Community Health Advocacy Awards Grants for Spring 2022
Nine research projects are sharing more than $650,000 in funding through theCommunity Health Advocacyprogram to generate solutions focused on the following areas:
- Exploring prototypes for the transformation of care and community-based initiatives that address social determinants of health
- Improving outcomes and reducing health care disparities
- Increasing access to care and reducing barriers to care for individuals from all racial and ethnic backgrounds
The CHA program is a partnership between OSF HealthCare and The University of Illinois Chicago (UIC).
The funding supports research involving clinicians, engineers and social scientists to rapidly develop technologies and devices that could revolutionize medical training and health care delivery. A requirement of the grant applications was for solutions that could be deployed quickly, within four to six weeks.
Spring 2022 Project Awards
Exploring Opportunities to Design and Implement Interventions to Increase Health Literacy in the African American, Medicaid Population
- Julie Traenkenschuh, Director Performance Improvement, OSF HealthCare
- Brenikki Floyd, PhD, Clinical Assistant Professor, University of Illinois Chicago
- Kevin Garcia, University of Illinois Chicago
The focus of this proposed project is to address the role of innovative health literacy (HL) interventions in health care systems settings to reduce health inequities among minority populations.
To achieve our goal, formative research will be conducted to better understand the experiences of patients and health care providers involved in HL interventions and their perceptions of effectiveness. Using this information, we aim to recommend evidence-based practices toward the development of innovative HL intervention design strategies
用于医疗保健系统设置。
Telehealth to address health care disparities
Linda Chang, PharmD, BCPS, CDE, MPH, Clinical Associate Professor, University of Illinois Chicago
Dawn Mosher, Assistant Professor, OSF HealthCare
Ananya Gangopadhyaya, MD, Associate Professor of Clinical Medicine, University of Illinois Chicago
Radhika Sreedhar, MD, MS, FACPMS, Associate Professor of Clinical Medicine,University of Illinois Chicago
Yovia Xu, PhD, Health Disparity Course Director University of Illinois Chicago
Paul Chastain II, PhD, Clinical Associate Professor, Associate Director of Simulation Events and Development, University of Illinois Chicago
我们提议开展一个创新的专业间合作项目，培训新一代学生，使他们具备远程保健方面的专门知识。很少有研究审查教育和培训计划，使临床医生为更广泛地使用远程医疗实践做好准备。
我们提出了一个基于社区的三阶段课程开发和试点测试项目，以提高多学科临床医生的远程医疗能力，解决城市健康差距，以解决这一差距。
Analytics and Artificial Intelligence for Cardio-Oncology
- Jacob Krive, PhD, MS, MBA, Clinical Associate Professor, University of Illinois Chicago
- Chetan Bhardwaj, MD, OSF HealthCare
- Karl Kochendorfer, MD, Chief Health Information Officer, Associate Chief Medical Officer, Associate Professor of Clinical Family & Community Medicine, University of Illinois Chicago
- Ravishankar Iyer, PhD, George and Ann Fisher Distinguished Professor of Engineering, University of Illinois
- Christopher Gans, MD, Assistant Professor of Clinical Medicine in the Division of Cardiology, Director of Cardio-Oncology Program, University of Illinois Chicago
- Natalie Parde, PhD, Assistant Professor, Co-Director of the Natural Language Processing Laboratory, University of Illinois Chicago
- Marianna Krive, DO, General Cardiologist, Director of Cardio-Oncology for Advocate Lutheran General Hospital and Condell Medical Center, Advocate Lutheran General Hospital and Condell Medical Center
- Sandeep Kataria, MBA, UI Cancer Center, Director of Oncology Bioinformatics, University of Illinois Chicago
- Roopa Foulger, BS, VP of Digital and Innovation Development, OSF HealthCare
- Arash Jalali, PhD, UI Cancer Center, IT & Bioinformatics Manager
Recent improvements in oncology are extending the lives of cancer patients but are also having an unforeseen impact on cardiovascular health. Cardio-oncology is a new medical subspecialty with a growing record of research and treatment of cardiotoxicities caused by oncology treatments.
