The PCMHs have been on a journey to provide more Social Determinants of Health screenings and to better understand how to ask patients these screening questions and to provide resources to them.

Agenda:

8:00 a.m. to 8:30 a.m. – Registration and Continental Breakfast 

8:30 a.m. to 8:40 a.m. – Welcome and Introduction – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

8:40 a.m. to 9:10 a.m. – Family Practice Center’s SDOH Screening and Follow-up Process – Allison Knepp, LPN, PCMH Educator/Nurse Manager, Family Practice Center, P.C.

Allison will review how Family Practice Center is completing the G and Z coding process outside of the office visit, developed a process to add the G codes, hired a community liaison for home and CHW visits, and is gaining the buy-in of providers through a provider champion

9:10 a.m. to 9:40 a.m. – SDOH Screening and Follow-up Peer-to-Peer Discussion – Facilitated by Robert Ferguson, Pauline Taylor, Program Specialist, and Jen Condel, SCT(ASCP)MT 

Manager, Lean Healthcare Strategy and Implementation, PRHI

The facilitators will lead a large group discussion to help the PCMHs consider how some of Family Practice Center’s tactics could be adopted in their setting and context. 

9:40 a.m. to 10:00 a.m. – Break

10:00 a.m. to 11:00 a.m. – Increasing Access to Community Services in Response to SDOH Needs – John Bulger, DO, MBA, Chief Medical Officer, Geisinger Health Plan

11:00 a.m. to 12:00 p.m. – Workshop: Patient-Centered Language for SDOH Screening – Facilitated by Mae Reale, MA, Health Education Specialist, Pennsylvania Coalition Against Domestic Violence, Jen Condel, and Robert Ferguson 

The PCMHs will discuss:
What scripting or key messages do your staff currently use when introducing and offering feedback on SDOH screens?
If your team does not use key messages, what do your staff currently say to patients when introduction and offering feedback on SDOH screens?
What feedback have you received from patients on this language, or have patients responded to this language?

The workshop will then explore how to use key messages and make it your own language, how to use motivational interviewing principles to craft the key messages, and how to ask patients for feedback on the messaging and use the “go and see” QI tact to continuously improve it.

12:00 p.m. to 1:00 p.m. – Lunch

1:00 p.m. to 1:30 p.m. – Discussion about Dental Health to Inform Future Regional Sessions – Facilitated by Jen Condel, Robert Ferguson, and Pauline Taylor

To inform how dental health-related content during the fall regional sessions, the facilitators will ask the PCMHs the following questions:
What preventive dental health services does your PCMH currently provide (e.g., fluoride varnish)?
If you provide these services, how does your PCMH bill for these services and what challenges have you experienced?
How does your PCMH refer patients to dental providers? 
To what degree does your PCMH collaborate with dental providers?

1:30 p.m. to 3:30 p.m. – Poverty Simulation Training – Debra Youngfelt, BS. MCHES, CTTS Executive Director, Northeast PA Area Health Education Center

A poverty simulation is an experience designed to help participants understand what it is like to live in a typical low-income family trying to make ends meet from month to month. It is important to keep in mind that it is a simulation and not a game!  The Community Action Poverty Simulation (CAPS) is an interactive immersion experience that has two primary learning objectives: 1) Increase knowledge of the challenges and conditions related to living in poverty. 2) Increase feelings of empathy toward individuals experiencing poverty.  The Poverty Simulation is a facilitated two-hour immersive experience designed to create awareness among participants of the struggles and challenges people at the bottom rung of the economic ladder face on a daily basis. Participants are assigned to “families” who do their best to survive week-to-week over a simulated one-month period.

3:30 p.m. to 4:00 p.m. – Wrap-Up