The SIREN Podcast

33 Episodes
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By: Social Interventions Research and Evaluation Network

Welcome to the official podcast channel of the Social Interventions Research and Evaluation Network (SIREN) at the University of California, San Francisco.

Lessons from Abolition Work in Other Sectors: What Can Social Care Learn?
#31
03/22/2023

Social care practice and research are often inspired by intentions to advance health equity. However, social care is often planned and executed without a clear recognition of and confrontation with the racism, particularly anti-Black racism, that has led to existing inequities. While the legally-sanctioned enslavement of Black people in the United States was abolished in 1865, many of its aims have been perpetuated through residential segregation, the War on Drugs, and the school-to-prison pipeline, to name a few examples. The SIREN National Research Meeting kicked off on September 15, 2022 with a challenge to our moral imagination: In what ways would social...


Two Poems for Poetic Health Justice: Poetry as Praxis for an Antiracist and Decolonized Future of ‘Radical Possibility’
#30
03/21/2023

Health research remains ensconced in a heavily positivist, reductionist, settler-colonial, racial-capitalist “ritual” of knowledge extractivism and expropriation wherein credentialed researchers mine marginalized communities for data to (re)package and (re)distribute as their (our) own knowledge. Much of this work has focused on racial health inequities while, curiously, leaving unexamined matters of positionality, epistemic equity, and procedural justice in the production and curation of knowledges/narratives about racialized subjects (here, perhaps better described as “objects”). In the US, this production is dominated and curated mostly by White scholars—from tenure-track faculty positions, to funding review panels, to editorial boards, to peer-re...


Measuring Racial Health Equity in Social Care Research
#29
03/20/2023

Each year an increasing number of original research articles are published about healthcare-based social care programs and policies. However, relatively few of these studies measure the impact of social care interventions on different racial or ethnic minority groups. More information about differential impacts could help to improve the implementation – and ideally the impacts – of social care. During the SIREN 2022 National Research Meeting: Racial Health Equity in Social Care, physician scientists Crystal Cené and Monica Peek briefly shared findings from a recent review they co-led, funded by the Patient Centered Outcomes Research Institute (PCORI), which involved a collaboration with researchers from...


Actions Speak Louder: Fulfilling Social Care’s Racial Health Equity Potential
#28
03/19/2023

The final panel at the SIREN 2022 National Research Meeting: Racial Health Equity in Social Care featured four Experts by Experience (Lisa Hamlett, Mike McNear, Ann Reynoso, and Stephanie Walker) as they reflected on their takeaways from the meeting, expressed what was most important to them, and pointed out opportunities for more research and action. The goal of this session was for participants to leave the SIREN National Research Meeting feeling grounded in what mattered to patients with lived experience of racism and socioeconomic challenges, fired up about working in ways that actively promote racial health equity, and focused on...


Patient and Caregiver Perspectives on Social Screening in Healthcare Settings
#27
09/21/2022

In this episode, Sarah Coombs, the director for health system transformation at the National Partnership for Women & Families, and Janice Tufte, an active patient partner in research, evidence generation, measurement, and care improvement, discuss their reactions to the patient and patient caregiver perspectives section of the State of the Science on Social Screening in Healthcare Settings.

 
To read the SIREN social screening report and a bevy of related resources, visit the SCREEN Report webpage.

 

References

Cochrane Consumer - Essentials Training: https://training.cochrane.org/essentials  National Center for Complex Care and Soc...


Implementation Research on Social Screening in Healthcare Settings
#26
09/21/2022

In this episode, we are joined by Cherelle Vanbrakle, MEd, the Director of Health Promotion and Community Advocacy at People’s Community Clinic based in Austin, TX, and Andrea Nederveld, MD, MPH, an Assistant Professor in the Department of Family Medicine at the University of Colorado, to discuss the state of the science about the implementation of social screening in healthcare settings.

To read the SIREN social screening report and a bevy of related resources, visit the SCREEN Report webpage.

 

People’s Community Clinic: https://www.austinpcc.org/about-us-2/

 

Resear...


Asset-Based Screening in Healthcare Settings
#25
09/21/2022

In this episode, we are joined by Jaedon Avey, Health Program Analyst, and L’aakaw Eesh Kyle Wark, Researcher, both of whom are from the Southcentral Foundation in Anchorage Alaska, a non-profit, tribally owned and operated healthcare organization serving 65,000 Alaska Native/American Indian peoples in urban and rural communities across over 100,000 square miles of Southcentral Alaska. Emilia De Marchis talks with Jaedon and L’aakaw about screening for patient assets – not just risks – in healthcare settings.

