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This topic has 46 replies, 41 voices, and was last updated 2 years, 5 months ago by Mecca Hawkins.

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    • For Week 1, please respond to the following questions as a way to get to know your fellow learning collaborative cohort members:

      1. Name:
      2. Organization:
      3. Role:
      4. What are you looking forward to learning by the end of this month?
      5. Optional: Share a picture of your pet or favorite animal photo!

      Due: Tuesday, February 12, 2019 by 11:59pm ET

      • 1. Ashley Pietrocci
        2. Shingletown Medical Center
        3. Behavioral Health Case Manager
        4. How to be a more effective case manager and understand available resources that can assist all SMC Staff.
        5. This is one of my fur babies, Zima!

      • Terri Kennedy
        Community Care Network of Kansas (KS PCA)
        HCCN Program Director
        I’d like to learn 1) what collection tools health centers are using, and 2) which staff (e.g., front desk) are responsible for collecting SDoH.
        My pic is of my grandson and my two girls.

        Attachments:
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      • Amanda Perez
        Community Clinic Rogers Medical
        Patient Coordinator
        How to be more beneficial in my job to help patients.
        I

      • 1. Javier Alvarado
        2. La Clinica de La Raza, Inc. (La Clinica)
        3. Project Manager – assist SDoH and PCMH work for the agency, other projects as needed
        4. How other groups work around scant resources, create workflows to incorporate SDoH work into clinical operations, and address staff burnout from exposure to SDoH concerns of patients

      • 1. Suzanne Smith
        2. Health Care Collaborative of Rural Missouri/Live Well Community Health Centers
        3. Director of Network Development
        4. Networking and finding more resources for our patients
        5. This is my fur baby Buddy that I lost about a month ago.

      • Elizabeth Buckhanon
        Memphis Health Center
        Social Service Programs Manager
        How we can reduce the negative social determinants that effect the communities we serve .
        I don’t have a pet.

      • Tara Ferguson-Gould
        Alaska Primary Care Association
        Quality Improvement Programs Manager
        Identify ways to help our health center staff be better able to assist patients they serve around Social Determinants of Health.
        Our chocolate lab, Ruger

        Attachments:
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      • 1. Tracy Pion
        2.. Wood River Health Services
        3. Billing and Front Desk Manager
        4. How front desk staff can better assist the Care Managers and serve our patient population

      • 1.Satoya Beckles
        2. BMS Family Health and Wellness Center
        3. Grants Coordinator
        4. How to collect data to measure and quantify SDOH
        5. I don’t have a pet but would love to own an english bulldog one day

      • For Week 1, please respond to the following questions as a way to get to know your fellow learning collaborative cohort members:

        1. Name: Angela Rohn and Delaney Sieving
        2. Organization: Cass County Health Clinic
        3. Role: Angie (LPN, QA nurse, Special projects and PCMH coordinator) Delaney (Health educator)
        4. What are you looking forward to learning by the end of this month? How to better serve our community involving the the questions of SDH
        5. Optional: Share a picture of your pet or favorite animal photo!

        Due: Tuesday, February 12, 2019 by 11:59pm ET

      • 1. Monica Razo
        2. Stephen F Austin Community Health Network
        3. Care Coordinator
        4. How to be a more effective in helping patient’s with SDOH barriers

      • 1. Sherri Luster
        2. Community Health Centers of Arkansas
        3. Business/ IT Analyst
        4. All about PRAPARE and what I can do to help the Health Centers anyway I can

      • 1. Helen Bell
        2. Wood River Health Services
        3. Dental Department Manager
        4. Learning more about what our Care Management Team does and how the dental staff can better assist them and our patients.

    • Patty Linduska, RN
      Alaska Primary Care Association
      Sr. Director of Training and Technical Assistance
      How to help CHCs implement SDoH into their work

      Attachments:
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    • Whitney Allen, MPH
      Kentucky Primary Care Association
      Coordinator of Community Development and Outreach
      Strategies for decreasing burn-out in screening staff; the skill-set staff need to have to do SDoH work; sample workflows to integrate SDoH screening in clinic operations
      Attached is our Australian Shepherd, Nash!

      • Thanks for the feedback, Whitney! We’ll be sure to weave in some comments on burnout in Session #4, and feel free to keep reengaging with that question throughout the other sessions.

    • 1. Lia Sebring
      2. OHSU Family Medicine at Richmond
      3. Social Determinants of Health Coordinator
      4. How I can support our health center’s workforce in SDH screening; what trainings, resources, and other supports are available?
      5. See attached photo of my Chesapeake Bay Retriever, Nox!

      Attachments:
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      • Nox! So sweet! And we’ll definitely be sharing lots of resources with you throughout the series– look forward to helping you comb through them and find the ones that fit best with your team.

    • 1. Donna Reeves
      2. Central Counties Health Centers – Springfield, IL
      3. Director, Community Engagement
      4. Best practices on implementation of capturing SDOH
      5. My 20 pound cat, Miles, that loves squeezing under the couch!

      Attachments:
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      • You’ve come to the right place, Donna! Lots of material on work flows happening in Session #3. I also can’t believe Miles is 20 pounds and under that couch. So cute!

    • 1. Name: Juan Castro, MPH
      2. Organization: Family Practice & Counseling Network
      3. Role: Quality Assurance Manager
      4. What are you looking forward to learning by the end of this month? I want to be able to help support our health centers’ capacity to address the need to screen and manage SDoHs in our patient population.
      5. Optional: Share a picture of your pet or favorite animal photo!

