– M legal partnerships, said Regenstein, are highly customized to involve lawyers who work in close proximity to a health care organization, which means that they are challenging to establish in rural communities given there is less legal capacity there. She noted that her center is trying to
|
From page 57... ...
A main barrier to success, she said, was a lack of capacity in these small practices to integrate new uses of electronic medical record systems. Chokshi concluded the discussion period by asking each panelist for one key point regarding what is needed to move interventions that address multiple social needs forward.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.