Online Program

Cambodian American medical home program: Engaging the community in their own care

Monday, November 4, 2013 : 10:45 a.m. - 11:00 a.m.

Thomas Buckley, MPH, RPh, Department of Pharmacy Practice, University of Connecticut School of Pharmacy, Storrs, CT
Mary Scully, APRN, Programs Director, Khmer Health Advocates, West Hartford, CT
Theanvy Kuoch, MA, LPC, Executive Director, Khmer Health Advocates, West Hartford, CT
Sengly Kong, PhD, Associate Director, Khmer Health Advocates, West Hartford, CT
S. Megan Berthold, PhD, LCSW, School of Social Work, University of Connecticut, West Hartford, CT
The Cambodian American Medical Home Program (CAMPH) is a model developed by Cambodian community leaders from 12 states with the goal of preserving and improving the health of survivors of the Cambodian holocaust. It has 4 core components: an integrated network for sharing data and resources; cross-cultural teams of providers who deliver care on a local level; intensive outreach and case management for patients with complex chronic disease; and access to specialists who are experts on Cambodian American health issues. Tools for collecting data using spoken format Khmer language are administered by community health workers, and aggregate data is analyzed to determine the most cost-effective treatments for a trauma/torture survivor. Polypharmacy and health illiteracy has contributed to a high number of medication-related problems. Intensive medication therapy management provided by pharmacists teamed with community health workers has proven to be cost-effective in optimizing treatment decisions. Case management tools that create checklists and feedback loops from the patient to the provider improve the health care experience and outcomes. Few health care providers in community practices understand how trauma impacts every aspect of health, causing severe mental health problems and chronic disease. Limited English speaking patients need strong support from their communities' leaders and culture brokers; CAMPH provides a full range of experts who develop these relationships. CAMPH components have been successfully pilot tested; through workforce development in community-based organizations, evidenced-based care for this high risk community will be achieved.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Communication and informatics
Diversity and culture

Learning Objectives:
Describe the attributes of a culturally specific medical home model

Keyword(s): Community-Based Health Care, Health Reform

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been PI or investigator on multiple federal and privately funded grant projects focusing on medication management, health disparities and immigrant health. My research interest is in health disparities, and access to care issues. I coordinate the public health and health policy curriculum for the School of Pharmacy. I have worked internationally in refugee health clinics and locally with immigrant communities for over 15 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.