Coffee & Science: Hot Topics in Social and Health Care Integration

Coffee & Science "Adjustment" series July 16th - August 27th

SIREN Coffee & Science is a biweekly series of 30-minute conversations between experts in social interventions research, practice, and policy. Join our live events to hear leaders grapple with thorny issues at the intersection of clinical and social care. You can also listen to the conversations on demand at any time by subscribing to our podcast on Apple, StitcherSpotify, or using the links below.

Our events are organized around the National Academies of Sciences, Engineering, and Medicine’s “Five As Framework”, which defined roles that health care organizations can play in integrating social care. For more on what each of the five “As” means and why SIREN adopted this framework for the series, check out our special introductory podcast episode with Dr. Laura Gottlieb and Dr. Kirsten Bibbins-Domingo.

Starting July 16th, SIREN Coffee & Science kicks off a new cycle of four biweekly talks tackling the topic of Adjustment, which refers to health care activities that change clinical care to accommodate patients’ social conditions. We hope you will join us for these upcoming conversations, all on Fridays from 9:30-10am Pacific (12:30-1pm Eastern):

Register for the Coffee & Science series here  

Latest Episodes

Using Clinical Decision Support Tools to Contextualize Care

Using Clinical Decision Support Tools to Contextualize Care

25:24
This episode features a conversation between Danielle Hessler Jones, PhD, SIREN investigator and Professor in the Department of Family and Community Medicine at the University of California, San Francisco and Rachel Gold, PhD, MPH, an investigator at the Kaiser Permanente Northwest Center for Health Research and Lead Research Scientist at the OCHIN community health information network. This session is first of four talks focused on health care sector efforts to Adjust clinical care based on information about patients’ social circumstances. In this conversation, Danielle and Rachel define Adjustment and explore research on the use of clinical decision support tools that might facilitate related interventions. For resources mentioned in this episode, visit https://sirenetwork.ucsf.edu/podcast/using-clinical-support-tools-contextualize-care
Using Clinical Decision Support Tools to Contextualize Care

Delivering Social Care in the Virtual Frontier

26:43
This episode features a conversation between Tamara J. Cadet, PhD, LICSW, MPH, an Associate Professor at the Simmons School of Social Work and faculty at the Harvard School of Dental Medicine in Oral Health Policy and Epidemiology, and Bonnie Ewald, MA, the Associate Director of the Center for Health and Social Care Integration and Program Manager of Strategic Development and Policy for Rush University Medical Center’s Social Work and Community Health Department. This session is the sixth and final talk focused on health care sector efforts to provide patients with social service Assistance. In this conversation, Tammy and Bonnie dive into tele-social care practices, including ways these practices were affected by the COVID pandemic. Surfacing the perspectives of both patients and providers, they also explore the benefits and barriers to delivering social care by phone and video. For resources mentioned in this episode, visit https://sirenetwork.ucsf.edu/podcast/delivering-social-care-the-virtual-frontier
Using Clinical Decision Support Tools to Contextualize Care

Should Community Resource Referral Platforms be a Public Good?

25:34
This episode features a conversation between Lauren Taylor, PhD, MDiv, MPH, a postdoctoral scholar at NYU School of Medicine, and Kelly Cronin, MPH, MS, Deputy Administrator, Innovation and Partnership at HHS Administration for Community Living. This session is the fifth in a series focused on health care sector efforts to provide Assistance to patients to reduce their social risks. In this conversation, Lauren and Kelly explore pressing questions surrounding the governance and interoperability of software platforms marketed to health care systems and designed to streamline information about and connection to community resources to address social needs. For resources mentioned in this episode and audience Q&A, visit https://sirenetwork.ucsf.edu/podcast/should-community-resource-referral-platforms-public-good
Using Clinical Decision Support Tools to Contextualize Care

Evaluation of the Accountable Health Communities Model

24:07
This episode features a conversation between Lucia Rojas-Smith, DrPH, MPH, Director of the Center for Community Health Evaluation and Economic Research at RTI and Shannon O’Connor, PhD, MS, MA, a social science research analyst at the Center for Medicare and Medicaid Innovation. This session is the fourth in a series focused on health care sector efforts to provide Assistance to patients to reduce their social risks. Drs. Rojas-Smith and O’Connor discussed findings from the Accountable Health Communities (AHC) Model’s first annual report. For resources mentioned in this episode visit https://sirenetwork.ucsf.edu/podcast/evaluation-the-accountable-health-communities-model
Using Clinical Decision Support Tools to Contextualize Care

