Exploring Community And Provider Perspectives On Barriers To The .
Exploring community and provider perspectives on barriers to the adoption of a free medical clinic model in Fitzgerald, Georgia: A path to equitable access to preventive care Kenya Murray, MPH, CPH Doctoral Student Epidemiology and Biostatistics 2021 Health Equity Fellow Partner City: Fitzgerald, GA
Overview Define health equity Describe life in Fitzgerald, GA Review demographic profile Describe research study Discuss next steps 82
Health Equity Definition Health equity means that everyone has a fair and just opportunity to be as healthy as possible. To achieve this, we must remove obstacles to health — such as poverty, discrimination, and deep power imbalances — and their consequences, including lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care1 1Braveman P, Arkin E, Orleans T, Proctor D, and Plough A. What Is Health Equity? And What Difference Does a Definition Make? Princeton, NJ: Robert Wood Johnson Foundation, 2017 83
Social Determinants of Health and Equity Social Determinants of Health Social Determinants of Equity2 Wider set of forces and systems shaping the conditions of daily life preventing marginalized communities from experiencing healthy lives Achieve improvement in health outcomes Must address both Racism Sexism Ageism Classism Heterosexism Ableism Achieve social justice and eliminate health disparities 2Jones CP, Jones CY, Perry GS, Barclay G, Jones CA. Addressing the social determinants of children's health: a cliff analogy. Journal of Health Care for the Poor and Underserved. 2009 84
Life in Fitzgerald Located in south central region of Georgia Only incorporated city in Ben Hill County Mayor: Jim Puckett Rich in community resources and social cohesion Harmony Jubilee Wild Burmese Chicken Festival Homecoming 85
Demographic Profile Comparison3 Fitzgerald Ben Hill County Georgia 8,662 16,700 10,403,847 Median Household Income 24,885 32,229 58,700 Individuals in Poverty (%) 35.7% 22.8% 13.5% 54% 49% 22% 57% 37% 32% White 39% 60% 60% Hispanic 1% 6% 10% Total Population Children in Poverty (%) Race/ethnicity Black 3 US Census Bureau Quick Facts. nhillcountygeorgia,fitzgeraldcitygeorgia/AGE295219 86
Life in Fitzgerald – The Other Story* Community and Social Context Health Diabetes, Stroke Limited social support due to effects of COVID-19 pandemic Economic stability 23,000/ year salary Neighborhood & Built Environment Nearest medical specialist is over an hour away in Macon, GA 106 miles Health Care Georgia failed Medicaid expansion; No coverage *Fictitious Story 87
Our Approach– Fellowship Timeline 88
Data Analysis Number of respondents: 33 Three major areas of healthcare needs: – Primary/Preventive Care – Obesity/Nutrition assistance – Chronic disease education Perceived barriers to care – Cost – Insurance coverage – Education 89
Health Equity Area of Focus Preventive Care Access Qualitative Study 90
Research Question and Aims What are the barriers and facilitators to the adoption of a free medical clinic model in Fitzgerald, Georgia: provider and community perspectives? Aim 1: To conduct and analyze qualitative in-depth interviews to understand perceived barriers that influence community members engagement with preventive care. Aim 2: To determine the feasibility of adopting a free medical clinic within Fitzgerald from the health providers’ perspective. 91
Study Flow Diagram Methods: Semi-structured in-depth interviews with residents and health care providers of Fitzgerald, GA Topics: Structural and interpersonal Community members: Recruited from organizations servicing low-income families -18 years of age or older -Resident of Fitzgerald for at least 2 years -Access to a computer or phone for Zoom Health care providers: Recruited by email or phone from a directory list of providers -18 years of age or older -Practicing as a physician, physician assistant, nurse practitioner, or nurse -Currently working at a health facility in Fitzgerald, Turner or Irwin county for more than 1 year Qualitative data analysis: Iterative process of thematic coding 92
Now What? Public health requires effective knowledge translation to turn research into action Goal is to facilitate research, promote education, and inform policy about health and healthcare Realized through research synthesis and focused dissemination of research findings Continuing collaboration with the city of Fitzgerald Data collection begins summer 93
Acknowledgements City of Fitzgerald Stakeholders Christine Graham Cam Jordan UGA Assigned Mentor Dr. Juliet Sekandi, MD, DrPH Fellowship Coordinators Dr. Grace Bagwell-Adams, Ph.D., MPA Michelle Bardgett Dean Marsha Davis, Ph.D. Fellowship Funders
Thank you! Contact: Kenya.murray@uga.edu 95
: To determine the feasibility of adopting a free medical clinic within Fitzgerald from the health providers' perspective. To determine the feasibility of adopting a free medical clinic within the city of Fitzgerald, GA from the health providers' pe\൲spective.\爀ꀀ屲To identify perceived barriers and facilitators for preventive care .
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Provider Transition Plan (PTP) System PTP #AD-003910 Provider Information * Mandatory (required) fields below are marked with an asterisk. Legacy Provider ID * 0 New Provider ID * 0 Provider Name * Demonstration Provider Provide
Medicine provider, but they had insufficient data (i.e., the provider group does not have enough commercial health plan claims data to be evaluated, as required by the statistical requirements of the Provider Excellence Program; the provider group did not have enough quality data; or the provider group does not have enough cost-efficiency data). 3.
Provider ID: 1457472029 Provider Gender: Male Accepting New Patients: Yes Anthony Euser, DO 2801 Purcell St Brighton, CO 80601 303-659-7600 Adams County Provider ID: 1588634810 Provider Gender: Male Accepting New Patients: Yes John Fontenot, MD 1860 E Egbert St Brighton, CO 80601 303-659-4000 Adams County Provider ID: 1033373410 Provider Gender .
The PNM module will replace the current MITS provider enrollment subsystem and MITS provider portal beginning Oct. 1, 2022. The PNM system and portal will allow for one front door for provider enrollment, centralized credentialing, provider self-service (demographic updates and group affiliations), and an enhanced provider directory. 2.
provider types 14, 17, 19, 20, 34, 38, 48, 57, 58 and 82. It is recommended for provider types 22, 26, 54 and 76 when applicable. All other provider types may leave this question blank. For provider types 14, 17 and 82 only, enter one specialty code per Application. A Provider Revalidation Packet must be submitted for each specialty being .
Demographic Change Form User Guide . Version 1.0 TX . 10/01/2020. 6. * Type of Provider (Note: Form needs to be completed and submitted for each applicable provider and/or group provider record ID#) A. Individual Provider is a provider who will not be employing another professional provider a.
A Gateway provider consists of a set of Java code bundled in a jar file and a set of XML descriptor files. A very detailed sample provider is also built into the Primavera Gateway . Track Provider, EBS Provider, VCP Provider and SAP Provider. Additional providers are being developed. In a more complex form involved with a compare step, as .
