PULSE DeveloPing a pragmatic gUide to impLementing social riSk assistancE

PULSE 制定实施社会风险援助的实用指南

• 批准号: 10724918
• 负责人: Ross C Brownson
• 金额: $ 12.5万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-18 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10724918
• 关键词: Address; Administrative Supplement; Adopted; Adoption; Appointment; Caring; Clinic; Clinical; Collaborations; Colonoscopy; Communication; Communities; Community Health; Data; Databases; Decision Making; Documentation; Electronic Health Record; Ensure; Evaluation; Federally Qualified Health Center; Funding; Healthcare; Informatics; Intervention Studies; Laboratories; Learning; Medicaid; Methods; Missouri; Modeling; Patients; Persons; Phase; Population; Positioning Attribute; Preparation; Prevention; Primary Care; Process; Recommendation; Reporting; Research; Resources; Risk; Role; Rural; Screening for cancer; Series; Services; Site; Social Work; Social Workers; Testing; Transportation; Universities; Variant; Washington; Work; design; evidence base; guidebooks; health disparity; health inequalities; implementation barriers; implementation strategy; improved; member; parent grant; patient navigation; patient screening; pilot test; preventive intervention; primary care clinic; primary care practice; rapid test; referral services; response; rural area; social; social interventions; tool; urban area; waiver

PROJECT SUMMARY This supplement is a collaborative effort across four ISC3 Centers: BRIDGE-C2, Harvard ISCCCE, University of Washington OPTICC, and Washington University (WU)-ISC3. Addressing patients’ social needs is a critical part of enabling patients to access evidence-based cancer screening and prevention interventions, a focus of the WU-ISC3 Center. 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 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; and (3) iterate and disseminate the refined Guide. WU-ISC3 will test the guide in Missouri Highlands Health Care, a Federally Qualified Health Center in rural southern Missouri, who face some of the most difficult implementation challenges as they primarily serve patients with high social needs and are located in an outer context with fewer resources than urban areas.

项目概要 本补充材料是四个 ISC3 中心的合作成果：BRIDGE-C2、哈佛大学 ISCCCE、大学 华盛顿 OPTICC 和华盛顿大学 (WU)-ISC3 解决患者的社会需求至关重要。 使患者能够获得基于证据的癌症筛查和预防干预措施的一部分，这是 WU-ISC3 中心记录了满足社会需求的挑战，包括确定如何最好地满足社会需求。 维护有社会需要的人可以向其提供的可用服务机构的最新信息 并为此开发和采用最佳工作流程。 识别当前可用资源的（SSRL）采取不同的形式，从社会工作者维护 集成到电子健康记录中的信息学平台的硬拷贝资源活页夹，以及 旨在与当地组织就转诊患者的接收情况进行双向沟通 服务（也称为社区资源推荐平台）。 作为补充，我们建议：(1) 为寻求以下方面的诊所制定一本务实、实用的指南（指南）： (2) 使用快速 循环测试以确定实施指南的最佳实践；(3) 迭代和传播改进后的指南； WU-ISC3 将在密苏里州高地医疗保健中心（位于密苏里州的联邦合格健康中心）测试该指南。 密苏里州南部，他们面临着一些最困难的实施挑战，因为他们主要服务 具有高社会需求且位于资源少于城市地区的外部环境的患者。