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 J.
AU - Wros, Peggy
AU - Bookman, Nicholas
AU - Mathews, Launa Rae
AU - Voss, Heather
AU - Ostrogorsky, Tanya L.
AU - LaForge, Kate
N1 - Publisher Copyright:
© 2018 Taylor & Francis Group, LLC.
PY - 2023
Y1 - 2023
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 - Interprofessional student teams
KW - care coordination
KW - mixed methods
KW - population health
KW - underserved populations
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U2 - 10.1080/13561820.2018.1560246
DO - 10.1080/13561820.2018.1560246
M3 - Article
C2 - 30585089
AN - SCOPUS:85059054926
SN - 1356-1820
VL - 37
SP - S45-S52
JO - Journal of Interprofessional Care
JF - Journal of Interprofessional Care
IS - sup1
ER -