Meeting Notes - AAPCHO Partnership

Date	Agenda	Notes	Action Items
11/15/23	AAPCHO status with discussions health center site Link to Confluence (Jonathan and Sarah) Atlanta meeting Next steps	Project Description and Workplan--process map to understand closed loop process. CHC is moving over to Athena 1, so good time to build it better. Trying to think about Case Study as well…what kind of info to include up front. Challenges/Solutions to Test/Proposed steps and strategies/measures, Impact Measures, etc… Confluence--Jonathan “owns” site, can trouble shoot, subtract/add, maintain. AAPCHO attending design meeting in Atlanta, representing SDOH, etc.. Meg (MH), Ron 2, Kathy, Julia and AllianceChicago will also be in attendance.	Kathy overseeing contracting process Rosy to share Workplan once completed.
11/1/23	Discussion Points: AAPCHO and CareQuest Introductions AAPCHO NACHC (name, roles, and responsibilities) Review of scope of work Open Discussion Next Steps	Oral Health SOW Review 1c - data will be collected directly from HRSA/UDS+? Will request de-identified data after it is available; we shouldn’t rely on UDS+ data Potential to influence ONC categories Opportunity to publish	PHIT to create Confluence (populate with files from other work)
10/18/23	Welcome and Introductions (3 minutes) Adult Immunization Overview (5 minutes) 5 years in the making… Data Overview (5 minutes) the what the where the mess Publications Plan Next	Transportation - originally planning to exploring linkages to diabetes Also adult immunization? Other comorbidities? Working with one health plan, would have adult immunization rates but would not have transportation measure (Aloha Care) How do we get referral incorporated into system? Consistency of data over the years? Partners, data elements, etc. - NACHC team would need to dig in further Who are the teams involved, will partners be leading? Publishing models and looking at initial evaluation results Liked the idea - Best practices for payment, roadmap Collaborate with partners to make sure we have stakeholder perspective Idea - If we standardize measure and workflow, this is what can happen in 3, 6 months Who have we asked? AAPCHO did paper on PRAPARE on screening rates “Closing the loop” - we asked HCs what vaccines they keep on site and which they refer, asked if they closed the loop Of the patients referred out, how many were also asked about transportation issues, were they addressed, and if so, what was the immunization outcome? A lot of patients can be lost to follow up, want to make sure that loop is closed - what percent of patients actually went by the recommendation, didn’t? A lot of different scenarios We have tools on self-inventory and referral Narrow it to prototype we can scale after - by disease, age group? Focus by payer?	NACHC will send publication list to Rosy once Jen will update data and share dashboards
10/11/23	Discussion Points: Welcome and Introductions Overview of CareQuest Katja (See attached) Overview of current Status of Transportation Measure (Julia) Discussion on next steps: Define roles and responsibilities moving forward AAPCHO-NACHC. Carequest Transportation Meeting dates and times Next steps	Focus on publishing CareQuest Universal screen to test for transportation Element optionally requested by UDS Contract would go through 6/30/24 One contract for 2 SOWs Conference - could do CHI 2024, open to other options Travel should be included but separate for auditing purposes SDOH Closed Loop Pilot Proposal Products Compiled recommendations from health centers and stakeholders on design of closed loop referral system for Transportation or other SDOH Data collection implementation resources including workflow diagram(s), data template, data reporting/tracking templates, and screenshots Developed and tested Implementation Readiness Assessment Tool Narrative Report that describes key findings, promising practices, and lessons learned as well as recommendations for next steps Closed loop protocol - work with transportation providers and providees to ensure patient received transportation recommended by HC or other social service provider and be able to state what the outcome for the patient was Hopefully will be able to work with vendors to collaboratively test as well Some groundwork has been done, Informatics will check in with Julia What measure(s) would be most meaningful to track implementation, impact? Could add additional data elements to EMR Roles NACHC will handle environmental scan, Informatics side AAPCHO handle research side Meetings 2 pm EST on Wednesdays works for AAPCHO, most of NACHC team - bimonthly	Katja/Kathy will begin working on SOW and executing contract NACHC will take care of environmental scan Figure out meeting cadence, Rosy will send times Determine main NACHC point of contact for Transportation