We propose artificial intelligence (AI) based solution that mines clinical data to identify oncology patients who are eligible for referral to cardio-oncologists and predict their risk for cardiovascular complications, with future research implications enabling discovery of the new cardiotoxicities using real world evidence.
Does providing free education on Medicare benefits improve health outcomes in working class communities?
- Sarah Donohue, PhD, Director, University of Illinois College of Medicine Peoria
- Nathan Pritzker, MBA, Strategic Program Manager, OSF HealthCare
- Ben Shaw, PhD, MPH, Division Director in Community Health Sciences at UIC, University of Illinois Chicago
- Uchechi Mitchell, School of Public Health, Community Health Sciences, University of Illinois Chicago
2021年焦点小组发现，皮奥里亚最脆弱地区的黑人/非洲裔美国人和西班牙裔/拉丁裔美国人不寻求常规医疗服务的主要原因之一是担心巨额医疗账单，以及不知道哪些保险可以覆盖或不覆盖什么。
在生活在芝加哥南部的类似的黑人/非裔美国人群体中，很可能存在同样的恐惧和障碍。通过使65岁及以上的个人了解医疗保险覆盖范围，该项目将有助于促进初级保健的使用，最终导致更好的健康结果。
Using a community-based approach to improve health literacy and cancer screening rates in minority populations
Sarah Donohue, PhD, Director, University of Illinois College of Medicine Peoria
Scott Barrows, Design Lab Lead, OSF HealthCare
Mary E. Stapel, MD, Medical Director, Community Care and Community Clinic, Medical Director, Hospital Outpatient Departments, Assistant Program Director, Internal Medicine-Pediatrics, GRowLocal (Global Rural Local Health Equity) Track Director, OSF HealthCare
Stephen B. Brown, MSW, LCSW, Senior Director, Social & Behavioral Health Transformation & Advocacy, Director of Preventive Emergency Medicine, University of Illinois Chicago
Michael G. Browne, PhD, Clinical Assistant Professor, University of Illinois Chicago
The lack of a comprehensive survey tool for specific diseases, as well as the information obtained from pilot focus groups, indicates that an intervention on barriers to screening, including health literacy, is necessary.
In this proposal, we seek to obtain baseline measures on health literacy for cancer screenings and to work on interventions to improve health literacy around these topics. Our target population is Black/African American and Hispanic/Latino individuals living in the South Side of Chicago.
Pediatric Mental Health Model and Application Development in Connection with the School's Information Management System
- Ugo Buy, PhD, Associate Professor, University of Illinois Chicago
- Kyle Beorke, Director Behavioral Health Ambulatory Services, OSF HealthCare
- Sister M. Pieta Keller, Innovation Engineer, OSF HealthCare
- Mark Hallenbeck, MS, Lecturer, University of Illinois Chicago
To improve patient care and access to treatment, an adolescent mental health predictive model should be built from the data from the school’s information management system to help minimize disparities and increase access to mental health care. We are proposing the development of an algorithm based on Illinois and national research that correlates student performance changes with mental health indications.
The platform works as a bridge within the school’s information management system to identify, flag, and connect students in need to mental and emotional health resources and further health care within the OSF Ministry. A predictive model within the app would enable teachers, counselors, coaches, and parents to know who and when to focus support.
Creating Human-Centered Decision Support Archetypes for CliniPane: a “Third Paradigm” in Clinical Decision Support
- Jonathan Handler, MD, Senior Innovation Fellow, OSF HealthCare
- Kal Pasupathy, PhD, MS, Head and Professor, Biomedical and Health Information Sciences, University of Illinois Chicago
- Elizabeth Lerner Papautsky, Assistant Professor, University of Illinois Chicago
- Scott Barrows, Design Lab Lead, OSF HealthCare
- Spencer McDaniel, UI/UX Engineer, OSF HealthCare
- Roopa Foulger, BS, VP of Digital and Innovation Development, OSF HealthCare
Due to common EHR limitations, clinical decision support often provides limited benefits and may create detrimental inefficiencies, especially when caring for underserved populations for whom both clinical and social determinants of health must be addressed.
