Topic: Moving from Data Collection to Action: Improving Patient Access to SDOH Resources
Organization Name: Affinia Healthcare
Organization Type: Health Center
Location (city/state): St. Louis, Missouri
Special or Vulnerable Population: Public Housing
Challenges: Need for new partnerships and resources to answer what role healthcare plays in addressing the different SDOHs that affect healthPromising Practice: CHW program, PRAPARE SDOH screening tool, local partnerships
Affinia Healthcare, a Federally Qualified Health Center (FQHC) in St. Louis, MO, has leveraged cross-sector partnerships and Community Health Workers (CHWs) to address Social Determinants of Health (SDOH) for their 43,000 patients. By utilizing the PRAPARE SDOH screening tool, Affinia’s CHWs collect data that guides patient referrals to community resources and informs new partnerships with organizations such as the YMCA, St. Louis Public Housing Authority, and the American Heart Association. Initially used in the Maternal Child Department, Affinia’s CHWs now operate across various programs including HIV care, vaccine clinics, and chronic condition management. Affinia advises other health centers to involve CHWs from the outset, clearly define partnership roles, and establish clear data points and goals to inform actionable outcomes.
Source Link:
Webinar 1: Moving from Data Collection to Action: Improving Patient Access to SDOH Resources