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Weitzman ECHO COVID-19: Contact Tracing

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Weitzman ECHO COVID-19: Contact Tracing

  1. 1. Innovations in Contact Tracing from California: Health Coaching and Communicating Effectively About COVID-19 July 15, 2020
  2. 2. CME Credit • Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State Medical Society to sponsor continuing medical education for physicians. The Bridgeport Hospital Yale New Haven Health designates this live activity for a maximum of one (1) AMA PRA Category 1 CreditsTM. Physicians should claim only credits commensurate with the extent of their participation in the various activities. • This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Bridgeport Hospital Yale New Haven Health and the Weitzman Institute. Bridgeport Hospital Yale New Haven Health is accredited by the Connecticut State Medical Society to provide continuing medical education for physicians. • The content of this activity is not related to products or services of an ACCME- defined commercial interest; therefore, no one in control of content has a relevant financial relationship to disclose and there is no potential for conflicts of interest. 2
  3. 3. Innovations in Contact Tracing from California: Health Coaching and Communicating Effectively About COVID-19 www.newarknj.gov
  4. 4. COVID-19 by population, U.S.A. 3,431,574 cases 7/15/20 up from 2,983,961 cases on 7/7/20 136,466 deaths https://coronavirus.jhu.edu/map.html
  5. 5. Daily New Cases per 100k people Data shown from 1/22/20 to 7/13/20 https://coronavirus.jhu.edu/data/new-cases-50-states
  6. 6. News updates • US Biotech firm Moderna to start Phase 3 human trials for its vaccine on 27 July – Sinovac - Inactivated + alum – University of Oxford/AstraZeneca - ChAdOx1-S • School districts in Los Angeles and San Diego - online education in August • New Zealand has gone 70 days without a single case of community transmission – swift, localized lockdowns and rapid contact tracing to ensure anyone close to a confirmed infected person was isolated
  7. 7. Resources • Nuvance health: • https://spark.adobe.com/page/qrH7iY0Gi0hU9/ • CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html https://emergency.cdc.gov/coca/calls/2020/ • WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 • Johns Hopkins: https://coronavirus.jhu.edu/map.html • Others https://www.thelancet.com/coronavirus https://covidactnow.org/
  8. 8. Innovations in Contact Tracing from California: Health Coaching and Communicating Effectively About COVID-19 Rachel Willard-Grace, MPH Director, UCSF Center for Excellence in Primary Care Solange Madriz, MA, MS Academic Coordinator, UCSF Institute for Global Health Sciences
  9. 9. UCSF Pandemic Initiative for Equity & Action California Prevention Training Center Center for Excellence in Primary Care Curry International Tuberculosis Center UCLA Extension UCLA Fielding School of Public Health Community Health Sciences Credit to…
  10. 10. • Share practical skills that may be relevant when thinking about the work of health center staff in the time of COVID-19 • Highlight the value of health coaching to the success of efforts to curb the virus spread What are our goals today?
  11. 11. Basic Case Investigation & Contact Tracing Workflow Clinic or provider Surveillance Lab Case Investigation Contact Tracing Community Outreach Hubs
  12. 12. Contact Tracing Team Composition Team Lead Team Clinician Tracer 1 Tracer 2 Tracer 4Tracer 3 Tracer 5
  13. 13. 13 Purpose of the Contact Tracing Team As quickly as possible . . . • Inform contacts of their encounters with a confirmed positive case. • Disseminate information and guidance on quarantine and isolation. • Prioritize resources on high-risk contacts who are: – pregnant – 60 years or older – have pre-existing conditions, are immunocompromised, and/or – experiencing homelessness Decrease Transmission Protect Vulnerable Populations Protect Healthcare Workers
  14. 14. GRAPHIC for Solange’s in their shoes exercise?
  15. 15. What is Health Coaching? Health coaching is a set of tools to support people in gaining the knowledge, skills and confidence to care for their health.
  16. 16. How is Health Coaching relevant to COVID-19 contact tracing and case investigation? Actions such as quarantine: • Require significant behavior changes • Are disruptive to people’s lives • Rely on understanding and buy-in
  17. 17. DIALOGUE “Tell-tell-tell” and an open loop
  18. 18. What is Ask-Tell-Ask? A client-centered way to assess and build on what people already know
  19. 19. What is Ask-Tell-Ask? ASK To learn more about the contact’s knowledge and perspective TELL Provide information based on the contact’s response ASK Close the Loop
  20. 20. Asking contacts to restate the information that you have provided in their own words What is Closing the Loop?
  21. 21. Closing the Loop makes Information “Stick”
  22. 22. How do we close the loop? Phrases to use… Phrases to avoid… Just to make sure I explained that well, would you mind telling me in you own words… We covered a lot of information today! Starting today, what will you be doing? •Do you understand what I said? •Repeat back what I just said. •What did I just tell you?
  23. 23. What is Ask-Tell-Ask? ASK “What do you know about how to stop the spread of COVID-19?” TELL “You’re right! A few additional ways include…” ASK “Just to be sure I explained that well, would you mind telling me in your own words…”
  24. 24. DIALOGUE “Ask-tell-ask” and a closed loop
  25. 25. Where are we going with Contact Tracing? • Adapt training to community-based contact tracers • Add more training around cultural humility and implicit bias • Sharing best practices and resources across regions and communities
  26. 26. https://www.kevinmd.com/blog/ 2020/06/how-to-make-covid-19- contact-tracing-work.html Resources Visit our website for free resources on health coaching: http://cepc.ucsf.edu/ Email: Rachel.Willard@ucsf.edu
  27. 27. 28 * This initiative is supported by 28
  28. 28. Thank You! www.weitzmaninstitute.org/coronavirus 29

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