Evidence map›Paper›PMID 32240080›Full record

ArticleThe Permanente journal2020

Fostering Partnerships with the Safety Net: An Evaluation of Kaiser Permanente's Community Ambassador Program in the Mid-Atlantic States.

Lorella Palazzo, Juno Matthys, Craig Sewald, Natasha Arora, Maggie Jones, Jacqueline Bradley, Sallie Eissler, Mindy R Rubin, Tanya M Edelin, Maya Nadison

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PubMed Full text at PMC Publisher
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Article in The Permanente journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lorella PalazzoKaiser Permanente Washington Health Research Institute, Seattle.
Juno MatthysCenter for Community Health and Evaluation, Kaiser Permanente Washington Health Research Institute, Seattle.
Craig SewaldCenter for Community Health and Evaluation, Kaiser Permanente Washington Health Research Institute, Seattle.
Natasha AroraCenter for Community Health and Evaluation, Kaiser Permanente Washington Health Research Institute, Seattle.
Maggie JonesCenter for Community Health and Evaluation, Kaiser Permanente Washington Health Research Institute, Seattle.
Jacqueline BradleyCommunity Ambassador Program, Kaiser Permanente Mid-Atlantic States, Rockville, MD.
Sallie EisslerCommunity Operations, Kaiser Permanente Mid-Atlantic States, Rockville, MD.
Mindy R RubinCommunity Benefit, Kaiser Permanente Mid-Atlantic States, Rockville, MD.
Tanya M EdelinCommunity Benefit, Kaiser Permanente Mid-Atlantic States, Rockville, MD.
Maya NadisonCommunity Health Evaluation and Research, Kaiser Permanente Mid-Atlantic States, Rockville, MD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionKaiser Permanente (KP) Mid-Atlantic States has partnered with communities in its service area since 2011 to provide health services to underserved individuals. As part of KP's Community Benefit investment, the Community Ambassador Program places KP advanced-practice clinicians in safety-net clinics to share best practices and to improve access and quality of care.

objectiveTo report program outcomes and disseminate lessons learned.

methodsUsing data from participating clinics, we retrospectively evaluated the program and estimated Community Ambassadors' contributions to clinic capacity, patient access, evidence-based care, and clinical quality measures. Furthermore, we conducted 29 semistructured phone interviews with stakeholders. Questions focused on program benefits, challenges, learning, and sustainability.

resultsFrom 2013 to 2017, Community Ambassadors filled up to 32.8 full-time equivalent positions and conducted 294,436 patient encounters in 19 clinics. In certain years and for subsets of clinics, Community Ambassadors performed above average on 2 high-priority quality measures: Cervical cancer screening for women aged 21 to 64 years and diabetes (blood glucose) control. Interviews with 15 Community Ambassadors, 15 health centers leaders, and 7 KP Mid-Atlantic States staff members revealed that Community Ambassadors improved patient access, clinic capacity, and care quality. Ambassadors also exported KP best practices and supported KP's community relations. Challenges included patient acuity, clinic resources, staff turnover, and long-term sustainability.

conclusionThe Community Ambassador Program achieved its goals and had clear benefits, offering a model for large health care systems wanting to collaborate with community-based clinics. Careful planning is needed to ensure that positive results are sustained.

Indexed as

Interinstitutional RelationsDelivery of Health Care, IntegratedHealth Services AccessibilityHumansMental Health ServicesPreventive MedicineQuality Indicators, Health CareQuality of Health CareRetrospective StudiesSafety-net Providers

Identifiers

PMID32240080
PMCPMC7089587

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.