Integrated Care Collaboration

PURPOSE: THE PURPOSE OF THIS GRANT IS TO PERFORM AN ANALYSIS OF THE CONNXUS HEALTH INFORMATION EXCHANGE (HIE), WHICH IS A CENTRALIZED DATA REPOSITORY THAT HAVE OVER 2 MILLION RECORDS, TO CONDUCT RIGOROUS, MIXED-METHODS POPULATION HEALTH RESEARCH EXAMINING HOW FEDERAL AND STATE HEALTH POLICIES, ALONGSIDE NON-MEDICAL DRIVERS OF HEALTH AND OTHER ACCESS-RELATED FACTORS, SHAPE MATERNAL HEALTH DISPARITIES ACROSS URBAN AND RURAL COUNTIES IN TEXAS. ACTIVITIES TO BE PERFORMED: FIVE PHASES ARE IDENTIFIED: 1) PREPARATION OF DATA IN THE CONNXUS DATABASE SO IT CAN BE ANALYZED; 2) SEMI-STRUCTURED STAKEHOLDER INTERVIEWS AND POLICY SYNTHESIS; 3) QUALITATIVE ANALYSIS USING QUASI-EXPERIMENTAL AND AI/ML APPROACHES; 4) COMMUNITY ADVISORY AND STAKEHOLDER VALIDATION REVIEW; AND 5) DISSEMINATION AND KNOWLEDGE TRANSLATION. EXPECTED OUTCOMES: OUTCOMES WILL BE AT THREE LEVELS: 1) SCIENTIFIC; 2) POLICY; AND 3) CLINICAL AND COMMUNITY. AT THE SCIENTIFIC LEVEL, A FRAMEWORK TO EVALUATE THE EFFECTS OF NATIONAL POLICY ON MATERNAL HEALTH WILL BE DEVELOPED. AT THE POLICY LEVEL, THIS PROJECT WILL PROVIDE THE FIRST RIGOROUS EMPIRICAL EVIDENCE ON THE EFFECTIVENESS OF FEDERAL WORKFORCE EXPANSION POLICIES, EXEMPLIFIED BY THE NHSC AND HPSA 15, PROGRAMS, IN REDUCING MATERNAL HEALTH OUTCOME DISPARITIES BETWEEN URBAN AND RURAL COUNTIES IN TEXAS. AT THE CLINICAL AND COMMUNITY LEVEL, THE PROJECT WILL PROVIDE A PATHWAY TO CLINICAL DECISION SUPPORT TOOLS DEPLOYABLE ACROSS THE CONNXUS MEMBER HEALTH ORGANIZATION NETWORK.INTENDED BENEFICIARIES: IF SUCCESSFUL, THE FRAMEWORK CAN BE APPLIED TO HIES NATIONALLY. BY IDENTIFYING HIGH-RISK PATIENTS EARLIER AND FACILITATING PROVIDER OUTREACH, THE DEVELOPED TOOLS HAVE THE POTENTIAL TO REDUCE PREVENTABLE MATERNAL MORBIDITY AND MORTALITY IN CENTRAL TEXAS BEYOND THE PROJECT PERIOD. THE RESEARCH FINDINGS WILL DIRECTLY INFORM HRSA PROGRAM EVALUATION PROCESSES, TEXAS DEPARTMENT OF STATE HEALTH SERVICES MATERNAL HEALTH PLANNING, AND CONGRESSIONAL OVERSIGHT OF COMMUNITY HEALTH WORKFORCE INVESTMENT PROGRAMS. ISOTOPIC PROFILING TECHNIQUE TO SUCH AREAS AS EVALUATING PFAS SOURCES IN THE INDOOR ENVIRONMENT, FOOD CONTAMINATION AND DRINKING WATER. SUBRECIPIENT ACTIVITIES: THE RECIPIENT PLANS TO SUBAWARD FUNDS TO HARVARD PILGRIM HEALTH CARE INSTITUTE (HPHCI), WHICH WILL BE RESPONSIBLE FOR SCIENTIFIC LEADERSHIP, STUDY DESIGN, IRB OVERSIGHT, AND ANALYTIC ACTIVITIES.