2010 LEADS SUMMER PROJECTS
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| Chris Rogers and Spencer Tomberg identified and disseminated best practices for the interaction between First Responders and people with Autism |
Kate Arata, Katy Lewis and Molly Ainsman, created a text messaging program for teens to anonymously text in questions pertaining to sexual health. Check out the website: In Case You're Curious (ICYC) |
Students selecting a focus in leadership, advocacy, and community service can elect to participate in a LEADS scholarly project during their summer internship which will entail completing their Mentored Scholarly Project related to community health or vulnerable populations during their fourth year.
We're pleased to post our most recent class research in development!
| The Bell Policy Center |
Looking Forward
Maggie Tillquist
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| Rocky Mountain Youth Clinic |
Health Outcomes in a Pediatric Population with Insurance Churn at a Safety Net Provider
Kate Grimsrud
Courtenay Holscher
Micelle Rappaport |
Compare the quality of health care (as measured by proxy health care outcomes) provided to patients who have and have not experienced insurance churn.
Determine if patients who experience better health care outcomes have common demographic or other traits.
Determine if patients who experience better health outcomes have different patterns of health care utilization, and if those patterns correspond to insurance status and/or churn.
Determine if patients who stay in the safety longer experience better health outcomes and compare patient populations who did and did not experience churn. |
| COPIC |
Diagnostic Errors Resulting in Patient Harm: Identification, Assessment, and Prevention
Brandon Morris |
Extract data necessary to complete a qualitative descriptive analysis of missed or delayed diagnosis events recorded in the COPIC database.
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Colorado Coalition for Medically Underserved
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Aurora Health Access Taskforce
Liz corey-Pachecho |
Understand the community health profile of Aurora: General
Demographics. Health status of residents. Capacity of community health system. Access of residents to community health system. Research various models of care. Provide recommendations of best practices/successful model elements |
| Denver Public School Based Clinics Pregnancy Prevention Program |
Texting Programs in Pregnancy Prevention Education
Molly Ainsman
Kate Arata
Katy Lewis |
Creating a text messaging program for teens to anonymously text in questions pertaining to sexual health. We will be targeting teens that are at the three middle and high schools associated with the Denver Teen Pregnancy Prevention Partnership (DTPPP). We have three major goals by the end of the summer, so that the program can launch in the fall. Manual: We plan to write a complete manual with possible questions and answers so that an employee of Planned Parenthood can answer any texts that come into the line. All texts will go through Ezuku.com, a website that will track questions being answered and store the data. Website: We plan to create a website associated with the texting line so that teens can access more detailed information. Marketing: We plan to create a marketing scheme to spread the word about the program.
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| Colorado Coalition for Medically Underserved |
Barrier to Primary Care Access and Emergency Department Utilization: Implications for Healthcare Reform on a National and Community Level
Paul Cheung |
Data collection and analysis of NHIS data
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| Lowry Family Health Center and Colorado Asian Health Education and Promotion |
Student/Refugee Health Education Collaborative
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Ray Choi |
Will incorporate the goals of the LEADS program, the Urban Scholars track, and the Global Health track, and the Office of Diversity, but will be open to students of all professions. The goals for student participants are to provide clinical experience and the importance of culture in medicine, while providing the refugees much needed health
services. We hope to offer the elective in the Fall of 2011 and adjust the curriculum as needed.
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| Metro Community Provider Network |
Documenting Best Practices of Clinical Workflow in the Management of Chronic Diabetes: What Variables Affect HbA1c as a Measure of Clinical Outcomes in a Community Clinic
Chloe Hughes |
Verify the initial data set Metro Community Provider’s Network (MCPN) has for HbA1c values in its diabetic patients. I then plan to use surveys and observation in order to look forvariations between clinical sites in order to explain the variation MCPN has found in HbA1c values. The overarching aim is to attempt to identify
“best practices” within the organization in orderto optimize clinical effectiveness for their patients.
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| Harm Reduction Action Center |
Factors Related to Quality Healthcare Services Among Active Injection Drug Users in Denver, CO
Jessica Kohring |
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| The Center |
GLBT Provider Database
Nathan Reich |
Update contact information for providers currently on the database. Perform quality control by verifying all licenses of providers on the database and limiting number of listed specialties to three. Perform an informal survey of each contacted provider to determine if there is a desire for additional training in GLBT specific healthcare competencies. Manually update the database by re-entering all of the updated information in a way where we have control over the listings by setting a standard password for administrators rather than individual providers. Look for gaps in the database regarding specialties. Investigate new ways to both advertise the database to the GLBT community and to providers so that the database may grow and become more useful for the GLBT community. |
| Autism Society of Colorado |
Identify and Disseminate Best Practices for the Interaction Between First Responders and People with Autism
Chris Rogers
Spencer Tomberg
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Identify the “best practices” for interactions between autistic people and professionals in education, healthcare and social services (primarily within EMS, police, fire dept.’s, health care).
