tcc for health disparities research: informing and...

TCC for Health Disparities Research:

Informing and Influencing Health

Policy and Practice

K N O W L E D G E ~ W I S D O M ~ E X C E L L E N C E ~ S E R V I C E

3nd Annual TCC Oversight Committee Meeting

Key Bridge Marriott, Alexandria, VA

May 8, 2015

Morehouse School of Medicine

TCC for Health Disparities Research

Annual Oversight Meeting


Welcome

Role Call

Introductions



Annual Oversight Meeting


Opening Remarks and

Committee Charge

David Satcher, MD, PhD

Elizabeth Ofili, MD, MPH, FACC

Official Statement

The project described was supported by

the National Institute on Minority Health

and Health Disparities (NIMHD) Grant

Number U54MD008173, a component of

the National Institutes of Health (NIH) and

Its contents are solely the responsibility of

the authors and do not necessarily

represent the official views of NIMHD or

NIH.

Subproject 3a: HIT Policy – Bridging

research and policy to eliminate health

disparities

Presenters: Dominic Mack, MD, MBA

Megan Douglas, JD

TCC Subproject 3a/c: Leveraging Health IT Policy to Eliminate Health Disparities


PI: Dominic Mack, MD, MBA

Policy Advisor: Daniel Dawes, JD

Associate Project Director: Megan Douglas, JD

Official Statement

The project described was supported by the

National Institute on Minority Health and

Health Disparities (NIMHD) Grant Number

U54MD008173, a component of the National

Institutes of Health (NIH) and Its contents are

solely the responsibility of the authors and do

not necessarily represent the official views of

NIMHD or NIH.

Overview of Presentation Re-cap of Purpose & Specific Aims

Major Year 3 activities Research

Outreach

Coalition building

Findings

Dissemination

Next Steps

Questions

Advisory Board Luis Belen

CEO

National HIT Collaborative for the Underserved

Danielle Brooks

Senior Consultant

WiseThinkHealth Solutions

Neil Calman

President/CEO

Institute of Family Health

Jon Dimsdale

Consultant

eHealth Initiative

Carladenise Edwards

Chief Information Officer

Alameda Health System

Antonio Fernandez

Director

Ponce School of Medicine HIT Regional Extension Center

David R. Hunt

Medical Director for HIT Adoption and Patient Safety

Office of the National Coordinator

U.S. Department of Health and Human Services

Joyce Hunter

Deputy CIO, Policy and Planning

U.S. Department of Agriculture

Marjorie Innocent

Vice President of Research and Programs

Congressional Black Caucus

Mike Lardieri

Asst. Vice President, Strategic Program Development

North Shore – LIJ Health System

Vanessa Mason

Senior Manager

eHealth at ZeroDivide

Ruth Perot

CEO/Co-founder

Summit Health Institute for Research and Education, Inc.

Josh Rubin

Executive Program Officer for Research & Development

University of Michigan Learning Health System

Eleanor Thornton

President/CEO

Visionary Consulting Partners, LLC

Michael Thornton

COO

Visionary Consulting Partners, LLC

Purpose

To inform and influence health

information technology (HIT) policy to

achieve health equity through research,

community outreach and stakeholder

engagement.

Specific Aims

Policy Analysis Identify and analyze HIT policies that impact the

implementation and utilization of HIT in high disparity

communities in GA and HHS Region IV

Coalition Building Build a collaborative region-wide coalition of community-

level health stakeholders, to evaluate state and federal

policies that positively affect HIT implementation in these

communities

Priority Issues

Collection of Demographic

Data

EHR Adoption

Telemedicine Health

Information Exchange

Consumer/Patient Engagement

Framework

Demographic Data


Data

Policy of interest. HITECH Act

Analysis. 26 “opportunities” to improve

policies to address disparities and 5

“changes” (2 less informative)

Publish. American Journal of Public Health,

supplement on the science of eliminating

health disparities (First Look, April 23, 2015)

Outreach. Partnership with The Health

Initiative to develop online, CME-approved

training modules for the collection of sexual

orientation and gender identity

Dissemination. AJPH, website, NIMHD

conference (oral & poster), Public comment

on Federal HIT Strategic Plan, online

supplement, PolicyRx blog

EHR Adoption

EHR Adoption

Policy of interest. EHR Incentive program

(Meaningful Use (MU))

Analysis. Providers serving high

Medicaid populations are adopting EHRs

at slower rates than their peers

Publish. Journal on Health Care for the Poor

and Underserved (JHCPU). Submitted 3/15.

Outreach. Partnership with GA-HITEC and

Hometown Health to identify barriers to MU

for rural and underserved providers.

Dissemination. JHCPU, ONC HealthITBuzz

blog, Disruptive Women in Health Care

blog, Public Comment on the Federal HIT

Strategic Plan.

Telemedicine

EHR Adoption

Policy of interest. Medicaid claims and state

policies (reimbursement, licensure)

Analysis. Medicaid patients living in

states with private payer reimbursement

mandates more likely to receive services

via telemedicine than patients living in

states without private payer laws**

Publish. Telemedicine & e-Health or Journal

of Rural Health

Outreach. Partnership with Georgia

Partnership for Telehealth to produce videos

explaining policy and engaging consumers

Dissemination. journal, website, public

comment, blog, twitter (twitterstorm)

Telemedicine

EHR Adoption

Policy of interest. None.

Analysis. Descriptive analysis of

utilization using Medicaid claims

• Rural vs. Urban

• FFS vs. MC

• Basis of eligibility (ABD vs. TANF)

• Top 10 Dx codes

Publish. Journal of Rural Health.

Health Information Exchange

EHR Adoption

TBD in Year 4.

Consumer Engagement


Data

EHR Adoption

Telemedicine Health

Information Exchange

Consumer/Patient Engagement

Coalition Building Advisory Board

GA-HITEC Advisory Board

HELEN

NCPC Community tool (Saba)

Community-based organizations

GPT

The Health Initiative

Hometown Health

Family Health Centers of Georgia

Upcoming Events

High Level Review

5 Priority Issues

2 published manuscripts, 1 submitted, 2 in development

Numerous speaking events – conferences, meetings,

college classes, etc.

2 Public Comment, 2 in development

Transforming Clinical Practice Initiative (TCPI) proposal

submitted

15 Advisory Board members

3 Community Partners (w/ active outreach projects)

Website, social media

Year 3 Status

Questions

What is your overall feedback and thoughts

on future directions?

What should we be measuring in order to

evaluate effectiveness?