To read the SIREN social screening report and a bevy of related resources, visit the SCREEN Report webpage.


Disclosu...


Prevalence of Social Screening in Healthcare Settings
#24
09/21/2022

SIREN Senior Research Associate Yuri Cartier, MPH, sits down with Kalpana Ramiah, DrPH, MSc, CPH, Vice President of Vice President of Innovation at America’s Essential Hospitals and Director of the Essential Hospitals to discuss SIREN’s recent review of surveys measuring the prevalence of social screening activity in different health care settings in the United States. Dr. Ramiah shares how the review’s findings can be used by essential hospitals, and what other considerations and challenges remain top of mind for her as we head into an era of increased policy incentives and requirements around social screening.

 


Provider Perspectives on Social Screening in Healthcare Settings
#23
09/21/2022

In this episode, Andy Quiñones-Rivera, MD, MPH, an ER resident physician with LA county is joined by Loel Solomon, MPP, PhD, a Professor of Health Systems Science at the Kaiser Permanente School of Medicine and former Vice President for Community Health at Kaiser Permanente. The two explore the evolution of healthcare providers’ perspectives on social screening and what this means for the future of social care practice. Their discussion also begins re-imagining the roles and responsibilities of healthcare systems around social care activities like social screening.

 

To read the SIREN social screening report and a be...


SIREN Coffee & Science Wrap Party
#22
12/13/2021

On December 3rd, 2021, SIREN organized a special closing event (insert tears) for the 2021 Coffee & Science series. Special guests Bethany Hamilton, JD, and Kelly Doran, MD, shared their own takeaways from the series and asked participants to share favorite episodes and raise big-picture questions about how social care research can be used to move the needle on policy and practice. 

Reminder! Please let us know what you thought of Coffee & Science and your ideas for SIREN’s 2022 National Research Meeting: https://ucsf.co1.qualtrics.com/jfe/form/SV_7Otc9vpAIr8G9cW 


Voices you...


Why and How a Health Center Created a Social Enterprise
#21
11/30/2021

This episode features a conversation between Damon Francis, MD, Medical Director of the Homeless Health Center in the Alameda Health System as well as Chief Clinical Officer of Health Leads, and Noha Aboelata, MD, Chief Executive Officer and co-founder of the Roots Community Health Center in Oakland, California. This is the last in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are both about what health care can do at the community level to address social conditions. This conversation takes a deep dive into Clean 360, an innovative social enterprise launched by Roots...


Using Procurement to Support Sustainable Local Food Systems
#20
11/16/2021

This episode features a conversation between Nessia Berner Wong, MPH, Senior Policy Analyst at Change Lab Solutions, and Lauren Poor, MPH, a Regional Program Manager with the Healthy Food in Health Care program at Health Care Without Harm. This is the fifth in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are both about what health care can do at the community level to address social conditions. This conversation explores Healthcare without Harm’s Anchors in Resilient Communities initiative and how health care organizations can support sustainable food procurement and employment opportunities. 

<...


Taking Action on Housing as a Political Determinant of Health
#19
11/02/2021

This episode features a conversation between Bich Ha Pham, JD, the Director of Communications and Policy at the Healthcare Anchor Network, and Mike Koprowski, MA, Ed.M, who is the National Campaign Director at the National Low Income Housing Coalition. This is the fourth in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are the last two “A”s of the National Academy of Medicine’s framework that SIREN has used to organize Coffee & Science. Alignment and Advocacy are both about what health care can do at the community level to address social...


Community-Hospital Collaborations to Improve Neighborhoods
#18
10/19/2021

This episode features a conversation between Kelly Kelleher, a pediatrician and Vice President for Community Health and Community Health Services Research at Nationwide Children’s Hospital, and Reverend John Edgar, who is the Executive Director and Pastor Emeritus at United Methodist Church & Community Development for All People. This is the third in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are the last two “A”s of the National Academy of Medicine’s framework that SIREN has used to organize Coffee & Science. Alignment and Advocacy are both about what health care can do at th...


The Health Care Anchor Model
#17
10/04/2021

This episode features a conversation between Wylie Liu, MPH, MPA, Executive Director of the Center for Community Engagement at the University of California, San Francisco, and Darlene Oliver Hightower, JD, Vice President, Community Health Equity at Rush University Medical Center. This is the second in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are the last two “A”s of the National Academy of Medicine’s framework that SIREN’s used to organize Coffee & Science. Alignment and Advocacy are both about what health care can do at the community level to address social c...


