Embedding Implementation Research in Community-Based Health Care Systems

2019 ◽  
Vol 28 (2) ◽  
pp. 114-116
Author(s):  
Andrew J. Knighton ◽  
Todd L. Allen ◽  
Rajendu Srivastava
Keyword(s):  
Health Care ◽  
Implementation Research ◽  
Health Care Systems ◽  
Community Based ◽  
Care Systems

scholarly journals USING COMMUNITY-BASED MODELS TO PROVIDE INTEGRATED CARE FOR RURAL OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S553-S553
Author(s):  
Martha R Crowther ◽  
Cassandra D Ford
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Rural Communities ◽  
Mental Health Problems ◽  
Health Care Systems ◽  
Physical And Mental Health ◽  
Community Based ◽  
Psychosocial Services ◽  
Care Systems ◽  
Rural Older Adults

Abstract Rural elders are one of the most at-risk populations for experiencing physical and mental health problems. In many rural communities, there are no psychosocial services available to meet the needs of the rural elderly. To provide rural older adults with integrated healthcare, we build upon our existing community-based infrastructure that has fostered community capacity for active engagement in clinical activities and has served as a catalyst to increase participation of rural older adults in clinical services. Our rural community model draws upon the role of culture in promoting health among rural older adults to provide rural service delivery. This model is built upon our network of partnerships with surrounding communities, including potential research participants, community-based organizations, community leaders, and community health-care systems and providers. By engaging the community we can create a sustainable system that will encourage rural older adults to utilize the health care system at a higher rate.

An Occupational Therapy Course on Community Practice

1995 ◽  
Vol 62 (2) ◽  
pp. 76-81 ◽  
Author(s):  
Constance Vanier ◽  
Michèle Hébert
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Health Care Systems ◽  
Skill Training ◽  
Community Services ◽  
The Other ◽  
Community Practice ◽  
Community Based ◽  
Care Systems ◽  
The University

This article outlines a course on occupational therapy community practice offered at the University of Ottawa and discusses its assets and limitations in terms of preparing students for the shift to community-based health services. The shift to community services in the health care systems of Ontario and Québec is described. Then the curricular components needed to prepare students for community practice are summarized. Finally, the community practice course at the University of Ottawa including its goal, objectives, class topics and evaluations is outlined. The strength of the community practice course described is that it includes many of the curricular components needed for community practice. On the other hand, limitations include the lack of skill training in some areas, its place in the last year of the programme, and its optional nature. Changes planned for the course and other recommendations for curricula are also discussed.

scholarly journals SUCCESSES IN THE TRANSLATION OF CAREGIVER INTERVENTIONS IN COMMUNITY-BASED ORGANIZATIONS AND HEALTH CARE SYSTEMS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S439-S440
Author(s):  
Jinmyoung Cho ◽  
Alan B Stevens
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care System ◽  
Support Services ◽  
Health Care Systems ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Organizations ◽  
Care Systems ◽  
Caregiver Interventions

Abstract Family caregiving of an older adult has become an essential element of the U.S. health care system, with 83 percent of long-term care provided to older adults coming from family members or other unpaid helpers. With the amount and type of care provided by families expected to increase, caregiving demands should be coupled with community and health care systems-based supports. While scientific research has demonstrated the value of providing education, skills training and support to family caregivers, health care and social service providers do not systematically include these interventions in their services. Thus, for the vast majority of family caregivers, caregiving support services remain extremely fragmented, if not elusive. This symposium provides four examples of how health care systems that frequently see patients with dementia and community-based organizations who provide ongoing supportive services to family caregivers, have adapted evidence-based caregiver interventions into branded service programs. Dr. Jinmyoung Cho will present racial/ethnic comparisons on the impact of community-based implementation of a caregiver education program, REACH-TX. Dr. Leah Hanson will introduce the implementation of Mindfulness-Based Dementia-Care (MBDC) within a health care system. Dr. Christine Jensen will address how caregivers can benefit from evidence-driven programs in health care settings. Lastly, Dr. David Coon will present two different approaches to translation of evidence-based programs through community-based organizations, with CarePRO embedded after completion of a clinical trial and EPIC embedded from the program’s initial pilot phase. The discussant, Dr. Alan Stevens, will highlight the needs of caregivers and support services recognized by all key stakeholders.