Acknowledgments

GA-HITEC

Dr. Pemu – subproject 3b

Subproject 2 – Dr. Holden

The Health Initiative

TCC Cores

TCC HIT Policy & GA-HITEC advisory

boards

Georgia Partnership for Telehealth

SUBPROJECT 3B: LEVERAGING

HEALTH INFORMATION

TECHNOLOGY TO IMPLEMENT A

PATIENT-CENTERED APPROACH

PRESENTER: Priscilla Pemu, MD, MS


Subproject 3b: Leveraging Health Information Technology to implement a patient-centered approach to health care quality improvement, health

promotion and disease prevention

Multi-disciplinary Research Team

Priscilla Pemu, MD.,MS Team Lead

Michelle Brown., ACO Chief Executive Officer

Courtney Holland: Care Coordinator

Alexander Quarshie, MD.,MS Lead on informatics team,I2B2

Ernest Alema-Mensah MDiv DMin MS PhD; Electronic health record data

analysis

Bethany St Clair: Software Engineer

Elizabeth Ofili, MD., MPH: TCC Co-PI

Sutherland group: Electronic medical record data extraction; ehealthystrides

integration with health record platforms

Atuarra McCaslin: Online community manager

Official Statement

The project described was supported by the National

Institute on Minority Health and Health Disparities

(NIMHD) Grant Number U54MD008173, a

component of the National Institutes of Health (NIH)

and Its contents are solely the responsibility of the

authors and do not necessarily represent the official

views of NIMHD or NIH.

Project Goal and Specific Aims

Our goal is to advance health equity by creating

successful minority e-patients

e-

Patient 1. Connected

2. Informed

3. Tech savvy

e e e

1.

Empowered

2. Engaged

3. Better

health

outcomes

Specific Aims

Specific Aim #B1: Analyze EHR (Electronic Health Record) patient data from MC ACO (Morehouse Choice Accountable Care Organization)to evaluate:

o Adherence to evidence-based protocols and disease-based quality measures (DM, cancer, HIV AIDS, CVD, stroke)

o Use of PQRS qualified EHR

o MU reimbursement

o Health promotion and disease prevention

o Appropriate data collection and reporting.

Specific Aims

Specific Aim #3b2: Evaluate the effectiveness of ehealthystrides in improving clinical outcomes of diabetes among high risk dual-eligible Medicare beneficiaries

Strategies Engage and partner with the MCACO

Based on the ACO’s needs, variation across ACO practices in terms of types of EHR, practice systems and patient engagement; we agreed to engage an ACO wide patient support expert/care coordinator

We will employ an implementation science paradigm

Guiding Principle

Uneven adoption of ehealth innovations by minority populations exacerbates existing inequities in health. Barriers to minority populations’ use of ehealth include

lack of perceived value,

such technologies creating more work,

limited health and technology literacy,

cognitive/physical disabilities,

lack of cultural relevance,

limited access to computers/hardware,

privacy/trust concerns,

technical problems and

unclear or confusing instructions on use of ehealth technologies15

We will develop evidence based approaches to address barriers to creation of successful

minority e-patients

Our Strategy

We will test the effectiveness of an implementation science approach

that uses factors such as a clear understanding of organizational context

to improve self-management behaviors among high risk diabetics.

Our population is nested within practices participating in the Morehouse

Choice Accountable Care Organization (ACO-ES) as such, we will

establish a direct path to dissemination of any significant findings to the

population of need. Our ideal outcome would be the development of a

sophisticated cadre of minority e-patients

E-

Healthy

Strides

MCACO

Org.

Variables

Embed

within

ACO CCT

R&E

CCT

Workflow

e-Patient

EB

Solutions

to advance

health

equity

Solutions

for patient

engageme

nt

Improved

Self

Manageme

nt

Improved

quality

metrics

Reduced

hospitalizatio

ns

Improved

health

outcome

s

ID

Challenges

&

Opportuniti

es

Assess

skill &

capabilit

y

Finalizing

data &

storage &

transfer

protocols

Site

based

focus

groups

E-

Healthy

Strides

1. Builds

knowledge

2. Skills

3. Changes

attitudes

1. Health

coach

2. Goal

setting

3. On-line

community

1. Self-

efficacy

MCACO

Variables

1. 9800

pts

2. Quality

3. Shared

savings

1. 27 +2

locations

2. 13 EMR

systems 1. Diverse:

65/25/10

(Black/White

/Hispanic)

ID Challenges

&

Opportunities

Engagemen

t/buy-in

1.Many EMRs

2. Interphase

3. DUA 1. Resources

2. Processes

3. CC

function

1. Embed

in CCC

process

CCT

Trained 1. CCC

2. R & E

3. JOCGC

1. Modules

2. Curriculum

3. Webinars

CCT

Workflo

w

1.

Training

2.

Consent

3. Policy

1.

Evaluation

project

3. Future

research

Research, Implementation, and Outreach Activities in

Year 3

Completion of logic model in collaboration with the Evaluation core

Study protocol completed and approved by Institutional review board

Engagement and training of Care Navigator

Completion of Data Use Agreement and Partner contract

Embedding implementation of ehealthystrides within workflow of the CCC

team of MCACO

Educating stakeholders and providers about ehealthystrides through demos

and webinars

Develop training and orientation program for members of the CCC team

Weekly meetings with CC team

Monthly meetings with Research and Education; JCOGC

Challenges and Lessons Learned

Data transfer across entities for research

HiPAA waiver being created ; not sure this resolves the issue

Creation of interphase with the multiplicity of EMR systems

Technical solution has been identified and will be implemented in collaboration with

Sutherland

Resistance to incorporation of detailed patient-generated input in the EMR

Technical support/Customer support for participants

Outsourced for reasonable cost.

Allows the tech solution to keep up with updates in device operating systems

Culture differences across organizations/resistance to ‘external’ mandates

Process of embedding within the CCC has given us a leg-up

Policy variation across organizations

Publications and Deliverables Grants submitted between January and March 2015

1. Funding Opportunity Title: Innovations for Healthy Living - Improving Minority Health and Eliminating Health Disparities

(R43) - RFA-MD-15-004 Descriptive title of proposed activity: Am I a research volunteer? Achieving person centered

informed consent in health disparities research Project Principal Investigator: Chamberlain Obialo, MD, Project Co-

Principal Investigator: Priscilla Pemu, MD, MSCR; Professor of Medicine, and Director, Community Physicians Network,

Clinical Research Center

2. Funding Opportunity Title: Technologies for Improving Minority Health and Eliminating Health Disparities (R41/R42)

RFA-MD-15-003 Descriptive title of proposed activity: Making my doctor visits count! Integrating self monitored health

information for patient directed bedside communication in chronic illness care, Project Principal Investigator: Priscilla

Pemu, MD, MSCR; Professor of Medicine, and Director, Community Physicians Network, Clinical Research Center

