Creating Systems Change to Improve Patient Outcomes through Collaboration: From Community-based Health Intervention to Health Care System Implementation and Policy Change
In 2014, Advocate Physician Partners (Advocate) partnered with the Sinai Urban Health Institute (SUHI), an expert in CHW model implementation, to create a program intended to improve the health of Advocate’s high risk, Medicaid patients. During the yearlong collaboration, SUHI provides strategic support concerning the CHW model, how best to integrate CHWs into the health system, and implementation of SUHI’s Asthma CarePartners (ACP) program, a 12-month CHW asthma intervention. This partnership is a “train the trainer” knowledge transfer approach, wherein at the conclusion Advocate will have the capability to launch and maintain a CHW program. Anticipated outcomes of the ACP program are a 60% reduction in symptom frequency and a 70% reduction in asthma-related health resource utilization.
Novel approaches like this collaboration that focus on systems change to improve patient outcomes and ultimately affect health administration polices is the future of healthcare reform and a sound method for implementing the triple aim.
Learning Areas:Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Systems thinking models (conceptual and theoretical models), applications related to public health
Discuss Advocate’s strategy for CHW program implementation. Discuss challenges and lessons learned in collaborating with a large health system to uptake the CHW model. Describe the changes needed in a healthcare system’s organizational policies for CHW program implementation. Discuss how national policies have allowed for healthcare systems such as Advocate to develop innovative programs that affect population health. Discuss initial findings of Advocate’s pilot ACP program, including asthma symptom reduction and asthma-related health resource utilization.
Keyword(s): Community Health Workers and Promoters, Affordable Care Act
Qualified on the content I am responsible for because: I have been working at the Sinai Urban Health Institute for nearly 4 years, have my master's in social work, manage the Asthma CarePartners program and am the lead consultant on our collaboration with Advocate Physician Partners.
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.