Community-based referral intervention: Lessons learned in Northern Minnesota
Tuesday, November 5, 2013
: 11:10 a.m. - 11:30 a.m.
In the first iteration of the Statewide Health Improvement Program in Minnesota, a legislative health reform initiative, key informant interviews were conducted with providers to capture information about the screen, council, referral, follow-up process. In a pilot assessment of barriers to clinic-community referral flow, these interviews were adapted into a survey which 158 providers answered (6.4% response rate). Participants were recruited using the Minnesota Academy of Family Physicians e-newsletter and a targeted search of physicians in the Community Transformation Grant zip code area using the Minnesota Board of Medical practice database. Providers received either a paper or electronic copy of the survey. While 69.2% of participants reported they were interested in referring patients to community-based resources and 49% reported they preferred that more community-based services were available, 47.9% identified being unaware of programs or services as a barrier to making referrals. Additionally, only 11% of providers reported referring all or most of their at-risk patients to community-based programs. In an effort to utilize these findings, the Minnesota Department of Health contracted with Stratis Health to implement an intervention to strengthen community-clinic connections for referral and follow-up. Working with 4 clinics in northern Minnesota, this intervention seeks to help clinics develop community-clinic action plans and to improve health information technology systems. The goal of the intervention is to increase referrals to and follow-up with patients referred to community-based resources for preventive services. Partnership processes and lessons learned are discussed.
Chronic disease management and prevention
Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Identify strategies to increase response rates when administering surveys to medical professionals.
Identify barriers to community-clinic connections when working with community and clinical partners.
Keyword(s): Clinical Prevention Services, Chronic Diseases
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: Cherylee brings over 30 years of program development leadership experience in community health and health care to the Minnesota Department of Health. She is currently the Community Health Systems Coordinator for the Community Transformation grant. Previously she worked on the implementation of a Health Reform Initiative- Health Care Homes (aka Medical Homes) as a planner to develop and implement the Performance Measurement System, the Statewide Learning Collaborative and consumer messaging.
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.