Embed Size (px)
Citation preview
Session II: Community Intervention using C-SORT
Methodology
Medical Library & Peyton T. Anderson
Learning Resources Center
Macon, GA
Memorial University Medical Center
Health Sciences Library
Savannah, GA
Objectives1. Participants will define a community intervention as
distinct from a patient clinical question. 2. Participants describe the elements of the C-SORT
methodology3. Participants will work in groups to identify and locate
online resources to use when preparing a community intervention, including:
1. CDC Statistical Resources 2. Healthy People 20203. County Health Rankings
4. Participants in groups will present their evaluation of the community intervention resources to the class.
5. Participants will apply the final steps of C-SORT Methodology through proactive class discussion.
Objective 1
Participants will define a community intervention as distinct from a patient clinical question. Participants describe the elements of the C-SORT methodology
Your patient
Shannon, a 19-year-old African American female, visits her local health clinic for her annual STD screening. Shannon is asymptomatic but tests positive for Syphilis. Tests also reveal Shannon is 3-weeks pregnant.
Formulating a Clinical Question
Patient or Population 19-year-old African American female with Syphilis
and in 1st trimester of pregnancy, no known allergies
Intervention Treatment with Penicillin
Comparison Alternative treatments
Outcome a healthy pregnancy and delivery for mom and baby;
prevention of congenital syphilis in baby
Multiple Cases
C-SORT Methodology
1. Community/ Characteristics
2. Standard
3. Options
4. Response
5. Transformation
Objective 2
Participants describe the elements of the C-SORT methodology
Letter – Meaning Addresses Example
C – Community The community in which the physician is immersed. Namely, the group “title” of those with whom the physician is working.
Obesity is a problem throughout the population. Among children and adolescents, the prevalence of obesity is highest among older and Mexican American children and non-Hispanic black girls. The association of income with obesity varies by age, gender, and race/ethnicity. Patients living in the American South
C – Characteristics Specific characteristics of the community or patient group. This is the element that requires attention; the “need.”
Access to and availability of healthier foods can help people follow healthful diets. For example, better access to retail venues that sell healthier options may have a positive impact on a person’s diet; these venues may be less available in low-income or rural neighborhoods.The places where people eat appear to influence their diet.
S-Standard Non clinical standard of care relative to the specific characteristic. Clinical standards are addressed via clinical questions. This standard relates more generally to psychosocial, economic, educational standards answering the question "What works?”.
Reduce the proportion of children and adolescents who are considered obeseIncrease the proportion of Americans who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans
O- Options Defines options/opportunities available such as events, resources, or other potential solutions in place to address or bolster the characteristics under investigation. Consider the interaction and interdependence of various factors.
Public Health Department, educational resources, local campaigns, CDC, Let’s Move
R – Response Outlines the community physician’s desired response to the characteristics under investigation. Describes what he/she will do as a “responsive” physician to strengthen or ameliorate desired outcomes or community direction.
Community presentations on the effects of childhood obesity, billboards, school presentations. Developing website with tools to help providers, parents, children, and entire community with the issue.
T – Transformation Discusses how the physician’s actions will transform the community long term into a stronger population. Related to standards as needed.
To reduce the prevalence of obesity in Muscogee County and its surrounding community, and to encourage the community as a whole to lead healthier lives.
Year 1 Year 2 Year 4
“C” Community/CharacteristicsLetter – Meaning
Addresses Example
C – Community
The community in which the physician is immersed. Namely, the group “title” of those with whom the physician is working.
Obesity is a problem throughout the population. Among children and adolescents, the prevalence of obesity is highest among older and Mexican American children and non-Hispanic black girls. The association of income with obesity varies by age, gender, and race/ethnicity. Patients living in the American South
C – Characteristics
Specific characteristics of the community or patient group. This is the element that requires attention; the “need.”
Access to and availability of healthier foods can help people follow healthful diets. For example, better access to retail venues that sell healthier options may have a positive impact on a person’s diet; these venues may be less available in low-income or rural neighborhoods.The places where people eat appear to influence their diet.
