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PAM: needs to be integrated EMR (Carmen)

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Shifting funding for CHWs and work in health outcomes

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Shifting funding for CHWs and work in health outcomes

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Patient Activation Measure: has a lot of data that are linked to health outcomes. Be able to prove that we've been able to activate a patient (for self-efficacy, self-advocacy! etc.). How can we collectively approach payers so that we can have a shift in funding to support further a CHW-led approach

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Return on Investment : Need to know the importance of investing in CHWs; that these programs are sustainable; the impact of CHW/our project's work.

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Return on Investment : Need to know the importance of investing in CHWs; that these programs are sustainable; the impact of CHW/our project's work.

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Be able to tie the social needs intervention with patients' health outcomes. (Carmen)

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A dashboard (Ricardo)

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Ricardo: Find Help and RedCAP; they are still working on this. They have CHWs working in different settings.

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Cherelle: outreach with community and charting/clinics. Getting up to speed with EMR and "Find Help"

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Borami Lee (Bo)/HACA: They are able to continue reporting via RedCAP; will need a new sponsorship to continue on with the SDOH (to make this active again).

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Carmen/CC: Dry runs for tabling within clinic sites. Try to simplifying tabling sessions for increased frequency.
Rita/FC:  Have had some turnover with CHW/ they are reposting positions.  They have other CHWs they are mobilizing for outreach work. Recs for hiring?=

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Looks good overall
Consider Baseline

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Excel Tracking with CommunityCare. Developing reports with EPIC.

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Foundation Communities uses Microsoft Excel and Efforts to Outcomes (ETO), which is our main database

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PCC uses Findhelp platform and EMR to track interactions and referrals. Outreach activities are tracked via Microsoft Forms.

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APH uses Microsoft Form to collect CHW activity COVID-19 outreach with SDOH reach

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APH uses Microsoft Form to collect CHW activity COVID-19 outreach with SDOH reach

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How are you tracking CHW/other activities for this grant? Interest in sharing of best practices session?

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How are you tracking CHW/other activities for this grant? Interest in sharing of best practices session?

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Initial thoughts about Eval. Plan? Likes/Areas for Improvement?

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Initial thoughts about Eval. Plan? Likes/Areas for Improvement?

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What do you hope to achieve with evaluation of this project?

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What do you hope to achieve with evaluation of this project?