Featured Research

Patient-Centered Outcomes Research

About half of adults in the top 5% of healthcare spending are considered medically and socially complex and have unique needs requiring researchers and practitioners to seek ways to improve targeted healthcare delivery for this at-risk population.The PCORI Engagement Award [3988‐TTUP] was a two-year process that brought together multiple stakeholders involved in the care of medically and social complex patients, including patients, providers, community‐based organizations (CBO), health‐system leaders, and policy makers.

The objective of engagement work was to define a research agenda addressing the needs of medically and socially complex patients. We accomplished this through supporting cross-stakeholder communication and using data collection methods including nominal group technique (NGT), individual interviews, and stakeholder meetings to build an improved understanding of the varying perspectives of key stakeholders.The engagement process defined an agreed upon set of health-related conditions felt to be of high priority to multiple stakeholders involved in the care of medically and socially complex patients. The disparities identified in the mediation of barriers and the opportunities for change provide important guidance towards next steps in developing interventions that effectively identify and provide integrated and augmented pathways of care for medically and socially complex patients.

Cancer Screening Outreach and Navigation

Colorectal cancer is a leading cause of cancer death in our communities and disproportionally affects African Americans, but disparities can be eliminated by providing equitable access to colorectal cancer screening and treatment. We developed a program that makes screening convenient, accessible and affordable by providing immunochemical screening tests that can be done in the comfort of the home. This innovative program offers a feasible alternative to more invasive procedures, while reducing the frequency of unnecessary colonoscopies and burdensome screening costs.

Covid-19 Community Vaccine Program

In partnership with Penn’s Center for Public Health, we launched our Community Covid-19 Vaccine Clinic program in May 2021. To date we have held over 100 vaccine clinics in schools, churches, and community centers in West Philadelphia and provided more than 10,000+ vaccines

Locally Rooted - Food Insecurity Initiative

The University of Pennsylvania’s Department of Family Medicine and Community Health has partnered with Hungry Harvest’s Harvest Rx program to deliver fresh produce to food insecure prenatal patients.

HarvestRX is a “prescription” for biweekly home deliveries of fresh fruits and vegetables that helps encourage healthy eating, home cooking and a greater sense of independence. The Penn Medicine Locally Rooted program is free to prenatal patients through funding by the Penn CAREs grant.

The goal of this program is to assist vulnerable West Philadelphia based prenatal patients with access to free and fresh produce. 

GoVax Philadelphia

GoVax Philadelphia was a HRSA-funded initiative to conduct vaccine education and outreach among residents in West and Southwest Philadelphia. The program employed a team of Vaccine Canvassers to recruit individuals for COVID-19 vaccination clinics through door-to-door outreach and in-person recruitment at crowded public venues such as shopping centers. The team also facilitated Vaccine Ambassador Trainings with community partners such as the Free Library of Philadelphia and the Pennsylvania Prison Society.

Over the past year, the GoVax Team has engaged over 15,000 community members, canvassed over 100 unique locations, and attended nearly 50 community events. The team also hosted four Vaccine Ambassador Trainings, training over 50 individuals to engage in critical conversations about the COVID-19 vaccine and other community health challenges.

National Institutes of Health HEAL Initiative

The National Institutes of Health (NIH) Helping to End Addiction Long-term Initiative (NIH HEAL Initiative) has awarded Penn Medicine five grants totaling more than $22 million to improve prevention and treatment strategies for opioid use disorder. 

The DFMCH’s Hillary R. Bogner, MD, MSCE, co-leads a team with David Mandell, ScD, Director of the Center for Mental Health, and Kyle Kampman, MD, Director of the Charles O’Brien Center for the Treatment of Addictions, a team that is receiving $11.2 million from the initiative to study the treatment of opioid use disorder and psychiatric disorders in the primary care setting, with a collaborative care model.

Learn more about the initiative

Healthy Library Initiative

The Healthy Library Initiative is a partnership between Penn and Philadelphia’s public library system, in which Penn advisors collaborate with librarians to integrate evidence-based public health programming in a library setting. The community health specialist pilot training addresses issues faced by children and families experiencing trauma, mental health and substance abuse, the health and social needs of immigrants, and homelessness. The training encourages library staff to recognize vulnerable patrons, communicate productively with them, and guide these patrons to appropriate community-based services.

Learn more at healthylibrary.org