Developing a pragmatic guide to implementing social risk referrals: A partnership between Caring Health Center (CHC) and the Implementation Science Center for Cancer

制定实施社会风险转诊的实用指南：关爱健康中心 (CHC) 与癌症实施科学中心之间的合作伙伴关系

• 批准号: 10822141
• 负责人: LAURIE Hollis GLIMCHER
• 金额: $ 22.47万
• 依托单位: DANA-FARBER CANCER INST
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-01 至 2024-04-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10822141
• 关键词: Address; Administrative Supplement; Adopted; Adoption; Appointment; Cancer Center; Caring; Clinic; Clinical; Collaborations; Colonoscopy; Communication; Communities; Community Health; Community Health Networks; Databases; Documentation; Electronic Health Record; Ensure; Evaluation; Face; Federally Qualified Health Center; Funding; Healthcare; Informatics; Intervention Studies; Laboratories; Learning; Medicaid; Methods; Neighborhood Health Center; Patients; Persons; Phase; Population; Positioning Attribute; Preparation; Prevention; Primary Care; Principal Investigator; Process; Recommendation; Reporting; Resources; Risk; Role; Rural; Screening for cancer; Series; Services; Site; Social Work; Social Workers; Testing; Transportation; Universities; Variant; Washington; Work; Writing; design; evidence base; guidebooks; health equity; implementation barriers; implementation science; implementation strategy; improved; member; patient navigation; patient screening; pilot test; preventive intervention; primary care clinic; primary care practice; rapid test; referral services; response; rural area; social; social interventions; waiver

PROJECT SUMMARY This supplement is a collaborative effort across four ISC3 Centers: BRIDGE-C2, Harvard ISCCCE, University of Washington OPTICC, and Washington University-ISC3. ISCCCE collaborates with a network of community health centers (CHCs), which serve as its implementation laboratory. CHCs face some of the most difficult implementation challenges as they primarily serve patients with high social needs. Addressing patients’ social needs is a critical part of enabling patients to access evidence-based cancer screening and prevention interventions. Well-documented challenges in addressing social needs include determining how best to maintain up-to-date information about available service agencies to which persons with social needs may be referred, and developing and adopting optimal workflows for doing so. Social service resource locators (SSRLs) that identify currently available resources take varying forms ranging from a social worker maintaining a hard-copy binder of resources to an informatics platform integrated into the electronic health record (EHR) and designed to enable bidirectional communication with local organizations about referred patients’ receipt of services (also called community resource referral platforms). Building on the findings from the Phase I supplement, we propose to: (1) develop a pragmatic, applied guidebook (the Guide) for clinics seeking to implement or expand efforts to address patient-reported social risks using Assistance strategies; (2) use rapid- cycle testing to identify best practices for implementing the Guide; (3) iterate and disseminate the refined Guide; and (4) create a toolkit to package learning from the prior Phase 1 Health Equity Supplement along with that from the ISC3 Phase 2 projects, and make the toolkit available through the NCI.

项目摘要 这种补充是四个ISC3中心的协作努力：Bridge-C2，Harvard ISCCCE，University 华盛顿Opticc和华盛顿大学-ISC3。 ISCCCE与社区网络合作 卫生中心（CHC），作为其实施实验室。 CHC面临一些最困难的 实施挑战，因为它们主要为具有高社会需求的患者提供服务。解决患者的社交 需求是使患者能够获得循证癌症筛查和预防的关键部分 干预措施。解决社会需求的有据可查的挑战包括确定如何最好 维护有关可用服务机构的最新信息 引用并开发和采用最佳工作流程。社会服务资源定位者 （SSRL）确定当前可用资源 集成到电子健康记录（EHR）的信息平台上的资源硬拷贝。 并旨在与当地组织进行双向交流 服务（也称为社区资源推荐平台）。基于第一阶段的发现 补充，我们建议：（1）为寻求的诊所开发务实的应用指南（指南） 使用援助策略实施或扩大努力以解决患者报告的社会风险； （2）快速使用 循环测试以确定实施指南的最佳实践； （3）迭代并传播精制 指导; （4）创建一个工具包，以包装以前的第1阶段健康公平补充剂以及 从ISC3第2阶段项目中，该工具包可以通过NCI提供。