Project Co-Principal Investigator: Chamberlain Obialo, MD

3. RFA-HL-15-021 Testing Multi-Level Interventions to Improve Blood Pressure Control in Minority Racial/Ethnic, Low

Socioeconomic Status, and/or Rural Populations (UH2/UH3) PI: Dr Herman Taylor/Jennifer Haas MSM Site PI and Co

Investigator: Dr Priscilla Pemu

4. Morehouse/Emory Cardiovascular (MECA) Center for Health Equity with funding from the American Heart Association

(AHA) Strategically Focused Research Networks Initiative PI: Herman Taylor/Arshed Quyyumi Subproject 2 PI: Priscilla

Pemu

5. Funding Opportunity Number CMS-1L1-15-003 CFDA 93.638 Transforming Clinical Practice Initiative (TCPI) Practice

Transformation Networks (PTNs) PI: Dominic Mack Collaborating Organization: CPN/Dr Priscilla Pemu

Next Steps for Year 4

Fully staff, train and deploy the CCT

Complete updates to ehealthystrides (will be called ‘health 360’)

Single sign on; dbase synchronization

Complete training of providers across the ACO

Beta test EMR interphase solution with 1 EMR

Enroll and coach 100 ACO patients with diabetes; follow them for 6 months

Continue working with the CCC team and Research and Education

Committee to develop plans/protocols to address challenges associated with

data use across institutions in the MCACO

Share our findings at ACO national meeting

Publications

Conclusion/Acknowledgments

MCACO

Sutherland

All patients and other partners

Questions/Comments for Oversight Committee

Any thoughts on the required regulatory framework that supports data

sharing across entities?

Subproject 4: HIT Policy– HEALTH

POLICY LEADERSHIP NEEDS &

IMPACT

Presenters: Carey Bayer, EdD, RN, CSE

Harry Heiman, MD, MPH

Subproject 4:

Health Policy Leadership Training

Needs & Impact K N O W L E D G E ~ W I S D O M ~ E X C E L L E N C E ~ S E R V I C E

Research Team

• Carey Roth Bayer, EdD, RN, CSE, Co-Principal Investigator

• Harry Heiman, MD, MPH, Co-Principal Investigator

• Lerissa Smith, MPH, Program Manager

Acknowledgments

Marissa McKool, Renee Volny Darko

Research/Dissemination Core

Evaluation Core

Administrative Core

Official Statement

"The project described was supported by








NIH.”

Overview

Subproject 4 is designed to evaluate the goals and

outcomes of health policy training programs, the

integration of health disparities/equity training into

current programs, and to gain a greater

understanding of the role health policy training

programs play in the quest to eliminate health

disparities and advance health equity.

Specific Aims 1. To identify health policy leaders’ training needs for developing,

implementing, and changing policies that reduce disparities and

advance health equity

2. To develop a range of health policy leadership training programs (in

the Health Policy Center) at SHLI/MSM to meet the needs of health

professionals, community leaders, and students

3. To evaluate the impact of SHLI health policy training programs in

developing health leaders prepared to promote and implement

policies to reduce disparities and advance health equity

Major Activities in Year 3

Data

Analysis

Abstracts &

Manuscripts

Graduates

Fellows

Alumni Outcomes Tool Sustainability Planning

Findings & Results

New contract with Kaiser Permanente

New funding from FDA Office of Minority

Health

Feedback received from various stakeholders

Literature combed on training outcomes

tools/measuring leadership trajectories

Need to find new spaces for dissemination of

manuscripts

Findings & Results

Challenges & Lessons

Learned Didn’t anticipate 2 rejections for foundational

manuscript

Opened Pandora’s Box when developing the alumni

tool

Working to find balance between dissemination work

and sustainability work

Dissemination -2 abstract presentations at NIMHD/ISSMHD

(December, 2014)

-1 abstract presentation at APTR (March, 2015)

-Literature review submitted twice (Health Affairs,

Academic Medicine)

-Needs assessment outcomes manuscript in

development (rethinking target journal)

-New class of fellows recruited; current class on track to

graduate June 29, 2015

-2 abstracts submitted for APHA (November, 2015)

Next Steps for Year 4

-Analyze Alumni Tool Outcomes

-Disseminate, Disseminate, Disseminate

-Focus on sustainability (CDC, OMH, others)

Ripple Effect: Growing the

Health Policy Lens

Presentations, invited talks

UNM-RWJF Nursing & Health Policy Annual

Conference

RWJF Scholars Forum panel on Disparities,

Resilience, & Building a Culture of Health

Collaborations

Subprojects 1 & 3 training sessions

Interest from new areas - FDA

Conclusions

Measuring abstract concepts takes

longer than anticipated

Teasing apart confounders in training is

not always easy to measure

Don’t forget to look in non-traditional

places to help find answers

Framing & speaking the “target

audience” language is key

Questions for Oversight

Committee

Framing ideas and journal ideas in order to

get manuscripts accepted?

What questions should we be asking thinking

about sustainability beyond this 5 year grant

cycle? What else do you want to know about

health policy leadership

training/outcomes/impact?

SUBPROJECT 1: COLLABORATIVE

ACTION ON CHILD EQUITY

PRESENTER: Cassandra Bolar, PhD, MSW

TITLE SLIDE


Sub-Project 1:

Collaborative Action on Child Equity (CACE) and

Smart & Secure Children (SSC):

Promoting Quality Parenting Leadership

and Early Childhood Policy Improvements.

Official Statement

The project described was supported by








NIH.

Project 1 Team: ⁻ Dr. David Satcher ⁻ Dr. Cassandra Bolar ⁻ Mrs. Aneeqah Ferguson, MS ⁻ Dr. Victor Ede ⁻ Mrs. Ayanna Jackson, MBA ⁻ Mrs. Glendale Manning

Background

The vision of CACE is to reduce disparities

in health, wellbeing and school readiness

for every child age 0-5 years, in order to

advance health equity.

GA TN TX FL OR KY MS MN SC MD MO NC AL

Impact Areas

Use quality parenting as an intervention for

mitigating childhood obesity and mental

health inequities.

Assess the extent to which existing early

childhood policies (at all levels) and their

implementation programs ensure:

(i) equitable child development and school

readiness at 5 years.

(ii) parents are actively engaged in

informing early childhood policy

formation and the program

implementation.

The Mission

Specific Aims: 1. Use quality parenting (SSC) as an intervention for

addressing childhood obesity and mental health inequities in order to prevent health disparities in future

2. Evaluate the extent to which existing policies in the participating 13 States ensure that every child develops healthy and families inform and inform policies and programs

3. Demonstrate the extent to which SSC can increase school readiness, reduce incidence of child neglect and improve relevant community practices and programs.

