ASSESS & DO: Integrating Social Determinants of Health into Primary Care

By Kate LaForge Social Determinants of Health (SDH) are the diverse, nonclinical factors that shape and influence patients’ daily lives and health. Despite the wealth of evidence indicating the strong influence of SDH on health outcomes, standardized methods for collecting SDH data in primary care have not been tested. Primary care offers a unique setting to routinely collect this data, but without workflows and tools for doing so, primary care teams have usually used ad-hoc methods to assess and act on patients’ SDH-related needs. In 2014, the Institute of Medicine responded to mounting evidence for systematic consideration of SDH in primary care...

The future of the Children’s Health Insurance Program

by Steffani Bailey The future of the Children’s Health Insurance Program (CHIP) in the United States is uncertain after 2017. If not reauthorized or similar funding is not available after that date, getting health insurance coverage for some children could be difficult, which in turn, could impact their access to healthcare. This study examined patterns of healthcare utilization among children after Oregon’s 2009-2010 Children’s Health Insurance Program expansion. Using electronic health record data from 154 Oregon community health centers and Medicaid/CHIP data from the state of Oregon, we conducted a study of pediatric patients who gained public insurance coverage during...

Introduction to a different brand of Community Research efforts by OHSU in Oregon

by Paige Farris Oregon Health & Science University is the state’s only academic health center; providing education, research and service to the whole of Oregon – taking pride in engaging with communities throughout all of 96,000 square miles!   Community Research Coalitions The Integrated Program in Community Research was formed in 2015; we are leading a groundswell of interest and efforts toward supporting data-driven decision making endeavors at the community level. Specifically, OHSU staff in Central Oregon at the Community Research Hub office are working directly with communities throughout the state in the development and ongoing support of regional Research...