Elizabeth A Rohan, Julie S Townsend, Andrea Torres Bermudez, Hope L Thompson, Dawn M Holman, Avid Reza, Felicia Solomon Tharpe, Ashley Wennerstrom
{"title":"Engaging Community Health Workers in Primary Care Practices: Provider Understanding of Roles, Benefits, and Barriers.","authors":"Elizabeth A Rohan, Julie S Townsend, Andrea Torres Bermudez, Hope L Thompson, Dawn M Holman, Avid Reza, Felicia Solomon Tharpe, Ashley Wennerstrom","doi":"10.1097/JAC.0000000000000501","DOIUrl":"10.1097/JAC.0000000000000501","url":null,"abstract":"<p><p>Community health workers (CHWs) are increasingly addressing health disparities in primary care settings; however, there is little information about how primary care practitioners (PCPs) interact with CHWs or perceive CHW roles. We examined PCP engagement with CHWs in adult primary care settings. Overall, 55% of 1504 PCPs reported working with CHWs; involvement with CHWs differed by some PCP demographic and practice-related factors. While PCPs perceived CHWs as engaging in most nationally endorsed CHW roles, they identified several barriers to integrating CHWs into care teams. Findings can inform ongoing efforts to advance health equity through integrating CHWs into primary care practices.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"154-167"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12044569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel Dannefer, Lois Seidl, Elizabeth Drackett, Adam Wohlman, Safiya Campbell, Diana Herrera, Carrie Sealy, Veronica Perez, Andrea Mata, Juan Pinzon, Nadia Islam, Lorna E Thorpe, La'Shawn Brown-Dudley, Noel Manyindo
{"title":"Harlem Health Advocacy Partners: A Local Health Department's Place-Based Community Health Worker Program.","authors":"Rachel Dannefer, Lois Seidl, Elizabeth Drackett, Adam Wohlman, Safiya Campbell, Diana Herrera, Carrie Sealy, Veronica Perez, Andrea Mata, Juan Pinzon, Nadia Islam, Lorna E Thorpe, La'Shawn Brown-Dudley, Noel Manyindo","doi":"10.1097/JAC.0000000000000497","DOIUrl":"10.1097/JAC.0000000000000497","url":null,"abstract":"<p><p>In January 2015, the New York City Department of Health and Mental Hygiene launched Harlem Health Advocacy Partners (HHAP), a place-based initiative to demonstrate the capacity of a CHW workforce to improve the health of residents of public housing. The long-term goal of HHAP is to improve the population health of residents of public housing in East and Central Harlem and to close racial gaps in health and social outcomes. A variety of evaluation approaches have been used to assess the initiative. This paper describes the HHAP model and methods for evaluating the program.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"168-186"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11142885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ganisher Davlyatov, Seongwon Choi, Nancy M Borkowski, Kristine R Hearld, Monica Aswani
{"title":"Federally Qualified Health Centers' Screening for Social Risk Factors and Health Outcomes.","authors":"Ganisher Davlyatov, Seongwon Choi, Nancy M Borkowski, Kristine R Hearld, Monica Aswani","doi":"10.1097/JAC.0000000000000494","DOIUrl":"10.1097/JAC.0000000000000494","url":null,"abstract":"<p><p>Federally Qualified Health Centers (FQHCs) are ideally positioned to identify and address health-related social needs, but little is understood about the relationship between social risk factor (SRF) screening and health outcomes. We studied 1352 FQHCs from the 2019 Uniform Data System. Ordinary least squares regression was used to estimate the relationship between SRF screening and the percentage of patients with adequately controlled diabetes and hypertension. Results show 71% of the FQHCs in the sample collected SRFs. FQHCs' screened for SRFs had higher percentages of patients with adequately controlled diabetes (69.5% vs 67.0%, P < .001) and hypertension (63.8% vs 59.4%, P < .001) relative to FQHCs not collecting SRFs.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"113-121"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Special Issue: The Role of Health Systems and Community Partners in Addressing Social Needs of Patients and Communities.","authors":"","doi":"10.1097/JAC.0000000000000503","DOIUrl":"10.1097/JAC.0000000000000503","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"111-112"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher J Louis, Elisa A Koppelman, Sara S Bachman
{"title":"Community Hospital Interventions Addressing the Medical and Social Needs of Patients : Patient Perspectives From the CHART Investment Program.","authors":"Christopher J Louis, Elisa A Koppelman, Sara S Bachman","doi":"10.1097/JAC.0000000000000495","DOIUrl":"10.1097/JAC.0000000000000495","url":null,"abstract":"<p><p>High utilizers of acute care in nonurban settings are at risk for poor health outcomes. Much of Massachusetts is nonurban, with many residents experiencing limited access to health care providers, fragmented health care services, inadequate housing, and low health literacy. This study examines patient perspectives on the Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program, a state-based grant program focused on advancing community hospitals toward value-based care. We found that CHART staff engaged patients in care coordination and patient advocacy, promoted patient agency and health literacy, and provided socioemotional support. These findings may help inform future program development around meeting the medical and social needs of high utilizers of health care services.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"143-153"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca K Rudel, Elena Byhoff, Sarah B Fielman, Kiersten L Strombotne, Mari-Lynn Drainoni, Jacey A Greece