A separate effort seeks to address those limitations by creating an application analogous to a “clinical Heads-Up Display” (aka “CliniPane”) to provide a complementary form of clinical decision support. This proposal aims to design seamless, high-quality, and effective user experiences to support this “third paradigm” of decision support display.
Telerehabilitation Disparities for Patients with Limited Proficiency
- Mansha Mirza, PhD, MS, Associate Professor, University of Illinois Chicago
- Courtney Pilat, Director Digital Outpatient and Community Care, OSF HealthCare
This study will investigate disparities in outpatient telerehabilitation delivery for patients with Limited English Proficiency (LEP) as well as identify barriers to and facilitators of equitable telerehabilitation for this population. Nearly 26 million individuals in the US have LEP. This group is particularly vulnerable to telehealth challenges.
This project advances CHA’s goal of addressing health care challenges in urban settings and reducing barriers to care for individuals from all racial and ethnic backgrounds.
A text messaging based educational intervention aimed at improving outcomes in myasthenia gravis
Pritikanta Paul, MD, Assistant Professor, University of Illinois Chicago
Jorge Kattah, MD, OSF HealthCare
Dr. Biswajit Maharathi, PhD, University of Illinois Chicago
Dr. Dilip Pandey, MD, PhD, FAHA, University of Illinois Chicago
在医疗服务不足的社区，由于缺乏疾病教育和提供服务的机会不足，许多病人无法跟上。我们的目标是利用技术解决改善卫生保健获取的这一迫切需求，假设基于文本的教育信息可以提高疾病素养和治疗依从性，从而带来更好的结果。
通过这一试点项目，我们建议建立一种基于双语短信的干预，系统地向MG患者传递疾病相关信息和提醒，以提高治疗依从性。
Fall 2021 Project Awards
OSF HealthCare Little Company of Mary Medical Center Community Engagement Project
- Susan Stirling, Adjunct Associate Professor, Design Research, University of Illinois Chicago
- Earl Power-Murphy, Coordinator Innovation-Education Specialist, OSF HealthCare
Historically hospitals have had challenges engaging with the communities they serve. Focusing on community engagement has become important, as we face complex public health challenges that stretch and test the capacity and resilience of health systems and the populations they serve. “Authentic engagement” involves a process where hospital leaders do less leading and more listening in order to build health care offerings that better fit the community.
我们项目的目标是建立在“真实参与”的概念上，并展示我们对真实社区参与的长达一年的调查结果。我们将创建一个互动展览和路线图，以帮助促进真实的社区参与过程。我们提出的解决方案将通过包括所有利益相关者(即医院领导人、临床医生和工作人员，以及社区领导人和居民)来解决医院和其社区之间的这一历史性差距。我们的解决方案将为所有投资方提供关键对话和行动步骤的框架。其结果将是建立有意义的长期伙伴关系，从而改善社区的健康状况。
Leveraging Community Resources to Screen for Social and Structural Determinants of Health to Promote Coordinated Community Interventions
- Mark Hallenbeck, OSF HealthCare Lab Project Lead, UIC Innovation Center
- Earl Power-Murphy, Coordinator Innovation-Education Specialist, OSF HealthCare
- Emina Hadzic, Graduate Assistant, University of Illinois Chicago
- MiKealy Thomas, Research Assistant, University of Illinois Chicago
- Maddie Demo, Research Assistant, University of Illinois Chicago
目前确定SDoH的方法是不充分的，特别是在服务不足的低收入地区。在我们能够解决SDoH之前，我们需要能够正确地识别有这些障碍的患者。因此，筛查变得非常重要。虽然有完善的医疗筛查项目，如乳腺癌和结肠癌的筛查，但没有普遍的SDoH筛查。我们遗漏了很大一部分不与卫生保健系统直接互动的人口。我们遗漏的人群往往是风险最高的人群，因此了解他们的需求至关重要。我们认为这是我们提出的创新的主要机会。阿根廷vs巴西
Exploring Alternative Care Models for Primary Care, Focused on ACSC in Low-Income, Southside Chicago Communities
- Michael Scott, PhD, Innovation Education Director, UIC Innovation Center
- Earl Power-Murphy, Coordinator Innovation-Education Specialist, OSF HealthCare
- Marco Susani, Clinical Professor, Industrial Design, University of Illinois Chicago
- Samantha Melchori, Adjunct Lecturer, University of Illinois Chicago, Global Operations Manager, Caterpillar Mining
- Katie Carow, Professor, University of Illinois Chicago
- Kyle Formella, Director Medical Visualization, OSF HealthCare
Current methods of delivering primary care, particularly in underserved low-income areas, lead to high rates of Ambulatory Care Sensitive Conditions (ACSC). These conditions represent a significant contributor to increasing hospital expenditures and a major load on health care systems. These diseases tend to lead to many avoidable hospitalizations of those suffered from chronic diseases that could be avoided by better management. Additionally, it prevents individuals from engaging with their health care system in a positive, proactive way as opposed to negative and reactive.