The Approach

Build & maintain partnerships.

Form local TCC on early childhood policy

(a.k.a. CACE).

Facilitate SSC implementation and

Policy improvements through local

CACE.

Utilize breakthrough series (BTS) & SSC

parent leadership approach.

Translate findings into sustained

practice and improved policies.

Implementing SSC/pilot =

Capacity building =

Awaiting RFA decision =

Key Year Activities 3

Multisite SSC Implementation

Policy Action Plan Implementation – GA, MO,

MD, TN, AL, & TX

CACE Learning Sessions 2 and 3

Translation of SSC Content into Spanish

CACE BTS Supports

RFA technical support

Monthly collaborative calls

Evaluation

Dissemination

Multisite SSC Implementation

Pilot sites – TN, MS,

TX, MO, AL, and GA

Policy Action Plans

State Policy Action Plan Title

AL Examination of Policy and Funding concerns that Impact Early

Childhood Development and Health Disparities.

GA Child Welfare PAP to Improve Early Childhood Development and

School Readiness by Five.

MO Improvement of Home Visiting Programs, Policies, Practices; and

Use of Parent Leaders as Interventionists.

TN Prevention of Chronic Disease and Improving Public Health in the

greater Memphis/ Shelby County area of Tennessee.

MD Culturally-Sensitive Home Visiting Programs in PGC, MD.

• Policy action plans (PAPs) to inform and inform local early

childhood policy, programs and practice.

• So far, 5 states are implementing policy action plans that

address issues impacting early childhood development and

health disparities.

Promising Findings and Results

Challenges and Lessons Learned: SSC

SSC Program: The paper format for our evaluation tools

makes data entry cumbersome for our state partners. We

also learned that some of our tools posed a challenge to

participants.

SSC Lessons Learned: Efforts are almost complete to

have all tools entered into RedCap, making it possible to

send an electronic version of the tool to states. In addition,

our new tools have been tested in the community and will

be added to the states implementing SSC in year 4.

Challenges and Lessons Learned: CACE

CACE Challenges: As local CACE teams grow,

communication can be a challenge. Additionally, states in

the CACE collaborative are at varying stages of readiness.

CACE Lessons Learned: Our work this year has been

focused on helping states to better communicate with us

and with their new local CACE partners. To promote

readiness, we helped states to assess where they are in

the continuum and develop a plan of action to make

strides toward their state-specific CACE/SSC goals.

Published:

Okafor M, Sarpong DF, Ferguson A, Satcher D. “Improving health outcomes of

children through effective parenting: model and methods.” Int J Environ Res

Public Health. 2013 Dec 23; 11(1):296-311.

Submitted/Under Peer Review:

Okafor M, Sarpong DF, Benka-Coker A, Simmons C, Satcher D. (2015).

"Family-Based Approach to Smart and Secured Children Parenting

Curriculum: Memphis TN – A Case Study." Submitted to the Journal of Child

and Family Studies (Revise, Resubmit).

Bolar, C.L., Hernandez, N., Akintobi, T.A., McAllister, C., Ferguson, A., Rollins,

L., et al. (2015). Context matters: A community based study of urban

minority parents’ views on child health. Journal of Community Health.

Manuscripts near completion:

Okafor M, Benka-Coker A, Ede V, Sarpong DF, Satcher D. ”The efficacy of a

quality parenting program- Lessons from SSC” (Projected: May, 2015)

Okafor M, Benka-Coker A, Reece J, Satcher D. "Breakthrough Series

Improvement Collaboratives in non-Traditional Healthcare Settings – the

Collaborative Action on Child Equity” (Projected: Sept, 2015)

Progress on Academic Publications

Upcoming Papers:

Akintobi, TH, Bolar, CL, Yoo, W, Perdue, E. Community, Individual,

and Child Health Priorities: Insights from Community Residents.

The American Journal of Preventive Medicine or the Journal of

Community Health (Projected, July 2015)

Bolar, CL, Akintobi, TH, Sarpong, D, Ferguson, AS, Wrenn, G. Parental

stress and children’s externalizing behaviors: The effects of a peer-

led parenting program. Family Relations (Projected, August 2015)

Bolar, CL, Satcher D, Sarpong, DF. Changing nutritional behaviors

and attitudes: The effectiveness of a peer-led parenting program.

Public Health Reports Special Supplement on Childhood Obesity

(Projected, Nov. 2015).

Ede, V, Bolar, CL, Ferguson, AS, Sarpong, D. Perceptions of child

abuse: The effects of the Smart and Secure Children program.

Children and Youth Services Review (Projected, Jan. 2016).

Progress on Academic Publications

Next Steps for Year 4 CACE LS3 capacity-building session on May 18-20, 2015 should

lead to at least 9 of our 13 states being ready to make progress on

their state specific plan to use some version of SSC in advancing

quality parenting leadership to improve policies, programs and

delivery systems to promote health equity early childhood.

Sustainability

Focus on Fathers – New Pathways for Fathers and Families

Center for Excellence on Health Disparities – support for the

collection of follow-up data 1 year and 2-years post program

participation.

Atlanta Housing Authority Choice Neighborhoods proposal

includes an SSC pilot project; a new SSC partnership with

Mercy Care’s TCC pilot project application; partnership with the

Atlanta Small Business Training Consortium.

Conclusion/Acknowledgments

SHLI Division of Behavioral Health

Dr. Jammie Hopkins

Divine Offoegbu

Kirsten Roberts

Dr. Robert Mayberry

Dr. Robina Josiah Willock

Dr. Harry Heiman

Dr. Virginia Floyd

Dr. Tabia Akintobi

Dr. Camara Jones

Glendale Manning

Kylihia Allen

Questions

Thanks!!!

SUBPROJECT 2: PROJECT THRIVE

PRESENTER:

Kisha Holden, PhD, MSCR

Subproject 2: Development of an Integrated Culturally Centered Care Model to Address Depression and Selected Co-occurring

Chronic Illnesses in a Community Based Primary Healthcare Center (Phase II Implementation)

Disclosure Statement

The information described is supported by the

National Institute on Minority Health and Health

Disparities (NIMHD) grant number U54MD008173, a

component of the National Institutes of Health (NIH)

and its contents are solely the responsibility of the

authors and do not represent the official views of

NIMHD or NIH.

