An intervention to address unmet social and economic needs among people with diabetes
We developed CareAvenue, to 1) systematically screen for both health-related and unmet social and economic needs contributing to cost-related nonadherence; 2) provide links to locally available resources to address patients’ needs; and 3) create low-burden mechanisms to share information with providers so they can help refer patients to identified resources and follow up as necessary. In this study, we tested the effectiveness of CareAve on clinical outcomes and examined mediators and moderators of effectiveness among people with diabetes.
Collaboration for Equitable Health
A collaboration between the University of Michigan School of Public Health, the American Heart Association, the American Cancer Society, the American Diabetes Association, and Bank of America
This $25 million initiative will span four years and focus on 11 cities. The partnership will involve several initiatives that address these three areas:
Prevention and Access—Increase equitable provision and utilization of evidence-based strategies to support prevention, early detection, diagnosis and treatment of hypertension, diabetes and cancer.
Education and Capacity Building—Amplify knowledge, remove barriers, and create pathways to reduce longstanding health disparities.
Policy and Advocacy—Collaborate and support communities to effectively advocate for equitable health by advancing their ability for sustained public policy advocacy.
Healthy Michigan Plan Evaluation
A collaboration with the Michigan Department of Health and Human Services (MDHHS)
The Health Michigan Plan is a public health insurance program for low-income adults that was created in 2014 to expand Medicaid. Since then, the Institute of Healthcare Policy and Innovation has had a cross-disciplinary team of experts at the University involved to evaluate important questions such as "is this program leading to healthier adults and healthy behaviors?" These insights into the program's efficacy are shared with MDHHS and the federal centers for Medicare and Medicaid services.
Pre-Visit Screening of Diabetes-Related Financial Burden
Feasibility of a tech-based screening tool to create solutions for financial concerns experiences by people with diabetes
This pilot study 1) developed an electronic pre-visit screening tool for patients with diabetes that subsequently tailors solutions for reducing financial concerns with diabetes therapeutic recommendations; 2) assessed feasibility, acceptability, and preliminary efficacy of the screening tool in clinics serving patients with diabetes.
Financial Burden and Cost-Related Communication in Chronic Disease Management
Perception of financial burden and communication with providers among people with asthma
The major goal of this project was to describe characteristics of individuals with asthma who perceive financial burden with managing their condition, and relationships between communicating about cost concerns and self-management behaviors.
A Partnership Approach to Enhance Healthcare Literacy: Insuring Good Health
An intervention to support health insurance navigation in historically marginalized communities
This community-based participatory research (CBPR) project developed Insuring Good Health- a website and video series designed to improve engagement with health insurance and Affordable Care Act reforms. We conducted a lagged-control cluster randomized controlled trial to evaluate Insuring Good Health with racially and ethnically diverse adults seeking services in medically underserved areas within the Detroit, Michigan metropolitan area.
Training Clinicians to Maintain Patient-Centered Communication with Electronic Health Records During Clinic Visits
An intervention for patient-provider communication training in the context of health IT
The goal of this pilot study was to create an intervention that promoted the seamless integration of health IT applications, particularly electronic health records (EHR), in clinical settings by specifically training clinicians on best practices for utilizing such systems while maintaining patient-centered communication and enhancing therapeutic practice.
Improving Interventions to Address Low-Uptake of Social Care Resources
Qualitative interviews to learn about individuals who don't engage with assistance