Work with the EMS, fire department and police communities to incorporate the identified best practices into their training programs. Present resources to ASC and member families that will facilitate positive interactions with the EMS community.
Encourage communication and shared responsibility between the EMS community and the autistic community and their families. Explore avenues for promotion and sustainability of the recommendations that we provide (i.e., funding, training personnel, legislation). Explore expanding the program to personnel in emergency rooms. UPDATE: Developmental Disability Awareness Online Training Team: The development of the first responder training programs. Earlier this month Chris and Spenger gave a presentation about their training programs at the Colorado State EMS Conference. This was an exciting opportunity for them to get the word out about the online training, the EMT-B training and the parent resource guide we developed. The session was well attended (we estimated that 40-50 people were present) and audience members had a number of questions and stories related to working with people who have developmental disabilities. At the end of the session we distributed all of our EMT-B training program CDs and gave out close to 100 “encounter tip” cards. As part of their presentation they worked with LEADS to create a video that attempts to couple the reality of having a developmental disability with the consequences that can occur when first responders interact with people who have developmental disabilities (click here to link to video). We think that this was a powerful way to begin the presentation and we are working on incorporating the video into our trainings. They would like to thank LEADS for their support. They are working hard to expand the number of people who participate in the trainings. They have sent out a flyer about the online training to EMT training programs across the state and have presented at a number of conferences. They are also woking with the Autism Society of Colorado to set up meetings with government administrators so that they can encourage them to incorporate Their material into existing training programs. Chris and Spencer think that this is an effective way to expand the base of first responders who get exposure to the challenges and rewards of working with people who have developmental disabilities. |
2011 LEADS SUMMER PROJECTS
Students selecting a focus in leadership, advocacy, and community service can elect to participate in a LEADS scholarly project during their summer internship which will entail completing their Mentored Scholarly Project related to community health or vulnerable populations during their fourth year.
We're pleased to post our most recent class research in development!
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Nicholas Berlin |
- To identify the current discrepancies and misconceptions in the Colorado school systems and medical community regarding the systems of care in place for individuals with Autism Spectrum Disorders (ASD).
- Identify methods to dispel these myths and disseminate facts to educate the local community.
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| Colorado Association for School-Based Health Care |
Rachel Skalina
Kasey Topp |
- Develop a toolkit to assist SBHC providers addressing overweight and obesity in their clinic practice to provide specific procedures, protocols, and program descriptions for addressing existing overweight found in middle and high school–aged patients through use of literature review, SBHC site visits and key informant interviews.
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| Colorado Alliance for Health Equity and Practice |
Akua Fordjour |
- Identify which environmental factors or how attitudes towards healthcare providers or the system affects non adherence at the CAHEP clinic
- Determine if identified causative factors of non-adherence are common to both insured and underinsured/uninsured patients.
- Implement an interventional approach to tackle the problem of non-adherence at the CAHEP Clinic
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| Laboratory to Combat Human Trafficking |
Sarah Hendrickson |
To facilitate the enhanced coordination and provision of services to victims of human trafficking in Colorado by:
- identifying current resources available to serve trafficking victims
- informing future public awareness, training, and technical assistance activities
- describing current barriers and challenges that inhibit the effectivess of a community response
- informing the creation of protocols to facilitate service coordination, including a marketing plan to reach community service providers
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| Bell Policy Center |
Alexi Kimball
Laura Scrimgeour |
- Research what home and community-based services relating to long-term care exist in the state. what challenges limit patient access and what providers can offer, and what the sources of funding are for the clinics/organizations that provide these services
- Research current Medicaid fund distribution and programs in other states to key informants and identify questions about some of the shortages in our state that might be areas to shift funding to cut health care costs.
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| CCMU |
Sara Scannel |
- Assessing the Workforce Capacity for Colorado’s Medicaid Expansion to Adults without Dependent Children (AWDC) under Colorado HB09-1293 by interviewing providers in order to qualitatively assess their perceptions on how this Medicaid expansion will be successful and what barriers may limit new enrollees from accessing care.
