Tuesday Poster Session
Tracks
Embarcadero
West Coast
East Coast
Tuesday, February 4, 2025 |
8:00 AM - 9:00 AM |
Harborside |
Kathryn Jantz
Senior Associate
HealthBegins
A call to action: Researching the impact of Medicaid policies on nutrition insecurity
Poster
P-01
Biography
Kathryn Jantz is the Senior Associate responsible for providing subject matter expertise on Medicaid health related social needs policy, the intersection between food and health, social return on investment for upstream activities, and healthcare-based programs to address social needs. She is a public health policy expert focused on mobilizing the healthcare system to address the structural drivers of health inequity. In prior roles, she supported states in developing strategies to finance care for children in youth with special health care needs, led the implementation and design of Colorado Medicaid’s primary delivery system, and ran a successful Accountable Health Communities Model in Western Colorado. Kathryn holds a Masters in social work with a focus in clinical practice and a Masters in public health with a focus in health law.
Rachel Zimmer
Assistant Professor
Wake Forest School of Medicine
A community-health system partnership to implement a food prescription program
Poster
P-02
Biography
Rachel Zimmer is a nurse practitioner, specializing in the care of older adults and implementation science researcher who partners with communities to develop programs that improve health care access and addresses food insecurity. She has developed Fresh Food Rx, a produce prescription program, in partnership with several community organizations and has led mixed methods research on the program's impacts on health.
Samantha Kling
Quantitative Research Scientist
Evaluation Sciences Unit, Department of Medicine, Stanford University School of Medicine
A qualitative needs assessment of WIC services and care at Lucile Packard Children's Hospital
Poster
P-03
Biography
Dr. Kling is a quantitative research scientist in the Evaluation Sciences Unit and has six years of experience in mixed methods research and evaluation in clinical and community healthcare settings. She is dedicated to helping collaborators design and execute pragmatic evaluations that meet their needs and facilitate rapid learnings to ultimately improve healthcare at Stanford Medicine and beyond.
Rebecca Jungbauer
Researcher, Adjunct Instructor
Oregon Health and Science University
Sophia Allen
Research Project Coordinator - OB/GYN Dept
Dartmouth Health - OB/GYN Dept
Addressing Social Determinants of Health (SDOH) in perinatal care settings: Implementation, acceptability, and preliminary findings
Poster
P-05
Biography
Sophia Allen, MPH is a public health professional dedicated to maternal, child, and reproductive health equity. Her current work focuses on implementation and evaluation of programs designed to identify and respond to social needs among low-income pregnant and postpartum people in rural northern New England, with a strong focus on food and nutrition access. She has also worked at the intersection of mental health and substance use disorders among adults with serious mental illness. Throughout her career, she has been principally involved in all aspects of program development and research, from design to dissemination.
Sloane Hawes
Chief of Research and Development
Companions and Animals for Reform and Equity
Advancing health equity through the integration of social care in pet support services
Poster
P-06
Biography
Sloane Hawes, MSW (she/her) is a scholar-activist who uses participatory research to prioritize and amplify BIPOC and other marginalized voices in the development and evaluation of programs and policies. Her research interests include mutual aid, One Health (Indigenous Knowledge), cultural humility, trauma-informed care, decolonization, and restorative justice.
Shelly Sital
Director of Public Health Initiatives
AllianceChicago
Aligning health and housing through an interoperable shared e-care plan
Poster
P-07
Biography
Shelly leads the AllianceChicago Public Health Initiatives team in preparing health centers to address and mitigate public health issues in the communities they serve. Her work includes supporting numerous SDOH initiatives in partnership with the National Association of Community Health Centers (NACHC), the CDC, and health departments
Titilola Labisi
Postdoctoral Research Fellow
Kaiser Permanente Department of Research and Evaluation Southern California
An exploration of ProduceRx experiences and impact among low-income individuals with uncontrolled diabetes in California
Poster
P-08
Biography
Titilola is currently a Postdoctoral Research Fellow at Kaiser Permanente Department of Southern California region. Her research focuses on health disparities by reducing the burden of chronic diseases in underrepresented populations.