Multi-Disciplinary Research Team Kisha B. Holden, PhD, MSCR, Sub-project 2 PI

Brian McGregor, PhD, Co-Investigator

Glenda Wrenn, MD, MSHP, Co-Investigator

Allyson Belton, MPH, Research Coordinator

Kristin Roberts, MSHM, Research Assistant

Zoe Dale, LPC, Licensed Mental Health Clinical Coordinator

Externs

Fatima Kasiah, MD

Aldorian Chaney, MD, MPH

Sheena Dorvil

Ravish Patel, MD

Daniel Leo, MD

Research Advisory Committee John Bartlett, MD, MPH; Senior Project Advisor, Primary Care Integration

Initiative, The Carter Center, Atlanta, GA

Ben Druss, MD, MPH; Professor, Departments of Health Policy and

Management; Psychiatry and Behavioral Health Services; and Health

Education; Emory University; Rosalynn Carter Chair in Mental Health, The

Carter Center, Atlanta, GA

Joseph Gallo, MD, MPH; Professor, Johns Hopkins University, Bloomberg

School of Public Health, Baltimore, MD

Gwendolyn Keita, PhD; Executive Director, Public Interest Directorate,

American Psychological Association, Washington DC

Parinda Khatri, PhD; Director of Integrated Care, Cherokee Health Systems,

Knoxville, TN

Hogai Nassery, MD; Deputy Vice President, Ambulatory and Community

Medicine, Grady Health Systems, Atlanta, GA

Annelle Primm, MD, MPH; Urban Behavior Associates, Baltimore, MD

Sultan Simms, MD; Behavioral Health Medical Director, Fulton County

Department of Behavioral Health and Developmental Disabilities, Atlanta, GA

Altha Stewart, MD; Executive Director of Just Care Family Network, Memphis, TN

Phase I: Qualitative Overview

Purpose

To identify selected factors identified as important to patients, providers,

and clinic administrators to support the development of a patient-

centered, culturally tailored integrated care model

Methods

32 adult patients of integrated Morehouse Healthcare Clinics and its

affiliates participated in focus groups discussing their individual health

experiences

9 healthcare providers/administrators from 5 integrated health care

practice settings participated in key informant interviews

Transcripts were analyzed for key themes related to depression care,

recommended cultural adaptations, and perceived unmet cultural

needs.

Phase I: Qualitative Results

Patient Focus Groups-Key Content Area Themes

Retention

Differences in Depression

Primary Care Physician and Community Engagement

Culturally-Centered Topical Areas

Patient Focus Group Outcomes

Patients indicated that daily/regular “check-in calls” from

providers while they are in treatment would be beneficial

Patients indicated that providers should be well-versed in

alternative and holistic options for comprehensive care

Patients indicated that it would be helpful to have clinic

and/or community workshops around stress management

and socioeconomic factors that contribute to depression

Phase I: Qualitative Results Key Informant Interviews (Provider)- Key Content Area Themes

Implementation Approaches

Internal Communication & Referrals Process

Community Involvement

Culturally-Centered Topical Areas

Key Informant Interview Outcomes

Providers indicated that having access to a MH professional

that was available to them for processing cases would be

helpful

Providers indicated that having a multi-disciplinary team

inclusive of a MH professional “in-house” was most

beneficial for adequate patient care

Providers suggested that it is important to take the time to

understand the heterogeneity among African-Americans

Phase I: Cultural Considerations

Patients should have access to social workers and support

groups that are facilitated by individuals from the communities

in which patients live/work/play

Providers should help facilitate addressing some of the social

determinants of health/mental health (e.g., transportation,

daycare, social issues)

Providers should have an understanding of spirituality and

religion and its relationship to reducing stigma and promoting

comprehensive care

Primary Care Clinics should provide mental health resources

and educational courses for its staff that are culturally sensitive

Phase II Project Goals

Build on outcomes from Phase I (qualitative-patient focus groups and physician key informant interviews) to inform the model development for the intervention.

To design, implement, and evaluate a culturally-tailored integrated behavioral health intervention at selected Grady Health Systems primary care clinics.

Support Region IV Federally Qualified Health Care Centers (FQHCs) interested in integrated care to improve detection and management of behavioral health and other chronic health conditions. Examples of meaningful findings: data on screening rates, utilization

rates, engagement in integrated care, provider perspectives on culturally-sensitive care and epidemiological data about the conditions assessed using the kiosk assessments.

Phase II Implementation

Focus Areas To determine the feasibility and acceptability of using self-service

kiosks to assess the prevalence of behavioral health conditions (depression, bi-polar, PTSD, substance use, resilience) that are typically presented by primary care patients

To assess co-occurring health conditions (e.g., diabetes and CVD) with behavioral health problems

To examine differences in self-service kiosk utilization rates and engagement in integrated care services in primary care clinics

To explore the impact of culturally sensitive approaches to integrated care on clinic interactions, health behaviors, and outcomes

Phase II Implementation Plan

Involves the design of culturally tailored integrated behavioral health intervention for testing in three (3) Grady primary care clinics (Asa G. Yancey, East Point, and Yellow Pod clinic)

Clinics will have a Licensed Professional Counselor (LPC), who is also a member of the research team to provide on-site behavioral health assessment and brief intervention one (1) day a week

Clinics will have innovative multi-diagnostic computerized assessment tools to help identify patient’s needs such as Healthify and What’s My M3.

Designed to pilot the feasibility and acceptability of self-service kiosks in primary care waiting room and triage areas

Phase II Implementation Plan

Implement structural elements of collaborative care to

ensure standardization of behavioral health integration efforts across comparable clinical sites

Comparison of depression outcomes across comparable clinical sites that serve disadvantaged populations

Support from the research team to integrate solution into workflow and existing system initiatives, as well as communicate their success to Grady leadership via top quality meetings.

Self-Service Mental Health Kiosks

Patient centered self service administration

of a “Wellness Assessment”

For new assessments: Depression Screen: PHQ-2, PHQ-9

Bipolar risk assessment: MDQ

PTSD screen and symptom assessment, PTSD-PC,

PCL-C

Substance abuse assessment: SBIRT, AUDIT, DAST

Resilience assessment: CD-RISC-2

Self-Service Mental Health

Kiosks

HealthifyTM is a screening

tool used to identify and

quantify the social and

behavioral needs in any

particular population.

What’s My M3TM is a

private, self-administered

checklist used to assess

potential risk for mood

and anxiety symptoms,

including depression, an

anxiety disorder, bipolar

disorder, and/or post-

traumatic stress disorder

(PTSD).

