scholarly journals Creating Dementia-Inclusive Communities Using a Geriatric Workforce Enhancement Program Framework

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 513-513
Author(s):  
Margaret Sanders ◽  
Jennifer Drost
Keyword(s):  
Primary Care ◽  
Interprofessional Education ◽  
Developmentally Disabled ◽  
Living Alone ◽  
Evidence Based ◽  
Community Based ◽  
Community Initiatives ◽  
Interagency Coordination ◽  
High Level ◽  
The Continuum

Abstract The Geriatric Workforce Enhancement Program (GWEP) sponsored by HRSA provides an organizing framework around which dementia inclusive community initiatives can be successfully implemented and sustained. The overarching goal of all GWEPs is to improve outcomes for older adults by promoting evidence-based education that spans the continuum of care. This includes integration of academic, clinical, and community-based providers. By their very nature, all GWEPs partner across agencies throughout the state to deliver interprofessional education that will impact people living with dementia and their caregivers at the community, primary care, and acute care levels. Dementia inclusive community initiatives must have this kind of high-level interagency coordination. Our GWEP has successfully implemented Dementia Friends sessions across multiple sectors (Veterans, EMS, clergy, libraries, developmentally disabled, living alone) both in-person and virtually due to COVID-19. This symposium will share the methods to organize at the community level to deliver a unified message community-wide.

scholarly journals Translating Evidence-Based Depression Management Services to Community-Based Primary Care Practices

2004 ◽  
Vol 82 (4) ◽  
pp. 631-659 ◽  
Author(s):  
AMY M. KILBOURNE ◽  
HERBERT C. SCHULBERG ◽  
EDWARD P. POST ◽  
BRUCE L. ROLLMAN ◽  
BEA HERBECK BELNAP ◽  
...  
Keyword(s):  
Primary Care ◽  
Evidence Based ◽  
Community Based ◽  
Depression Management ◽  
Care Practices ◽  
Primary Care Practices ◽  
Management Services

scholarly journals Age-Friendly Initiatives and Primary Care in Rural Arkansas

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 545-545
Author(s):  
Robin McAtee ◽  
Leah Tobey
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Chronic Pain ◽  
Fall Prevention ◽  
Educational Programs ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Organizations ◽  
Geriatric Education ◽  
Evidence Based Programs

Abstract The Arkansas Geriatric Education Collaborative (AGEC)’s Geriatric Workforce Enhancement Program is partnering with a plethora of community based organizations (CBO) and with ARcare, an Arkansas federally qualified healthcare clinic network, to implement the 4Ms of age-friendly care in rural clinics. Baseline clinical data related to the Age-Friendly 4M Framework has been gathered and quality improvement projects initiated to improve the outcomes. Initiatives to improve depression and cognitive screenings are addressing Mentation; fall prevention screens and the offering of fall prevention programs have been added for Mobility; high risk medication screens and chronic pain educational programs are being implemented to address Medications; and finally, Medicare Annual Wellness Visits is the cornerstone to improve what Matters to older adults. A campaign that involves partnered CBOs to address health literacy and increase involvement in evidence-based programs is also helping to drive improvements in age-friendly care in rural Arkansas.

Factors facilitating and constraining the scaling up of an evidence-based strategy of community-based primary care: Management perspectives from northern Ghana

2014 ◽  
Vol 10 (3) ◽  
pp. 366-378 ◽  
Author(s):  
Abigail R. Krumholz ◽  
Allison E. Stone ◽  
Maxwell A. Dalaba ◽  
James F. Phillips ◽  
Philip B. Adongo
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Scaling Up ◽  
Northern Ghana ◽  
Evidence Based ◽  
Community Based ◽  
Primary Care Management

scholarly journals Patients� Participation in Health Research: A Classification of Cooperation Schemes (Preprint)

2017 ◽  
Author(s):  
Olivier Las Vergnas
Keyword(s):  
Patient Involvement ◽  
Community Based Participatory Research ◽  
Chronic Fatigue ◽  
Experimental Medicine ◽  
Evidence Based ◽  
Community Based ◽  
Fatigue Syndrome ◽  
High Level ◽  
Based Medicine

