The Role of a Federally Qualified Health Center in Identification and Management of an Occupational COVID-19 Outbreak: Lessons for Future Infection Surveillance and Response
Federally Qualified Health Centers (FQHCs) have been essential in response to COVID-19 outbreaks among vulnerable populations. Our rural FQHC had a primary role in early detection of and response to a poultry plant-related outbreak at the outset of the pandemic that disproportionately and gravely affected the local Hispanic community. The health center activated a rapid local response that included the community's first mass testing event and first acute respiratory treatment clinic, both of which were central to abatement. Lessons learned from this experience provide important guidance for the potential role of FQHCs in i...
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: Community Health Workers Source Type: research

Community Health Workers Connecting Communities During COVID-19: A Case Study From Chicago
Coronavirus disease-2019 (COVID-19) has adversely impacted vulnerable communities. Community health workers (CHWs) are an evidence-based solution for helping communities navigate challenges and barriers. This case study describes the work of CHWs in a large Hispanic Chicago neighborhood who experienced a disproportionate number of COVID-19 cases. Methods included semistructured interviews and conventional qualitative content analysis. Results describe the problem; the situation; CHWs' roles, motivations and actions; outcomes; lessons learned; and recommendations. The case study concludes with a discussion of effective CHW ...
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: Community Health Workers Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - December 6, 2021 Category: Emergency Medicine Tags: From the Editor Source Type: research

Assessing Behavioral Economic-Based Approaches to Address COVID-19 Vaccine Hesitancy
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Letter to the Editor Source Type: research

Implementation of Patient Screening in Ambulatory Settings During the COVID-19 Pandemic
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Letter to the Editor Source Type: research

Physicians' Opinions of COVID-19 Ambulatory Care Constraints: A Survey of Sickle Cell Clinicians
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Letter to the Editor Source Type: research

Impact of Telecommuting on Clinician Absenteeism in Primary Care—Potential Solution for Burnout?
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Letter to the Editor Source Type: research

Comparison Between Short Text Messages and Phone Calls to Reduce No-Show Rates in Outpatient Medical Appointments: A Randomized Trial
The objective of this study was to evaluate the impact of telephone calls and short text messages (SMS) on no-show rates regarding scheduled appointments with a general practitioner. In a prospective, intervention-controlled, and randomized study, we divided 306 patients into 3 groups: telephone call, SMS, and no intervention. We compared no-show rates, as well as variables that influenced it. The lowest percentage of no-show (9.5%) occurred in the telephone call group, while the SMS group presented at 21% and the no-intervention group at 22.8% (P = .025). Telephone calls proved to be a superior strategy to text messaging....
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Primary Care Tasks Associated With Nursing Burnout: A Survey of Registered and Licensed Vocational Nurses in Veterans Health Administration Patient-Centered Medical Homes
Using data from the Veterans Assessment and Improvement Laboratory for Patient-Centered Care (VAIL-PCC) Survey, this study investigated the relationship between registered nurses' (RNs') and licensed vocational nurses' (LVNs') report of responsibility for 14 distinct primary care tasks and burnout, taking into account of practice environment contexts. RNs reported higher levels of burnout than LVNs. The task of “following up on referrals” was associated with significantly higher levels of RN burnout, whereas “responding to prescription requests” was associated with higher levels of LVN burnout. “True collaboratio...
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Systems Analysis of a Dedicated Ambulatory Respiratory Unit for Seeing and Ensuring Follow-up of Patients With COVID-19 Symptoms
We describe a dedicated COVID-19 ambulatory unit for closing testing and follow-up loops characterized by standardized workflows and electronic communication, documentation, and order placement. More than 85% of follow-ups were completed within 24 hours, with no observed staff, nor patient infections associated with unit operations. Identified issues include role confusion, staffing and gatekeeping bottlenecks, and patient reluctance to visit in person or discuss concerns with phone screeners. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Lived Experiences of Federally Qualified Health Center Board Members During a Period of Rapid Change in New York City (2010-2020)
Federally Qualified Health Centers (FQHCs) provide primary care services in underserved areas and are governed by patient-majority boards. A phenomenological approach was used to explore the lived experiences of board members as they addressed the need for fundamental change to meet the demands of a rapidly changing, highly competitive health care market (2010-2020). Findings were that board members rely upon personal experience and monthly board meetings to be alerted to change that affects health care delivery. They may need additional training to adjust governance and organizational performance to address the new patien...
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Framing the Integration of Community Health Workers Into Health Care Systems Along Health Care and Community Spectrums
This study examines factors associated with CHW integration in community and health care settings using a qualitative descriptive multiple-embedded case study of CHW teams at the University of Illinois at Chicago. Data were collected via semistructured interviews/document review and analyzed using thematic coding and quantitative content analysis. Factors associated with higher clinical integration included culture, communication, protocols, and training while higher community integration was associated with accessibility, relationships, and empathy. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Public Health Nursing and Community Health Worker Teams: A Community-Based Preventive Services Clinic Exemplar
Since 2009, a community-based, collaborative exemplar in Richmond, Virginia, involving 8 satellite clinics of the state health department, has been implemented within public housing units to focus on prevention and access to care. These satellite centers, known a resource center (RCs), are staffed by public health nurses, community health workers, and nurse practitioners working in complementary roles. The RCs have provided education to 2609 clients on family planning, safe sex practices, safe car seat use, and screening for sexually transmitted infections and have made 9591 patient referrals to health, social, and communi...
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Studying Executive Directors and Supervisors Views of Organizational and Policy-Level Challenges Faced by Community Health Workers
This study offers recommendations for supports needed to sustain CHWs, with an emphasis on greater investment in recruitment and training, higher compensation, and interorganizational collaboration. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 28, 2021 Category: Emergency Medicine Tags: From the Editor Source Type: research