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 2008 September 10, 2008 Washington, DC Susan Vega Senior Advocate Alivio Medical Center. Why is your community doing this?. Address chronic diseases in Latino seniors

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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

Reducing Health Disparities Among Hispanic Elders: Lessons from a Learning NetworkTEAM CHICAGO

AHRQ Annual Meeting 2008

September 10, 2008

Washington, DC

Susan Vega

Senior Advocate

Alivio Medical Center


Why is your community doing this

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


Chicago area latinos

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


Team chicago s target communities

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


What is the plan you hope to implement

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


Partnership members and roles

Partnership Members and Roles


How did the team build capacity before engaging clinical partners

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


How is the team engaging clinical providers

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


Accomplishments

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


How was the learning network helpful to team chicago and their project

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


Most challenging aspect

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


Lessons learned

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


For more information

For More Information

Susan Vega

Senior Advocate

Alivio Medical Center

966 W. 21st Street, Chicago, IL 60608

Tel. 312-829-6017

Fax 312-829-6822

[email protected]


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