BACKGROUND The number of academic papers referring to patient engagement or to related terms has been rising sharply for at least 20 years; several review articles have recently been published enumerating a wide variety of situations of patient involvement in research and partnership with health professionals. OBJECTIVE As no standardized keywords and no shared classifications exist to facilitate comparative studies of situations where patients and their organizations are recognized as coresearchers, this paper purports to create a typology to analyze those situations. METHODS Based on 8 already existing meta-reviews or related studies, this work is achieved using a template based on Claude Bernard’s conceptualization about experimental medicine. RESULTS This typology allows differentiating between modes of involvement and levels of patients reflexivity mobilized in evidence-based medicine (EBM) trials. Screening through a first set of various meta-reviews using this typology shows that a high level of reflexivity is seldom observed and seen only when a patient organization (PO) is involved in the process. This suggests that such an organization can play several roles essential to high reflexivity trials; the PO is capable not only of grouping singular approaches but also of synchronizing and correlating them. However, as nowadays health researchers and POs give more attention to syndromes or troubles for which EBM clinical trials are not relevant due to lack of biomedical indicators (eg, fibromyalgia, chronic fatigue syndrome, or psychiatric disorders), a supplementary mediation category is added to take into account action-research, community-based participatory research, and grounded theories. CONCLUSIONS With this new category, this typology should be able to classify most of the cooperation schemes and thus be a useful tool for the next systematic reviews.

scholarly journals Leveraging ACL Funding to Implement an Evidence-Based Falls Prevention Program in Three GWEPs

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 368-369
Author(s):  
Ellen Flaherty ◽  
Nina Tumosa
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Rhode Island ◽  
Systems Of Care ◽  
Health Resources ◽  
Prevention Programs ◽  
Falls Prevention ◽  
Evidence Based ◽  
Community Based ◽  
Falls Risk

Abstract Primary care practices have a robust capacity to screen older adults for falls risk and refer them to evidence-based falls prevention programs delivered by Community Based Organizations (CBOs). However, due to a difference in the culture and nature of the work done in these two systems of care, there is often a lack of coordination and communication. Dartmouth has worked to bridge this gap for the past five years through our Health Resources and Services Administration (HRSA)-funded Geriatric Workforce Enhancement Program (GWEP). GWEP goals include the promotion of Age-Friendly Health Systems by focusing on the 4 Ms: What Matters Most, Medication, Mentation and Mobility. GWEPs commonly operationalize the Mobility component via falls risk screening and prevention programs. Though CBOs are well suited to deliver falls prevention programs, implementing, disseminating and sustaining community-based falls prevention programs in an environment of cost containment, limited funds for community-based services and workforce issues is challenging. Previous Administration for Community Living (ACL) grant funding enabled us to develop the Dartmouth Falls Prevention Training Center (D-TC) using our expertise in training and community-based implementation of evidence-based interventions. The D-TC offers training and implementation support to primary care and CBOs on screening, referring and capacity-building for falls prevention programs. We will discuss challenges and successes implementing the Dartmouth falls prevention model with two additional GWEP grantees, Baystate and the University of Rhode Island. Benefits of leveraging ACL and HRSA funding to achieve synergistic goals to reduce falls in older adults will be explored.

scholarly journals Consultative workshop proceedings of the Canadian Team to Improve Community-Based Cancer Care Along the Continuum

2017 ◽  
Vol 24 (2) ◽  
pp. 135 ◽  
Author(s):  
E. Grunfeld ◽  
B. Petrovic ◽  
For the CanIMPACT Investigators
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Providers ◽  
Cancer Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Community Based ◽  
Nurse Navigator ◽  
Cancer Specialists ◽  
The Continuum

The multidisciplinary pan-Canadian canimpact (Canadian Team to Improve Community-Based Cancer Care Along the Continuum) group is studying how to improve cancer care for patients in the primary care setting. A consultative workshop hosted by the team took place on 31 March and 1 April 2016 in Toronto, Ontario. The workshop included 74 participants from 9 provinces, with representation from primary care, cancer specialties, international liaisons, knowledge users, researchers, and patients. On the agenda were presentations from canimpact phase 1 projects includingqualitative studies on the perspectives of survivors and health care providers about continuity and coordination of care;an environmental scan and systematic review of existing initiatives designed to improve care integration;population-based administrative health database analyses related to breast cancer diagnosis, treatment, and survivorship; anda qualitative study on the experiences, desired roles, and needs of primary health care providers with respect to personalized medicine.In addition, there were presentations on two possible intervention approaches, including nurse navigation and the eConsult system. Based on the information presented, participants worked in small groups to develop recommendations for phase 2, which will involve development and evaluation of an intervention to improve the integration of care between primary care providers and cancer specialists. After a process of deliberation and voting, workshop participants recommended testing the implementation of eConsult in the oncology setting to determine whether it improves relationships, communication, knowledge sharing, and connections between family doctors and cancer specialists; and, to improve system navigation, evaluating eConsult in existing nurse navigator programs, if feasible.