Enrollment of Implementation

Sites

Comparison of Outcomes for Each

Site

Culturally Tailored Engagement with Case Management

Culturally Tailored Engagement without Case Management

Evaluation of Cultural

Adaptations

Cost-Benefit Analysis

Implementation of Standardized Assessment

Training of Collaborative Care

Specialist

Implementation of Cultural

Adaptations

Project Implementation Flow

Year 3

Year 4

Implications of Research

Outcomes

Practice

Strategies to promote culturally-centered integrated care;

particularly concerning assessment and treatment of

depression and co-occurring medical conditions among

African Americans

Community and patient education about mental health

issues, stigma, prevention, help-seeking, and benefits of

utilization of services

Policy

To inform clinic and health care system policies in Region

IV that guide staff training and education, clinical service

provision, and health information technology that support

culturally centered integrated care models

Major Milestones in Year 3 Secured IRB approval for

Phase II/Implementation of the

study

Finalization of data analysis of

Phase I (qualitative outcomes)

Solidified MOU’s with Healthify

and M3

Continued engagement with the

kiosk software programmer for

refinement/tailoring of software

to project needs

Hired a licensed professional

clinician (LPC) for clinic

services

Engagement with Research

Advisory Committee

Engagement with leadership and

clinical teams at Grady Asa G. Yancey

clinic, Grady East Point Clinic, and

Grady Yellow Pod Clinic

Electronic dissemination of mental

health policy briefs to Region IV

FQHCs

Collaboration with TCC Research,

Evaluation, and Administrative Cores

6 Publications in High Impact Academic

Journals

9 Presentations at Professional

Conferences/Meetings

4 Media Spots (TV and Radio)

CDC/REACH grant secured (3 million

dollars/3 years)

R01 grant proposal submitted to the

NIMHD

Educational Outreach Social Determinants of Mental Health Book

Signing/Conversation with Experts; Dr. McGregor (Panelist) and

Dr. Holden (Moderator)

DeWitt C. Alfred Jr., MD Psychiatric Research Symposium; Dr.

Nadine Kaslow (Keynote Speaker) on Culturally Competent Care,

Dr. Wrenn (Faculty Speaker) on Integrated Care, Drs. Holden and

McGregor (Symposium Co-Chairs)

Atlanta Interfaith Broadcasting, Inc. (AIB); Dr. Holden facilitated

2 segments on Resilience and Self-Care/Conversation with Melody

Favor (individual with mental illness/in recovery); and mental

illness in the African American Community

National Public Radio (NPR)/WABE 90.1 (Atlanta); Drs. Holden

and Wrenn were interviewed about mental illness and access to

care

Mentoring

Dr. Gilberte Bastien-diversity supplement application

submitted to NIMHD (Dr. Holden and Dr. Wrenn, faculty

mentors)

Dr. Jammie Hopkins-NIH Health Disparities Loan

Repayment Program application submitted (Dr. Holden,

faculty mentor)

Dr. Tiffany Cooke-concept paper submitted to NIMHD

program officers; a diversity supplement in under

development (Dr. Holden, faculty mentor)

Next Steps-Year 4

Activities and Planning

Finalize data collection, management, and analyses

Access Medicaid/Medicare data for secondary data analysis

Host collaborative advisory committee meetings

Continue engagement with the TCC Research and Evaluation Cores

Incorporate provider training in culturally integrated care practices and

specific cultural competency scenarios related to integrated care

Follow up with dissemination of policy briefs

Develop at least 4 manuscripts for publications in academic journals

Provide at least 5 presentations at professional

meetings/symposiums/forums

Solicit private and public funding opportunities to promote project

sustainability

Questions for TCC

Oversight Committee

What are the critical structural elements of collaborative

care that you would recommend we include for

standardization, so that our findings are relevant to other

clinic sites involved in behavioral health integration efforts?

What actions can be taken during Phase II implementation

that will strengthen buy-in and support from health system

leadership to incorporate performance improvement

recommendations resulting from study outcomes?

TCC PILOT PROJECT PROGRAM:

PRESENTERS: Jammie Hopkins, DrPH, MS

Divine Offoegbu, DrPH, MPH

TCC Pilot Project Program


Jammie Hopkins, DrPH, MS, TCC Project Director

Divine Offoegbu, DrPH, MPH, Program Manager

Overview

Aims of the TCC Pilot Project Program

Year 3 Pilot Project Goals

Cohort 1, 2, and 3 Highlights

Lessons Learned

Next Steps and Future Directions

TCC Pilot Program Aims

The awards will enable multidisciplinary teams of

community –academic partnerships to explore new

domains of community based participatory research for

development, advancement, and implementation of health

policy that harnesses the power of collaboration to bolster

innovation, cost reduction, and health equity.

Who is eligible?:

Academic faculty investigators (full-time appointment required)

Non-Academic Organizations eligible to obtain federal funds.

Prior applicants who were not funded

Ideal pilot projects demonstrate:

Collaboration

Scientific merit

Solid policy relevance and high potential for policy impact

Scalability and potential to obtain future funding

Pilot Project Funding Available

Approximately $350,000 per year is available through the TCC

Pilot Project Program funding mechanism.

Pilot Project Implementation Awards: To support the

implementation of a small health policy-oriented research project.

Maximum award of $50,000 per year per grantee (direct + indirect

costs).

Developmental “Seed” Awards: To support health policy capacity

building activities or early stage formative research that will result in

a full implementation project (e.g. focus groups, policy scans, etc.)

Maximum award of $10,000 per year per grantee (direct and

indirect costs).

Pilot Project Renewals: Based on favorable progress and

availability of funds.

Pilot Project Program – Goals for Year 3

Support the progression of Cohort

1 Grantees

Initiate Cohort 2 Grantees

Obtain a diverse pool of applicants;

approve 7-10 Cohort 3 grantees

by July 31, 2015

Provide high quality technical

assistance and capacity building

to new prospective applicants,

resubmission applicants, and

current awardees.

Cohort 1 Grantees (2014 – 2015)

Needs assessment conducted

Monthly capacity building webinar series initiated

All projects active; anticipating completion by July 31, 2015

Organization (PI) Title of Project Funding

Amount

Baylor College of Medicine

(Ashley Butler, PhD)

Pilot Study of Smart and Secure Children in

Pediatric Primary Care (Texas)

$50,000.00

Alabama Partnership for

Children

(Gail B. Piggott, MEd)

Smart and Secure Children Adaptation

(Alabama)

$50,000.00

Healthy Kids and Teens

(Clintonia Simmons, MBA)

Smart and Secure Children/Camp Get Fit

Adaptation (Tennessee)

$50,000.00

City of St Louis, Missouri

(Melba R. Moore)

St. Louis Smart and Secure Children

Adaptation (Missouri)

$50,000.00

Capacity Building and Technical Assistance Available

Webinar Series Topics

Webinar Overview

Program Evaluation

Data Management using RedCap (2 part series)

Achieving Your Policy End Game

Survey Development

Qualitative Data Collection & Analysis

Quantitative Data Collection and Analysis

Developing Data Collection Protocols

Writing Effective Policy Briefs and “Elevator

Speeches”

