Reducing Health Disparities Among Hispanic Elders: Lessons from a Learning Network TEAM CHICAGO
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Transcript of Reducing Health Disparities Among Hispanic Elders: Lessons from a Learning Network TEAM CHICAGO
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Reducing Health Disparities Among Hispanic Elders: Lessons from a Learning Network
TEAM CHICAGO
AHRQ Annual Meeting 2008September 10, 2008
Washington, DC
Susan VegaSenior Advocate
Alivio Medical Center
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Why is your community doing this? Address chronic diseases in Latino seniors Adult onset diabetes negatively affecting quality
of life for Latino seniors and their families Need to work together to develop and
implement interventions that have long-lasting effects
Develop plan that depends less on clinical interventions and more on community resources
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Chicago Area Latinos 1,071,740 Latinos in Chicago and Suburban
Cook County – 22.2% of population
73% of Latinos in Chicago / Cook County are Mexican immigrants or of Mexican descent
One in four will develop adult onset diabetes
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Team Chicago’s Target Communities Little Village in Chicago – southwest of
downtown Cicero in suburbs– just west of Little Village Largest number of Latinos in all of Chicago
community areas and largest numbers in suburban Cook County
Almost 10,000 residents 65+ 72% of Latinos 65 + in Little Village and 63%
of Cicero Latinos 65+ live with families
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What is the plan you hope to implement? Tomando Control de Su Salud, Stanford’s
CDSMP in Spanish Additional programming, Improving Latino
Health, focused on one-on-one coaching, community resources, and individualized needs
Targeting two contiguous largely Mexican / Mexican-American communities - one city and one Suburban
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Partnership Members and RolesChicago Dept. Senior Services Convener
AgeOptions / Rush Training / Planning
AgeOptions / Alivio Program Implementation
Chicago Dept. Public Health Data / Support
Chicago Hispanic Health Coalition Policy
Rush Evaluation
Sinai Community Institute Leadership / Support
AARP Group process
Mercy Support
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How did the team build capacity before engaging clinical partners? Key organizations brought resources to process
Alivio – Compañeros en Salud Rush – Experience connecting clinicians with CDSMP
Age Options, Chicago Department of Senior Services, and Rush already funded through AoA and NCOA for CDSMP
Leveraged resources to build Team Chicago’s capacity for implementing Tomando Control de Su Salud
Helped to focus Team Chicago’s choice of intervention
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How is the team engaging clinical providers? Alivio Medical Center will pilot intervention
Senior Advocate pitched intervention to clinical staff
Alivio process may serve as model for other clinical settings
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Accomplishments Development of Core Working Team Development and refinement of Team Charter Development of Implementation Plan Training in Take Charge of Your Health and Tomando
Control de Su Salud Schedule of Tomando Control de Su Salud classes in
target communities to meet objectives of Implementation Plan
Site agreements with Alivio Medical Center Tentative agreements with two additional healthcare
providers
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How was the Learning Network helpful to Team Chicago and their project?
Provided impetus to take on the effort Provided assistance in focusing efforts Served as “reality check” Provided framework / template Kept project “on-track” through process, e.g.,
monthly Team Chicago calls and All-Teams calls Provided forum for problem-solving Provided resources, e.g, October 2007 Workshop,
AHRQ Data Chartbook, NCOA-ASA HEP adjunct meeting, Site Visit, additional calls
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Most Challenging Aspect Team process / collaborations Group learning curve Getting buy-in from sponsoring organizations Helping clinicians understand role of
intervention Helping clinicians understand usefulness of
lay health promotion / interventions Developing resources to meet community
needs
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Lessons Learned Take nothing for granted Everything takes longer than you think it will Be open to new ideas Be mindful of individual, group and
organizational processes Keep plugging along There is no substitute for working together Remember the vision thing
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For More InformationSusan VegaSenior AdvocateAlivio Medical Center966 W. 21st Street, Chicago, IL 60608Tel. 312-829-6017Fax [email protected]