传统的医疗方法只解决ACSC的症状，而不解决其社会根源。卫生保健必须转向解决这些根本原因，以减轻系统的负担，同时通过可持续的商业模式整体改善结果。在对现有的解决方案、趋势和新兴技术进行审查后，该项目将开发新的方法来看待初级保健，以便更好地吸引这些服务不足的受众。
IPE Patient Discharge Curriculum
- Dawn Mosher, DNP, RN, CHSE, OSF HealthCare
- Radhika Sreedhar, MD, MS, FACPMS, UIC College of Medicine
- Linda Chang, PharmD, MCPS, CDE, MPH, Associate Professor, University of Illinois College of Medicine Rockford
- Martin MacDowell, Research Associate Professor, College of Pharmacy, University of Illinois Chicago
- Paul Chastain, PhD, Clinical Associate Professor, Associate Director of Simulation Events and DevelopmentUniversity of Illinois College of Medicine
GAP:患者出院后缺乏自我管理能力，缺乏与谁接触的意识。
解决方案:标准化的患者出院模拟将允许团队成员协作工作，提高与模拟患者的参与度，解决健康的社会决定因素，并在出院时提供教育，从长远来看可以减少再次入院。专业间团队将由医科学生、药学学生和护理学生组成。
Methods to verify that aims are met: Checklists created by multidisciplinary teams will be used to assess student’s level of competency and debrief sessions will be used to help all students meet the outcomes. Knowledge and attitudes will be assessed using pre and post curriculum surveys. Skills will be assessed during the simulation encounter.
Project ACTT: Autism Caregiver Telehealth Training
- Emily Gregori, Assistant Professor, Special Education, University of Illinois Chicago
- Amanda Estes, Director Portfolio Services, OSF HealthCare
- Holly Swearingian, MSN, PCNS-BC, Manager Clinical Opterations, Autism Collective
Adolescents and adults with ASD display deficits in academics, communication, functional skills, social behavior, and problematic behaviors that require intensive and individualized assessment and intervention to remediate. However, there is a critical shortage of high-quality intervention services for adolescents and adults with ASD. Telehealth is a method for increasing access to essential applied behavioral health services using distance technology. While research has shown that telehealth is an effective method for improving outcomes for young children with autism, there are no telehealth programs that provide the coordinated and comprehensive care needed by the adolescent and adult population. The proposed program will develop an innovative telehealth model that provides coordinated and comprehensive applied behavioral assessment and intervention to adolescents and adults with autism. The program will be developed using an iterative mixed-methods approach that integrates critical aspects of applied behavioral assessment and intervention with comprehensive assessment. The project will also test the efficacy of the program through an experimental single-case study. Capitalizing on expertise from staff across organizations, the proposed project will result in a validated approach for providing services to adolescents and adults with ASD and their caregivers with quantitative and qualitative data on the program's efficacy, feasibility, and acceptability.
