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New Online Resources Released to Support Health Workforce for Older Adults

Apr 25, 2017

Health & Medicine would like to announce two great resources recently made available online: CATCH-ON and ENGAGE-IL. Our own Chicago Area Health Education Center (AHEC) at Health & Medicine and Center for Long Term Care Reform have teamed up to help review and define these two programs as a way to increase access to learning and professional development opportunities for health professionals; promote health careers development to students; and enhance collaborative, community-based health promotion activities.
 
Chicago AHEC is committed to helping to recruit, support, and maintain a diverse workforce with a focus on underserved and underrepresented communities. Chicago AHEC’s participation in CATCH-ON builds on program goals of diversity, distribution, and practice transformation. In addition to these goals, CATCH-ON and ENGAGE-IL embody the mission of the Center of Long-Term Care: promoting a just system of long-term services and supports that enables people to live according to their own goals and values. Both Chicago AHEC and the Center for Long-Term Care Reform also participate in the Health Resources and Services Administration’s Geriatric Workforce Enhancement Program.

CATCH-ON, which stands for Collaborative Action Team training for Community Health—Older adult Network, is a module-based program designed to “unify state-wide academic, health, and community organizations and resources to prepare a geriatric collaborative practice-ready health workforce optimizing health while serving and improving patient-centered health and wellness outcomes.” CATCH-ON provides universally accessible online modules for all learners (and all ages) with a focus on multiple chronic conditions (MCC) management especially those with Alzheimer’s Disease and Related Dementias (ADRD).  The program itself uses real-life scenarios and continuing story lines to keep learners engaged; it also incorporates “checkups” that tests users on previously learned information. 

ENGAGE-IL is an “interprofessional community of learning and practice focused on improving the health of older adults.”  The program is offered to a multi-faceted group of learners including health professionals, students, older adults, and community partners serving older adults. The free Interprofessional Geriatric Training Program includes 32 modules on key topics related to the care of older adults.  Most of the modules are 30 minutes in length and include interactive films with narrators, infographics, and expert interviews.

Both programs offer free continuing education credits for medicine, pharmacy, occupational therapy, social work, and dentistry with the completion of the modules, assessment questions, and post-evaluation survey.  Additionally, they discuss the Bridge Model of Transitional Care which has its roots at both Health & Medicine and Rush University Medical Center.  This social-work based interdisciplinary intervention program exemplifies many of the lessons in the two programs.

Nominations Now Open for the 2017 HMPRG Awards

Apr 03, 2017

Nominations are now open for the 2017 HMPRG Awards! Honoring individuals and organizations across six categories, the awards celebrate those whose work exemplifies Health & Medicine’s mission to promote social justice and challenge inequities in health and health care.

The Awards are open to anyone - from health care professionals to volunteers, academics, advocates, and community members - whose ideas, vision, action, and activism have positively impacted health and health equity in our community. The broad award categories recognize the achievements of individuals at all stages of their public health careers including “emerging leaders” under 30.   

Nominations are due by June 1, 2017. To learn more or to nominate a health leader whose work inspires you, click HERE. A list of past Award winners is available here.

Health & Medicine Releases Statement to the CCHHS Board Concerning Changes in Immigration Polcies

Feb 27, 2017

On February 24, 2017 Health & Medicien Board Member Linda Rae Murray M.D. MPH testified before the Cook County Health & Hospitals Board in repsonse to changes in immigration policies in the County.

Good morning. On behalf of the Board of Health & Medicine Policy Research Group, I ask that you take prompt actions to address the rapidly changing situation with immigrants, both those with and without documents; and other marginalized groups such as Muslims, LGBTQ people, and communities of color.

Our County government, and its health system, are to be congratulated for progressive policies designed to protect the rights of all people and treat everyone with dignity and respect. These longstanding policies and procedures were designed for an atmosphere that no longer exists. In a short few weeks the new President and his administration have taken actions designed to create division, fear, and terror in the communities you serve.
Cook County has an estimated 307,000 undocumented residents. The majority of immigrants in our County originate from Mexico and other nations in Latin American; however, all parts of the world are represented. In addition to Latino neighborhoods, people from our Polish, Asian, and African communities are staying home. They are afraid to get groceries, send children to school, and keep doctor’s appointments. You can see this if you look at retail sales on 26th street or clinic visits in the Cook County system.

