Taressa Fraze

Assistant Professor @ucsf @siren_ucsf @ucsf_fcm @ucsf_ihps

[NEJM Catalyst @nejmcatalyst]

Two Questions Before Health Care Organizations Plunge into Addressing Social Risk Factors (SDOH theme issue early release): https://t.co/sdXPWsP7gV via @caroline_fich @frazetk @SIREN_UCSF @UCSF_IHPS @UCSFFamilyMed

[UCSF IHPS @UCSF_IHPS]

Today! 12-1 pm PT! @UCSF_IHPS faculty presenting at the PHDI seminar: Make CMS Medicare Data Work for You! Julia Adler-Milstein (@j_r_a_m ) Taressa Fraze (@frazetk) Ulrike Muench (@ullimuench) Elan Guterman & Lauren Hunt (@laurenhuntRN ) https://t.co/VUMfOgWpLJ

[UCSF Dept. of Family & Community Medicine @UCSFFamilyMed]

#Primarycare practices are trying to improve patients’ #SDOH. But what is the role of #physicians in delivering #socialcare? NEW study in @LiebertPub provides answers. ✒️ @frazetk @UCSFFamilyMed @lauragotmd @siren @LBBeidler @DartmouthInst #publichealth https://t.co/i7K40kEn5K

[Taressa Fraze @frazetk]

Cross-cutting challenges?
Engaging CBOs, buy-in among clinical staff, patient perspective, and program sustainability. (6/6)

[Taressa Fraze @frazetk]

Excited to see our paper in @AnnFamMed! We interviewed health care orgs to explore their use of case management to improve patients’ social needs. Some key findings… (1/6) @LBBeidler @CarolineFichte1 @SIREN_UCSF @UCSF_IHPS

[Annals of Family Medicine @AnnFamMed]

Healthcare orgs interviewed in new pub by @frazetk, et al describe four main challenges to address patient social needs:

➡️ Effective community outreach
➡️ Clinical staff buy-in
➡️ Incorporating patient perspectives
➡️ Program sustainability

https://t.co/IjCO6GaO4O

[Taressa Fraze @frazetk]

Who is in the driver’s seat?
By not using patients as experts, health care organizations may miss out on useful and impactful knowledge that could make efforts more effective. (5/6)

[Taressa Fraze @frazetk]

@MceKate Kate, can you DM me? A bit random, but a package was delivered to my house in Berkeley and is addressed to you (I think...).

[Taressa Fraze @frazetk]

Care managers developed and maintained care plans. Clinicians were less involved. At some ACOs, clinicians didn't have access to care plans. What should be the role of clinicians in defining patient care plans and goals?? Good question... (5/5)

[Taressa Fraze @frazetk]

Excited to see our latest paper out in JGIM on how ACOs implement care plans for patients with complex health needs. Care plans are an evidence-based tool that can improve outcomes while engaging patients. Main findings... @LBBeidler @ADMBriggs @CHColla (1/5)

[JGIM Journal of General Internal Medicine @JournalGIM]

ACO use of care plans for patients with complex health needs does not align with prescribed best practices: ACOs adapt use of care plans to better fit the needs of patients and providers. @frazetk https://t.co/tkyBabNWdE

[Taressa Fraze @frazetk]

Care plans: A tool for who...? Some ACOs used care plans as a collaborative tool to help patients take ownership of their health goals. Others used care plans to organize information about the patient for providers, which may fail to prioritize goals important to patients. (4/5)

[Milbank Memorial Fund & The Milbank Quarterly @MilbankFund]

New research shows incentives in today’s value-based payment models do not appear sufficient to encourage primary care practices to initiate screening for health-related social needs https://t.co/kWpR4HMnBr CC @CPR4healthcare @HealthPolicyHub @frazetk @lauragotmd @valeriealewis

[Taressa Fraze @frazetk]

@JoanneSpetz Congratulations!! So incredibly excited for you. And grateful that you are taking on this role. Yay!

[Taressa Fraze @frazetk]

@MonicaOReillyJ1 @JoanneSpetz @UCSF_IHPS Visit patterns were similar whether a beneficiary was cared for by an NP who was in a primary care or a specialty practice (6 visits vs. 6.5 visits)

Hospital utilization (adjusted for patient characteristics) was similar according to specialty or PCP setting.

[Taressa Fraze @frazetk]

@MonicaOReillyJ1 @JoanneSpetz @UCSF_IHPS We found that after reassigning NPs to a specialty practice or a PC practice, we observed similar patterns regardless of the setting (NPs see complex patients as much as their physician counterparts).

[Taressa Fraze @frazetk]

@MonicaOReillyJ1 @JoanneSpetz @UCSF_IHPS For example, in specialty practices, 6.5% of beneficiaries cared for by nurse practitioners had 6+ HCCs compared with 4.95% for physicians (5.42% versus 4.21% in primary care practices).