Activating Community Resources
for Practice Improvement &
Practice Change: Buzz Session
Melinda Davis, PhD
Community-engaged Research Director, ORPRN
Research Assistant Professor, Department of Family Medicine
Kelsey Branca, MPH, CCRP; Steven Brantley, MPH; Kristin Chatfield, MPP;
Emily Chirnside, MPH; Angela Combe, MS; Cullen Conway, MPH; Todd Noletto, MPH; Mark
Remiker, MA, CCRP; Ann Romer, MS, CCRP; Beth Sommers, MPH, CPHQ
Practice Enhancement Research Coordinators, ORPRN
Practice Enhancement Research
Coordinators (PERCs)
Boundary spanners that traditionally bridge the
gap between academic health research and
primary healthcare delivery:
•
•
•
•
•
•
Build ongoing relationships with practices
Have “insider” knowledge of how decisions
are made in unique practice settings, but
serve as an “outside” observer
Support capacity building, quality
improvement, intervention tailoring
Help practice prioritize, plan, implement,
refine, and sustain change
Share best practices and workflows across
practices
Connect practices to additional experts and
resources
Can also bridge clinic and community!
What is a SDOH?
“the conditions in which people are born, grow,
work, live, and age, and the wider set of forces and
systems shaping the conditions of daily life.”
– World Health Organization
Why Addressing SOHD in Primary Care
is Important
• There is reimbursement for addressing SDOH
• Encourages the primary team needs to think
outside the PCMH/clinic walls to a “CommunityCentered Health Home” or “Health Commons”
• May reduce demand on clinician’s time
• Significantly influences population health
outcomes
- Arthur Kaufman, MD; 2016 ORPRN Convocation
How does this apply to me?
How does this apply to my
community?
What might we do about this in
Oregon?
Breakout Activity (10 stations, 2 per topic)
Health &
Health Care
Economic
Stability
Social &
Community Context
Education
Neighborhood
& Built Env.
Activity Instructions
1) Pick a seat at a
small group topic
that interests you.
2) Discuss in small
groups:
1) What does this
topic mean for you
and/or your
community?
2) What are the
opportunities and
solutions for your
community? For
Oregon?
4) Small groups report out key ideas
and/or findings.
3) Stand-up, move
groups, discuss
questions from #2.
Reflections/Reporting Out
• For each small group, share one of the
following:
– What was 1 thing that surprised you?
– What was 1 key opportunity?
– What was 1 key challenge?
• Are there any meta-themes based on what
you’ve heard?
Want More Information?
Questions about ORPRN PERCs: michaell@ohsu.edu
General questions about ORPRN: orprn@ohsu.edu
www.ohsu.edu/orprn
Additional slides
Impact of Different Factors on Risk of
Premature Death
Schroeder. We Can
Do Better – Improving
the Health of the
American People. N
Engl J Med 2007;
357:1221-8.
McGinnis et al. The
case for more active
policy attention to
health promotion.
Health Aff (Millwood)
2002; 21(2):78-93.
Social Ecological Context Matters
6
Health System
4
Practice
5
Local Community
1
Patient
3
Clinical
Encounter
2
Clinician
Crabtree BF et al. Understanding practice from the ground up.
The Journal of Family Practice 2001; 50(10):883.
SDOH in short: OUR CONTEXT