CMD4 - Timely Twenty-Minute Tips

PRAPARE Timely Twenty-Minute Tips

Session Description: The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE®) is a nationally recognized tool, that is dominantly used by CHCs designed to collect and act on non-clinical factors of health data.

In this 20-minute T3 presentation, we will explore how public health crises magnified deep-rooted health and social inequities, underscoring the urgent need for more comprehensive and adaptable non-clinical factors of health data collection tools.

PRAPARE® has been revised to address these evolving needs by incorporating new domains that capture emerging social risks and integrating more person-centered and culturally responsive language. These updates ensure that PRAPARE® remains a dynamic tool, equipping providers with the insights needed to deliver equitable, patient-centered care and drive meaningful policy and system changes.

PRAPARE® 2.0 will officially launch to the public during CHI, marking a significant milestone in advancing non-clinical factors of health data collection and health equity efforts. This release represents the next step in supporting health centers and their partners in addressing the social factors that impact health outcomes.

Developing Emergency Preparedness Responses for Intimate Partner Violence and Human Trafficking

Session Description: Health centers (HCs) are critical access points for survivors of intimate partner violence (IPV) and human trafficking (HT) to receive patient-centered, responsive healthcare and supportive services. Primary care associations (PCAs) in their statewide coordination of emergency planning and services, also have an opportunity to integrate IPV/HT responses and engage state/territory domestic violence coalition partners. Emergencies increase the incidence of violence as survivors face heightened isolation and reduced access to services, making it critical for HCs and PCAs to strengthen their preparedness. This session will highlight unique considerations and recommendations for HCs/PCAs including patient-level data collection, strategies to complement CMS emergency preparedness, and partnerships between HCs/PCAs and community-based IPV/HT programs/coalitions. Presenters will share resources and promising practices for HCs/PCAs to support survivors in natural disasters and emergencies.

High Reliability Health Care For All

Session Description: This session will focus on our organization's journey to transform into a High Reliability Organization (HRO).

In 2008, the Agency for Healthcare Research and Quality (AHRQ) published a seminal white paper that described the application of the five key High Reliability Organization (HRO) principles in health care settings. This publication helped to set the stage for the shift of embedding HRO principles in more historic high-risk industries, such as nuclear power and aviation, to caring for people with the goal of zero harm. Adoption of HRO principles in health care offers promise of increased excellence rooted in a culture of safety.

The march towards HRO in healthcare has been a focus of acute care hospitals, including large ACO’s and systems of care. At VNACJ CHC, we aim to provide the same level of high reliability healthcare to our patient population in the community-based, health center environment. Further, as we have struggled with the issues plaguing the healthcare industry since the pandemic- recruitment, retention, labor cost, supply cost, burnout, early retirement, etc- we see the need for organizational transformation that is centered around a team-based, patient-centered approach to highly reliable healthcare for all.

HROs create and support an environment of collective mindfulness and a team-based approach to safety. Cultures that are highly reliable reward and value employees that draw attention to potential errors and near misses. HROs focus on prevention and proactively mitigating patient safety errors rather than being reactive and waiting for errors to happen before addressing the root causes.