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Community resource referral platforms - Lessons from early health care adopters SIREN Webinar April 18, 2019 siren Social Interventions Research & Evaluation Network SIRENs mission is to catalyze and disseminate high quality research


  1. Community resource referral platforms - Lessons from early health care adopters SIREN Webinar April 18, 2019 siren

  2. 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

  3. siren http://sirenetwork.ucsf.edu

  4. 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

  5. Thank you to our funders Episcopal Health Foundation Methodist Healthcare Ministries of South Texas, Inc. St. David’s Foundation siren

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. Our Goal To explore the market of community resource referral platforms and learn about the experiences of health care organizations implementing a platform. siren

  12. Project Activities 1. Reviewed commonly used platforms 2. Interviewed users about their experiences using these platforms siren

  13. siren

  14. Nine platforms in our review siren

  15. Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals siren

  16. Key Functionalities + A searchable, A referral management regularly-updated system that enables resource directory closed-loop referrals Other Functionalities and Characteristics: siren

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. In our guide: • Side-by-side comparison table of platform features and functionalities (pp.16-18) • Platform profiles (pp.52-96) siren

  25. 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

  26. Main takeaway from users Implementation is slower and more complicated than anticipated, especially with community partners siren

  27. Recommendations 1. Engage community partners from the beginning siren

  28. 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

  29. Recommendations 2. Examine what already exists in the community siren

  30. 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

  31. Recommendations 3. Have a clear understanding of your goals and needs siren

  32. 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

  33. Recommendations 4. Don’t assume that if you build it they will use it siren

  34. Recommendations 4. Don’t assume that if you build it they will use it 5. Evaluate the impact and share your learnings siren

  35. Other approaches • EHR vendors siren

  36. Other approaches • EHR vendors • Community information exchanges siren

  37. Other approaches • EHR vendors • Community information exchanges • Pathways HUB Model siren

  38. Other approaches • EHR vendors • Community information exchanges • Pathways HUB Model • Increasing interoperability siren

  39. siren

  40. Brazos Health Resource Center COMMUNICATION, COORDINATION AND NETWORKING Presented by: Patricia Schoenemann, Director

  41. 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!”

  42. COMMUNITY ASSISTANCE NETWORK MATRIX HEALTH CARE PROVIDERS NETWORK ASSISTANCE COALITION AGENCIES GROUPS HEALTH RESOURCE CENTER FAITH BASED FOOD MINISTRIES PANTRIES

  43. 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)

  44. Brazos Valley CharityTracker Network Brazos Health Resource Center Network Administrator

  45. 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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