MCN ToolBox Entries

DATE: May 9, 2018, 1 pm (ET)

SPEAKERS: Deliana Garcia, MA, Douglas D. Bradham, DrPH, MA, MPH

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Continuing Education Credit

To receive CME* or CNE credit after viewing this webinar, you must:

• Complete the Participant Evaluation associated with this webinar
• Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

Description

Over 20 million people this year will not stick to their care plan because of worry about the cost -- almost 6% of the entire US population. But avoiding or delaying care, especially for chronic conditions or in prenatal care, can have adverse effects on health status and health care use -- and long-term expense. When providers talk to their patients about the cost of their care, what is recalled by the patient? How can providers present the cost of care conversation in a way that is the most effective?

In this presentation, MCN will discuss a unique project examining the cost of care conversation’s structure, to see what content elements are actually delivered during the medical encounter versus what is recalled by the patients. The presentation will include a comparison of the effectiveness of the trained sub-groups (intervened) and the usual care (non-intervened) study groups. Long-term outcomes regarding the patient’s adherence to the care plan, and their reason for non-adherence, will also be discussed.

Learning Objectives

1. To introduce the concept and motivation of initiating Cost of Care Conversations in communityhealth centers’ primary care delivery processes.
2. To explain the elements of Cost of Care Conversations and how they might improve adherence to care plans by increasing shared decision-making between patients, clinicians, and clinic staff members.
3. To encourage discussions among the clinic staff and clinical teams of: who, what, when, and how these Cost of Care Conversations can efficiently and effectively be delivered.

"The Global Report on Internal Displacement presents the latest information on internal displacement worldwide caused by conflict, violence and disasters."

DATE: April 4, 2018, 1 pm (ET)

SPEAKERS: Deliana Garcia, MA

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• Evaluation

Continuing Education Credit

To receive CME* or CNE credit after viewing this webinar, you must:

• Complete the Participant Evaluation associated with this webinar
• Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

Description

Over the last 30 years, considerable attention has been paid in the clinical setting to cultural competency- the ability to mitigate against the effects of the sociocultural differences between clinicians and patients and to take into account how culture affects the symptoms presented or the patients’ attitude about health care. More recently, scholars and clinicians have encouraged those in practice or health professions training to focus not only on the behaviors and beliefs of cultural groups but more importantly to consider the structural determinants, prejudices, injustices and blind spots, the “pathologies of social systems” that affect health outcomes and the stigma experienced by patients. The session will introduce participants to the broad framework of structural competency and the five core structural competencies. Particular attention will be paid to the impact of structural issues on the treatment and management of diabetes for vulnerable populations.

Learning Objectives

1. Identify the structures that shape clinical interactions;
2. Discuss the means of developing an extra-clinical language of structure;
3. Rearticulate “cultural” formulations in structural terms;
4. Explain the process of observing and imagining structural interventions; and
5. Discuss the impact of structural issues on diabetes care for vulnerable populations.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.