Black/African American Health Initiative (BAAHI) Attachments - - PowerPoint PPT Presentation
City and County of San Francisco DEPARTMENT OF PUBLIC HEALTH San Francisco Department of Public Health Black/African American Health Initiative (BAAHI) Attachments Increase Breast Cancer Screening for Black/African American Women
City and County of San Francisco DEPARTMENT OF PUBLIC HEALTH
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Proposed Work plan 2014 2015 2016
Workgroup Membership Creation of Workgroup, partnerships with PC/Radiology, QI Review membership and engage additional stakeholders Problem Analysis Patient Feedback and Survey on BAA/Staff Experience Root Cause Analysis: Innovation and Human Centered Design Thinking End User Feedback Performance Measure and Dashboard Development Process and Outcome Measurement : Capacity, Referral and Show rates Definitions Validation and Standardization of Race/Ethnicity Definitions in AC Intervention, Countermeasures Engage Clinics with lowest performing rates and high numbers of BAA patients, Trainings, scripts Review first PHASE Interventions: Development of priority and high yield interventions for PHASE 2 engagement of BAAHI Think Tank membership Implementation Initial Pilots Sustainability Drop In Appts Saturday Appts Leverage Mammova Sustainability of initial clinics, tool kit development Engage clinics with current lowest screening rates Ongoing Evaluation and Testing Monthly review of measures at health center, provider level
40% 50% 60% 70% 80% 90% Apr-14 Apr-15 Sep-15
MAXINE HALL HC:76% B:73% (1111)
Asian Black Hispanic White Total Target ASN = 86% (384), BLK = 73% (282), HSP = 78% (88), WHT = 71% (256) 40% 50% 60% 70% 80% 90%
A P R- 14 A P R- 15 S E P - 15
POTRERO HILL HC:78% B:74% (602)
Asian Black Hispanic White Total Target ASN = 87% (128), BLK = 74% (151), HSP = 84% (161), WHT = 69% (108) 40% 50% 60% 70% 80% 90%
A P R- 14 A P R- 1 5 S E P - 15
SOUTHEAST HC: 77% B: 78% (765)
Asian Black Hispanic White Total Target ASN = 85% (81), BLK = 78% (486), HSP = 81% (62), WHT = 67% (49) 40% 50% 60% 70% 80% 90%
A P R- 14 A P R- 15 S E P - 15
FHC:75% B:70% (2529)
Asian Black Hispanic White Total Target ASN = 79% (908), BLK = 70% (172), HSP = 78% (928), WHT = 66% (315) 50% 60% 70% 80% 90%
A P R- 14 A P R- 15 S E P - 15
GMC: 75% B: 69% (1962)
Asian Black Hispanic White Total Target N= Asian 77% (732), Black 69% (290), Hispanic 81% (577), White 67% (252)
30% 40% 50% 60% 70% 80%
A P R- 14 A P R- 15 S E P - 15
CSC: 54% B: 58% (356)
Asian Black Hispanic White Total Target N= Asian(134), Black (43), Hispanic (32), White (131) 40% 50% 60% 70% 80% 90%
A P R- 14 A P R- 15 S E P - 15
CMHC: 71% B: 63% (988)
Asian Black Hispanic White Total Target N= Asian(91), Black (56), Hispanic (534), White (217)
20% 30% 40% 50% 60% 70%
A P R- 14 A P R- 15 S E P - 1 5
TWUHC: 40% B: 42% (788)
Asian Black Hispanic White Total N= Asian 56% (68), Black 42% (275), Hispanic 60% (84), White 32% (304)
BAAHI, Behaviral Health priority area dashboard, 2015 Jul '15 Aug '15 Sep '15 Oct '15 Nov '15 Dec '15 Owner(s) BAAHI, overview dash Main steps provider and consumer input on CAGE measure create workgroup, and questions for WG Set up consumer and provider input Survey First training, consumer group Ongoing trainings Judy, Darlene Metrics dash CAGE baseline follow up Provider and consumer input on CAGE measure Discuss CAGE with workgroup Decide up or down on CAGE Judy, Deborah Provider alcohol skills baseline Discuss likert scale, discuss with consumers QM discussion,? survey discuss provider skills with workgroup Decide up or down on skills metric Judy, Darlene, Deborah incidence and prevalence metrics IT meeting to ask for metrics ICD 9 and 10 codes to Noah Provider BAA skills Discussion with key informants workgroup questions on BAA skill set inform survey with WG input Decide up or down on BAA skills Workgroup dash Logistics Choose members, invite, set up room and workplan Meetings Ongoing support Darlene, Judy Workgroup task setting Literature review, gather information Frame interaction Meetings, feedback Adjustments based on feedback Judy, Darlene Root cause/change theory Collect theory statements, first draft refine draft consumer humble inquiry Judy, D, Israel Special workgroup task stigma-free title for our priority area's work Judy, Darlene Training dash timeline elements discuss with training director gather input
Design training elements Schedule at begin trainings Judy, training team designee
Activity Key Person Partners/ Resources J A S O N D J F M A M J J Design data tracking system Denominator Platform Timeframe Trang IT eCW evaluation for data and care needs Shivaun, Ayanna, Trang Noah, Susan Fischer-Owens Establish Workgroup, meet monthly or more Darlene, Ayanna Establish Advisory Committee, invited to Workgroup, +on-call Darlene, Ayanna Document current best practices and barriers in youth clinics Ayanna, Shivaun Pilot system changes in population testing and reporting at 3rd St Susan, Ayanna 3rd St YCC Document current best practices and barriers in select primary care clinics Ayanna, Shivaun Document out-of-clinic resources available Ayanna, Susan, Shivaun MCAH, Pop, 3rd St YCC, Advisors, SFUSD, Craft recommendations for changes in practice in clinics and outside resources to bring in Core group + advisors
Engage Stakeholders
Identify Interventions
Recommen- dations
to use i2i database to track HTN control by race over time
Equity as QI Framework with clinics and key stakeholders
Workgroup in July!
from 6 PC clinics
analysis
and prioritize potential interventions
statement and best practices to SFHN PC clinics