November 8, 2023
OCHIN has received its first Research Project Grant (R01) from the National Institutes of Health (NIH) as the prime recipient. The $3.5 million, five-year DEDICATE project (advancing care management adoption in community health centers) will address non-clinical drivers of health outcomes screening and intervention by testing the support that health centers need to effectively use new technologies to connect patients with medical and non-medical health-related needs to supportive community resources. While OCHIN has partnered on many NIH R01 grants before, this is the first that OCHIN is leading.
A growing body of research indicates a connection between our physical health and contextual factors, such as food insecurity, housing instability, or lack of transportation. Community-based health care providers strive to help their patients manage or mitigate these factors, but they face wide-ranging obstacles to offering seamless whole-patient care.
Nicole Cook, PhD, MPA, an investigator at OCHIN and co-principal investigator of DEDICATE, explains that electronic health record systems (EHRs) are often not tailored or optimized to help providers coordinate care and manage patients’ contextual factors influencing health outcomes.
“I’ve seen over and over again that even when we have the absolute best care management teams in the world, and EHR tools could help if adopted, there can still be major time and resource barriers to connecting patients with services,” said Cook. “With DEDICATE, I am really excited to test how the implementation support services that OCHIN can provide can help address some of the technology challenges that care managers experience when coordinating services to address patients’ non-clinical drivers of health needs.”
Nicole Cook
Rachel Gold
Co-led by Rachel Gold, PhD, MPH, OCHIN’s director of implementation science programs, the DEDICATE team will partner with OCHIN Epic member clinics. Leveraging nearly a decade of non-clinical drivers of health outcomes research and practice-based experience, and the more than 2 million non-clinical drivers of health screenings conducted thus far over 1 million unique patients nationwide, OCHIN’s research team will:
- Identify obstacles to health centers’ use of EHR-based care management functions
- Partner with community stakeholders to refine implementation strategies to optimize their potential to support health centers’ use of Compass Rose, an application in OCHIN Epic that is designed to support care management
- Conduct a trial of whether the refined strategies improved use of Compass Rose to make connections between patients with contextual factors influencing health outcomes and community resources
OCHIN research associates serving as co-investigators on the project include:
Rose Gunn
Brenda McGrath
Anna Templeton
This is the first prime R01 award that OCHIN has received from NIH and its second prime R01 award overall.
To learn more about DEDICATE and its funding, visit NIH’s website.