Global Lessons on Addressing Social Isolation and Loneliness

26:18
This episode features a conversation between Reginald Williams II, Vice President of International Health Policy and Practice Innovations at the Commonwealth Fund, and Matt Pantell, MD, MS, a pediatric hospitalist, assistant professor of pediatrics at UCSF, and SIREN researcher. This session is the third in a series focused on health care sector efforts to provide Assistance to patients to reduce their social risks. Reggie and Matt define social isolation and loneliness and explore different approaches used in the UK, Norway, and elsewhere to mitigate loneliness and social isolation. For resources mentioned in this episode, visit https://sirenetwork.ucsf.edu/podcast/global-lessons-addressing-social-isolation-and-loneliness
Using Clinical Decision Support Tools to Contextualize Care

Challenging Racist Systems, Processes, and Analyses in Social Care

29:08
This episode features a conversation between Megan Sandel, MD, MPH, an associate professor of pediatrics at the Boston University Schools of Medicine and Public Health and co-lead principal investigator with Children’s Health Watch, and Rhea Boyd, MD, MPH, a pediatrician, public health advocate, and scholar who is the Director of Equity and Justice for The California Children’s Trust and most recently, co-developed THE CONVERSATION: Between Us, About Us, a national campaign to bring information about the COVID vaccines directly to Black communities. This session is the second in a series focused on health care sector efforts to provide Assistance to patients to reduce their social risks. Megan and Rhea explore the ways in which social inequality has been encoded and medicalized in the conceptualization of social care and challenge us to think differently about what “health equity” means.
Using Clinical Decision Support Tools to Contextualize Care

Community Health Workers and Social Care Integration

21:14
This episode is the first in a set of six Coffee and Science conversations on Assistance—health care sector activities that aim to reduce social risk by providing or linking patients with relevant social services. Nadia Islam, PhD, an associate professor in the Department of Population Health at NYU Langone, speaks with Maria Lemus, the executive director of Visión y Compromiso, an organization created and led by promotores that supports work to improve both individual and community wellbeing. Nadia and Maria explore the potential risks and benefits of formalizing roles for community health workers and promotores in the health care sector’s social care workforce.
Using Clinical Decision Support Tools to Contextualize Care

Bonus Episode: Awareness Afterparty

28:05
This bonus episode is a special addendum to the first five episodes, which all focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Laura Gottlieb, MD, MPH, SIREN Director and Associate Professor of Family and Community Medicine at UCSF chats with SIREN Advisor Eric Fleegler, MD, MPH, Assistant Professor of Pediatrics and Emergency Medicine at Harvard Medical School and pediatric emergency physician at Boston Children’s Hospital.
Using Clinical Decision Support Tools to Contextualize Care

Social Risks vs. Social Needs: Assessing Patients' Interest in Assistance

26:50
This episode is the final in a series of five conversations focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Minal Patel, PhD, MPH, an associate professor of health behavior and health education at the University of Michigan School of Public Health, speaks with Emilia De Marchis, MD, MAS, an assistant professor in the Department of Family and Community Medicine at the University of California San Francisco, a family physician, and a member of the SIREN research team. Minal and Emilia explore a wide range of reasons why patients who screen positive for a social risk may not desire related assistance from the health care team. They also discuss how staff and provider training might influence patient interest in assistance interventions.
Using Clinical Decision Support Tools to Contextualize Care

Building Accountability for Social Risk Screening into State Medicaid Programs

24:26
Sarah DeSilvey, DNP, FNP-C, social determinants of health clinical informatics director of the Gravity Project, and faculty at the University of Vermont Larner College of Medicine speaks with Michael Bailit, MBA, founder of Bailit Health, a consulting firm dedicated to ensuring insurer and provider performance accountability. This conversation is the fourth in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Sarah and Michael share design considerations from state Medicaid agencies weighing the use of quality measures for social risk screening.