scholarly journals Uptake of Task-Strengthening Strategy for Hypertension (TASSH) control within Community-Based Health Planning Services in Ghana: study protocol for a cluster randomized controlled trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Kwaku Poku Asante ◽  
Juliet Iwelunmor ◽  
Kingsley Apusiga ◽  
Joyce Gyamfi ◽  
Solomon Nyame ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Planning ◽  
Empirical Literature ◽  
Evidence Based ◽  
Community Based ◽  
Middle Income ◽  
Major Barrier ◽  
Similar Action ◽  
Middle Income Countries

Abstract Background Physician shortage is a major barrier to hypertension (HTN) control in Ghana, with only one physician to 10,000 patients in 2015, thus limiting its capacity for HTN control at the primary care level such as the Community Health Planning and Services (CHPS) compounds, where most Ghanaians receive care. A Task-Shifting Strategy for HTN control (TASSH) based on the WHO Cardiovascular (CV) Risk Package is an evidence-based strategy for mitigating provider- and systems-level barriers to optimal HTN control. Despite its effectiveness, TASSH remains untested in CHPS zones. Additionally, primary care practices in low- and middle-income countries (LMICs) lack resources and expertise needed to coordinate multilevel system changes without assistance. The proposed study will evaluate the effectiveness of practice facilitation (PF) as a quality improvement strategy for implementing TASSH within CHPS zones in Ghana. Methods Guided by the Consolidated Framework for Implementation Research and the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework, we will evaluate, in a hybrid clinical effectiveness-implementation design, the effect of PF on the uptake of an evidence-based TASSH, among 700 adults who present to 70 CHPS zones with uncontrolled HTN. Components of the PF strategy include (a) an advisory board that provides leadership support for implementing the intervention within the CHPS zones and (b) trained task-strengthening facilitators (TSFs) who serve as practice coaches to provide training, and performance feedback to community health officers (CHOs) who will deliver TASSH at the CHPS zones. For this purpose, the TSFs are trained to identify, counsel, and refer adults with uncontrolled HTN to community health centers in Bono East Region of Ghana. Discussion Uptake of community-based evidence-supported interventions for hypertension control in Ghana is urgently needed to address the CVD epidemic and its associated morbidity, mortality, and societal costs. Findings from this study will provide policymakers and other stakeholders the “how to do it” empirical literature on the uptake of evidence-based task-strengthening interventions for HTN control in Ghana and will serve as a model for similar action in other low, middle-income countries. Trial registration ClinicalTrials.gov, NCT03490695. Registered on 6 April 2018. Protocol version and date Version 1, date: 21 August, 2019.

scholarly journals The Time Is Now: A Plan to Redesign Family Medicine Residency Education

2022 ◽  
Vol 54 (1) ◽  
pp. 7-15
Author(s):  
Larry A. Green ◽  
William L. Miller ◽  
John J. Frey ◽  
Hilliard Jason ◽  
Jane Westberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Interprofessional Education ◽  
Health Care Systems ◽  
Well Being ◽  
Community Based ◽  
Family Medicine Residency ◽  
Medical Education Program ◽  
New Graduate ◽  
Care Systems

A new graduate medical education program in family medicine is urgently needed now. We propose an innovative plan to develop community-based, community-owned family medicine residency programs. The plan is founded on five guiding principles in which residencies will (1) transition to independent, community-owned organizations; (2) sustain comprehensiveness and generalism; (3) emphasize collaborative learning and interprofessional education; (4) develop local educators with national guidance; and (5) share resources, responsibilities, and learning. We describe actionable steps to begin the process of transforming residencies and strengthening primary care. As community-based and locally-run organizations, residencies will gain self-determination in how time is allocated, budgets are spent, and teams function. Building on the momentum of the National Academy of Medicine’s 2021 primary care implementation plan and recommendations by family medicine organization leaders, we propose a Decade of Family Medicine Residency Transformation. We encourage individuals and organizations spanning disciplines, health care systems, and communities, to join forces to reimagine and recreate the preparation of outstanding personal physicians dedicated to individual and community health and well-being.

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