{"id":15973,"date":"2022-06-07T10:00:11","date_gmt":"2022-06-07T15:00:11","guid":{"rendered":"https:\/\/www.osfhealthcare.org\/blog\/?p=15973"},"modified":"2022-06-07T10:01:38","modified_gmt":"2022-06-07T15:01:38","slug":"data-lab-platform-will-help-reach-people-who-need-it-most","status":"publish","type":"post","link":"https:\/\/osf-blog.live.imagescape.com\/blog\/data-lab-platform-will-help-reach-people-who-need-it-most\/","title":{"rendered":"Data Lab platform will help reach people who need it most"},"content":{"rendered":"

It\u2019s a common problem a person experiencing poverty faces. Their doctor has just diagnosed them with prediabetes. They\u2019ve been told to eat healthier foods and exercise more. They\u2019ve also been prescribed medications to control their blood pressure and cholesterol. They\u2019re sent home with what their physician believes are the tools to prevent full-blown diabetes.<\/p>\n

But there are problems the doctor doesn\u2019t know about. Our patient in question is struggling to put food on the table for their family. They are working two jobs and don\u2019t have the time to get a workout in. And if it comes to buying meds or keeping the lights on in their home, the patient is going to keep the lights on. Before you know it, they end up in the emergency room with uncontrolled diabetes.<\/p>\n

Whether it\u2019s not having access to the right foods or having enough money to pay for medications, these types of social and economic drivers keep marginalized populations from being healthy. The OSF Innovation Data Science and Advanced Informatics Lab<\/a>, a part of OSF HealthCare<\/a>, has developed an all-encompassing solution not only to identify people at risk for poorer health outcomes but to help connect them to resources and ongoing monitoring.<\/p>\n

OSF Community Connect<\/h2>\n

OSF Community Connect<\/a> is a platform that leverages data to link OSF to people who are most in need of assistance. It can help the Ministry prioritize care and resources for the most affected communities. And it can help establish connections to care for prevention, treatment and surveillance.<\/p>\n

\u201cThe solution was born out of the pandemic as a way to support OSF Community Health Workers (CHWs) who were digitally connecting with COVID-19 patients to assess their conditions, provide education and refer them to a provider when needed,\u201d said Roopa Fouler, director of the Data Lab and vice president of Digital Innovation Development. \u201cWe discovered it could also be a way to reach out and maintain relationships with under-resourced communities.\u201d<\/p>\n

As part of a state award<\/a> aimed at improving Medicaid services in Illinois, the Data Lab has expanded the platform\u2019s capabilities to serve this population better. It\u2019s not just for CHWs to use out in the field. The OSF Community Connect can now be used by clinicians, community-based organizations and others to carry out a number of tasks in service of patients.<\/p>\n

\u201cYears of background research to uncover unmet needs in our communities led us to propose the OSF Community Connect solution,\u201d said Jon Handler<\/a>, MD, senior fellow for OSF Innovation. \u201cWe then trained our teams to quickly and effectively develop, test and implement the platform. This allowed our diverse team to focus on a single, shared vision \u2013 to improve health in the communities we serve, especially for those in greatest need.\u201d<\/p>\n

How it works<\/h2>\n

Thinking back to the person diagnosed with prediabetes, the platform can notify a physician about socioeconomic factors that could prevent the patient from following recommendations. The doctor can then inform a CHW, using the platform, to connect their patient to a community-based organization that could help provide healthy foods and financial support to buy medications.<\/p>\n

CHWs can also follow up on whether their patient got the help they need and send text messages when it\u2019s time to reevaluate their condition \u2013 all through the platform.<\/p>\n

\u201cThe possibilities are endless,\u201d said Nick Heuermann, a strategic program manager with OSF Innovation. \u201cUsers can customize workflows in the platform to identify any patient group they want to focus on. From there, they can use the same tool to positively impact an entire population.\u201d<\/p>\n

So far, OSF OnCall Digital Health<\/a> has adopted the OSF Community Connect platform for everything from identifying people who could benefit from remote patient monitoring to breast cancer screening outreach. The platform will also be used to support Federally Qualified Health Centers like Heartland Health Services in Peoria and Aunt Martha\u2019s Health and Wellness in Danville as they begin including CHWs to their teams.<\/p>\n

These CHWs will act as liaisons between these federally-backed health centers and patients who historically don\u2019t follow through on health recommendations due to various social challenges. Their role is to connect people to community and health services using the platform.<\/p>\n

\u201cWe\u2019ve essentially built an electronic community health record to integrate data from multiple places,\u201d said Foulger. \u201cWith OSF Community Connect, it should be much easier for us as a health care system to identify people in most need of our help, monitor progress and intervene when necessary. We shouldn\u2019t have anyone falling through the cracks because of their social or economic status.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

Whether it\u2019s not having access to the right foods or having enough money to pay for medications, these types of social and economic drivers keep marginalized populations from being healthy. The OSF Innovation Data Science and Advanced Informatics Lab, a part of OSF HealthCare, has developed an all-encompassing solution not only to identify people at risk for poorer health outcomes but to help connect them to resources and ongoing monitoring.<\/p>\n","protected":false},"author":23,"featured_media":15991,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[355],"tags":[678,403,1080,1097,140],"coauthors":[682],"class_list":["post-15973","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovation","tag-data","tag-health-care-solutions","tag-osf-innovation-labs","tag-prevention","tag-public-health"],"yoast_head":"\nData Lab platform will help reach people who need it most<\/title>\n<meta name=\"description\" content=\"OSF Community Connect was developed to easily connect clinicians, community-based 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