Facebook
X
LinkedIn
ForwardPCMH 2025 Social Determinants of Health (SDOH) Interventions Sprint - Session #2 - JHF
Members of the healthcare team will learn about developing relationships and referral processes with CBOs, including how to use technology such as PA Navigate (Find Help) to support processes to connect patients to SDOH-related services. Technology tools, like PA Navigate / Find Help, and workflows showing how referrals from healthcare providers are received and how the “referral loop” is then closed will be shared. Participants will have an opportunity to learn from peers about challenges and successes in creating effective referral relationships with CBOs.
Agenda:
1:00 p.m. – 1:05 p.m. – Welcome & Session Overview– Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative
1:05 p.m. to 1:50 p.m. – Spotlight: Partnerships and Workflows to Receive and Close the Loop on Referrals
- Sarah Cook, Executive Director, and Latoya Johnson, SFW, Case Management Coordinator, Pittsburgh Community Services, Inc.
- Megan Bair, CEO, and Stacie Snyder, Program Administrator, Central Susquehanna Opportunities, Inc.
1:50 p.m. to 2:00 p.m. – PA Navigate: Connecting Pennsylvanians to Needed Social Services
- Cassandra Donat, Systems Analyst, and Carly Pasinski, Systems Analyst, ClinicalConnect HIE
- Sue Auman, Chief Engagement Officer and Beck Moore, Chief Executive Officer, CAAP
2:00 p.m. To 2:25 p.m. – PCMH Peer-to-Peer Learning Discussion
- How has your PCMH or MCO reached out to and developed referral partnerships with CBOs?
- What has worked well and what hasn’t worked well when making and closing the loop on referrals?
- When your PCMH hears back about the outcome of that referral, how is that documented?
- If your PCMH is using technology, such as PA Navigate or Find Help, how was this tool helped to address past challenges with knowing where to refer patients to and whether the referral was successful?
- Based on what you heard today, what tactics and next steps will you be taking back to your team?
2:25 p.m. to 2:30 p.m. – Next Steps & Wrap Up – Lisa Boyd, Program Specialist, Pittsburgh Regional Health Initiative
Target Audience
Nurse
Physician
Social Worker
Learning Objectives
- Describe strategies for PCMHs to develop effective referral partnerships with CBOs
- Describe how to use technology such as PA Navigate (Find Help) to support processes to connect patients to SDOH-related services.
- Discuss PCMH successes and challenges in partnering with CBOs
Additional Information
Members of the healthcare team will learn about developing relationships and referral processes with CBOs, including how to use technology such as PA Navigate (Find Help) to support processes to connect patients to SDOH-related services. Technology tools, like PA Navigate / Find Help, and workflows showing how referrals from healthcare providers are received and how the “referral loop” is then closed will be shared. Participants will have an opportunity to learn from peers about challenges and successes in creating effective referral relationships with CBOs.
Agenda:
1:00 p.m. – 1:05 p.m. – Welcome & Session Overview– Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative
1:05 p.m. to 1:50 p.m. – Spotlight: Partnerships and Workflows to Receive and Close the Loop on Referrals
- Sarah Cook, Executive Director, and Latoya Johnson, SFW, Case Management Coordinator, Pittsburgh Community Services, Inc.
- Megan Bair, CEO, and Stacie Snyder, Program Administrator, Central Susquehanna Opportunities, Inc.
1:50 p.m. to 2:00 p.m. – PA Navigate: Connecting Pennsylvanians to Needed Social Services
- Cassandra Donat, Systems Analyst, and Carly Pasinski, Systems Analyst, ClinicalConnect HIE
- Sue Auman, Chief Engagement Officer and Beck Moore, Chief Executive Officer, CAAP
2:00 p.m. To 2:25 p.m. – PCMH Peer-to-Peer Learning Discussion
- How has your PCMH or MCO reached out to and developed referral partnerships with CBOs?
- What has worked well and what hasn’t worked well when making and closing the loop on referrals?
- When your PCMH hears back about the outcome of that referral, how is that documented?
- If your PCMH is using technology, such as PA Navigate or Find Help, how was this tool helped to address past challenges with knowing where to refer patients to and whether the referral was successful?
- Based on what you heard today, what tactics and next steps will you be taking back to your team?
2:25 p.m. to 2:30 p.m. – Next Steps & Wrap Up – Lisa Boyd, Program Specialist, Pittsburgh Regional Health Initiative
Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative
Sarah Cook, Executive Director, and Latoya Johnson, SFW, Case Management Coordinator, Pittsburgh Community Services, Inc.
Megan Bair, CEO, and Stacie Snyder, Program Administrator, Central Susquehanna Opportunities, Inc.
Cassandra Donat, Systems Analyst, and Carly Pasinski, Systems Analyst, ClinicalConnect HIE
Sue Auman, Chief Engagement Officer and Beck Moore, Chief Executive Officer, CAAP
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