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Community Resources at Sheridan Health Services Pediatric Clinic

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by

Rachel Kraut

on 30 June 2014

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Transcript of Community Resources at Sheridan Health Services Pediatric Clinic

Police Department
Public Utilities and Water Works
Protection services outsourced to Denver Fire Department in 2010
Fire Department
Victims Assistance Unit
Crisis intervention, referrals, advocacy
7.2 police officers per 1,000 residents
Double the state average and 2.5 times the national average

(City of Sheridan Colorado, 2014)
(US Census Bureau, 2014a)
An Introduction to
Community
Resources

at Sheridan Health Services Pediatric Clinic
So how do
we help the community?

What can WE do?
Matt Capell
Adam Dworetsky
Alysha Parsons
Sources: City-data.com and Factfinder2.census.gov

80110
White - 49%
Hispanic - 41%
Black - 7%
American Indian - 1%
Two or more races - 1%
Asian - 1%
Education
6 schools within the district
1,641 students in 2011
2012-2013 on Time Graduation Rate of 40.2% vs. State of Colorado rate of 76.9%

(Colorado Department of Education, 2014)
(Sheridan School District No. 2, 2014)

Educational attainment
Median income
Home value
Median age




Sheridan School District
Lower than the state average in:
Higher than the
state average in:

Sheridan Homeless Education Program

Diabetes
Obesity Population density
Poverty
Hispanic Race
Unemployment

City Size: 2.2 square miles
Population: 5,830 people as of 2012 census
Population density: 2,648 people per square mile

30% of households have children living with them
Large Hispanic, Spanish-speaking only population
13% unemployment for adults 25 years or older


Sheridan Health Services - A Medical Home
Family
Pediatrics
Maternal
Diabetes
Mental health
Dentistry
Pharmacy
Home Health
Sliding fee scale
Federally Qualified Health Center
Primary and Family Care
Metro Community Provider Network in Englewood is a FQHC

Urgent or Emergent Care
Health Express
Rocky Mountain Urgent Care
Doctors Express Urgent Care

Inpatient services
Swedish Medical Center



Outside of Sheridan Health Services
Sheridan
School District
vs. State of Colorado
(US Census Bureau, 2014b)
(US Census Bureau, 2014a)
Per Capita and Median Household Income
Transportation & Safety
Local RTD bus lines: 29 and 51
RTD Lightrail Station: Oxford/City of Sheridan
Englewood Free Shuttle
RTD Access-a-Ride
“Getting There Guide”

Major Thoroughfares
*Options limited without private transportation*
> Public transportation is available, but often cumbersome
> Not a walking-friendly community
Transportation
Identify the
PROBLEMS
2.
Fragmented central resources that require
transportation or research to locate
Given the socioeconomic and immigration status of the Sheridan community, barriers to access of care and resources pose a significant public health concern
1.
Known population of low-income individuals and
undocumented workers unable to receive or utilize
many government resources
3.
Community knowledge deficit of available resources
Review the LITERATURE
There is a strong correlation between child poverty and vulnerability to poor health status

Increasing access to care leads to better health outcomes

Community clinics can effectively connect pediatric patients and families to community resources, thereby increasing access to health care:
"A fundamental tenet of pediatric primary care is viewing the child in the context of family and community, and promoting community relationships and resources at health supervision visits”
(Garg, Sarkar, Marino, Onie, & Solomon, 2010, p. 251)
Staff and volunteers meet with at-risk families to educate and connect them to available community resources

Most patients are referred to the FHD by healthcare providers working in urban community clinics

This requires dedicated space, training, and personnel resources, to which many independent community clinics have limited access
Family Help Desk Model (FHD)
(Garg et al., 2010)
In Colorado
Investigate
EVIDENCE-BASED Models
(Abdullah et al., 2009; Larson & Halfon, 2010)
(Sommers, Baicker, & Epstein, 2012)
CONNECT the research to Sheridan
Safety
people live in poverty
In Sheridan
Health and Human Services
An exploration of a Colorado community through the lens of the community as partner model.

Very small population and geographic area

Locally governed by a "Home-Rule" charter

Many public services for a town of its size, but many access issues

Was the setting for a Western TV show called "Legend"
People Of Sheridan
Test
Sheridan Health Services Pediatric Clinic
has a binder of community resources
to connect patients with services
"The current community resource guide
is underutilized, out of date, and disorganized"
(J. Arenson, personal communication, June 4, 2014)
Education
Economics
HOWEVER...
Proposed Program PLAN
Evaluation
The survey would utilize LIKERT SCALES
and OPEN-ENDED QUESTIONS including:

Based on literature and evidence,
we identified the need to develop a revised

Derek Kockler
Rachel Kraut

By June 30, 2014, staff and volunteers of Sheridan Health Services Pediatric Clinic (SHSPC) will be presented and familiarized with the updated resource guide binder and given instruction on how to utilize the resource, as evidenced by a clinic-wide meeting including all SHSPC staff, volunteers, and the authors of the new guide.