Implementation and Dissemination

Identifying Funding Sources

Effective Grantwriting

Cohort 2 Grantees (2015 – 2015)

Approved by NIH on 1/27/2015

All grantees are currently active

Anticipating completion date: February 2016

Organization and

Principal Investigator (PI)

Title of Project Funding

Amount

Emory University

(Rachel Patzer, PhD, MPH)

CBPR to reduce disparities in kidney transplant $50,000.00

Gramercy Research Group

(Melicia Whitt-Glover, PhD)

Policy and environmental supports for health eating &

exercise on college campuses

$49,299.00

Clark Atlanta University

(Seok Won Jin, PhD)

Exploring cancer literacy and cancer screening among

older Korean Americans

$50,000.00

UNC School of Global Health

(Diane Rowley, MD, MPH)

LACES – Leadership and action for child equity

strategies

$50,000.00

Cohort 3 RFA Cycle (in progress)

RFA Revisions and Broad

Dissemination

Technical Assistance

Webinar

(32 attendees)

17 LOIs yielded

13 Applications yielded

Scientific Review

(March – May 2015)

Decision letters, submit to NIH (by

June 2015)

NIH Review and Final Approval

(August 2015)

MSM Grants & Contract Routing

(August 2015)

New Grantee Orientation (Sept.

2015)

Lessons Learned

Yielded a diverse pool of academic, medical, and community-

based applicants.

More aggressive marketing and promotion of RFA is necessary

Technical writing and research design challenges CBO

applicants

Funding decisions and timing impact partner relationships

Conflicts with Scientific Review Committee schedules

Next Steps and Future Directions

RFA; release Cohort 4 RFA in Fall 2015

Expand RFA dissemination efforts

(Goal: 30 proposals per cycle)

Expand and diversify Scientific Review Committee

Offer training, capacity-building, and TA opportunities to

grantees and prospective applicants.

Locate alternative funding streams for non-funded projects

Align Pilot Project timelines with parent grant

Acknowledgments

Scientific Review Committee

TCC Subproject PIs

Pilot Project Applicants and Awardees

Administrative Core



Discussion and Feedback

EVALUATION CORE:

PRESENTERS: TABIA AKINTOBI, PhD, MPH

Latrice Rollins, PhD, MSW


Transdisciplinary Collaborative

Center (TCC)

Evaluation Core

Disclosure Statement

"The project described is supported by the

National Institute on Minority Health and

Health Disparities (NIMHD) Grant Number

U54MD008173, a component of the

National Institutes of Health (NIH) and Its

contents are solely the responsibility of the

authors and do not necessarily represent

the official views of NIMHD or NIH.”

TCC Evaluation Core Team

• Tabia Henry Akintobi, PhD, MPH-Core Director

• Latrice Rollins, PhD, MSW-Lead Evaluator

• Tandeca King Gordon, MBA-Program Manager

• Tiffany Zellner, MPH-Research Assistant

Specific Aims Specific Aim 1: To document processes towards the establishment of a

transparent and participatory governance model that shares technology and

resources with TCC partners, in order to collaboratively design, implement,

evaluate, and disseminate innovative transdisciplinary programs of health policy

research.

Specific Aim 2: To establish systematic interaction with TCC sub-projects to

provide technical assistance and guidance in evaluation planning and

implementation associated with the Center’s approach to develop and refine,

with the input of TCC partners, health policy research sub projects that will drive

and sustain health equity by addressing quality and cost reduction.

Specific Aim 3: To develop and establish an evaluation design that monitors

the implementation and dissemination of a regional model for health

policy research that will serve as a national resource for adaptable policies on

health equity.

MAJOR ACTIVITIES IN YEAR 3

Specific Aim 1

To document processes towards the

establishment of a transparent and

participatory governance model…

Incorporated feedback into logic model and

complemented it with nationally recognized

McKinlay Model

Discussions with other TCCs to share

evaluation tools and methods towards

overall outcomes

Specific Aim 1: TCC Logic

Model

Inputs Outputs Outcomes -- Impact

Activities Participation Short Medium Long

National Institutes of Health Support TCC U54 Oversight Committee Community, faculty and staff expertise, education and practice in clinical research, mental health, policy analysis, social behavioral sciences, measurement and evaluation Institutional Support and Prioritization

TCC Team Meetings Sub-projects Research and Evaluation Core Consultations Trainings Workshops Policy Seminars

Community Forums

Pilot Projects

Dissemination of Emerging and Best Practice Models

Faculty and staff Graduate students Post-doctoral trainees Community resident leaders Local, regional, national, and international partners

Learning

Increased input and dialogue among community members regarding health policy Enhanced knowledge and capacity among academic and community partners around health policy issues and processes

Action

Research to inform policy around: early child development, the integration of mental and behavior health in primary care practice, adoption of health information technology in primary care practice, and health policy workforce development

Conditions

Informed and engaged health policy coalitions Sustained academic-community-policy partnerships National and international model of health equity research-informed policy Increased School Readiness, Decreased Childhood Obesity, Reduction in Child Neglect (Sub-Project 1) Clinical and system policy that support culturally centered integrated care models (Sub-Project 2) Adoption and implementation of federal policies related to health information technology (Sub-Project 3) Diverse health policy workforce impacting health policy and public health impact (Sub-Project 4)

Priorities Establish a transparent and participatory governance model. Drive and sustain health equity by addressing quality and cost reduction. Implement and disseminate a regional model for health policy research that will serve as a national and global resource for adaptable policies on health equity.

Specific Aim 1: TCC

McKinlay Model

Upstream

• Increase decisionmakers' knowledge and capacity on the impact of policy on health disparities

• Increase funding for advancing health equity policy

• Recommend new public policies and changes to current policies that address health disparities

• Serve as a national model for addressing health disparities by supporting collaborative health policy research.

Midstream

• Increase organizational and community knowledge and capacity to implement policies and practices that advance health equity

• Develop and implement evidence-based practices to reduce health disparities and advance health equity

• Collaborate with policy and community organizations to implement programs and policies that will reduce health disparities and advance health equity.

Downstream

• Increase individual knowledge and capacity on the impact of health policies on health disparities

• Increase behaviors that advance health equity


Advancing health equity through improved parenting that promotes early child development, HIT utilization and outcomes, improved access and integration of mental and behavioral health care, enhanced training of health policy leaders, and promotion of other

policies that support health equity in HHS Region IV

Specific Aim 1

Opportunities

Using these models as a frame of

reference for the project and begin to

assess it

Getting to outcomes…

Specific Aim 2 To establish systematic interaction with TCC sub-

projects to provide technical assistance and

guidance in evaluation planning and

implementation…

Quarterly Consultations with Sub-

Projects

Provide guidance and technical assistance

in evaluation implementation

Inform evaluation of how the sub-projects

are functioning towards fulfillment of

established goals and objectives

Specific Aim 2

Outcomes

Each sub-project identified areas in which

they would need technical assistance from

the evaluation core.

