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Tuesday, May 07, 20191:30 PM - 3:00 PM

25. Establishing and Supporting Community-Clinical Linkage Programs in Clinical Environments
Location: Omni Atlanta Hotel, North Tower, M2, International Ballrooms DEF 

This session will provide recipients with understanding of the need for connections between the clinics and community resources, and insights on how to build relationships with clinics. This will include understanding the importance of assessing a clinic’s workflow; addressing methods for integrating non-clinical staff (e.g., CHWs, PNs) into the care team; maximizing use of a clinic’s electronic health record (EHR) for making and tracking referrals; and adding a referral and tracking system to the clinical environment in the absence of an available EHR referral system. At the beginning of the session, recipients will be asked to consider one clinic they’re working with and try to answer several questions about the clinic’s environment and context. At the end of the session, recipients will list ways to address shortcomings they identified at the outset.

Session Learning Objectives:
  1. Recognize the importance of connections between clinical care and community supports to prevent and manage chronic conditions.
  2. Describe the need to assess the process currently used in the clinical environment to maximize likelihood of maintaining process changes.
  3. Describe the benefits to integrating non-clinical staff into the care team, including their perspective on community resources’ suitability for the priority population.
  4. Identify referral and tracking mechanisms that may already be available in clinics’ EHRs.
The following will be presenting:
  • David Guthrie MPA Public Health Advisor, DNPAO, CDC
  • Emily Abramsohn MPH Director of Research and Data Governance, University of Chicago
  • Barb Clint BA Principal, Founding Director, Clevelanders in Motion, LLP
  • Refilwe Moeti MA Public Health Educator, NCCDPHP Community Health Worker Workgroup Immediate Past Co-chair, CDC
Moderated by:

Marissa Sucosky, MPH, Public Health Analyst, DNPAO, CDC

The following documents and media are related to this event: