Community Pharmacies as Social Determinant of Health Navigators

State University of New York at Buffalo1,600 enrolled

Overview

Type 1 hybrid effectiveness-implementation study using a quasi-experimental, difference-in-difference (DID) design to deliver a comprehensive social needs screening and navigation program by integrating Community Health Workers (CHWs) into community pharmacies across under-resourced areas in Western New York (WNY).

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

1,600

Conditions

Social Needs Status

Interventions

Social needs screenings and referralsOTHER

Community pharmacies will distribute social needs screening surveys to patients and refer them to local community based organizations based off of identified needs.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Adult subjects ≥ 18 years * English speaking * Presenting to one of the participating pharmacies. For the pharmacies to be included, they must be enrolled within the Community Pharmacy Enhanced Services Network - NY (CPESN-NY) or associated with Tops Pharmacies. The pharmacies must have the ability to collaborate with Healthelink and referring partners (e.g., Wellconnected) and the staffing capacity to have a SDoH screening program with Community Health Worker Training. The pharmacies' physical address must be located within Erie County Exclusion Criteria: * Subjects ≤ 18 years

Locations (5)

Black Rock Pharmacy

Buffalo, New York, United States

RECRUITING

Vital Pharmacy

Buffalo, New York, United States

RECRUITING

Riverview Professional Pharmacy

Buffalo, New York, United States

Outcomes

Primary Outcomes

Effectiveness Outcomes

Primary effectiveness outcomes in composite healthcare utilization including hospital admissions and ED visits at 12 months, and we hypothesize that utilization will be reduced in subjects who receive a pharmacy social needs intervention.

Time frame: 12 months

Secondary Outcomes

Cost Analysis

We will calculate interventions costs combined with cost savings from reduced utilization to calculate the net costs from a health system perspective.

Time frame: 12 months

Central Contacts

David Jacobs

CONTACT

716-829-2134 dmjacobs@buffalo.edu

Christopher Daly

CONTACT

716-645-2828 cjdaly@buffalo.edu

Data from ClinicalTrials.gov

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