142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Development of the Primary Care Homeless Organizational Assessment Tool (PC-HOAT) Framework to Evaluate Primary Care Services for the Homeless

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Robert Weech-Maldonado, MBA, PhD , Health Services Administration, University of Alabama at Birmingham, Birmingham, AL
Stefan Kertesz, MD , C-SMART, Birmingham VA Medical Center, Birmingham, AL
Providing quality health care for homeless individuals can be an accomplished if primary care health service organizations are managed using evidence that supports relevant structures. The delivery of quality health care necessitates adequate knowledge of the design of health service organizations. Development of the Primary Care Homeless Organizational Assessment Tool (PC-HOAT) will be the first organization assessment tool of its kind to compare quality from services that deliver primary care to the homeless.  This tool will provide organizational leaders and stakeholders a snapshot of the existing organizational structures and processes associated with greater quality of primary care for the homeless. By using this tool, leaders will better understand their organization’s strengths and weaknesses; guide discussions regarding operations; and provide information to inform future strategies. If organizations possess certain organizational characteristics defined through multiple domains, (i.e. accessibility, leadership, information systems, and patient-centered care), it will be more likely to have better quality performance indicators.  

The presentation will focus on the initial development of the tool that began with identify relevant organizational characteristics by using two Institute of Medicine reports, the Clinical Microassessment Tool, a homeless provider’s perspective, the Chronic Care Model, Starfield’s manuscript on primary care, and a manuscript by the National Homeless for Health Care Council.  The seven core references provide (a) multi-dimensional perspectives, (b) information extensively cited in the literature, (c) information specific to primary care, and (d) information specific to the homeless.  The results are a framework that included eight domains and 82 questions. 

The tool has been tested for reliability and validity using key informant interviews and two surveys distributed nationwide.  Statistical analysis is currently being performed.

Learning Areas:

Administration, management, leadership
Public health administration or related administration

Learning Objectives:
Demonstrate how to formulate an organizational assessment framework using multiple resources.

Keyword(s): Survey, Homelessness

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The abstract is based off my own dissertation.
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.