Speakers from Harris Health System will share how this Houston essential hospital expanded the nationally renowned We Ask Because We Care framework as a unifying message for patients, cross-disciplinary teams, and leadership to advance health equity. Learn how Harris Health leveraged the framework to raise awareness of sexual orientation and gender identity and race, ethnicity, and language data to emphasize the importance of health-related social needs data collection. Hear an overview of the launch of each data collection endeavor and learn about the awareness campaign modalities.

Presenters:
Denise LaRue, MPH, MSHCT
Administrative Director, Clinical Integration & Transformation
Harris Health System

Sheebani Patel
Director, Community Integration
Harris Health System

Discover how two essential hospitals empower patients to manage chronic health conditions and make healthy lifestyle choices. Learn how the Los Angeles County Department of Health Services, in Los Angeles, leveraged nurses to implement the Health Promotion Disease Prevention (HPDP) program. This program identifies and engages patients with uncontrolled chronic conditions and offers wraparound services that promote wellness, prevent disease progression, and empower them to make positive lifestyle changes. Discover how the health system reconnects high-risk patients with hypertension to care, meets their physical and behavioral health needs, and helps them achieve blood pressure control. Erie County Medical Center, in Buffalo, N.Y., incorporated a patient empowerment intervention into chronic condition management. This intervention aims to measure perceived behavioral control, addressing perceived difficulty related to self-management through case management. Data revealed a positive impact on perceived behavioral control, reflecting increased compliance and improved health perceptions among patients.

Presenters:
Jenelle Zambrano, DNP, CNS, RN
Director of Nursing Clinical Professional Development
Los Angeles County Department of Health Services

Myra Garcia, RN
Nurse Manager
Los Angeles County Department of Health Services

Lucia Gioeli, MA
Vice President of Ambulatory Services & Population Health
Erie County Medical Center Corporation

Amanda Farrell, RN
Population Health Clinical Data Analyst
Erie County Medical Center Corporation

A substantial proportion of maternal morbidity and mortality occurs after birth. However, little is known about the optimal design of programs to improve outcomes and decrease disparities during this period. Learn how Parkland Hospital, a large, tax-supported health system in Dallas, created Extending Maternal Care after Pregnancy. This community-based program works to mitigate health care disparities and enhance access to care for the 12 months after birth by leveraging ICD-10-CM Z codes to identify patients with health-related social needs.

Presenters:
Carmen Bowling, DNP, MSN, RN
Interim Senior Vice President
Parkland Health l WISH l Women & Infants’ Specialty Health

David Nelson, MD
Chief, Division of Maternal-Fetal Medicine
University of Texas Southwestern Medical Center

Hear how UVA Health University Medical Center, in Charlottesville, Va., implemented an Inpatient Throughput Initiative to mitigate inpatient capacity constraints and streamline care coordination processes. The initiative leveraged artificial intelligence, automation, and behavioral science to resolve barriers to efficient care coordination and planning. Learn how the hospital took interventions across inpatient units and ancillary services to improve discharge-focused care planning.

Presenter:
Abdullahi Somo, MBA
Chief Administrative Officer
UVA Health University Medical Center

With prevalent nursing shortages and declining Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) performance nationwide, leaders at Yuma Regional Medical Center, in Yuma, Ariz., saw an opportunity to improve patient and family experiences and provide equitable, quality care for all patients. To support overstretched nursing teams, the hospital carved out nonclinical duties that would allow them to work at the top of their licenses. The hospital also added designated patient experience representatives for each hospital floor to conduct proactive nonclinical rounding on all patients. This program began with a focus on comfort care but quickly found success and expanded. Two HCAHPS domains improved by an average of nine points.

Presenters:
Tina Rube, MSW
Director of Patient Experience and Care Advocacy
Yuma Regional Medical Center

Joan Cox
Chief Experience Officer
Yuma Regional Medical Center

At Parkland Health, in Dallas, the essential hospital’s 2019 Community Health Needs Assessment for Dallas County demonstrated a need for pediatric behavioral health (PBH) services and the mitigation of social determinants of health (SDOH) in many ZIP codes. Literature shows the COVID-19 pandemic exacerbated behavioral health demand, and SDOH can affect the risk of behavioral health disorders, service access, and outcomes. In response, Parkland built a comprehensive PBH program in three phases: integrating behavioral health into pediatric primary care, addressing access and navigation issues prominent in SDOH at-risk populations, and developing a stepped-care behavioral health model within the health system.

Presenters:
Marta Pardo, PhD, LSSP
Lead Psychologist
Parkland Health

Rebecca Corona, PhD
Associate Director of Integrated Psychology
Parkland Health

Recognizing that health systems have evolved within a larger societal context of inequity and racism, San Francisco Department of Public Health and San Francisco Health Network has recognized that to achieve sustainable improvement in health inequities, there is a need to change approaches to population health and quality improvement. Hear how the organizations undertook a process of organizational culture change and combating institutional racism in their approach to population health, and gain practical examples of redesigned quality improvement processes and tools.

Presenters:
Tiffany Kenison, MD, MPH, MSHPM, MTS
Primary Care Director of Equity and Care Experience
San Francisco Department of Public Health

Blake Gregory, MD
Primary Care Director of Population Health and Quality; Medical Director, Complex Care Program
San Francisco Department of Public Health

Hear how leaders at two Texas essential hospitals are managing disruptive patient behavior and reducing workplace violence to improve community safety and population health. Disruptive patient behavior can cause poor health outcomes for individuals whose behavior might result from an undiagnosed condition, inability to pay for psychiatric medication, or other social needs. Leaders at Harris Health System, in Houston, will discuss strategies to reduce the incidence of disruptive patient behavior and keep patients engaged in care while promoting a culture of safety for patients, visitors, and staff. Also discover how JPS Health Network, in Fort Worth, added early agitation and anxiety detection and treatment to its comprehensive organizational workplace violence plan. Learn how this intervention improved staff perception of safety and helps patients receive earlier therapeutic treatment.

Presenters:
Dawn Jenkins LCSW-S
Director, HIV Services
Harris Health Ambulatory Care Services

Krystle Gandhi, DNP, RN
Assistant Chief Nursing Officer
JPS Health Network

Learn how leaders at MultiCare Health System, in Tacoma, Wash., conducted a mixed-methods time-series pilot study to explore an innovative nursing care model that uses technology to optimize nursing workflows. The blended care model combined team-based and task-oriented nursing, introducing an in-hospital virtual nurse role, task-oriented robots, and licensed professional nurses to ease registered nurse workload. Discover how robotic deliveries saved time and improved patient understanding of medication purposes and medication education, while hospital-acquired conditions remained stable.

Presenters:
Linda Alderson, MSN
Chief Nursing Executive, Tacoma General/Allenmore Hospitals
MultiCare Health System

Jennifer Graham, MN, RN
Chief Nurse Executive
MultiCare Health System