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.

项目总结 本附录是四个ISC3中心的协作成果：Bridge-C2、哈佛ISCCCE、大学 华盛顿OPTICC和华盛顿大学ISC3。ISCCCE与社区网络合作 作为其实施实验室的卫生中心(CHC)。社区卫生中心面临着一些最困难的问题 实施挑战，因为它们主要服务于具有高度社会需求的患者。解决患者的社交问题 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。在解决社会需求方面，有充分记录的挑战包括确定如何最好地 维护有关有社会需求的人可能向其提供的服务机构的最新信息 参考，并为此制定和采用最佳工作流程。社会服务资源定位器 (SSRL)标识当前可用资源的形式多种多样，从社会工作者维护 将资源的硬拷贝活页夹连接到集成到电子健康记录(EHR)的信息平台 并设计为能够与当地组织就转诊患者收到的 服务(也称为社区资源转介平台)。以第一阶段的调查结果为基础 作为补充，我们建议：(1)为寻求以下目的的诊所制定一本实用的指南(指南) 实施或扩大努力，利用援助战略解决患者报告的社会风险；(2)使用快速- 循环测试，以确定执行《指南》的最佳做法；(3)重复和传播经改进的 指南；以及(4)创建一个工具包，将从先前的第一阶段健康公平补充资料中学到的知识与 从ISC3第二阶段项目中获得该工具包，并通过NCI提供工具包。