Since slavery, Black Americans have been stigmatized, incarcerated, shot like dogs in the streets by a system of structural racism and a criminal justice system that views us as sub-human. It should come as no surprise that data from Homeland Security show undocumented immigrants of African descent have been disproportionately turned over to Immigration and Customs Enforcement (ICE ) for deportation. Some estimate that the deportation rate for those of African descent is five times higher than others. Black immigrants make up only 7% of the total immigrant population; however, 20% of all immigrants in deportation proceedings due to criminal convictions are of African descent.

President Trump has greatly expanded the definition of who will be prioritized for ICE raids. Furthermore, any non-prioritized people caught up in such raids may be subject to detention and deportation. These actions have included young people with DACA status. A woman seeking justice in our courts on matters of domestic violence has been arrested. Earlier this week ICE returned to detention a young woman with a diagnosis of a brain tumor in need of surgery.

We urge this board to respond to these rapidly changing and unpredictable new policies of the Federal government. Such action would be completely in line with the County’s long standing policies and our traditional of caring for all regardless of status or ability to pay.

The Cook County Department of Public Health has been a national leader on health equity for well over a decade. They play a leadership role in the National Association of City and County Health Officers (NACCHO), the National Collaborative for Health Equity (through the Collaborative for Health Equity – Cook County) and other national leadership bodies around health equity. Most recently Human Impact’s national leadership group around health equity issued an important document we have included in your packet. ("Public Health Actions for Immigrant Rights: A Short guide to protecting undocumented residents and their families for the benefit of public health and safety.") This document has been extremely well received around the nation. The guide benefited from the contributions of Mr. James Bloyd MPH, a member of the Cook County Department of Public Health, and a national leader on Health Equity. We encourage the Health and Hospitals System to make use of this excellent guide. 

We know that both the City and County governments are actively exploring ways to respond to the new administration and protect our residents. However, only this Board, the leadership, and staff of the Health System are capable of responding with the specialized level of detail to protect patients and the public. We do NOT wish to  increase the level of panic in our communities. We believe a thoughtful, prompt, and transparent process will help reassure patients and the communities you serve. We urge this board to form a special Task Force to protect marginalized communities. The most important goal is to assure that the spirit of the Health System presents policies to protect our patients and public health so the safety of all residents of Cook County can be realized. This Task Force should include members of this board, leadership of the health system, rank and file workers, and community organizations familiar with immigration issues. The Task Force should be empowered to consult with appropriate sister agencies (e.g. States Attorney, Sheriff) as well as outside experts. The Task Force should begin by address the following points:
 

  1. To review and clarify (and recommend modification if necessary) present System policies designed to protect our patients. For example, is the present collection of social security numbers necessary ? When none is offered and recorded as such in the electronic medical record does this serve as an inadvertent way to identify vulnerable populations? What should staff do if police or ICE appear without a legal warrant seeking access to patients? What steps should be taken to protect patients who are referred outside of our system for services? Health System staff working on visas need to be afforded legal counseling. The details of such scenarios need to be carefully examined and appropriate revisions and clarifications made.
  2. Train all staff about the truth and myths around immigration and the details of the clarified System policies and procedures. Staff need to understand the history of immigration in the United States, the rights people enjoy, and the health and safety impact of immigration policy. Clinical staff, in particular, may need refresher training on how to provide services to vulnerable populations without causing additional trauma around immigration status.
  3. There needs to be abundant and clear signage in multiple languages reassuring staff, patients, and visitors that we are a welcoming institution. One example can be found here.
  4. The Health System needs to be prepared to refer patients for legal and other services they might need.
  5. The Health System needs to monitor show rates, utilization of its services, and other indicators of neighborhood distress in immigrant and marginalized communities.
  6. The Cook County Department of Public Health should prepare a policy brief detailing the threat of Trump’s immigration policies to the public health and safety of all who live in the county.
  7. The Health & Hospitals System board and management should continue to play a visible leadership role by designing and implementing best practices for medical and public health providers in our state.
We are confident that this Board and our Health System will rise to the occasion. The staff and board of Health & Medicine stands ready to assist in any way we can.

IL ACEs Response Collaborative Releases Environmental Scan

Feb 15, 2017

As recognition of the widespread impact of trauma increases, the desire to provide trauma-informed care is at the forefront of a movement to build resilience and prevent and mitigate the impact of Adverse Childhood Experiences (ACEs).

Given the growing momentum for change and the need to bolster awareness of promising practices in trauma-informed care, the Illinois ACEs Response Collaborative at Health & Medicine researched over 300 programs to develop this Environmental Scan Report. The goal of the Scan was to uncover essential characteristics, promising practices, and obstacles for meaningful systems change towards trauma-informed care. Recommendations gleaned from our findings on how to integrate the science of ACEs and resiliency into program and organizational change efforts are also provided. Read the report here.