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This topic has 9 replies, 5 voices, and was last updated 2 years, 1 month ago by Mily Nguyen.

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    • Hi all! Below are helpful resources related to our week 3 topic on training health center workforce for SDoH:

      PRAPARE – Social Determinants of Health (AAPCHO x NACHC x OPCA)
      http://www.nachc.org/research-and-data/prapare/

      Enabling Services Data Collection Training (AAPCHO x HOP x NHCHC)
      http://www.enablingservices.aapcho.org

      Cultural Humility Training (AAPCHO)
      E-mail training@aapcho.org

      Empathic Inquiry Training (Oregon PCA)
      https://www.orpca.org/initiatives/empathic-inquiry

      Health Coaching (UCSF Center for Excellence in Primary Care)
      https://cepc.ucsf.edu/health-coaching

      • Can you post the slide deck for this week?

        • Hi Sherry! Yes, see below for my most recent post with slide and recording from Week 3.

    • Is there a way to get a script of the questions running in the discussion section? I wasn’t finished reading them, and saw some information that I’d like to know .

      • Hi David! Yes, see transcript below:

        Trish Dyer:Trish Dyer, Oneida TN from Mountain People’s Health Council
        Donna Reeves:Donna and Sandra – Central Counties Health Centers, Springfield, IL
        Nancy:Nancy Ceja from La Clinica in Oakland, CA
        Kathy Hopkins:Hi — This is Kathy and Rebecca from the Family Health Centers in Brooklyn, New York
        Israel Reyes:Hi Israel Reyes from Charter Oak Health Center Hartford, CT
        Angie Rohn and Delaney Sieving:Angie And Delaney for Virginia, il
        Lia Sebring:Lia Sebring from Portland, Oregon – Oregon Health and Science University
        Sharayah Foster:Sharayah Foster – Alaska Primary Care Association
        Tara Ferguson-Gould:Tara FErguson-Gould from Alaska Primary Care Association
        Monica Razo:Monica Razo Community Health Network in Alvin, TX
        Jocelyn Sampson:Hi! This is Jocelyn Sampson from Triad Adult and Pediatric Medcine in Greensboro, NC
        Terri Kennedy, Community Care KS:Terri Kennedy from Community Care Network of Kansas. We are the KS PCA!
        Jaclyn Noble:Jaclyn Noble: Triad Adult and Pediatric Medicine, Greensboro, NC
        Nellie Roehl:Nellie Roehl- Alaska Primary Care Association
        David Huntley:David Huntley: Neighborhood Health, Nashville TN

        Joe Lee (AAPCHO):Out of curiosity, who is currently using or planning to use the PRAPARE tool? And what kind of cross-training opportunities happen at your org?
        Susan Leonard:I am still really confused as to why I would need to use PRAPARE – our member health centers state they are already capturing SDOH data in their EHR.
        Amanda Perez 5:My clinic is currently using Prapare, we have not started cross training yet.
        Angie Rohn and Delaney Sieving:I like Susan Leonard’s question. I have the same question
        Ely Romero:Our facility uses PRAPARE(Patient Advocate) is entering and asking questions to patient.
        Donna Reeves:We plan to utilize PRAPARE in the very near future.. Our outreach staff will be spearheading the implementation.
        Joe Lee (AAPCHO):Thanks for your comment, Susan. We’re certainly curious to hear how else health centers are collecting SDoH data, whether that’s via PRAPARE or not.
        Albert Ayson:Susan and Angie – We’re discussing PRAPARE as a lived example in this session since it has been widely recognized by health centers and PCAs naionwide. In the end, we encourage all health centers to collect standardized data on SDoH. I hope that helps
        Joe Lee (AAPCHO):Ely, Donna – Thanks for sharing what you’re currently doing/planning to do.