{"title":"A Qualitative Study of A Health Center-Based Mobile Produce Market.","authors":"Rebecca K Rudel, Elena Byhoff, Sarah B Fielman, Kiersten L Strombotne, Mari-Lynn Drainoni, Jacey A Greece","doi":"10.1097/JAC.0000000000000496","DOIUrl":"10.1097/JAC.0000000000000496","url":null,"abstract":"<p><p>Healthcare-based food assistance programs have the potential to improve patients' food security, but are underutilized. We conducted a qualitative study of user and staff perceptions of an on-site mobile market at a federally-qualified health center (FQHC). Five themes were identified: 1) financial need drives the decision to use the market, 2) people attend specifically to receive healthy food, 3) users feel a connection to the FQHC, which increases participation, 4) social networks increase usage of the program, and 5) long lines, inclement weather, inaccessibility, and inconsistent marketing and communication are attendance barriers. Findings should inform implementation of future healthcare-based food assistance programs.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"134-142"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liana Petruzzi, Julie Smithwick, Lily Lee, Jorge Delva, Lillie Fox, Geoff Wilkinson, Shetal Vohra-Gupta, Maria Aranda, Carmen Valdez, Barbara Jones
{"title":"Community Health Work and Social Work Collaboration: Integration in Health Care and Public Health Settings: A Conceptual Framework.","authors":"Liana Petruzzi, Julie Smithwick, Lily Lee, Jorge Delva, Lillie Fox, Geoff Wilkinson, Shetal Vohra-Gupta, Maria Aranda, Carmen Valdez, Barbara Jones","doi":"10.1097/JAC.0000000000000498","DOIUrl":"10.1097/JAC.0000000000000498","url":null,"abstract":"<p><p>Community health worker (CHW) and social worker (SW) collaboration is crucial to illness prevention and intervention, yet systems often engage the 2 workforces in silos and miss opportunities for cross-sector alignment. In 2021, a national workgroup of over 2 dozen CHWs, SWs, and public health experts convened to improve CHW/SW collaboration and integration across the United States. The workgroup developed a conceptual framework that describes structural, systemic, and organizational factors that influence CHW/SW collaboration. Best practices include standardized training, delineated roles and scopes of practice, clear workflows, regular communication, a shared system for documentation, and ongoing support or supervision.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"187-202"},"PeriodicalIF":1.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thoughtful Investing in Social Care Management: The Cause of, and Solution to, All of Life's Problems.","authors":"Elena Byhoff, Rebecca Rudel, Lauren A Taylor","doi":"10.1097/JAC.0000000000000502","DOIUrl":"10.1097/JAC.0000000000000502","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"203-211"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13527602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kevin H Nguyen, Carlos Irwin A Oronce, Alexander C Adia, Jih-Cheng Yeh, Ninez Ponce
{"title":"Inability to Access Needed Medical Care Among Asian American, Native Hawaiian, and Pacific Islander Medicaid Enrollees.","authors":"Kevin H Nguyen, Carlos Irwin A Oronce, Alexander C Adia, Jih-Cheng Yeh, Ninez Ponce","doi":"10.1097/JAC.0000000000000489","DOIUrl":"10.1097/JAC.0000000000000489","url":null,"abstract":"<p><p>We examined self-reported inability to access to needed medical care and reasons for not accessing medical care among US-representative adult Medicaid enrollees, disaggregated across 10 Asian American, Native Hawaiian, and Pacific Islander ethnic groups. Chinese (-4.54 percentage points [PP], P < .001), Other Asian (-4.42 PP, P < .001), and Native Hawaiian (-4.36 PP, P < .001) enrollees were significantly less likely to report being unable to access needed medical care compared with non-Hispanic White enrollees. The most common reason reported was that a health plan would not approve, cover, or pay for care. Mitigating inequities may require different interventions specific to certain ethnic groups.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"96-103"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David Wong, Israel H Cross, Christian B Ramers, Farah Imtiaz, John D Scott, Amanda M Dezan, Amy J Armistad, Marie E Manteuffel, Dennis Wagner, Richard C Hunt, William L England, Mei Wa Kwong, Raynald A Dizon, Vanessa Lamers, Ilya Plotkin, B Tilman Jolly, Walter Jones, Darin D Daly, Megan Yeager, Jinean A Riley, Elizabeth A Krupinski, Andrew P Solomon, Katharine H Wibberly, Bruce B Struminger
{"title":"Large-Scale Telemedicine Implementation for Outpatient Clinicians: Results From a Pandemic-Adapted Learning Collaborative.","authors":"David Wong, Israel H Cross, Christian B Ramers, Farah Imtiaz, John D Scott, Amanda M Dezan, Amy J Armistad, Marie E Manteuffel, Dennis Wagner, Richard C Hunt, William L England, Mei Wa Kwong, Raynald A Dizon, Vanessa Lamers, Ilya Plotkin, B Tilman Jolly, Walter Jones, Darin D Daly, Megan Yeager, Jinean A Riley, Elizabeth A Krupinski, Andrew P Solomon, Katharine H Wibberly, Bruce B Struminger","doi":"10.1097/JAC.0000000000000491","DOIUrl":"10.1097/JAC.0000000000000491","url":null,"abstract":"<p><p>Learning collaboratives are seldom used outside of health care quality improvement. We describe a condensed, 10-week learning collaborative (\"Telemedicine Hack\") that facilitated telemedicine implementation for outpatient clinicians early in the COVID-19 pandemic. Live attendance averaged 1688 participants per session. Of 1005 baseline survey respondents, 57% were clinicians with one-third identifying as from a racial/ethnic minoritized group. Practice characteristics included primary care (71%), rural settings (51%), and community health centers (28%). Of three surveys, a high of 438 (81%) of 540 clinicians had billed ≥1 video-based telemedicine visit. Our learning collaborative \"sprint\" is a promising model for scaling knowledge during emergencies and addressing health inequities.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"47 2","pages":"51-63"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}