Stephen Klein Wellness Center Patient Satisfaction Survey: Development and Preliminary Results

Study design: •Selected the CAHPS® with Patient Centered Medical Home question set to administer to patients receiving medical care at SKWC (52 questions) •Included 2 supplemental questions to assess patients’ likelihood to refer others to SKWC •Developed an additional survey for patients receiving behavioral health services (16 questions) Participant recruitment and data collection: •Calculated a target number of 130 participants based on CAHPS® guidelines of 50 surveys per Full Time Employee •Observed patient flow and developed recruitment strategy for a convenience sample •Eligibility criteria: patient ≥18 y/o and had a medical appointment in the last 12 months •Participants were invited to enter an optional raffle to win a $25 gift card to the Fresh Grocer Data analysis: •Responses were coded and entered into Microsoft Excel Database •Average scores and response frequencies for each survey question were calculatedhttps://jdc.jefferson.edu/cwicposters/1029/thumbnail.jp

Obesity and Cancer

Obesity has become the second leading preventable cause of disease and death in the United States, trailing only tobacco use. Weight control, dietary choices, and levels of physical activity are important modifiable determinants of cancer risk. If multi-factorial approaches to prevention and management are not implemented, obesity will likely become the leading modifiable cause of death in the coming years. Physicians have a key role in integrating these approaches into clinical care and advocating for systemic prevention efforts. This article provides: 1) an introduction to the epidemiology and magnitude of childhood and adult obesity; 2) the relationship of overweight/obesity to cancer and other chronic diseases, 3) potential mechanisms postulated to explain these relationships; 4) a review of recommended obesity treatment and assessment guidelines for adults, adolescents and children: 5) multi-level prevention strategies, and; 6) an approach to obesity management in adults utilizing the Chronic Care Model

The Job Opportunity Investment Network Education on Diabetes in Urban Populations (JOINED-UP) Project

Work in Progress (36 PowerPoint Slides) Diabetes and obesity are inter-related health issues that impact many aspects of daily living, including workplace productivity and efficiency. Obese individuals are less likely to be employed and more often absent from work. Nearly one billion dollars per year is attributed to lost productivity for reasons relating to diabetes including early retirement, increased sick days, disability and premature mortality. Utilizing an interdisciplinary team of a physician, public health staff, nursing and health educators, the Job Opportunity Investment Network Education on Diabetes in Urban Populations (JOINED-UP) is a diabetes and obesity healthy lifestyle education program that is embedded in a Green Jobs training program targeting low skilled, low resourced residents inPhiladelphia. Participants in the program are required to attend six Healthy Lifestyle workshops that use a “patient” case study (whose attributes are created by program participants) as a means to encourage sharing of real life experiences related to incorporating healthier behaviors onto daily life. Participants meet individually with the health educator to review screening/survey results, discuss personal health concerns, and create a personal action plan. Motivational interviewing techniques guide this discussion. A Certified Diabetes Educator meets with individuals whose screening results indicate pre-diabetes and provides information about diabetes, and suggestions for risk reduction. The CDE counsels diagnosed diabetics about managing diabetes and preventing complications. A post-program screening was conducted. To date– 56% of the participants were obese, 11% overweight, 11% diabetic, 63% pre-diabetic/diabetic, 19% hypertensive, and 26% pre-hypertensive. Process measure and outcome measures on 50 participants will be presented. Learning Objectives: Participants attending this session will be able to: 1. Organize an approach to providing obesity and diabetes prevention in a workforce development program utilizing an interdisciplinary team 2. Apply a methodology of engaging community organizations to address obesity and diabetes prevention 3. Identify the challenges of incorporating obesity and diabetes prevention in a workforce development progra

Public Perceptions of Opioid Use Disorder (OUD) in Rural Pennsylvania: Opportunities, Challenges, and Barriers

Introduction: Opioid Use Disorder (OUD) has significantly impacted rural communities nation-wide. This study adds information to what is currently known about OUD and its effects on small towns through examining how OUD has, and is currently, affecting a rural community (~7,000 population) in central Pennsylvania. The main aim of this study was to better understand how OUD affects this small town through interviewing individuals involved in local public health. Methods: This qualitative study consisted of key stakeholder interviews with ten individuals involved in local government, law enforcement, or healthcare. Questions centered around how OUD affects the local area, how current strategies to combat OUD are viewed, and what, if any, additional action could ameliorate this issue. Interview results were analyzed using thematic analysis. Results: Ten out of eleven targeted individuals participated in the study. Thematic analysis yielded several themes regarding the community including impacts of OUD, rural challenges in combating OUD, current strategies, and recommended action. Challenges the community faces include low socioeconomic status and limited OUD treatment availability. Stringent opioid prescription guidelines are viewed as effective in curtailing OUD while better rehabilitation and greater collaboration were identified as areas for improvement. Conclusion: The results support the position that rural communities have been significantly affected by the opioid epidemic. OUD has impacted, and continues to impact, this rural community on individual, interpersonal, and community levels. Future work is needed to better understand and address rural issues in order to alleviate the burden of OUD on this, and other, rural communities

The Global Health interactive Curricula Experience (iCE) Platform & App : Technology that Enables Inter-professional Innovation

Global Health Initiatives Committee (GHIC) Serves the Jefferson community as the premier point of engagement for students & faculty interested in medical and public health issues that transcend national boundaries Creates an institutional focus on preparing students for public service careers in population health and public policy at local, national, and global levels To enable all TJU faculty to: - Deliver global health education, in a friendly, interactive format - Does not require an expert to deliver - Can be used in very small or large pieces depending on your need

Career Support Network

Seminar (44 PowerPoint Slides) Project Overview: This project is funded under the Robert Wood Johnson Foundation’s Local Funding Partnerships Annual Program in support of innovative, community-based projects that improve the health and health care for underserved and vulnerable populations.Philadelphia currently confronts an unprecedented employment crisis. InSouth Philadelphia, the unemployment rate is 35%. Those who are unemployed present with multiple health problems that are barriers to retaining jobs and achieving economic stability. The Career Support Network was conceived to help underserved, newly-employed adults to overcome these barriers and succeed in long-term careers. It will accomplish this mission by creating an integrated, one-stop center that weaves together occupational counseling, job training, peer support, and mental and physical health services. Project Objectives: The goal of the CSN is to enable vulnerable adults with limited skills, physical and/or behavioral health problems to become independent and productive members of the community through retaining sustainable jobs. Objectives to meet these goals focus on: 1) increasing healthy lifestyle behaviors related to chronic disease prevention and/or management among program participants, 2) improving chronic disease self-management such as diabetes and hypertension, asthma, and arthritis, among program participants, and 3) assisting participants in developing skills and obtaining the supports necessary for independent productive living and job retention. Expected Outcomes: Vulnerable adults who participate in the CSN will: 1) demonstrate improved physical, mental and behavioral health through improved knowledge, skills and self-efficacy in managing chronic health conditions, practicing healthy lifestyle behaviors, and managing life and work-related stresses; 2) be employed in jobs that pay family-sustaining wages for a minimum of one year, and for those participants with a chronic disease, the absenteeism rate, due to personal illness, will be no more than 6 per year, and 3) experience a reduction in criminal recidivism rates among ex-offenders participating in the Network. Learning Objectives: Participants attending this session will be able to: 1. Organize an approach to providing chronic disease management/ prevention and work enhancement programs in a workforce development and jobs program utilizing an interdisciplinary team 2. Apply a methodology of engaging community organizations and funders to address job retention 3 Identify the challenges of incorporating chronic disease management/ prevention and work enhancement programs in a workforce development and jobs program utilizing an interdisciplinary tea