scholarly journals Solving Community SARS-CoV-2 Testing With Telehealth: Development and Implementation for Screening, Evaluation and Testing (Preprint)

2020 ◽  
Author(s):  
Aditi U Joshi ◽  
Resa E Lewiss ◽  
Maria Aini ◽  
Bracken Babula ◽  
Patricia C Henwood
Keyword(s):  
Health Care ◽  
Call Center ◽  
Health Care Systems ◽  
Early Period ◽  
Care Needs ◽  
Community Based ◽  
Mobile Testing ◽  
Crucial Component ◽  
Care Systems ◽  
Eastern Pennsylvania

BACKGROUND Telehealth has emerged as a crucial component of the SARS-CoV-2 pandemic emergency response. Simply stated, telehealth is a tool to provide health care from a distance. Jefferson Health has leveraged its acute care telehealth platform to screen, order testing, and manage patients with COVID-19–related concerns. OBJECTIVE This study aims to describe the expansion and results of using a telehealth program to increase access to care while minimizing additional potential exposures during the early period of the COVID-19 pandemic. METHODS Screening algorithms for patients with SARS-CoV-2–related complaints were created, and 150 new clinicians were trained within 72 hours to address increased patient demand. Simultaneously, Jefferson Health created mobile testing sites throughout eastern Pennsylvania and the southern New Jersey region. Visit volume, the number of SARS-CoV-2 tests ordered, and the number of positive tests were evaluated, and the volume was compared with preceding time periods. RESULTS From March 8, 2020, to April 11, 2020, 4663 patients were screened using telehealth, representing a surge in visit volume. There were 1521 patients sent to mobile testing sites, and they received a telephone call from a centralized call center for results. Of the patients who were tested, nearly 20% (n=301) had a positive result. CONCLUSIONS Our model demonstrates how using telehealth for a referral to central testing sites can increase access to community-based care, decrease clinician exposure, and minimize the demand for personal protective equipment. The scaling of this innovation may allow health care systems to focus on preparing for and delivering hospital-based care needs.

scholarly journals Telehealth as an Element of Home and Community-Based Services in a Pandemic: An Intrinsic Case Study in Two Rural Areas

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 742-742
Author(s):  
Nancy Karlin ◽  
Joyce Weil
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Older Persons ◽  
Care Delivery ◽  
Health Care Systems ◽  
Community Based ◽  
Care Systems ◽  
Community Based Services

Abstract COVID-19 has changed the face of health care delivery. Using technology as a way to ensure Home and Community-Based Services (HCBS) as an option for older adults in rural areas is of increasing interest as a result of the pandemic. Literature suggests older adults do not adopt telehealth and/or medicine practices due to barriers (e.g., Internet and computer availability) and do not use telemedicine as a form of communication with medical staff. However, the combination of needing health care during the pandemic and having federal coverage via Medicare for telehealth virtual visit. Still studies suggest older adults may lack the necessary information about how to adopt telehealth and telemedicine and that they do not see their benefits. Additionally, the cost of technology, limited Internet access and rural connectivity issues persist. This study evaluates the potential for telehealth/medicine use in rural communities through two case studies of rural older persons in the Eastern Plains of Colorado and rural Western Nebraska. Results indicate, for older persons responding to the telehealth/medicine questions, there is support for its potential use with some using teleconferencing, health portals, along with the expectation that telehealth/medicine would be part of new health care systems. Resistance was met by some older adults in the Colorado sample who preferred face-to-face contact alongside other concerns about potential usage barriers such as the lack of Internet services or consistent connectivity. These participants indicated a lack of awareness in finding out how to access this form of medical support.

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