Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-01T18:09:41.341Z Has data issue: false hasContentIssue false

A Data-Driven Approach to Optimizing Medical-Legal Partnership Performance and Joint Advocacy

Published online by Cambridge University Press:  13 March 2024

Andrew F. Beck
Affiliation:
DIVISION OF GENERAL & COMMUNITY PEDIATRICS, CINCINNATI CHILDREN’s, CINCINNATI, OH, USA DIVISION OF HOSPITAL MEDICINE, CINCINNATI CHILDREN’S, CINCINNATI, OH, USA MICHAEL A. FISHER CHILD HEALTH EQUITY CENTER, CINCINNATI CHILDREN’S, CINCINNATI, OH, USA OFFICE OF POPULATION HEALTH, CINCINNATI CHILDREN’S, CINCINNATI, OH, USA DEPARTMENT OF PEDIATRICS, UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE, CINCINNATI, OH, USA
Adrienne W. Henize
Affiliation:
DIVISION OF GENERAL & COMMUNITY PEDIATRICS, CINCINNATI CHILDREN’s, CINCINNATI, OH, USA MICHAEL A. FISHER CHILD HEALTH EQUITY CENTER, CINCINNATI CHILDREN’S, CINCINNATI, OH, USA
Melissa D. Klein
Affiliation:
DIVISION OF GENERAL & COMMUNITY PEDIATRICS, CINCINNATI CHILDREN’s, CINCINNATI, OH, USA DIVISION OF HOSPITAL MEDICINE, CINCINNATI CHILDREN’S, CINCINNATI, OH, USA DEPARTMENT OF PEDIATRICS, UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE, CINCINNATI, OH, USA
Alexandra M. S. Corley
Affiliation:
DIVISION OF GENERAL & COMMUNITY PEDIATRICS, CINCINNATI CHILDREN’s, CINCINNATI, OH, USA DEPARTMENT OF PEDIATRICS, UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE, CINCINNATI, OH, USA
Elaine E. Fink
Affiliation:
LEGAL AID SOCIETY OF SOUTHWEST OHIO, CINCINNATI, OH, USA
Robert S. Kahn
Affiliation:
DIVISION OF GENERAL & COMMUNITY PEDIATRICS, CINCINNATI CHILDREN’s, CINCINNATI, OH, USA MICHAEL A. FISHER CHILD HEALTH EQUITY CENTER, CINCINNATI CHILDREN’S, CINCINNATI, OH, USA DEPARTMENT OF PEDIATRICS, UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE, CINCINNATI, OH, USA

Abstract

Medical-legal partnerships connect legal advocates to healthcare providers and settings. Maintaining effectiveness of medical-legal partnerships and consistently identifying opportunities for innovation and adaptation takes intentionality and effort. In this paper, we discuss ways in which our use of data and quality improvement methods have facilitated advocacy at both patient (client) and population levels as we collectively pursue better, more equitable outcomes.

Type
Symposium Articles
Copyright
© 2024 The Author(s)

