Morgan Sielaff
Pronouns: she/her/hers
Research Mentor(s): Anthony Provenzano
Co-Presenter:
Research Mentor School/College/Department: Department of Learning Health Sciences / Medicine
Presentation Date: April 20
Presentation Type: Poster
Session: Session 5 – 3:40pm – 4:30 pm
Room: League Ballroom
Authors: Anthony Provenzano, Morgan Sielaff, Sukainah Khan, Liza Hollenbeck
Presenter: 4
Abstract
The ever-changing circumstances in people’s lives impact health and health care delivery. An academic-community partnership with Michigan Primary Care Association (MPCA) and its network of Federally Qualified Health Centers (FQHCs) (n=40) provided an opportunity to investigate these health centers’ partnerships, services, information systems, and data activities and uses to understand the capacity of these FQHCs to integrate social determinants of health (SDOH) data and deliver cross-sector care. Just as we explore the types of service providers, partnerships, and approaches used by these FQHCs, they are all exploring ways to better manage clinical care and population health using an EHR system or other health information technologies. We employed a mixed-method approach to data collection and analysis. The quantitative aspect included a provider survey (n=15) and secondary data to describe the proportion of FQHCs that have the capacity to deliver various health care services. The qualitative portion was composed of 24 semi-structured interviews with health center staff to explore structural and technical barriers of addressing community needs and developing partnerships to coordinate care. The qualitative results showed that the studied FQHCs experienced internal and external staffing shortages, incongruent payment schedules, limited clinical-community technological expertise, vendor platform limitations, and unmet community needs as barriers to care integration and data exchange. The quantitative data demonstrated that the social care services most often delivered by FQHCs in Michigan are food assistance (86.7%), domestic violence (73.3%), and transportation (73.3%). This study helps to discern the partnerships and processes used in developing clinical-community workflows and reveals the gaps in the capacity to provide cross-sector care services. From this research, healthcare leaders and policymakers can better grasp the infrastructure and organizational needs involved in delivering cross-sector care. These findings can now be shared with Michigan’s FQHCs to understand the capacities of other centers.
Biomedical Sciences, Social Sciences
