L.E.A.P. Integrated Health, Ashburn, Virginia
University of Alabama at Birmingham, Birmingham, Alabama.
J Dr Nurs Pract. 2020 Mar 1;13(1):64-70. doi: 10.1891/2380-9418.13.1.64.
In 2018, member clinics of the Virginia Association of Free and Charitable Clinics (VAFCC) provided over 235,500 visits to un/underinsured patients. A survey of VAFCC members found that only 67% report on clinical outcome measures and 56% do not collect social determinant of health (SDOH) data.
The purpose of this project was to determine if the provision of web-based technical assistance toolkits and peer mentoring improve quality and data reporting capacity of VAFCC member clinics.
Clinics that self-selected were provided with 16 weeks of customized interventions including SDOH Data Reporting Toolkit, CMS Quality Data Reporting Toolkit, Electronic Health Record Implementation Toolkit, and peer mentoring.
Post-implementation, 100% of participating clinics reported that the resources provided benefited their organizations and increased their capacity to report.
The provision of technical assistance, tangible resources, and customized peer mentoring can better equip Free and Charitable Clinics (FCCs) to tell the story of their patients' social barriers and clinical outcomes.
DNP prepared nurses working with vulnerable populations are positioned to assist FCCs in documenting their relevance in the safety net system. Enhancing the ability of FCCs to collect and report data will allow them to demonstrate the provision of high-quality care, despite limited resources.
2018 年，弗吉尼亚免费和慈善诊所协会（VAFCC）的成员诊所为未参保和参保不足的患者提供了超过 235500 次就诊服务。对 VAFCC 成员的调查发现，只有 67%的诊所报告临床结果测量指标，而 56%的诊所不收集健康的社会决定因素（SDOH）数据。
本项目旨在确定提供基于网络的技术援助工具包和同行指导是否能提高 VAFCC 成员诊所的质量和数据报告能力。
自我选择参与的诊所将获得 16 周的定制干预措施，包括 SDOH 数据报告工具包、CMS 质量数据报告工具包、电子健康记录实施工具包和同行指导。
实施后，参与的诊所 100%报告说提供的资源使他们的组织受益，并提高了他们报告的能力。
提供技术援助、有形资源和定制的同行指导，可以更好地使免费和慈善诊所（FCCs）能够讲述其患者社会障碍和临床结果的故事。
与弱势群体合作的 DNP 准备护士有能力帮助 FCC 记录他们在安全网系统中的相关性。增强 FCC 收集和报告数据的能力将使他们能够展示在资源有限的情况下提供高质量护理的能力。