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| Payment Reform for Patient-Centered Medical Homes in Colorado (Senator Irene Aguilar’s office) |
David Roy |
- Research the theoretical pros and cons for implementing payment reform to help create patient-centered medical homes in Colorado
- Research examples of patient centered medical homes that have been implemented elsewhere, whether through legislation or as individual experiments
- Research examples of increasing payment up-front for preventive services, and whether these payment increases saved money in the long run
- Create a white paper for Senator Aguilar, detailing the main points regarding payment reform for patient centered medical homes
- Produce a white paper on Payment Reform for Patient Centered Medical Homes in Colorado
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| CCHI |
Kinsey Roth
Zachary Trenbeath |
- Compiling a comprehensive matrix of advocacy groups and government agencies within the state working on projects related to the Health Insurance Exchange. The matrix identifies funding sources, areas of overlap, and gaps in forming the exchange, which will help Colorado be more efficient in pursuing the development of its’ exchange which must be functional by 2013.
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| Teenage Pregnancy Prevention Programs: A Needs Assessment (Senator Irene Aguilar’s office) |
Gail Mc Spadden
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- Conducting a literature review of teenage pregnancy prevention programs in Colorado, comparing rates of teenage pregnancy, types of programs, and usage of state funds with other states.
- Identifying potential causes of this distribution are and how Colorado programs compare to other states regarding outreach and effectiveness
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Organization
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Project
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1.
Alzheimer's
Association
“Family Caregiver Enhanced
Care Transitions Intervention Protocol”
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§ Create
a poster for the American Geriatric Society meeting in August in LA and
eventually publish a paper on the validity of the tool.
§ The FCAT (Family Caregiver Assessment Tool) is newly
developed, yet untested tool that is a potential new way to assess the skill
level of family caregivers. The importance of family caregivers to the health
and wellbeing of the growing older adult population is commonly overlooked
and this tool would provide an objective view of a caregiver’s skill set.
Ideally, the FCAT could be used to both track a caregiver’s progress over
time, as well as determine the ability of the caregiver to provide adequate
care to their family member after discharge from the hospital. Need to evaluate
the tool to ensure its validity and specificity, as well as identify any
potential bias.
§ Complete 10 one-on-one sessions with family caregivers in the
community (recruited from the Alzheimer’s Association’s caregiver support
group) and obtain feedback on the FCAT’s organization, wording and scripting.
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2.
Child Health Advocacy Institute
(CHAI)
“Bikes for Life”
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Develop a basic understanding of the
population served by this program through enrollment interactions in clinics
-- ongoing through 8 weeks
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Develop a survey for the BGCMD families
and directors to fill out at their 3 month follow up appointments Administer
this survey to the BGCMD families and respective branch directors
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Administer this survey to the BGCMD
families and respective branch directors
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Compile information from each BGCMD
branch and compare information between branches Provide the Children's Health
Advocacy Institute with a report of the information obtained through this
survey
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Provide the Children's Health Advocacy
Institue with a report of the information obtained through this survey
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3.
Colorado Coalition for the
Homeless (CCH)
“Trauma Informed Care: The effectiveness of
screening homeless patients at CCH and Adverse Childhood Experiences:
Applying the ACE scare in the context of homelessness”
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Trauma
informed care to assess whether the universal screening process is effective
with the CCH client population. Information will be filtered into their
clinical care protocols.
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ACE/LEC
study is intended to add to the volume of literature regarding risk factors
for homelessness, especially those that occur during childhood.
§
Assist
CCH in communicating with legislators about homelessness in Colorado and
relevant legislation will be intended to advocate for the underserved.
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4.
Colorado Rural Health Centers
“Colorado Health Story”
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Sharing that story connects others and facilitates
conversation about health; what's working, what is not. On this basis, our
health system can be improved.
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Toolkits For Clinicians in Morgan County on
Refugee Care as well as Gathering Health Stories from community members there.
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5.
CoverColorado
“Fears, Myths, and Urban Legends: Assessing Member
Understanding of the Effects of PPACA on CoverColorado”
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§ CoverColorado needs to assess member’s current understanding of PPACA and
CoverColorado needs an efficient, cost effective way of communicating to the
members.
§ Project will assess member communication
preferences, and use focus groups to assess member understanding of PPACA.
§ White Paper on Fears & Concerns,
Myths/Urban legends regarding Health Care Reform.