Clinic-Based Community Organizing to Improve Health Equity
#16
09/21/2021

This episode features a conversation between two health center-based community organizers: Hilary Mar Lopez Nichols, from Oregon Health Sciences University Family Medicine Clinic at Richmond, and Toffer Lehnherr, from Partnership Health Center in Missoula, Montana. This is the first in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are the last two “A”s of the National Academy of Medicine’s framework that SIREN’s used to organize Coffee & Science. Alignment and Advocacy are both about what health care can do at the community level to address social needs.  In this conversation, Hilary an...


Are Real Time Pharmacy Benefits Tools Actually Social Care Adjustments?
#15
09/08/2021

This episode features a conversation between Emmy Ganos, PhD, Senior Program Officer at the Robert Wood Johnson Foundation and Stacie Dusetzina, PhD, Associate Professor of Health Policy and Ingram Associate Professor of Cancer Research at Vanderbilt University Medical Center. This session is the last of four talks focused on health care sector efforts to Adjust clinical care based on information about patients’ social circumstances. In this conversation, Emmy and Stacie dive into the implications of real-time pharmacy benefit tools and explore what we know about patient and provider preferences when it comes to conversations about medication costs.


The Promise and Pitfalls of Adjusting Care to Context
#14
08/23/2021

This episode features a conversation between Kedar Mate, MD, President and CEO of the Institute for Healthcare Improvement and Saul Weiner, MD, Professor of Medicine, Pediatrics and Medical Education, Director of the Clinical Leaders and Academic Scholars Fellowship at the University of Illinois at Chicago, and Deputy Director of the Center of Innovation for Complex Chronic Health Care at the Veterans Health Administration. This session is the third of four talks focused on health care sector efforts to Adjust clinical care based on information about patients’ social circumstances. In this conversation, Kedar and Saul explore the intersection of social ca...


Opportunities for Informatics to Inform Social Care Adjustment Strategies
#13
08/09/2021

This episode features a conversation between Julia Adler-Milstein, Professor of Medicine and Director of the Center for Clinical Informatics and Improvement Research at the University of California, San Francisco and Tiffany Veinot, Professor of Health Behavior and Health Education cross-appointed at the School of Information and School of Public Health at the University of Michigan. This session is second of four talks focused on health care sector efforts to Adjust clinical care based on information about patients’ social circumstances. In this conversation, Julia and Tiffany explore the emerging discipline of social care informatics and ways informatics can support care ad...


Using Clinical Decision Support Tools to Contextualize Care
#12
07/26/2021

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 the 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 to...


Delivering Social Care in the Virtual Frontier
#11
06/28/2021

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 Bo...


Should Community Resource Referral Platforms be a Public Good?
#10
06/15/2021

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. 



Evaluation of the Accountable Health Communities Model
#9
06/02/2021

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. 


Recommended references:

Accountable Health Communities (AHC) Model Evaluation. First E...


Global Lessons on Addressing Social Isolation and Loneliness
#8
05/17/2021

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.


Recommended references:

Tung E, De...


Challenging Racist Systems, Processes, and Analyses in Social Care
#7
05/03/2021

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 prov...


Community Health Workers and Social Care Integration
#6
04/19/2021

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 hea...


Bonus Episode: Awareness Afterparty
04/13/2021

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. They and other participants in the lively Zoom meeting brought up questions such as:

What’s changed in the last 13 years with clinic-based social risk...


Social Risks vs. Social Needs: Assessing Patients' Interest in Assistance
#5
03/30/2021

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...


Building Accountability for Social Risk Screening into State Medicaid Programs
#4
03/15/2021

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.


Recommended references:

Bailit...


Understanding Patients’ Perspectives on Social Risk Screening
#3
03/03/2021

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...


The Intersection of Racism, Discrimination, and Social Risk Screening in Clinical Settings
#2
02/16/2021

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.

Recommended references:

Peek ME...


To Scale or Not to Scale: Social Risk Screening and the US Health Care System
#1
02/01/2021

 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. 

Some references mentioned by our speakers in this episode: 

SIREN Coffee & Science Episode 0  NASEM. Integrating Socia...


Introducing the SIREN Coffee & Science Series: The NASEM Social Care Framework
12/21/2020

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 t...