The Interprofessional Care Access Network (I-CAN)

achieving client health outcomes by addressing social determinants in the community

Katherine Bradley, Peggy Wros, Nicholas Bookman, Launa Rae Mathews, Heather Voss, Tanya L. Ostrogorsky, Kate LaForge

Research output: Contribution to journalArticle

Abstract

Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three years, almost 600 nursing, medicine, dentistry, and pharmacy students worked with clients referred from community partners, providing interprofessional care coordination addressing life instability and social determinants of health. The evaluation has demonstrated substantial improvement of health-related outcomes for clients who began in the first three years of the program and specifically those who completed intake and follow-up documentation (N = 38). There were substantial reductions in the aggregate number of emergency department visits, emergency medical service calls, and hospitalizations when compared to the 6 months prior to starting I-CAN. Estimated cost savings for the 38 clients, based on minimal estimated costs for these indicators alone, were over $224,000. A three-year qualitative review of client progress notes indicated that as a result of interprofessional student team interventions, many clients improved access to health insurance and primary care, and stabilized housing. Since the evaluation was completed, three programs have been added in rural and urban communities, demonstrating the model is scalable and replicable.

Original languageEnglish (US)
JournalJournal of Interprofessional Care
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Health
Social Determinants of Health
Pharmacy Students
Delivery of Health Care
Health Manpower
Health Occupations
Health Services Accessibility
Cost Savings
Emergency Medical Services
Vulnerable Populations
Rural Population
Health Insurance
Dentistry
Documentation
Hospital Emergency Service
Primary Health Care
Hospitalization
Nursing
Medicine
Students

Keywords

  • care coordination
  • Interprofessional student teams
  • mixed methods
  • population health
  • underserved populations

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The Interprofessional Care Access Network (I-CAN) : achieving client health outcomes by addressing social determinants in the community. / Bradley, Katherine; Wros, Peggy; Bookman, Nicholas; Mathews, Launa Rae; Voss, Heather; Ostrogorsky, Tanya L.; LaForge, Kate.

In: Journal of Interprofessional Care, 01.01.2018.

Research output: Contribution to journalArticle

@article{8674d00b5e75403483555e1412b48ee9,
title = "The Interprofessional Care Access Network (I-CAN): achieving client health outcomes by addressing social determinants in the community",
abstract = "Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three years, almost 600 nursing, medicine, dentistry, and pharmacy students worked with clients referred from community partners, providing interprofessional care coordination addressing life instability and social determinants of health. The evaluation has demonstrated substantial improvement of health-related outcomes for clients who began in the first three years of the program and specifically those who completed intake and follow-up documentation (N = 38). There were substantial reductions in the aggregate number of emergency department visits, emergency medical service calls, and hospitalizations when compared to the 6 months prior to starting I-CAN. Estimated cost savings for the 38 clients, based on minimal estimated costs for these indicators alone, were over $224,000. A three-year qualitative review of client progress notes indicated that as a result of interprofessional student team interventions, many clients improved access to health insurance and primary care, and stabilized housing. Since the evaluation was completed, three programs have been added in rural and urban communities, demonstrating the model is scalable and replicable.",
keywords = "care coordination, Interprofessional student teams, mixed methods, population health, underserved populations",
author = "Katherine Bradley and Peggy Wros and Nicholas Bookman and Mathews, {Launa Rae} and Heather Voss and Ostrogorsky, {Tanya L.} and Kate LaForge",
year = "2018",
month = "1",
day = "1",
doi = "10.1080/13561820.2018.1560246",
language = "English (US)",
journal = "Journal of Interprofessional Care",
issn = "1356-1820",
publisher = "Informa Healthcare",

}

TY - JOUR

T1 - The Interprofessional Care Access Network (I-CAN)

T2 - achieving client health outcomes by addressing social determinants in the community

AU - Bradley, Katherine

AU - Wros, Peggy

AU - Bookman, Nicholas

AU - Mathews, Launa Rae

AU - Voss, Heather

AU - Ostrogorsky, Tanya L.

AU - LaForge, Kate

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three years, almost 600 nursing, medicine, dentistry, and pharmacy students worked with clients referred from community partners, providing interprofessional care coordination addressing life instability and social determinants of health. The evaluation has demonstrated substantial improvement of health-related outcomes for clients who began in the first three years of the program and specifically those who completed intake and follow-up documentation (N = 38). There were substantial reductions in the aggregate number of emergency department visits, emergency medical service calls, and hospitalizations when compared to the 6 months prior to starting I-CAN. Estimated cost savings for the 38 clients, based on minimal estimated costs for these indicators alone, were over $224,000. A three-year qualitative review of client progress notes indicated that as a result of interprofessional student team interventions, many clients improved access to health insurance and primary care, and stabilized housing. Since the evaluation was completed, three programs have been added in rural and urban communities, demonstrating the model is scalable and replicable.

AB - Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three years, almost 600 nursing, medicine, dentistry, and pharmacy students worked with clients referred from community partners, providing interprofessional care coordination addressing life instability and social determinants of health. The evaluation has demonstrated substantial improvement of health-related outcomes for clients who began in the first three years of the program and specifically those who completed intake and follow-up documentation (N = 38). There were substantial reductions in the aggregate number of emergency department visits, emergency medical service calls, and hospitalizations when compared to the 6 months prior to starting I-CAN. Estimated cost savings for the 38 clients, based on minimal estimated costs for these indicators alone, were over $224,000. A three-year qualitative review of client progress notes indicated that as a result of interprofessional student team interventions, many clients improved access to health insurance and primary care, and stabilized housing. Since the evaluation was completed, three programs have been added in rural and urban communities, demonstrating the model is scalable and replicable.

KW - care coordination

KW - Interprofessional student teams

KW - mixed methods

KW - population health

KW - underserved populations

UR - http://www.scopus.com/inward/record.url?scp=85059054926&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059054926&partnerID=8YFLogxK

U2 - 10.1080/13561820.2018.1560246

DO - 10.1080/13561820.2018.1560246

M3 - Article

JO - Journal of Interprofessional Care

JF - Journal of Interprofessional Care

SN - 1356-1820

ER -