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ForwardPCMH 2025 Social Determinants of Health (SDOH) Interventions Sprint - Session #1 - JHF
Participants will develop a deeper understanding of the SDOH Sprint key interventions and engage in peer to peer learning on strategies for implementation. Participants will also learn about the latest research on effective SDOH referrals, closing the loop, and making care plan adjustments based on needs identified in SDOH screening.
Agenda:
9:30 a.m. to 9:40 a.m. – Welcome & Overview of the SDOH Intervention Sprint – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative
9:40 a.m. to 10:25 a.m. – Making Effective SDOH Referrals and Care Adjustments – Arwen Emmanuelle Bunce, MA, Qualitative Research Scientist II, OCHIN
10:25 a.m. to 10:30 a.m. – Results from the SDOH Intervention Sprint Baseline Survey – Robert Ferguson
10:25 a.m. – 10:55 a.m. – PCMH Peer-to-Peer Learning Discussion
In response to the survey indicating most PCMHs are working on SDOH referral tracking systems, PCMHs will have an opportunity to share:
• What steps is your PCMH currently taking to establish patient referral tracking systems, workflows, and team roles to ensure follow-up and closure of identified social needs?
• What has worked well?
• What challenges are you experiencing?
• To inform your next steps, what would your PCMH team like to learn at the next SDOH Interventions Sprint session on Tuesday, April 22 from 1:00 p.m. to 2:30 p.m. via Zoom?
10:55 a.m. – 11:00 a.m. – Next Steps & Wrap Up – Lisa Boyd, Program Specialist, Pittsburgh Regional Health Initiative
Target Audience
Nurse
Physician
Social Worker
Learning Objectives
Describe the goals of the Social Determinants of Health (SDOH) Intervention sprint
Describe effective strategies for making referrals, closing the loop, and care plan adjustments for those with identified SDOH needs.
Discuss how PCMHs in Pennsylvania are implementing key interventions for SDOH
Additional Information
| Attachment | Size |
|---|---|
 Audience Disclosure slides (001.5).pptx | 459.28 KB |
 Agenda_PCMH Sprint - SDOH - Session 1 - 2025.02.26.pdf | 123.2 KB |
| PCMH 2025 SDOH Sprint Session 1 - 02.26.2025.pdf | 1.76 MB |
Participants will develop a deeper understanding of the SDOH Sprint key interventions and engage in peer to peer learning on strategies for implementation. Participants will also learn about the latest research on effective SDOH referrals, closing the loop, and making care plan adjustments based on needs identified in SDOH screening.
Agenda:
9:30 a.m. to 9:40 a.m. – Welcome & Overview of the SDOH Intervention Sprint – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative
9:40 a.m. to 10:25 a.m. – Making Effective SDOH Referrals and Care Adjustments – Arwen Emmanuelle Bunce, MA, Qualitative Research Scientist II, OCHIN
10:25 a.m. to 10:30 a.m. – Results from the SDOH Intervention Sprint Baseline Survey – Robert Ferguson
10:25 a.m. – 10:55 a.m. – PCMH Peer-to-Peer Learning Discussion
In response to the survey indicating most PCMHs are working on SDOH referral tracking systems, PCMHs will have an opportunity to share:
• What steps is your PCMH currently taking to establish patient referral tracking systems, workflows, and team roles to ensure follow-up and closure of identified social needs?
• What has worked well?
• What challenges are you experiencing?
• To inform your next steps, what would your PCMH team like to learn at the next SDOH Interventions Sprint session on Tuesday, April 22 from 1:00 p.m. to 2:30 p.m. via Zoom?
10:55 a.m. – 11:00 a.m. – Next Steps & Wrap Up – Lisa Boyd, Program Specialist, Pittsburgh Regional Health Initiative
Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative
Arwen Emmanuelle Bunce, MA, Qualitative Research Scientist II, OCHIN
Lisa Boyd, Program Specialist, Pittsburgh Regional Health Initiative
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and The Jewish Healthcare Foundation. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 1.5 continuing education credits.
Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 1.5 contact hours.
Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.5 contact hours.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 1.50 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 1.50 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 1.50 ASWB
- 1.50 Attendance