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A.F., Cohen, A.J., Colvin, J.D., et al., “Perspectives from the Society for Pediatric Research: Interventions Targeting Social Needs in Pediatric Clinical Care,” Pediatric Research 84, no. 1 (2018): 1021; Council On Community Pediatrics, “Poverty and Child Health in the United States,” Pediatrics 137, no. 4 (2016): 1.CrossRefGoogle Scholar
See Beck, supra note 1.; DeVoe, J.E., Bazemore, A.W., Cottrell, E.K., et al., “Perspectives in Primary Care: A Conceptual Framework and Path for Integrating Social Determinants of Health into Primary Care Practice,” Annals of Family Medicine 14, no. 2 (2016): 104108; SH Woolf, “Progress In Achieving Health Equity Requires Attention To Root Causes,” Health Affairs 36, no. 6 (2017): 984-991; A.F. Beck, L.E. Marcil, M.D. Klein, et al., “Pediatricians Contributing to Poverty Reduction Through Clinical-Community Partnership and Collective Action: A Narrative Review,” Academic Pediatrics 21, no. 8S (2021): S200-S206.Google Scholar
Liu, P.Y., Beck, A.F., Lindau, S.T., et al., “A Framework for Cross-Sector Partnerships to Address Childhood Adversity and Improve Life Course Health,” Pediatrics 149, Suppl. 5 (2022): 149; L.A. Taylor, A.X. Tan, C.E. Coyle, et al., “Leveraging the Social Determinants of Health: What Works?” PLoS One 11, no. 8 (2016): e0160217; R.S. Kahn, S.B. Iyer, U.R. Kotagal, “Development of a Child Health Learning Network to Improve Population Health Outcomes,” Presented in Honor of Dr. Robert Haggerty, Academic Pediatrics 17, no. 6 (2017): 607-613.Google ScholarPubMed
Regenstein, M., Trott, J., Williamson, A., and Theiss, J., “Addressing Social Determinants of Health Through Medical-Legal Partnerships,” Health Affairs 37, no. 3 (2018): 378385; M. Sandel, M. Hansen, R. Kahn, et al., “Medical-legal Partnerships: Transforming Primary Care by Addressing the Legal Needs of Vulnerable Populations,” Health Affairs 29, no. 9 (2010): 1697-1705; E.T. Tyler, “Medical-Legal Partnership in Primary Care: Moving Upstream in the Clinic,” American Journal of Lifestyle Medicine 13, no. 3 (2019): 282-291.CrossRefGoogle ScholarPubMed
National Center for Medical Legal Partnership, “The Partnerships,” available at <https://medical-legalpartnership.org/partnerships/#OHS> (last visited Dec. 4, 2023).+(last+visited+Dec.+4,+2023).>Google Scholar
Klein, M.D., Beck, A.F., Henize, A.W., Parrish, D.S., Fink, E.E., and Kahn, R.S., “Doctors and lawyers collaborating to HeLP children--outcomes from a successful partnership between professions,” Journal of Health Care for the Poor and Underserved 24, no. 3 (2013): 10631073; R. Lawton, M. Whitehead, A. Henize, et al., “Medical-Legal-Psychology Partnerships - Innovation in Addressing Social Determinants of Health in Pediatric Primary Care,” Academic Pediatrics 20, no. 7 (2020): 902-904.CrossRefGoogle ScholarPubMed
Beck, A.F., Henize, A.W., Qiu, T., et al., “Reductions In Hospitalizations Among Children Referred To A Primary Care-Based Medical-Legal Partnership,” Health Affairs 41, no. 3 (2022): 341349.CrossRefGoogle ScholarPubMed
Beck, A.F., Klein, M.D., Schaffzin, J.K., Tallent, V., Gillam, M., and Kahn, R.S., “Identifying and Treating A Substandard Housing Cluster Using a Medical-Legal Partnership,” Pediatrics 130, no. 5 (2012): 831838.CrossRefGoogle ScholarPubMed
Tyler, E.T., Teitelbaum, J.B., “Medical-Legal Partnership: A Powerful Tool for Public Health and Health Justice,” Public Health Reports 134, no. 2 (2019): 201205.CrossRefGoogle Scholar
Henize, A.W., Beck, A.F., Klein, M.D., Adams, M., and Kahn, R.S., “A Road Map to Address the Social Determinants of Health Through Community Collaboration,” Pediatrics 136, no. 4 (2015): e9931001.CrossRefGoogle ScholarPubMed
See Beck, supra note 2.; see Beck, supra note 8.; Benneyan, J.C., Lloyd, R.C., Plsek, P.E., “Statistical Process Control as a Tool for Research and Healthcare Improvement,” Quality & Safety in Health Care 12, no. 6 (2003): 458464.; D.P. Johnson, B.L. Patterson, “The Natural Order of Time: The Power of Statistical Process Control in Quality Improvement Reporting,” Hospital Pediatrics 8, no. 10 (2018): 660-662; J. Thor, J. Lundberg, J. Ask, et al., “Application of Statistical Process Control in Healthcare Improvement: Systematic Review,” Quality & Safety in Health Care 16, no. 5 (2007): 387-399; L.P. Provost, S.K. Murray, The Health Care Data Guide (San Francisco: Jossey-Bass, 2011): at 1.CrossRefGoogle ScholarPubMed
Hensley, C.G., Lungelow, L., Henize, A.W., et al., “A Community Resource Liaison Embedded in Pediatric Primary Care Mitigates Social Risks through Identification and Connection,” Journal of Health Care for the Poor and Underserved 32, no. 4 (2021): 22112221; A.F. Beck, A.W. Henize, R.S. Kahn, K.L. Reiber, J.J. Young, and M.D. Klein, “Forging a Pediatric Primary Care-Community Partnership to Support Food-Insecure Families,” Pediatrics 134, no. 2 (2014): e564-571; A.F. Beck, J.M. Simmons, H.S. Sauers, et al., “Connecting At-Risk Inpatient Asthmatics to a Community-Based Program To Reduce Home Environmental Risks: Care System Redesign Using Quality Improvement Methods,” Hospital Pediatrics 3, no. 4 (2013): 326-334; E. Hickey, M. Phan, A.F. Beck, M.C. Burkhardt, and M.D. Klein, “A Mixed-Methods Evaluation of a Novel Food Pantry in a Pediatric Primary Care Center,” Clinical Pediatrics 59, no. 3 (2020): 278-284.CrossRefGoogle ScholarPubMed
Beck, A.F., Klein, M.D., and Kahn, R.S., “Identifying Social Risk via a Clinical Social History Embedded in the Electronic Health Record,” Clinical Pediatrics 51, no. 10 (2012): 972977.CrossRefGoogle Scholar
See Johnson, supra note 11; See Provost, supra note 11.Google Scholar
See Benneyan, supra note 11.Google Scholar
Burkhardt, M.C., Beck, A.F., Kahn, R.S., and Klein, M.D., “Are our Babies Hungry? Food Insecurity Among Infants in Urban Clinics,” Clinical Pediatrics 51, no. 3 (2012): 238243.CrossRefGoogle ScholarPubMed
See Beck (2014), supra note 12.Google Scholar
See Beck, supra note 2; See Henize, supra note 10.Google Scholar
See Benneyan, supra note 11; See Johnson, supra note 11; See Thor, supra note 11; Reichman, V., Brachio, S.S., Madu, C.R., Montoya-Williams, D., M.M., “Using Rising Tides to Lift All Boats: Equity-Focused Quality Improvement as a Tool to Reduce Neonatal Health Disparities,” Seminars in Fetal & Neonatal Medicine 26, no. 1 (2021): 101198.CrossRefGoogle ScholarPubMed
See Beck, supra note 7.Google Scholar