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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
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
Welcome
Role Call
Introductions
Morehouse School of Medicine
TCC for Health Disparities Research
Annual Oversight Meeting
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
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
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
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
Collection of Demographic
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
Collection of Demographic
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
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
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
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
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
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
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
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 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
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
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
TCC for Health Disparities Research
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
Discussion and Feedback
EVALUATION CORE:
PRESENTERS: TABIA AKINTOBI, PhD, MPH
Latrice Rollins, PhD, MSW
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
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
TCC for Health Disparities Research
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
Next Steps, Plans for Year 4
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
Next Steps, Plans for Year 4
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
Next Steps, Plans for Year 4
Continue to work with Admin Core to
develop best methods for evaluating
TCC processes and outcomes
For evaluation-related
inquires, please contact:
Tabia Akintobi
404-752-1144
Latrice Rollins
404-752-1187
TCC for Health Disparities Research
Administrative Core
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
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
Morehouse School of Medicine
720 Westview Dr., SW
Atlanta, GA 30310
Office: 404-756-8923
Mobile: 310-993-7894