2021-05-14 Meeting notes

Veenu Aulakh

Sofi Bergkvist

$ 9 million ( grant program) Lead Kathy and Sarah.

Focus Area:  Adult Immunizations Infrastructure building at point of care with community partners

Partners:  CCI

The COVID-19 pandemic has caused significant disruption to the nation’s public health and healthcare infrastructure. Community health centers serve as the safety net to the highest-risk patients and often serve as first responders to emergencies such as hurricanes, fires and public health crises.  The National Association of Community Health Centers (NACHC) proposes to engage local health centers as trusted brokers to build the evidence base of effective interventions to reduce disparities in adult vaccination rates amongst diverse populations (homeless, mobile, rural, refugees, behavioral health, LGBTQ, farmworker, non-English speakers, immigrants etc).  NACHCS approach will include a package of mechanisms to contribute to the evidence-based messaging and models:

• Grants to health centers who serve high risk patient populations to engage patients and their communities to co-create messaging and interventions that add value to patients’ health and wellness.
• Establish a learning community of grantees to  use human centered design and design thinking to engage patients and communities ensuring it is  culturally responsible, scalable and sustainable to implement strategies to  increase vaccine rates amongst high risk and vulnerable populations.
• Engage public health, community based organizations, faith based groups, food banks, REACH, employers, barber shops, contractors to collaboratively address vaccine adoption across individual community  eco-system for high risk populations.

The results will include

• 40 health center grantees to contribute to the evidence base of interventions
• A virtual curriculum for engaging high risk communities nationally
• New models of local partnerships and touch points across sectors of care to increase adult immunization coverage in high-risk vulnerable communities.

Three Priorities

1. New coalitions have popped-up with COVID→let's leverage the partnerships created and replicate into other spaces
2. Value of CHWs and extenders–we have no data that documents their data
3. Build the people and the process

• • Standardize
  • Have tools that help patients to set their own priorities ("what are the things that YOU need–we can offer other services that you may not have thought about")
  • Capture meaningful data

Of note:

• There is now actually real $ for infectious disease–this is seed money for other approaches for high-risk populations by learning from COVID
• Continue work on changing the paradigm from T/TA to Human Centered Design
• Trying to educate the CHCs to build infrastructure using federal funds, include workforce (NHSC/NC and CHC-U), and building sustainability

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What is already planted?

1.  Surveillance? Data?
   1. Care Plan (DaVinci project, Gravity Implementation guide)
   2. Interoperability:  supported in the USCDI, Meaningful Use).  July 2021, FHIR requirements are in place (API interchange).
   3. IIS:  CDC claims that by end of summer, IIS will be fully operational to be bidirectional through the Gateway.  NACHC has requested to test before the Fall.  
   4. Outcomes:  Move towards vaccination status as the priority (not how many given...)
2. CHWs
3. Several areas of work that include informatics/data components:  Adult Immunizations, HTN, HIV
4. HCD introduced into CHCs has been successful–they knew bits and pieces but not the whole model.
5. NTAAPs 

Options:

1.  Work with
   1. national stakeholders (NTAPPS)
   2. HCCNs/PCAs

Multiple orgs incubating these ideas and implementations for spread (much like ILN)

2. Divide it up:  strategy by patient engagement, care management, IT, reimbursement/policy.  Start with a baseline data structure that runs across all strategies and then build from there (resources, scripts, etc...)

1.  Define a Design team
   1. Implementation
   2. Technical
   3. SMEs for specialized populations/engagement
2. NACHC"s current team:  Kathy, Sarah, Ron, JUlia (and Info team), Wanda, Jennie.   No other partners.  
3. Budget:  Some to NACHC, some to CCI, some to Health Centers

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• Type your task here, using "@" to assign to a user and "//" to select a due date