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Important Health Center Context Fill out this section during your planning process | |
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Internal Characteristics | |
What are the characteristics of your health center? (rural/urban; other demographic variables, use of expanded care team, culture)? | Two of our sites could be considered urban, Chester City, the only city in Delaware county and Upper Darby a large, diverse, densely populated municipality that borders Philadelphia. Coatesville, is a small city in Chester county and is adjacent to rural areas, this site is a mix of both. All three sites are majority minority, with sizeable immigrant populations and patients whose first language is not English. |
What are the infrastructure characteristics of your health center (use of expanded care team, culture)? | |
How do interventions and/or workflows need to be adapted to ensure health equity? | Addressing Digital Health Equity in SMBP: The staff responsible for program enrollment, SMBP Trainers, were prepared to address Digital Health Equity during the pilot period of our SMBP Program (2021-2022). During this period, our staff attended SMBP trainings through the Million Hearts Collaborative, had one-on-one instruction with HFP facilitators who helped develop our workflow and technical knowledge.
In addition, during our training, we prepared for the obstacles that we expected such as language barriers, lack of knowledge of device (phone/tablet), outdated devices, pts without email and lack of wifi. While this was helpful, we learned more when working with patients, this is where our insight and skills to address the digital divide are best developed. |
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)? | Complexity of intervention implementation: Each step of the implementation has complexities which are characteristic issues seen with unfamiliarity, or a lack of mastery of their digital device. Program implementation is generally less complex with patients who have intermediate mastery of their smart phone functions, including applications, email and settings. This group does better with device set-up and adherence to remote monitoring. The set-up, use and adherence with patients with an unfamiliarity is complex, patients do have a higher level of perceived difficulty, or actual difficulty and thus require more education, outreach and support. |
What are key characteristics of the participating setting(s)? | – A key characteristic is that we are a Federally Qualified Health Center providing care to a disparately affected and diverse patient population who experience high rates of chronic disease and health conditions such as hypertension. |
External Characteristics | |
What external or environmental supports or threats are there? | An external support organization is the Health Federation of Philadelphia who have provided valuable assistance through the process of developing our program. Threats?: Ending of the Public Health Emergency effecting patient insurance access. Shifting programmatic focus of funding organization. Production issues causing reduction in supply of available blood pressure cuffs. |
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