CommunityRx
Implementation of EMR-Integrated Referrals to Link Clinical and Community Services to Reduce Health Inequity
Funding Period: 2020-2024
Principal Investigators: Giselle Corbie, MD, MSc; Gaurav J Dave, MBBS, DrPH, MPH; Stacy Tessler Lindau, MD, MAPP
Public Health Relevance
Heart disease prematurely ends African American lives in the rural southeast. New ways to prevent heart disease are needed that help people access resources to live a healthy life using a “whole person” approach to CVD and social needs, especially in high-need communities.
Aims
1. Increase patient knowledge of community resources, enhance self-efficacy to manage CVD risk factors, increase utilization of community resources and improve markers of cardiometabolic conditions
2. Evaluate the implementation and health impact of a low intensity, scalable, clinic-initiated intervention targeting AA adults and children at risk of CVD
3. Conduct cost-effectiveness analysis related to implementation of CRx-CVD to inform scaling the intervention
4. Identify scalable interventions to reduce CVD risk and health-related social needs of African Americans using a “whole person” approach to health