    • Hi everyone! We are excited to be joining the learning collaborative!
      1. Name: Amy Goins
      2. Organization: Triad Adult and Pediatric Medicine
      3. Role: Director of Integrated Behavioral Health
      4. What are you looking forward to learning by the end of this month?
      I am excited to learn how other organizations are training non-clinical, non-behavioral health staff on addressing SDOH and how to obtain buy-in from other departments.
      5. Optional: Share a picture of your pet or favorite animal photo!
      This is my long-haired tabby named Magnolia, we call her Maggie :)

      Attachments:
      You must be logged in to view attached files.
    • 1. Name: Alayna Woodley
      2. Organization: Wood River Health Services
      3. Role: Manager of Care Coordination
      4. I am looking forward to seeing the best practices of SDOH screenings. We will be starting to implement SDOH screenings for our entire population in a couple of weeks. I am excited to gain some more information on how other do this work and the best practices behind it.

    • 1. Leslie Cordova
      2. HOPE Clinic
      3. Community Centered Health Home Program Coordinator
      4. I am looking forward to better understanding the most effective and efficient way to build internal community-centered mentality across our health center.
      5. Here is my adorable Shih Tzu, Pany. She is 8 years young and loves Christmas as much as her mom (me).

    • 1. Leslie Cordova
      2. HOPE Clinic
      3. Community Centered Health Home Program Coordinator
      4. I am looking forward to better understanding the most effective and efficient way to build internal community-centered mentality across our health center.
      5. Here is my adorable Shih Tzu, Pany. She is 8 years young and loves Christmas as much as her mom (me).

    • Jessica Joseph
      Wood River Health Services
      Health Information Manager
      Learning about training tools available to non-clinical staff to help support health center’s implementation of SDOH.

    • Dakotah Bowen
      Wood River Health Services
      Front Desk Lead Receptionist
      To learn about sample work flows to collect SDOH data upon registration.

    • 1. Terry Reis
      2. Wood River Health Services
      3. WIC Program Coordinator
      4. Anything that would help me to better serve my client’s needs

    • 1. Name: Sharayah Foster, MPH
      2. Organization: Alaska Primary Care Association
      3. Role: Quality Improvement Coordinator
      4. What are you looking forward to learning by the end of this month? How to help health centers use SDoH data collected to better serve their patient population and respond to the needs identified.

    • 1. Name: Leta Grom
      2. Organization: Health Care Collaborative of Rural Missouri
      3. Role: Community Health Worker
      4. Networking and increasing my knowledge base.

    • 1. Asha Minix, MPH
      2. Asian American Health Coalition – HOPE Clinic
      3. Program Management & Outreach Coordinator
      4. I’m looking forward to learning how we can truly an SDOH mindset across our clinic sites and how addressing SDOH can be the core of what we do.
      5. My sweet, sweet baby girl Stella the “petite” Rottweiler.

      Attachments:
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    • 1. Lynda Greene
      2. Wood River Health Service
      3. Director of Quality Improvement and Service Integration
      4. Learning about best practices on collecting SDoH screenings, workflows and how to handle the impact of screening patients with limited staff.

    • 1. Mily Nguyen
      2. NOELA Community Health Center, New Orleans, LA
      3. Quality Improvement Director
      4. How to make a business case for capturing and utilizing SDoH data to improve the quality of care we deliver
      5. My adopted fur-baby, Gracie

      Attachments:
      You must be logged in to view attached files.
    • 1. Nellie Roehl
      2. Alaska Primary Care Association
      3. Clinical Applications Coordinator
      4. Increase my knowledge for capturing and utilizing SDoH Data

    • 1. Name: Sevilla I. Love
      2. Organization: Alaska Primary Care Association
      3. Role: Integration Coordinator
      4. What are you looking forward to learning by the end of this month? Anything new!
      5. Optional: Share a picture of your pet or favorite animal photo! OTIS

    • 1. Name: Jaclyn Noble
      2. Organization: Triad Adult & Pediatric Medicine
      3. Role: Behavioral Health Care Manager
      4. What are you looking forward to learning by the end of this month? Learning how others are meeting these needs and how my role can continue to support our pts needs.

    • 1. Name: Cisco Montes
      2. Organization: Neighborhood Health
      3. Role: PCMH Coordinator
      4. I’m looking forward to learning how organizations are tackling social determinants of health successfully so that our health centers can do more based on best practices.

    • 1. Name: Tennile Kreis
      2. Organization: Morgan County Medical Center
      3. Role: QI Coordinator
      4. Looking forward to learn how other similar organizations get and use SDOH information.

    • Name: Susan Leonard
      Organization: Community Health Centers Alliance (HCCN based out of St. Petersburg, FL)
      Role: Director, Special Projects
      Looking forward to learning about how everyone is capturing SDOH data (difference between what EHR systems offer and PRAPARE), as well as intervention strategies.

      Attachments:
      You must be logged in to view attached files.
    • Name: Shelly Harden
      Organization: Health Care Collaborative of Rural Missouri
      Role: Community Health Worker
      Looking forward to learning of more resources .
      This is one of my fur babies, Rudy, decking out on St. Pats Day~

    • Name: Shelly Harden
      Organization: Health Care Collaborative of Rural Missouri
      Role: Community Health Worker
      Looking forward to learning of more resources .
      This is one of my fur babies, Rudy, decking out on St. Pats Day~

      Attachments:
      You must be logged in to view attached files.
    • Name: Ely Romero
      Organization: Community Clinic in Springdale, AR
      Role: Call Center Agent
      Looking to increase my knowledge to assist our patient’s with the right tools and information and being able to utilize all learned here to better my role.

    • 1. Name: Mecca Hawkins
      2. Organization: Brownsville Community Development Corporation
      3. Role: Manager of Credentialing and Meaningful Use
      4. What are you looking forward to learning by the end of this month? I’ve already learned so much, however, I am super excited about learning more.

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