Centers For Disease Control1. Taking the health pulse of our nation2. Detecting and responding to new and emerging
health threats3. Tackling the biggest health problems causing
death and disability for Americans4. Putting science and advanced technology into
action to prevent disease5. Promoting healthy and safe behaviors,
communities and environment6. Developing leaders and training the public
health workforce, including disease detectives
“C” Community/Characteristics
Need to update this slide with CDC image… looking for one.
County Health Rankings
Ranking the health of nearly every county in the nation, the County Health Rankings illustrate what we know when it comes to what’s making people sick or healthy. The County Health Roadmaps show what we can do to create healthier places to live, learn, work and play.
S - StandardLetter – Meaning
Addresses Example
S-Standard Non clinical standard of care relative to the specific characteristic. Clinical standards are addressed via clinical questions. This standard relates more generally to psychosocial, economic, educational standards answering the question "What works?”.
Reduce the proportion of children and adolescents who are considered obese
Increase the proportion of Americans who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans
O- Options
Letter – Meaning
Addresses Example
O- Options Defines options/opportunities available such as events, resources, or other potential solutions in place to address or bolster the characteristics under investigation. Consider the interaction and interdependence of various factors.
Public Health Department, educational resources, local campaigns, CDC, Let’s Move
Letter – Meaning
Addresses Example
R – Response
Outlines the community physician’s desired response to the characteristics under investigation. Describes what he/she will do as a “responsive” physician to strengthen or ameliorate desired outcomes or community direction.
Community presentations on the effects of childhood obesity, billboards, school presentations. Developing website with tools to help providers, parents, children, and entire community with the issue.
Response: Childhood Obesity
Letter – Meaning
Addresses Example
T – Transfor-mation
Discusses how the physician’s actions will transform the community long term into a stronger population. Related to standards as needed.
To reduce the prevalence of obesity in Muscogee County and its surrounding community, and to encourage the community as a whole to lead healthier lives.
Transformation: Childhood Obesity
Letter – Meaning Addresses Example
C – Community The community in which the physician is immersed. Namely, the group “title” of those with whom the physician is working.
Obesity is a problem throughout the population. Among children and adolescents, the prevalence of obesity is highest among older and Mexican American children and non-Hispanic black girls. The association of income with obesity varies by age, gender, and race/ethnicity. Patients living in the American South
C – Characteristics Specific characteristics of the community or patient group. This is the element that requires attention; the “need.”
Access to and availability of healthier foods can help people follow healthful diets. For example, better access to retail venues that sell healthier options may have a positive impact on a person’s diet; these venues may be less available in low-income or rural neighborhoods.The places where people eat appear to influence their diet.
S-Standard Non clinical standard of care relative to the specific characteristic. Clinical standards are addressed via clinical questions. This standard relates more generally to psychosocial, economic, educational standhttp://youtu.be/1t_H_DBHmGQards answering the question "What works?”.
Reduce the proportion of children and adolescents who are considered obeseIncrease the proportion of Americans who have access to a food retail outlet that sells a variety of foods that are encouraged by the Dietary Guidelines for Americans
O- Options Defines options/opportunities available such as events, resources, or other potential solutions in place to address or bolster the characteristics under investigation. Consider the interaction and interdependence of various factors.
Public Health Department, educational resources, local campaigns, CDC, Let’s Move
R – Response Outlines the community physician’s desired response to the characteristics under investigation. Describes what he/she will do as a “responsive” physician to strengthen or ameliorate desired outcomes or community direction.
Community presentations on the effects of childhood obesity, billboards, school presentations. Developing website with tools to help providers, parents, children, and entire community with the issue.
T – Transformation Discusses how the physician’s actions will transform the community long term into a stronger population. Related to standards as needed.
To reduce the prevalence of obesity in Muscogee County and its surrounding community, and to encourage the community as a whole to lead healthier lives.
