New research from the University of Chicago Medicine shows a program that uses electronic medical records to connect Chicagoans with health resources in their community could be a model for other efforts nationally.
That's according to new findings published Nov. 9 in the journal Health Affairs.
The program called CommunityRx launched in 2012 with funding from a $5.9 million federal innovation award. The program works by generating customized "e-prescriptions" called a HealtheRx for patients who visit nearly three dozen health clinics, including UChicago Medicine's adult and pediatric emergency departments. Since it started, CommunityRx has generated more than 506,000 customized HealtheRx prescriptions for an estimated 200,000 or more patients.
The Health Affairs study assessed the program's effectiveness by surveying 458 CommunityRx participants who received a HealtheRx prescription between 2012 and 2014. More than 83 percent reported the personalized referrals were "very useful." Nearly one in five visited a place they learned about through the program. And all but one of six partnering health care organizations (involving 30 of 33 clinical sites) participating in the project continued using CommunityRx after the study period ended.
"To me, the most profound finding and one that motivated me to find a sustainable business model, was that more than half the participants surveyed used their HealtheRx to help connect someone else to community resources," said Stacy Tessler Lindau, MD, an associate professor of obstetrics and gynecology at the University of Chicago. "I'm fascinated by the idea that we might motivate people to take better care of themselves by offering them a tool that make it easy to help others."
Lindau directed CommunityRx, was the study's lead author, and has founded a private social enterprise company that is commercializing the effort.
CommunityRx connects patients with specific nearby places and community resources matched to their health needs. A person with diabetes might leave a checkup with an automatically created HealtheRx printout listing nearby locations for nutrition classes while someone with high blood pressure might get a prescription listing free area blood pressure screenings.
The backbone of the project, which was required by its grant funding to also have a sustainable business plan, is a continuously updated database of community assets that is merged with a patient's electronic health record. The database inventory includes nearly 20,000 public-serving entities – from food banks to counseling centers – operating within a 107-square-mile area of Chicago's South Side. The exhaustive catalog is created and updated by a team of high school students who walk every block of the area each summer to document the region's businesses and organizations using a smartphone app.
The Health Affairs study showed that more than 40 percent of the organizations listed in the HealtheRx database didn't have websites, so many patients wouldn't necessarily be able to learn about resource – often just blocks away from their home – unless they received the prescription from their doctor's office or clinic. The most commonly prescribed resources during the study period were food pantries, healthy eating classes, fresh fruits and vegetables and individual counseling.
During the three-year study, the program generated more than 250,000 personalized "prescriptions" for about 113,000 people.
The researchers acknowledge that their study relied on patients to self-report whether they utilized a resource, because the program's electronic interface was only connected to medical records, not the individual community service provider organizations.
Additional authors of the study, "CommunityRx: A population health improvement innovation that connects clinics to communities," include Jennifer Makelarski, Emily Abramsohn, David G. Beiser, Veronica Escamilla, Jessica Jerome, Daniel Johnson, Abel N. Kho, Karen K. Lee, Timothy Long, and Doriane C. Miller.
About the University of Chicago Medicine & Biological Sciences
The University of Chicago Medicine, located in Chicago's Hyde Park neighborhood, is one of the nation's leading academic medical institutions. It comprises the Medical Center, Pritzker School of Medicine and the University of Chicago Biological Sciences Division. Twelve Nobel Prize winners in physiology or medicine have been affiliated with UChicago Medicine. The medical campus includes the Center for Care and Discovery, Bernard Mitchell Hospital, Comer Children's Hospital and Duchossois Center for Advanced Medicine and offers a full range of specialty-care services for adults and children through more than 40 institutes and centers including an NCI-designated Comprehensive Cancer Center. It has 805 licensed beds, nearly 850 attending physicians, about 2,500 nurses and over 1,100 residents and fellows. Off-campus affiliations and partnerships include Silver Cross Hospital for cancer care, Little Company of Mary Hospital for specialty pediatric care and Edward-Elmhurst Health for specialty pediatric care.
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