By September 30, 2014, staff and volunteers of Sheridan Health Services Pediatric Clinic, will have completed the provided written survey to assess utilization and usefulness of binder as evidenced by 20 completed surveys.

LONG-TERM GOAL:
OBJECTIVES:
By December 31, 2014, Sheridan Health Services Pediatric Clinic will have provided additional resources to at least 50 clients through information gleaned from the updated resource guide.
Resources Needed
The staff and volunteers need to be aware of the available resource and willing to access it daily for best utilization
Time
Equipment
Buy In!
Volunteer nursing students, computers, phones, binders, and printing services
Time to collect all data for the resource binder is roughly 4 weeks split between 5 volunteers
WRITTEN SURVEY
to assess utilization and usefulness of binder

Provide survey to pediatric clinical group 3 different times:
1. Before new binder is implemented - determine baseline
2. 3 months after new binder implementation
3. 6 months after new binder implementation



What
Ask pediatric providers, nurses, MAs, and administrative personnel to complete the survey
(US Census Bureau, 2014a)
(US Census Bureau, 2014a)
Who
When
Have you utilized binder?
(1=never, 3=sometimes, 5=often)

With how many patients have you utilized the binder?
(open-ended)

Usefulness of included resources
(1=not useful, 3=somewhat useful, 5=very useful)

Completeness of resources included
(1=incomplete, 3=somewhat complete, 5=very complete)

Organization of binder
(1=disorganized 3=somewhat organized, 5=well organized)

Are there any additional resources you would like to see in the binder?
(open-ended)
(Anderson & McFarlane, 2011)
(US Census Bureau, 2014a)
(Google Maps, 2014)
(AreaVibes Inc., 2013)
10% of students (up to age 21) in Sheridan schools are identified as homeless
Provides transportation, tutoring, school supplies, and enrollment services to homeless students
Sheridan,
Colorado
(City of Sheridan Colorado, 2014)
(US Census Bureau, 2014a)
A presentation by:
PEDIATRIC
RESOURCE
BINDER
for Sheridan Health Services, by the end of our rotation, in order to provide clients with updated information on additional local resources available
12 out of 100
24 out of 100
people live in poverty
References
Abdullah, F., Zhang, Y., Lardaro, T., Black, M., Colombani, P. M., Chrouser, K., ... & Chang, D. C. (2009). Analysis of 23
million US hospitalizations: Uninsured children have higher all-cause in-hospital mortality. Journal of Public Health, 32(2), 236-244.

Anderson, E. T., & McFarlane, J. M. (2011). Community as partner: Theory and practice in nursing (6th ed.).
Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

AreaVibes Inc. (2013). Sheridan, CO Livability Score. Retrieved June 29, 2014, from http://www.areavibes.com
sheridan-co/livability/

City of Sheridan Colorado. (2014). Retrieved from http://www.ci.sheridan.co.us/index.aspx?NID=182

Colorado Department of Education. (2014). Colorado Education Statistics. Retrieved from
http://www.cde.state.co.us/cdereval

Garg, A., Butz, A. M., Dworkin, P. H., Lewis, R. A., & Serwint, J. R. (2009). Screening for basic social needs at a
medical home for low-income children. Clinical Pediatrics, 48(1), 32-36.


Garg, A., Sarkar, S., Marino, M., Onie, R., & Solomon, B. S. (2010). Linking urban families to community resources
in the context of pediatric primary care. Patient Education and Counseling, 79(2), 251-254.

Google Maps. (2014). Sheridan, CO. Retrieved from www.google.com/maps

Larson, K., & Halfon, N. (2010). Family income gradients in the health and health care access of US children.
Maternal and Child Health Journal, 14(3), 332-342.

Sheridan School District No. 2. (2014). Retrieved from http://ssd2.org

Sommers, B. D., Baicker, K., & Epstein, A. M. (2012). Mortality and access to care among adults after state
medicaid expansions. New England Journal of Medicine, 367(11), 1025-1034.

United States Census Bureau. (2014a). American FactFinder Community Facts Sheridan, Colorado. Retrieved from
http://factfinder2.census.gov/faces/nav/jsf/pages/community_facts.xhtml. Washington DC: U.S. Department of Commerce.

United States Census Bureau. (2014b). State & County QuickFacts, Sheridan, Colorado. Retrieved from
http://quickfacts.census.gov/qfd/states/08/0869645.html. Washington DC: U.S. Department of Commerce.


Fun Fact
Full transcript