Temesgen Woldeyesus
Clinical Assistant Professor
Stanford University
Assessing broadband access, quality and use of the federal internet subsidies in a safety-net setting
Poster
P-09
Biography
Dr. Tem Woldeyesus is a Clinical Assistant Professor in the Department of Medicine, Division of Primary Care and Population Health with a community appointment at Roots Community Health Center. He obtained his medical degree at UCSF and continued his residency training at UCSF in Family and Community Medicine. Dr. Woldeyesus is passionate about community capacity building, engaging in equity-centered community design practices, and developing community-centered models of care focused on ease, access, and quality for marginalized groups , particularly focused on better serving the black community and African Diaspora.
Eliza Wright
Strategy & Operations Summer Intern
Link Health
Assessing the financial impact of federal benefit program enrollment on low-income households
Poster
P-10
Biography
Current MBA student at Kellogg with experience in management consulting. During Summer 2024, worked in strategy and operations for Link Health - a nonprofit that helps enroll patients in federal benefits programs.
SuYeon Lee
University of Chicago
Victoria Winslow
Data Analyst
University of Chicago
Does a social care intervention compromise health care experiences?
Poster
P-12
Biography
I am a second year PhD student in epidemiology at the University of Illinois at Chicago and a data analyst at the University of Chicago. My research interests include social risks and how they relate to chronic disease.
Julia Seay
Program Director
NIH/NINR
Clinical-community linkages to advance health equity: The National Institute of Nursing Research Bridge-to-Care Initiative
Poster
P-13
Biography
Dr. Julia Seay is a Program Director at NINR. Dr. Seay’s prior research focused on addressing health disparities within underserved communities, as well as on improving psychological and behavioral health outcomes among active-duty service members. Before joining NINR, Dr. Seay was a Research Assistant Professor at the University of Miami and a Research Psychologist at the Naval Health Research Center. Dr. Seay received her PhD in Psychology from the University of Miami.
Chelsey Canavan
Manager, Center for Advancing Rural Health Equity
Dartmouth Health
Combatting nutrition insecurity among rural perinatal patients through tailored food support
Poster
P-14
Biography
Chelsey Canavan, MSPH, manages the Center for Advancing Rural Health Equity at Dartmouth Health. For over 15 years, Chelsey has built partnerships to promote health equity in New England and globally, with a focus on nutrition security and maternal and child health.
Jennifer Owens
Vice Provost of Academic Affairs, Associate Professor in the Graduate School
University of Maryland, Baltimore
Comparing social need support in medical housing: Differences by sponsorship type and Medicaid expansion status
Poster
P-15
Biography
Dr. Jenny Owens studies medical housing as a health related social need. She serves as Vice Provost of Academic Affairs and Associate Professor at the University of Maryland, Baltimore, serves on the board of the Healthcare Hospitality Network, and is a former RWJF Culture of Health Leader.
Ana Sofia Barber De Brito
Certified Nurse Midwife/Clinical Teaching Associate
Women and Infants Hospital/Brown University
COMPASS-PLUS: Centering perinatal mental health equity through community partnerships
Poster
P-16
Biography
Ana Sofia is a certified nurse-midwife at Women and Infants Hospital in the Academic Midwifery at Brown University OBGYN department. Ana Sofia completed her undergraduate degree at Dartmouth College and her graduate degree in Midwifery from Yale University School of Nursing. She has been in practice since 2017 and her clinical and academic interests include racial health disparities, anti-racism in medicine, LGBTQ healthcare, trauma-informed care, and perinatal mental health disorders.
Gillian Feldmeth
Director, Operations - Research and Evaluation
Unite Us
Context matters: Findings from a qualitative analysis of social care referral case resolution notes
Poster
P-17
Biography
Gillian Feldmeth is the Director of Research and Evaluation Operations at Unite Us. She has 10 years of experience in implementing and evaluating technology-enabled interventions designed to improve health and reduce disparities. Gillian holds a Bachelor’s of Science degree in Social Policy, Public Health and Political Science from Northwestern University.
Kyra VanDoren
Public Health Program Manager
AllianceChicago
Creating actionable surveillance to identify opportunities for CVD prevention for those with unmet social needs
Poster
P-18
Biography
Kyra earned her bachelor’s degree in Public Health Studies and Spanish from Elon University in 2021, and has experience in health education programming, clinical research and project management. In her current role, Kyra provides administrative support to AllianceChicago’s Public Health Initiatives team.
