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Friday, April 10 • 9:50am - 10:30am
PS36.0 Evaluation framework for a new model of integrated sociomedical outreach at Florida International University

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Evidence points to non-biologic social factors as the principal determinants of health. The US health care system spends more than any other health care system in the world, yet this results in poorer health outcomes in the US compared with other industrialized nations. Many have noted that clinical services in the US are poorly organized, while social services are under-funded compared with other industrialized countries. Green Family Foundation NeighborhoodHELP™ is a new model of care initially developed to train interprofessional teams of FIU students, comprised of medical, social work, law, nursing, public health, and education. The program employs a socio-medical approach to improve health at the household level. The outreach team combines the health service support of community health workers and the social service support of health navigators. The outreach team recruits and engages community partners and households; provides community, health, and social navigation services, and referrals for health, legal, educational and/or social services, based on household needs. The outreach team also works with partners to leverage local community assets to meet the needs of community partners and households. An initial evaluation of our curricular model demonstrated that outreach services could reduce the use of ER as a usual source of care. This outreach model is now being formalized, expanded and integrated with the broader FIU health network targeting the Triple Aim: improving the patient experience of care; improving health; and reducing costs. To prospectively evaluate the impact and value of outreach services, we carefully analyzed workflows. We are building a data management system to accurately reflect the activities and outcomes of this new outreach team. This poster will present workflows, evaluation data elements, and the analysis framework for prospective and ongoing evaluation of costs and outcomes of integrating sociomedical outreach into clinical care.

avatar for David Brown

David Brown

Chief of Family Medicine, Florida International University Herbert Wertheim College of Medicine
I have had a leading role in the development of the award winning NeighborhoodHELP outreach program.

Friday April 10, 2015 9:50am - 10:30am EDT
Biscayne Ballroom (2nd floor)