MD at Home is interested in precepting MPH students
completing their practicum. MD at Home is a house call practice with
approximately 3,000 patients who are cared for by our Doctors and Nurse
Practitioners. We utilize a multi-disciplinary care team to manage our
patient population which includes dietitians, clinical social workers,
podiatrist, home health and other clinical services. Our patient
population has a high incidence of chronic conditions including obesity,
diabetes, CHF, COPD and CKD. We work largely in low income areas in the
greater Chicago land area.
We would like MPH students to assist us in developing a
program to more effectively connect our patients to resources to address the
social determinants of health. The project would include the following
elements and be completed as discreet pieces by multiple MPH students over
time.
- Review of the population data from our EMR and development of a model to identify patients with greater health risk due to the social determinants of health. This would include identification of disease states, geographic information and economic information gleaned from our patients sources of insurance funding. Students would review the data, build the model and identify gaps in the information currently collected in our EMR. The student would present a model to identify patients at risk related to each of the social determinants of health.
- Identification of partners, by geography, cultural expertise and topic expertise, to address the health risks related to social determinants. Using the population analysis previously conducted, the student would research organizations we could partner with to refer patients for services, on a geographic basis, with a focus on health equity issues and cultural considerations with the different populations we serve. The student would identify the services the organization offered and the organizations capacity/limitation on serving our various patient population segments.
- The student would organize meetings between the target organization and MD at Home to develop shared goals and measurement metrics to track the success of the program.
- The student would develop a patient education program to introduce our partner programs to our patients and enhance patient adoption and compliance with the programs. The education program would also include developing the referral and intake process.
- The student would develop an ongoing monitoring program to measure the effectiveness of the programs based on the metrics we had agreed to track with our partner organizations.
Our clinical director, Ahmed Morsy, MD would be the
preceptor for the student, with training and support provided by various other
member of our team. We believe that the health outcomes of our patients
would be improved by increasing their linkage to social programs in their
communities.
Contact Practicum Coordinator, Dr. Harbison (jharbison@luc.edu), for details regarding placement.
