Slide Presentation from the AHRQ 2008 Annual Conference
On September 10, 2008, Susan Vega made this presentation at the 2008 Annual Conference. Select to access the PowerPoint® presentation (450 KB; Plugin Software Help).
Reducing Health Disparities Among Hispanic Elders: Lessons from a Learning Network (Team Chicago)
AHRQ Annual Meeting 2008
September 10, 2008
Alivio Medical Center
Why is your community doing this?
- Address chronic diseases in Latino seniors.
- Adult onset diabetes negatively affecting quality of life for Latino seniors and their families.
- Need to work together to develop and implement interventions that have long-lasting effects.
- Develop plan that depends less on clinical interventions and more on community resources.
Chicago Area Latinos
- 1,071,740 Latinos in Chicago and Suburban Cook County—22.2% of population.
- 73% of Latinos in Chicago/Cook County are Mexican immigrants or of Mexican descent.
- One in four will develop adult onset diabetes.
Team Chicago's Target Communities
- Little Village in Chicago—southwest of downtown.
- Cicero in suburbs—just west of Little Village.
- Largest number of Latinos in all of Chicago community areas and largest numbers in suburban Cook County.
- Almost 10,000 residents 65+.
- 72% of Latinos 65+ in Little Village and 63% of Cicero Latinos 65+ live with families.
What is the plan you hope to implement?
- Tomando Control de Su Salud, Stanford's Chronic Disease Self- Management Program (CDSMP) in Spanish.
- Additional programming, Improving Latino Health, focused on one-on-one coaching, community resources, and individualized needs.
- Targeting two contiguous largely Mexican/Mexican-American communities—one city and one suburban.
Partnership Members and Roles
|Chicago Dept. Senior Services
|Chicago Dept. Public Health
|Sinai Community Institute
How did the team build capacity before engaging clinical partners?
- Key organizations brought resources to process:
- Alivio—Compañeros en Salud.
- Rush—Experience connecting clinicians with CDSMP.
- Age Options, Chicago Department of Senior Services, and Rush already funded through Administration on Aging (AOA) and National Council on Aging (NCOA) for CDSMP.
- Leveraged resources to build Team Chicago's capacity for implementing Tomando Control de Su Salud.
- Helped to focus Team Chicago's choice of intervention.
How is the team engaging clinical providers?
- Alivio Medical Center will pilot intervention.
- Senior Advocate pitched intervention to clinical staff.
- Alivio process may serve as model for other clinical settings.
- Development of Core Working Team.
- Development and refinement of Team Charter.
- Development of Implementation Plan.
- Training in Take Charge of Your Health and Tomando Control de Su Salud.
- Schedule of Tomando Control de Su Salud classes in target communities to meet objectives of Implementation Plan.
- Site agreements with Alivio Medical Center.
- Tentative agreements with two additional healthcare providers.
How was the Learning Network helpful to Team Chicago and their project?
- Provided impetus to take on the effort.
- Provided assistance in focusing efforts.
- Served as "reality check".
- Provided framework/template.
- Kept project "on-track" through process, e.g., monthly Team Chicago calls and All-Teams calls.
- Provided forum for problem-solving.
- Provided resources, e.g, October 2007 Workshop, AHRQ Data Chartbook, NCOA-American Society on Aging (ASA) Health Enhancement Program (HEP) adjunct meeting, Site Visit, additional calls.
Most Challenging Aspect
- Team process/collaborations.
- Group learning curve.
- Getting buy-in from sponsoring organizations.
- Helping clinicians understand role of intervention.
- Helping clinicians understand usefulness of lay health promotion/interventions.
- Developing resources to meet community needs.
- Take nothing for granted.
- Everything takes longer than you think it will.
- Be open to new ideas.
- Be mindful of individual, group and organizational processes.
- Keep plugging along.
- There is no substitute for working together.
- Remember the vision thing.
For More Information
Alivio Medical Center
966 W. 21st Street, Chicago, IL 60608
Current as of February 2009
Reducing Health Disparities Among Hispanic Elders: Lessons from a Learning Network (Team Chicago). Slide Presentation from the AHRQ 2008 Annual Conference (Text Version). February 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/annualmtg08/091008slides/Vega.htm