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Important Health Center Context

Fill out this section during your planning process

Internal Characteristics

What are the characteristics of your health center? (rural/urban; other demographic variables, use of expanded care team, culture)?  urban

  • Urban, large proportion of AA patients

(~90%)

  • because located in AA neighborhood,

organizational

  • Patient Population Mix:

    • Adults: 61.04%

    • Racial and/or Ethnic Minority: 95.8%

    • Black/African American: 73.01%

  • Organizational restructure because longstanding CEO retired as pandemic was ending

hired

  • Hired new PHM/QI position, leadership & staff is representative of community they serve

How do interventions and/or workflows need to be adapted to ensure health equity?

better job of collecting SDoH data and needing to integrate into closing gaps

(affording Rx and transportation, housing)

How complex are the patient interventions to implement (e.g., perceived difficulty of implementation, reflected by duration, scope, radicalness, disruptiveness, and number of steps required)?

What are key characteristics of the participating setting(s)?

External Characteristics

What external or environmental supports or threats are there?

Medicaid PHE unwinding and redetermination and pandemic

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