Background Numerous reports have demonstrated the disproportionate impact that COVID-19 has had on vulnerable populations. Our purpose is to describe our health care system’s response to this impact. Methods We convened a Workgroup with the goal to mitigate the impact of COVID-19 on the most medically vulnerable people in Springfield, Massachusetts, USA, particularly those with significant social needs. We did this through (1) identifying vulnerable patients in high-need geographic areas, (2) developing and implementing a needs assessment/outreach tool tailored to meet cultural, linguistic and religious backgrounds, (3) surveying pharmacies for access to medication delivery, (4) gathering information about sources of food delivery, groceries and/or prepared food, (5) gathering information about means of travel, and (6) assessing need for testing. We then combined these six elements into a patient-oriented branch and a community outreach/engagement branch. Conclusions Our highly intentional and methodical approach to patient and community outreach with a strong geographic component has led to fruitful efforts in COVID-19 mitigation. Our patient-level outreach engages our health centers’ clinical teams, particularly community health workers, and is providing the direct benefit of material and service resources for our at-risk patients and their families. Our community efforts leveraged existing relationships and created new partnerships that continue to inform us—healthcare entities, healthcare employees, and clinical teams—so that we can grow and learn in order to authentically build trust and engagement.
Health care practices can play a key role in reducing teen pregnancies, though current health care systems do not adequately meet adolescents' reproductive health needs. To address this gap, Youth First, a Centers for Disease Control and Prevention funded, community-wide initiative in Holyoke and Springfield (Massachusetts) established partnerships with nine local health care practices to increase adolescent access to health services. However, we had limited knowledge about their reproductive health services and policies. To address this gap, assessments were conducted with staff using structured interviews and surveys to inform targeted efforts to enhance the quality and youth friendliness of adolescent reproductive health services. Findings revealed that many of the youth-friendly services best practices recommended by the CDC were not routinely implemented by all health care practices. Findings from this assessment can be used to support health care practices to facilitate widespread adoption of best practices related to meeting adolescents' reproductive health needs.
INTRODUCTION Community-based interprofessional education is a promising strategy for socializing students into team-based care and centering the voices of community members in health equity-focused work. Particularly in resource limited areas, it is vital to collaborate across institutions, professions, and constituents to plan and implement interprofessional education offerings. However, little is known about the factors that support the process of co-designing an interprofessional health equity program centering the community. METHODS Using a convergent, case study framework, this mixed methods project used quantitative data (Wilder Collaboration Factors Inventory) and qualitative data from working group feedback forms, to evaluate our collaborative process. RESULTS Quantitative analysis reveals collaborative strengths that include skilled leadership, unique group purpose, and mutual respect. Collaborative challenges include appropriate cross-section of members and sufficient funds. Qualitative themes (analyzed to further illuminate quantitative results) include sense of purpose, importance of thoughtful leadership, and community engagement. DISCUSSION Building sustainable academic-hospital-community relationships and centering the community in health equity work are keys to success in co-designing an interprofessional health equity curriculum. Committed funding also supports sustainability and sends an important message about the value of community members and community-based work. While these recommendations may be common sense, they are not yet common practice.
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