|NACHC Informatics Team|
Katherine Chung, Health Choice Network, Dir of Research, Family Physician, Epidemiologist
Timothy Long, AllianceChicago and Health Choice Network, Chief Clinical Officer
Shelly Sital, AllianceChicago, Project Director, Testing & Surveillance
Andrew Hamilton, AllianceChicago, Chief Informatics Officer
Fred Rachman, AllianceChicago, CEO, Pediatrician
Tebitha Mawokomatanda, (CDC/DDID/NCHHSTP/DHP)
|High Level Framework|
HCCNs groups of CHCs to support economies of scale, is positioned to act as a de facto system during this pandemic. Both HCCNs are national and cross state boundaries. CHCs are de facto primary health care providers. Mission/challenge to use individual data to look at the population health level. HCCNs bridge the role between the locally responsive CHCs and the larger infrastructure that helps them work at public health level. Rapid response - networks are able to help put CDC recommendations within EMRs, given that they have the infrastructure - the flow from CDC to the HCCNs to the CHCs - the infrastructure that HCCNs already have allowed innovations for response to COVID to ramp up rapidly from the breaking findings at CDC through to the patient care level at the CHCs.
|CDC Areas of Interest|
Areas of interest:
|Sample Dashboards send out weekly to the CHCs|
Planning to provide similar maps for vaccinations, example overlay communities hardest hit by the disease. Vaccines in CHCs vs other outlets for vaccinations - are CHCs providing the vaccines to the underserved populations vs other systems. Example below of this kind of heat map, data for other cities Houston, Miami are similar.
Challenge: Getting data into the IIS, the CHCs in Hawaii are facing the biggest challenge as the immunization registry was offline until just last month making data exchange a manual effort.
Disparities - the role of staff, not only acceptance of vaccine of
Survey administered by AllianceChicago and HCN staff at CHCs 462 respondents from HCN. Staff attitudes; responses, will be fielding the survey again after their webinar on this.
52% of black or AA staff were vaccine hesitant, compared to 30% of Latinx vs 20% white (see slides for numbers)
Dr. Chung - The Community Health Workers from the CHCs are getting together to share, some of them are also vaccine hesitant. The connections between communities has been key to focusing on the interactions with the patients.
Initially, about 30% of staff were vaccine confident, but it has risen to the 80s - would be a good case study to look at how this changed.
Interesting to look at the relationship between staff vaccine confidence and patient vaccine acceptance and uptake.
Challenge: We are inundated with quantitative requirements from different entities - city report, slightly different version to the state, slightly different version to HRSA because the reporting requirements are not aligned. If we could align city, state, federal reporting needs, it would free up time to do some more qualitative reporting and ameliorating reporting response in general. That would help the local CHCs continue to focus on the local needs. At all levels, we are spending energy trying to normalize the data.
These data that we have so far could help us figure out where to point future qualitative inquiries to help us understand where to focus our efforts,