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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)?

  • Urban, large proportion of AA patients because located in AA neighborhood,

  • Patient Population Mix:

    • Adults: 61.04%

    • Racial and/or Ethnic Minority: 95.8%

    • Black/African American: 73.01%

What does the infrastructure of your health center look like? (use of expanded care team, culture)?

  • Organizational restructure because longstanding CEO retired as pandemic was ending

  • 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)?

Intervention plan is aligned with current organizational efforts and will require low to medium level of effort to implement

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

External Characteristics

What external or environmental supports or threats are there?

Medicaid PHE unwinding

Medicaid redetermination

COVID

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