1. Activating Community Resources for Practice Improvement & Practice Change: Buzz Session Melinda Davis, PhD Community-engaged Research Director, ORPRN Research Assistant Professor, Department of Family Medicine Kelsey Branca, MPH, CCRP; Steven Brantley, MPH; Kristin Chatfield, MPP; Emily Chirnside, MPH; Angela Combe, MS; Cullen Conway, MPH; Todd Noletto, MPH; Mark Remiker, MA, CCRP; Ann Romer, MS, CCRP; Beth Sommers, MPH, CPHQ Practice Enhancement Research Coordinators, ORPRN

2. Practice Enhancement Research Coordinators (PERCs) Boundary spanners that traditionally bridge the gap between academic health research and primary healthcare delivery: Build ongoing relationships with practices Have “insider” knowledge of how decisions are made in unique practice settings, but serve as an “outside” observer Support capacity building, quality improvement, intervention tailoring Help practice prioritize, plan, implement, refine, and sustain change Share best practices and workflows across practices Connect practices to additional experts and resources Can also bridge clinic and community!

3. What is a SDOH? conditions in which people are born, grow, work, live, and agewider set of forces and systems shaping the conditions of daily life “the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.” – World Health Organization

4. Why Addressing SOHD in Primary Care is Important There is reimbursement for addressing SDOH Encourages the primary team needs to think outside the PCMH/clinic walls to a “Community- Centered Health Home” or “Health Commons” May reduce demand on clinician’s time Significantly influences population health outcomes - Arthur Kaufman, MD; 2016 ORPRN Convocation

5. How does this apply to me? How does this apply to my community? What might we do about this in Oregon?

6. Breakout Activity (10 stations, 2 per topic) Health & Health Care Social & Community Context Neighborhood & Built Env. Education Economic Stability

7. Activity Instructions 1) Pick a seat at a small group topic that interests you. 2) Discuss in small groups: 1)What does this topic mean for you and/or your community? 2)What are the opportunities and solutions for your community? For Oregon? 3) Stand-up, move groups, discuss questions from #2. 4) Small groups report out key ideas and/or findings.

8. Reflections/Reporting Out For each small group, share one of the following: – What was 1 thing that surprised you? opportunity – What was 1 key opportunity? challenge – What was 1 key challenge? Are there any meta-themes based on what you’ve heard?

9. Want More Information? Questions about ORPRN PERCs: michaell@ohsu.edumichaell@ohsu.edu General questions about ORPRN: orprn@ohsu.eduorprn@ohsu.edu www.ohsu.edu/orprn

10. Additional slides

11. Impact of Different Factors on Risk of Premature Death Schroeder. We Can Do Better – Improving the Health of the American People. N Engl J Med 2007; 357:1221-8. McGinnis et al. The case for more active policy attention to health promotion. Health Aff (Millwood) 2002; 21(2):78-93.

12. Crabtree BF et al. Understanding practice from the ground up. The Journal of Family Practice 2001; 50(10):883. Social Ecological Context Matters

13. SDOH in short: OUR CONTEXT