This project is funded under the Robert Wood Johnson Foundation’s research program, “Health Data for Action (HD4A),” which makes valuable data from unique data owners available to researchers to answer important research questions. The goal of the study is to generate important, significant, and policy-relevant information aimed at upstream solutions to improve population health and well-being, including the need for innovative service and payment models that integrate medical and social services. Using the OCHIN Community Health Equity EHR data from 2012-2023, the study seeks to examine three research questions: 1) What are the effects of patients’ social determinants of health (SDH) on behavioral health outcomes? 2) To what extent does this individual-level relationship compare to the population-level relationship? 3) What is the impact of community-based health centers (CHCs) adoption of the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) tool on patient-reported outcomes? The project team will use group-based trajectory regression modeling to examine the association between identified clusters and healthcare utilization indicators, including encounters, procedures, and medications. They will use spatial analysis to compare aggregate patient SDH data with community vital signs and population indices within the same census tracts. Lastly, they will use difference-in-differences and multilevel modeling to respectively evaluate the adoption and implementation of PRAPARE in CHCs. Deliverables will include a CHC report summarizing key findings from our research and a webinar to launch the report, both in partnership with OCHIN and the National Association of Community Health Centers (NACHC). The researchers will also produce paper(s) suitable for publication and present findings at national research meetings and to other stakeholder audiences as appropriate, including policymakers at the federal, state, and local levels and other key stakeholders, as part of the deliverables for this grant.

Grant #81879
Grantee Organization: The University of Texas Health Science Center at Houston
Grantee Period: 06/15/24 – 06/14/26

Principal Investigators:

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Researcher

Gordon Shen, Ph.D., S.M.

Assistant Professor - The University of Texas Health Science Center at Houston School of Public Health

Gordon Shen, Ph.D., S.M., is an Assistant Professor of Health Care Management in the Department of Management,... Read Bio

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Researcher

Alaina Beauchamp, Ph.D., M.P.H.

Postdoctoral Researchers - UT Southwestern Medical Center

Alaina Beauchamp, Ph.D., M.P.H. is public health researcher, specializing in Epidemiology, Biostatistics, and ... Read Bio

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Researcher

Jack Tsai, Ph.D., MSCP

Regional Dean and Professor of Public Health - University of Texas Health Science Center at Houston

Jack Tsai, Ph.D., MSCP serves as Regional Dean and Professor of Public Health at the University of Texas Healt... Read Bio