University of San Francisco California
Coffee & Science: Hot Topics in Social and Health Care Integration
"Alignment" & "Advocacy" series September 10th - November 19th
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, Stitcher, Spotify, 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.
Beginning September 10th, in contrast to the first 3 ‘A’s, Alignment and Advocacy shift the focus from individual patients to communities. Alignment activities enable health care systems to understand their communities’ social care needs and assets, and deploy resources to address social needs at the community level. Advocacy activities bring together health and social care organizations to promote policies that facilitate the creation and redeployment of resources to address health and social needs.
We hope you will join us for these upcoming conversations, all on Fridays from 9:30-10am Pacific (12:30-1pm Eastern):
- September 10: Clinic-Based Community Organizing to Improve Health Equity – Hilary Mar Lopez Nichols, OHSU Family Medicine at Richmond Clinic, and Toffer Lehnherr, Partnership Health Center
- September 24: The Health Care Anchor Model– Wylie Liu, MPH, MPA, UCSF, and Darlene Hightower, JD, Rush University Medical Center
- October 8: Community-Hospital Collaborations to Improve Neighborhoods – Kelly Kelleher, MD, Nationwide Children’s Hospital, and Rev. John Edgar, United Methodist Church & Community Development for All People
- October 22: Taking Action on Housing as a Political Determinant of Health – Bich Ha Pham, JD, Healthcare Anchor Network, and Mike Koprowski MA, Ed.M, National Low Income Housing Coalition
- November 5: Using Procurement to Support Sustainable Local Food Systems – Nessia Berner Wong, MPH, Change Lab Solutions and Lauren Poor, MPH, Healthcare Without Harm
- November 19: Why and How a Health Center Created a Social Enterprise – Damon Francis, MD, Health Leads, and Noha Aboelata, MD, Roots Community Health Center
Latest Episodes
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
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.
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.
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.
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.
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.
Understanding Patients’ Perspectives on Social Risk Screening
26:10
Elena Byhoff, MD, MSc, assistant professor in the Department of Medicine at Tufts Medical Center and Tufts University School of Medicine speaks with David Schleifer, PhD, the director of research at Public Agenda, a national, nonpartisan, nonprofit research and public engagement organization. This conversation is the third in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Drs. Byhoff and Schleifer discuss their respective research studies examining patients’ and caregivers’ perspectives about the acceptability of social risk screening in the context of clinical care settings and explore the common question, “Should I screen for a social need I can’t address?”
The Intersection of Racism, Discrimination, and Social Risk Screening in Clinical Settings
28:20
Dr. Toyin Ajayi, Co-founder and Chief Health Officer at Cityblock Health speaks with Dr. Monica Peek, associate professor of General Internal Medicine at the University of Chicago. This conversation is the second in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Drs. Ajayi and Peek discuss concerns structurally marginalized people may have in spaces like health care in and outside the context of social risk screening and explore ways health care organizations can earn trust and build rapport with patients of color.
To Scale or Not to Scale: Social Risk Screening and the US Health Care System
24:50
Dr. Anand Shah, Vice President of Social Health at Kaiser Permanente speaks with Dr. Stacy Lindau, tenured professor at the University of Chicago, founder of NowPow, and president of MAPSCorps. This conversation is the first of several conversations about health care sector efforts to increase Awareness about both patient and community-level social conditions. Dr. Shah and Dr. Lindau share why whole person care matters to them personally and delve into the opportunities and challenges to taking social risk screening to scale.
Introducing the SIREN Coffee & Science Series: The NASEM Social Care Framework
33:59
What is this conversation series all about? What are the “five As” of social and medical care integration? How is the COVID-19 pandemic changing how health care systems see their roles and responsibilities related to the integration of social and medical care delivery? SIREN Director Dr. Laura Gottlieb introduces SIREN’s new biweekly conversation series and interviews Dr. Kirsten Bibbins-Domingo, Professor and Chair of the Department of Epidemiology and Biostatistics, Vice Dean for Population Health and Health Equity in the UCSF School of Medicine, and Chair of the National Academy of Medicine Ad-Hoc Committee on Integrating Social Needs Care into the Delivery of Health Care.