Year 1 Year 2 Year 4
Additional STD patients
Objective 3
Participants will work in groups to identify and locate online resources to use when preparing a community intervention, including:
1. CDC Statistical Resources 2. Healthy People 2020 3. County Health Rankings
Group WorkLetter – Meaning Addresses Example
C – Community The community in which the physician is immersed. Namely, the group “title” of those with whom the physician is working.
Group 1 & 2
C – Characteristics Specific characteristics of the community or patient group. This is the element that requires attention; the “need.”
Group 1 & 2
S-Standard Non clinical standard of care relative to the specific characteristic. Clinical standards are addressed via clinical questions. This standard relates more generally to psychosocial, economic, educational standards answering the question "What works?”
Group 3
Group Work
Group 1: Community/Characteristics Evaluation at the National/State Level using CDC website Find the Syphilis Women Rates
Group 2: Community/Characteristics Evaluation at the County Level using County Health Rankings Find the STD rates for Bibb or
Chatham County
Group 3: Standards Evaluation using the Healthy People 2020 Locate the standards that would
apply to the STD case
10 minutes prep, 5 minutes per group for presentations
Some things to look for as you review: What kind of information did you
find? Was it easy to locate the data? Was the data recently updated? What was the data source? Any other findings from the site? How would this information help
you to fulfill the C-SORT Methodology?
Did the site link to other resources?
What did you like or not like about the site?
Objective 4
Participants in groups will present their evaluation of the community intervention resources to the class.
Group WorkLetter – Meaning Addresses Example
C – Community The community in which the physician is immersed. Namely, the group “title” of those with whom the physician is working.
Pregnant racial minorities (predominantly black and Hispanic), women of childbearing years, patients living in the American South (http://www.cdc.gov/std/stats11/figures/e.htm)
C – Characteristics
Specific characteristics of the community or patient group. This is the element that requires attention; the “need.”
STD infections, educational deficiencies, untreated syphilis
S-Standard Non clinical standard of care relative to the specific characteristic. Clinical standards are addressed via clinical questions. This standard relates more generally to psychosocial, economic, educational standards answering the question "What works?”.
By Year 2020 reduce the number of congenital syphilis to 9.6 new cases per 100,000 live births. STD screenings for pregnant women, STD treatment services for women during childbearing years, antenatal syphilis screenings during first trimester, antibiotic treatment if tested positive, late (2-3rd trimester) prenatal care.
Objective 5
Participants will apply the final steps of C-SORT Methodology through proactive class discussion.
O- Options
Letter – Meaning
Addresses Example
O- Options Defines options/opportunities available such as events, resources, or other potential solutions in place to address or bolster the characteristics under investigation. Consider the interaction and interdependence of various factors.
Public health department, educational resources, STD prevention services, incorporation into sex education classes
Options for STD cases?
Letter – Meaning
Addresses Example
R – Response
Outlines the community physician’s desired response to the characteristics under investigation. Describes what he/she will do as a “responsive” physician to strengthen or ameliorate desired outcomes or community direction.
Community presentations on safe sex practices, research studies with other physicians, participation in local programs in order to set example of screening practices.
Response: STD Case
Letter – Meaning
Addresses Example
T – Transfor-mation
Discusses how the physician’s actions will transform the community long term into a stronger population. Related to standards as needed.
To reduce and/or prevent future cases of congenital syphilis, to encourage women to seek screening and treatment early on during their pregnancies.
Transformation: STD
Objectives1. Participants will define a community intervention as
distinct from a patient clinical question. 2. Participants describe the elements of the C-SORT
methodology3. Participants will work in groups to identify and locate
online resources to use when preparing a community intervention, including:
1. CDC Statistical Resources 2. Healthy People 20203. County Health Rankings
4. Participants in groups will present their evaluation of the community intervention resources to the class.
5. Participants will apply the final steps of C-SORT Methodology through proactive class discussion.
Questions?