Opportunity

Delineate services that are provided

through evaluation core and those

provided through research core.

Specific Aim 2

Pilot Project Technical Assistance Model-based on

successful approach representing strong collaboration

between Research Evaluation and Dissemination

cores Henry Akintobi, T., Yancey, E., Mayberry, R., Daniels, P., Jacobs, D., & Berry, J. (2012) Using

evaluability assessment and valuation capacity building to strengthen community-based

HIV/AIDS prevention initiatives in the South. Journal of Healthcare for the Poor and

Underserved, 23(2), 33-48. PMID:22643553

Mayberry, R., Daniels, P., Yancey, E., Henry Akintobi, T., Berry, J., & Clark, N. (2009).

Enhancing community-based organizations' capacity for HIV/AIDS education and prevention.

Journal of Evaluation and Program Planning, 32(6), 213-220. PMID: 19376579.

Mayberry, R., Daniels, P., Henry Akintobi, T., Yancey, E., Berry, J., & Clark, N. (2008).

Community-based organizations’ capacity to plan, implement, and evaluate success. Journal of

Community Health, 33(5). PMID: 18500451.

Specific Aim 2

Pilot Project Technical Assistance

Conducted a needs assessment

Conducted webinars for the pilot project

grantees

Required workplans

Provided TA request forms

Specific Aim 3 To develop and establish an evaluation design that

monitors the implementation and dissemination of a

regional model for health policy research that will

serve as a national resource for adaptable policies on

health equity.

Collaboration with Administrative Core

to establish a systematic format for

documenting and reacting to external

oversight and steering committees’

feedback

Next Steps, Plans for Year 4

Continue Research and Evaluation

Core joint sub-project consultations

To foster bi-directional learning and

interaction between cores and projects on

cross-core challenges, concerns and

technical assistance in implementation

Focus on project outcomes


Continue Pilot Project Technical

Assistance

Quarterly Consultation Calls

Final Reporting Template

Research, Implementation and Dissemination,

and Evaluation Cores will provide technical

assistance with established baseline and

follow-up assessment to gauge improvements


Respond to TA requests from sub-

projects and pilot project grantees

Survey development, evaluation plan

review

Manuscript development with sub-

projects and administrative core

Two manuscripts in development


Continue to work with Admin Core to

develop best methods for evaluating

TCC processes and outcomes

For evaluation-related

inquires, please contact:

Tabia Akintobi

[email protected]

404-752-1144

Latrice Rollins

[email protected]

404-752-1187

mailto:[email protected]

mailto:[email protected]


Administrative Core


Jammie Hopkins, DrPH, MS –Project Director

Divine Offoegbu, DrPH, MS – Program Manager

Glendale Manning, BA – Finance Administrator

Elizabeth Ofili, MD – Deputy Principal Investigator

David Satcher, MD, PhD – Principal Investigator

Overview

Admin Core Objectives in Year 3

Communications

Monitoring, Reporting, and Quality Assurance

Health Policy to Practice Forum

Funding and Sustainability Efforts

Research and Scholarly Output

Key Findings and Lessons Learned

Next Steps in Year 4 +

Acknowledgments

Questions for Oversight Committee

Admin Core Goals in Year 3

Assist subprojects in accelerating research and scholarly

output

Streamline, synergize, and troubleshoot key TCC operational,

research, and communications efforts.

Advance Pilot Project Program and other strategic partner

activities.

Advance publications and other scholarly output

Clarify TCC purpose and anticipated impacts

COMMUNICATION

TRANSPARENCY

ACCOUNTABILITY COLLABORATION

SUSTAINABILITY Admin Core

Guiding

Principles

Communications

TCC Meetings

Internal Staff Meeting (bi-monthly)

Conference call with NIMHD (bi-monthly)

Brief check-ins with all cores/projects (monthly) – had challenges

Executive Leadership Team (ELT) meetings - quarterly

External Communications

TCC listserve (250 active members)

Initiated e-mail mass communication platform (Benchmark)

TCC contact database under development

TCC Internal Communications Hub: SharePoint

TCC Website and User Portal

(launch in May 2015)

Monitoring and Reporting

TCC reporting on a quarterly basis:

Quarterly Progress Report (QPR)

Publications and Scholarly Work Database

Finance Report

Funding and Sustainability Efforts

Broad dissemination of bi-weekly TCC Opportunities

Announcement

Support investigators’ in the development of eight (8)

competitive grant proposals.

Supported two (2) NIH Diversity Supplement

applications: Harriet Browne, BA; Gilberte Bastien,

PhD.

Two NIH Loan Repayment Program submissions:

Jammie Hopkins, DrPH, Megan Douglas, JD.

Health Policy to Practice Forum

Admin Core Research and Scholarly Output

NIMHD Grantees’ Conference (3 presentations)

UAB Health Disparities Research Symposium – Birmingham, AL

TCC Reference brief (near completion)

Policy Issues paper (goal: Health Affairs by 7/31/15)

TCC “Operational Definitions” brief (publish by 7/31/15)

Collaboration mini-research project, in collaboration with

Evaluation Core

Key Findings and Lessons Learned

More emphasis needed on centralizing

communications and information exchanges.

TCC monitoring and reporting must synergize with

other information exchanges

Timely planning and strategic collaboration is

necessary for successful TCC outreach events

Facilitate additional opportunities to engage steering

and oversight committee members

Monitoring and progress reporting

“Feedback and follow-up”

Next Steps in Year 4

Aggressively pursue funding opportunities to sustain

and expand TCC in Year 4 +

Leverage technology and media to enhance TCC

marketing, promotions, and mass communication

platforms

Intensify efforts to support subproject research

activity and scholarly output.

Continue Health Policy to Practice Forum

Questions for Oversight Committee

How can we improve communications with

the Oversight Committee members

throughout the year?

As we accelerate our dissemination efforts

in Year 4, please advise on how we may

engage diverse key policy stakeholders

with our work?

Acknowledgments

TCC Executive Leadership Team

TCC Host Committee

Finance Team: Kylihia Allen,

Glendale Manning

Alexandria Washington (intern)

MSM Community

For More Information:

Jammie Hopkins, DrPH, MS


720 Westview Dr., SW

Atlanta, GA 30310

Office: 404-756-8923

Mobile: 310-993-7894

[email protected]

tcc for health disparities research: informing and...

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