Social Determinants of Health Care Utilization: A Big Data Predictive Modeling Approach
- Sage Kim, PhD, Associate Professor, Health Policy and Administration
- Sarah Stewart de Ramirez, MD, MPH, MSc, Associate Dean for Population Health Equity Innovation, University of Illinois College of Medicine Peoria
- Arash Jalali, PhD Student, University of Illinois Chicago
- Karl Kochendorfer, MD, FAAFP, Assistant Vice Chancellor for Health Affairs, Chief Health Information Officer, UI Hospital and Clinics
Neighborhood social, economic, and built environmental factors contribute to individual residents’ health outcomes. Health inequities in access to care and health outcomes, particularly among racial/ethnic minority communities, persist. Minority communities have great social and economic needs, while experiencing multiple health concerns. The limited success in reducing health disparities is partly due to the focus on individual behaviors, ignoring the role of social and structural factors in producing health inequities.
机构和组织是网络纽带的桥梁，有助于连接跨阶层和跨种族的关系。通过社区组织，资源贫乏社区的居民可以接触到社区之外更广泛的服务和资源网络，从而增加了居民获得社会资本的机会，而这些个人是不可能拥有社会资本的。然而，医院集合区往往取决于病人来自哪里，而不是取决于社区需要是什么。本研究的前提是，为芝加哥所有医院的chna制定协调和组织的计划，将有助于发展合作计划，以实现医院的公平覆盖。这项拟议的研究旨在生成必要的数据，为解决社区健康需求的社会决定因素的前瞻性计划提供信息。
Bridging the Health Care Gap for the Homeless through Telemedicine
- Faria Munir, College of Pharmacy, University of Illinois Chicago
- Scott Barrows, Design Lab Lead, OSF HealthCare
- Mary Stapel, MD, Physician, OSF HealthCare
By implementing telemedicine tablet kiosks in Chicago homeless shelters, there will be an increase in access to health care in this population measured by tablet kiosk use within 6 months and 1 year of project implementation. The aim of the project is to improve health by addressing social determinants of health; this will be achieved by providing quality health care access in a consistent, attainable location. Secondary outcomes will include the reduction of emergency department and urgent care services utilized by the study population and satisfaction of services provided by surveying the study population.
为初级保健就诊提供免费交通能改善结果吗?A Pilot Program in Chicago's Washington Heights Neighborhood
- Sarah Donohue, PhD, Director, University of Illinois College of Medicine Peoria
- Nathan Pritzker, MBA, Strategic Program Manager, OSF HealthCare
- Benjamin Shaw, PhD, MPH, Director of Community Health Sciences, University of Illinois Chicago
- Uchechi Mitchell, PhD, MSPH, Assistant Professor, Community Health Services, University of Illinois Chicago
- Naoko Muramatsu, PhD, Professor, Community Health Services, University of Illinois Chicago
- Betsy Cliff, PhD, Assistant Professor, Health Policy and Administration, University of Illinois Chicago
- Jennifer Kwok, PhD, Assistant Professor, Health Policy and Administration, University of Illinois Chicago
- Emily Stiehl, PhD, Clinical Assistant Professor, Health Policy and Administration, University of Illinois Chicago
OSF HealthCare has begun a journey of health care innovation in the south side of Chicago where many different socioeconomic factors play a key part in engagement with health care. This population is largely older, socioeconomically disadvantaged, and primary care is underutilized while a nearby ED is over-utilized. OSF HealthCare has a vested interest in achieving better health outcomes for the populations in the Washington Heights area and is investing in care access within this neighborhood. In an effort to encourage traffic to the primary care office OSF HealthCare would like study the impact on offering free transportation to the primary care office.
The focus of this proposal is to study the impact of increasing access to primary and preventative care, by eliminating the barrier of transportation. Specifically, the primary objective of this proposal is to determine if free transport to and from the medical office site drives enough of a change in behavior to impact key metrics including risk-based arrangements, health outcomes, and follow-up visits. Effectively scaled, the objective of this program would be to create savings and new revenue for the organization. This will do done by establishing an effective baseline of behavior, and then quantifying a change in that behavior throughout the duration of the pilot. This project will establish metrics for health outcomes, ED/PCP utilization, and will examine the feasibility and sustainability of such a program.