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6.
JFK Partners
“Structured
Interview of Families whom have used FASL through the Medicare Children With
Autism Waiver”
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§ Collect
and analyze 10-20 interviews and present findings to JFK Partners and at
CANDO/CASCADE Meeting
§ Primarily
this is a quality improvement project to help change and guide the FASL
program. Additionally, the CWA Waiver was established in 2006 and was
legislated to include evaluations that were never performed. This has
recently been brought up and new legislation is re-mandating evaluation. JFK
Partners will play a large role in designing and implementing these
evaluations. This project will hopefully act as a pilot and provide valuable
information to help direct the official evaluation.
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7.
JFK Partners
“Colorado Mentoring Project”
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§ Long-term
goal of the Colorado Mentoring Project is to improve well-being and coping
strategies when caring for a child in the months following diagnosis, via deliverance
of a comprehensive program of support to newly-diagnosed families (mentees)
by more experienced families of children with autism (mentors).
§ Specific
project's goal is to identify key areas related to the new family's
diagnosis, treatment, and quality of life that must be addressed in the
mentoring program.
§ Report
to present to the Colorado Mentoring Project/JFK Partners with specific
suggestions for improvement of protocols.
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8.
Laboratory to Combat Human Trafficking
“Colorado Community Needs Assessment Report“
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Colorado
Community Needs Assessment Over-arching Goals:
ü Assess levels of knowledge and awareness
surrounding the complex crime of human trafficking
ü Coordinate with anti-trafficking leaders to
provide information needed to create a roadmap for service provision,
training, technical assistance, and coalition-building activities
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Colorado
Community Needs Assessment Specific Aims
ü • Facilitate the enhanced coordination and
provision of services to victims of human trafficking
ü • Identify current resources available to
serve trafficking victims
ü • Better understand the scope and nature of
human trafficking
ü •Inform future public awareness, training,
and technical assistance activities
ü •Inform the creation of protocols to
facilitate coordination of services provided by the Colorado Network to End
Human Trafficking (CoNEHT)
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9.
Medical Legal Partnership Children’s
Hospital Colorado Legal Aid Society
“Characterizing the Medical-Legal Partnership situation in
Metro Denver”
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Assessment: Collected and Analyzed data from at least
two sites.
ü Analyze existing model: Data analyzed, manuscript submitted
Fifty verbal surveys completed, analyzed, manuscript in beginning
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Expand: Lawyer recruitment brochure complete, CLS
memorandum of agreement in place.
·
Legal determinants of health still need
addressing in a large part of the population, especially the medically
underserved. This project may help
alleviate some of that
need.
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10.
Metro Denver Bright Beginnings
“Survey compilation and program
evaluation”
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·
Conduct
survey calls to parents who have received one or two visits and whose child
is turning one or two years old; compile survey data and analyze; summarize
data in a pamphlet and an executive summary.
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Use survey data to create an executive
summary and a pamphlet to be distributed to current and potential funders.
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Bright
Beginnings distributes parenting materials focused on educating parents about
the importance of the first three years of their child's life. Program
evaluation is a critical part of retaining and recruiting funding, both from
private funders and from grants.
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11.
United Way
“2-1-1
Smart Phone” Application
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§
2-1-1 is a social services referral
hotline whose database is organized in such a way that makes it very
difficult to search as a layperson user. We wish to streamline the database
in a manner that makes the search experience more user-friendly for clients
and physicians so the resources database can be utilized by more members of
the community.
§
Brainstorm with call center agents,
operations manager and resource team about user issues with the database.
Consult with VisionLink, United Way's software developers, about how they
might assist us in re-designing the database search site.
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Using Microsoft InfoPath Designer,
create and pilot new form for gathering information on service profiles from
agencies. Work out logistics on back-end with VisionLink to see how this data
entry can be synced with the existing database software.
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12.
Urban Peak
“Health
Care preferences of homeless adolescents”
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§ Distribute
ER usage survey, Interview several high ED use youth, develop class on proper
ED use and resources for cheaper care.
§ Providers
at Urban Peak clinic have been concerned about the youths' use of the ED for
non-emergent situations.
§ Survey
will quantify the degree of ED usage and provide some insight as to whether
or not the visist was appropriate for the ED. Interviews will provide a
better understanding of the belief structure of youth concerning the ED and
the health care system. The class curriculum will be fluid and focus on the
downside of using the ED for non-emergent reasons as well as provide
resources for free/less expensive care.
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