Community resource referral platforms - Lessons from early health care adopters SIREN Webinar April 18, 2019 siren
Social Interventions Research & Evaluation Network SIREN’s mission is to catalyze and disseminate high quality research that advances health care sector efforts to improve health equity by addressing social risks. Activities include: Providing evaluation, Catalyzing and Collecting & research & analytics conducting high quality disseminating research consultation services research findings sirenetwork.ucsf.edu | siren@ucsf.edu | @SIREN_UCSF siren
siren http://sirenetwork.ucsf.edu
How to use ReadyTalk to ask questions This webinar will be recorded; the recording and slides will be made available in the coming days. siren
Thank you to our funders Episcopal Health Foundation Methodist Healthcare Ministries of South Texas, Inc. St. David’s Foundation siren
Our speakers today Caroline Fichtenberg, PhD Shao-Chee Sim, PhD Yuri Cartier, MPH Managing Director VP Applied Research Research Associate SIREN Episcopal Health Foundation SIREN Pat Schoenemann Lori Petersen Kristen Scholl Director Senior IT Business Analyst VP Population Health Brazos Health Resource Center Alliance for Better Health Alliance for Better Health CHI St. Joseph Regional Health Center siren
Poll Question #1 Where do you work? Safety net health care organization Other (non-safety net) health care organization Social service organization or community-based organization Research institution Capacity building and technical assistance organization Technology company Other siren
Disclaimer This webinar does not constitute a product endorsement or recommendation by the University of California, San Francisco (UCSF), Social Interventions Research and Evaluation Network (SIREN), Episcopal Health Foundation, Methodist Healthcare Ministries of South Texas, Inc., or St. David’s Foundation. siren
Community Resource Referral Platforms: A Guide for Health Care Organizations Webinar April 18, 2019 Yuri Cartier, MPH Caroline Fichtenberg, PhD Laura Gottlieb, MD, MPH SIRENetwork.ucsf.edu siren
Poll Question #2 Is your organization in the process of implementing a community resource referral platform? - Yes, we’re currently using a platform - No, but we may in the future - Not applicable to our organization siren
Our Goal To explore the market of community resource referral platforms and learn about the experiences of health care organizations implementing a platform. siren
Project Activities 1. Reviewed commonly used platforms 2. Interviewed users about their experiences using these platforms siren
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Nine platforms in our review siren
Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals siren
Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: siren
Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: HIPAA/ Data security siren
Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: HIPAA/ Systems Data security integration siren
Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: HIPAA/ Systems Social risk Data security integration screening siren
Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: HIPAA/ Systems Social risk Care Data security integration screening coordination siren
Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: HIPAA/ Systems Social risk Care Reporting & Data security integration screening coordination analytics siren
Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: HIPAA/ Systems Social risk Care Reporting & Vendor Data security integration screening coordination analytics responsiveness siren
Key Functionalities $$$ + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: HIPAA/ Systems Social risk Care Reporting & Vendor Data security integration screening coordination analytics responsiveness siren
In our guide: • Side-by-side comparison table of platform features and functionalities (pp.16-18) • Platform profiles (pp.52-96) siren
Organization Type (N=39) Hospital/system 1 2 3% 5% 4 Place-based care 10% transformation or health 15 improvement initiatives 38% Health centers/health center networks Social service 10 agencies 26% Health information exchanges 7 18% siren
Main takeaway from users Implementation is slower and more complicated than anticipated, especially with community partners siren
Recommendations 1. Engage community partners from the beginning siren
Recommendations 1. Engage community partners from the beginning “Before you start, make sure your community partner is willing to actually be a recipient of that type of referral. If they’re invited to the table early on, it helps them to understand really what's being asked of them. [...] Engage your partners early on and ask them what their concerns are before telling them what you want to do.” siren
Recommendations 2. Examine what already exists in the community siren
Recommendations 2. Examine what already exists in the community “If I were to do this all over again, I think I would bring key stakeholders from all hospitals across the state to the table, with our community stakeholders, and together figure out what collectively would be the best one, ‘go slow to go fast’ so that everybody is using that same thing.” siren
Recommendations 3. Have a clear understanding of your goals and needs siren
Recommendations 3. Have a clear understanding of your goals and needs “The health centers that have really thought about their care model, and who on the care team is allocated to be addressing social and economic factors, have a better time adopting the tool, because they've thought through some of the larger system and workforce issues.” siren
Recommendations 4. Don’t assume that if you build it they will use it siren
Recommendations 4. Don’t assume that if you build it they will use it 5. Evaluate the impact and share your learnings siren
Other approaches • EHR vendors siren
Other approaches • EHR vendors • Community information exchanges siren
Other approaches • EHR vendors • Community information exchanges • Pathways HUB Model siren
Other approaches • EHR vendors • Community information exchanges • Pathways HUB Model • Increasing interoperability siren
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Brazos Health Resource Center COMMUNICATION, COORDINATION AND NETWORKING Presented by: Patricia Schoenemann, Director
WHAT IS A HEALTH RESOURCE CENTER? A local community center u Coordinates, communicates, and assesses situations for community residents in need u Provides information, referral, application assistance, and material assistance to meet u needs Offers meeting place for agencies headquartered outside of the county to hold u appointments or meetings with county residents Hosts educational sessions available to local citizens u A Community Resource Coordination Group (CRCG) facilitator and participant u The attitude of the Health Resource Center when someone calls or comes in is always: “You’ve come to the right place! If we don’t know it, we will find out about it together!”
COMMUNITY ASSISTANCE NETWORK MATRIX HEALTH CARE PROVIDERS NETWORK ASSISTANCE COALITION AGENCIES GROUPS HEALTH RESOURCE CENTER FAITH BASED FOOD MINISTRIES PANTRIES
The Brazos Valley Health Resource Center Locations: Burleson County (Caldwell & Somerville) Brazos County (Bryan & College Station) Madison County (Madisonville) Grimes County (Navasota) Washington County (Brenham) Leon County (Centerville)
Brazos Valley CharityTracker Network Brazos Health Resource Center Network Administrator
Brazos Valley CharityTracker Network u Resource information pre-loaded on the service agencies, non-profits, churches in the 7-county Brazos Valley area u Access provided to members at no cost u Release of Information mandatory for client record to be entered u Minimization of detail to maintain HIPAA compliance u Continuous, ongoing updates of services and agency information
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