        Angie Rohn and Delaney Sieving:Is there an added benefit using the PRAPARE instead of the SDoH?
        Michelle Jester 2:Hi Angie and Delaney! PRAPARE is a standardized social determinants of health assessment tool. It is patient-centered, in multiple EHR systems, and tested by multiple health centers in lots of different states. It is now the most dominant social determinant screening tool used by health centers and is increasingly being used by hospitals, health systems, and health plans. It’s being recognized as a really useful, usable, and actionable tool. It’s mapped to standardized codes (ICD-10 Z codes, LOINC, SNOMED codes) to help with additional standardization.
        Michelle Jester 2:I hope that helps answer your question!
        Angie Rohn and Delaney Sieving:Thank you Michelle it does help
        Michelle Jester 2:What’s most important is health centers having standardized data on the social determinants of health so that they can better understand their patients and demonstrate health center value. We think PRAPARE is the most patient-centered and flexible approach out there, but we are a little biased :)
        Kathy Hopkins:Can you provide some examples of how you quantify response data – for example, if food insecurity is identified as a need, are you going as far as collecting data on the value of food stamps received by that patient?
        Michelle Jester 2:AAPCHO has a great set of enabling service codes to help capture what is being provided to address the need identified as wella as the “intensity” of that service in terms of time a staff person is taking to address that need. They are now working to update that list of codes with more SDH interventions and partnerships. We plan to add those codes into PRAPARE as a big “PRAPARE 2.0 release” . This will really help build the evidence base as to what it takes to care for complex populations and demonstrate the value of those services and interventions
        Ginny Potrepka:We have a demographic sheet that is filled out prior to visit that captures most of the data in PRAPARE tool. I have a few questions about how to assist patient eompleting some of the questions, ie #17 about stress. Can patients really differntiate between “somewhat,” and “a little bit”?
        Susan Leonard:Is there a charge for PRAPARE?
        Satoya:Does Athena have PRAPARE by chance?
        Michelle Jester 2:PRAPARE is free to use! All of our resources (including the EHR templates) are free and available at our website at http://www.nachc.org/prapare
        Michelle Jester 2:I am currently working Athena to develop a PRAPARE template. They have a beta version that they will test with clients very soon. I suspect a template will be available by spring or early summer
        Michelle Jester 2:We currently have PRAPARE EHR templates for eClinicalWorks, Epic, Cerner, GE Centricity, NextGen. I am currently working with Athena and Health Choice Network and ARCare are developing templates for Greenway Intergy and SuccessEHS, respectively
        Michelle Jester 2:If you are on an EHR where a PRAPARE template doesn’t currently exist, please let me know! we’d be happy to work with you and the vendor to get a PRAPARE template built in that system.
        Amanda Perez 5:How often should a Patient do the Prapare forms?
        Michelle Jester 2:Ginny, that’s a great question! We had PRAPARE reviewed by a health literacy expert for a 4th – 5th grade reading level. We also conducted cognitive testing with patientss before piloting PRAPARE. , and we conducted some evalutions with patients and staff after the pilot. Patients areported that they understood the questions. though I can see your point where “little bit stressed” and “somewhat stressed” seem similar. I believe our health literacy expert recommended that language so that it was most easily understood on a Likert scale but I can go back and look at the history to find out more!
        Michelle Jester 2:Amanda, we have a PRAPARE Data Documentation guide that provides recommended frequencies for each question. Some questions just need to be asked once, others are recommended at once a year (e.g, education, etc.), but others we recommend be asked at every visit because they could change quickly and have a huge impact on the patient’s health or health management. These are questions like housing stability, material security, stress, etc. We know that may be difficult to do at every visit, so at a minimum, we recommend that PRAPARE be administered annually. Most of the EHR tempaltes allow for the input of dates so that you know when PRAPARE was last administered. Some also have “reminders” or “triggers” to alert staff which PRAPARE questions the patient is due for
        Ginny Potrepka:Thanks Michelle, I guess I share some of the concerns Kathy shared above, do we have action plans for the data we are collecting. Do we do something different with a Somewhat stressed that a llittle bit. Do we assess food stamp status if they have food access needs.
        Michelle Jester 2:Ginny: great point! I should have mentioned this at the beginning but we view PRAPARE as a conversation starter. We hope that PRAPARE is not administered as a static screening tool but a way to help capture standardized data through conversation with patients. So, hopefully there is more contextual information,. We have a PRAPARE risk score methodology as well to help determine (in a rudimentary way as it’s not currently weighted) which patients might be most at risk. In that scoring methodology, “somewhat stressed” receives a higher score than “a little bit stressed” so that would help guide action. We hope that by having this data, it can better help your organization figure out where to best devote your l efforts. Hopefully the income quesation also helps assess food stamp eligibility as well so that you can easily act on the data you are collecting.
        Michelle Jester 2:But having this information is helpful for even more upstream work. For example, let’s say you discover that a lot of your patients are experiencing food insecurity but they actually aren’t eligible for food stamps. This data can help inform policy to potentially change the eligibility requirements for food stamps. But, it’s a lot harder to do that advocacy work without having standardized data.
        Satoya:Is the goal to have 500 additional questioners?
        Albert Ayson: Satoya – That is correct, 500 additional questionnaires
        Albert Ayson: for 2019
        Satoya: to be asked to patients?
        Satoya: surveyed***
        Albert Ayson: Satoya – correct to patients. You can connect with La Clinica offline for more info

    • Just curious. Am I the only person who cannot see the recording/slide deck in the resource section?

      • Hi Mily! Having some upload issues, but I think it finally works. Do you see the recording and slides below?

    • Hi all! Two items:

      1. Here is the URL link to the Adobe Connect recording from our Week 3 session: http://nhchc.adobeconnect.com/pto152jidm1m/
      2. Attached is the “SDoH Academy LC #2 – Session 3 Slide Deck – FINAL”

    • I see them now. Thanks!

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