Kameswari Potharaju
Medical Student
Joint Medical Program
Developing a patient-reported outcome measure for patient experiences of social needs care
Poster
P-19
Biography
Kamu Potharaju (she/her) is a third-year MD/MS student at the UC Berkeley-UCSF Joint Medical Program. She has been working with SIREN for her master's thesis project since 2023.
Emily Abramsohn
Director of Research
University of Chicago
Does a social care assistance intervention reduce unmet resource needs among dementia caregivers?
Poster
P-20
Biography
Emily Abramsohn, MPH is the Director of Research in the Lindau Lab at the University of Chicago. She received her Master’s Degree in Public Health in Health Promotion and Behavioral Sciences from San Diego State University. She has been a member of the Lindau Lab since 2009.
Kristi Westphaln
Assistant Professor
UCLA School of Nursing
Electronic health record documentation of social conditions among pediatric hospitalizations with concern for maltreatment
Poster
P-21
Biography
Dr. Kristi Westphaln is an Assistant Professor with the UCLA School of Nursing and she clinically works as a pediatric nurse practitioner on the child protection team at Children’s Hospital of Los Angeles. Her research interests include child abuse and neglect, adverse childhood experiences, and social determinants of health.
Brian Frank
Associate Professor
Oregon Health & Science University
Employment-based Community Health Workers: A model for meeting health-related social needs in the workplace
Poster
P-22
Biography
Dr. Brian Frank is an associate professor and physician in the department of family medicine at Oregon Health & Science University in Portland, Oregon. Outside of his clinical duties, Dr. Frank leads research to increase employer responsiveness to employees’ social and medical needs by identifying returns on investment for these efforts.
Eugenia McPeek-Hinz
ACMIO / Assistant Professor
Duke University Health System
Evaluating hospital discharge Meals on Wheels program for patients with food insecurity / malnutrition risk
Poster
P-23
Biography
Eugenia McPeek Hinz is a physician Informatician and ACMIO for Duke University Health System. Since 2012, she has focused on integrating technology to support quality and safe care and make the EHR enjoyable to use. She has led EHR initiatives to increase systematic SDOH screening and integrate NCCARE360.
Sarah Roth
Research Scientist
Providence Health and Services
Experiences and impacts of a hospital-based, Spanish-language teaching kitchen and garden on staff and participants
Poster
P-24
Biography
Sarah Roth is a research scientist at the Center for Outcomes Research and Education (CORE) at Providence Health and Services. She is passionate about leveraging community-engaged research to promote health equity across multiple content areas. She earned her PhD Community Health Sciences at the UCLA Fielding School of Public Health.
Emily Gruber
MDPCP Associate Director
Maryland Department of Health
Experiences of Maryland primary care practices in addressing social needs through a novel value-based payment
Poster
P-25
Biography
Emily Gruber is the Associate Director for the Maryland Primary Care Program Management Office within the Maryland Department of Health. In this role, she leads the implementation of equity-focused activities within over 500 primary care practices in the state, including the innovative Health Equity Advancement Resource and Transformation (HEART) payment.
Clare Heaney
University of Cincinnati College of Medicine
Jocelyn Yang
Undergraduate Research Assistant
Indiana University
Rammy Assaf
Pediatric Emergency Medicine Physician
Children's Hospital Orange County
Healthcare Implementation of a cell phone-based pediatric social care screener and social work intervention protocol
Poster
P-28
Biography
Rammy is Californian, with experience in global health diplomacy during his work with the World Health Organization. He trained in pediatrics and specializes in emergency medicine. His research interests are in social care as well as climate change and health.
Sarah Ronis
Director
UH Rainbow Center for Child Health & Policy
Healthcare utilization following engagement with social care navigation in a pediatric continuity clinic
Poster
P-29
Biography
Sarah Ronis MD PhD is an academic pediatrician and health services researcher devoted to improving systems of care for children with special health care needs. She directs the UH Rainbow Center for Child Health & Policy, which facilitates multidisciplinary research in partnership with families and community members.
Rachel Mark
Senior attorney
Health Education and Legal Assistance Project: A Medical Legal Partnership (HELP: MLP)
Heat and treat: Pediatric trainee perspectives on energy insecurity
Poster
P-30
Biography
Rachel Mark is a legal aid attorney focused on improving maternal-child health. She works at a medical-legal partnership in Philadelphia where she represents families in public benefits, utilities, and housing. She is motivated by interdisciplinary collaboration to address structural determinants of health with the goal of improving maternal-child health .
Sara Bybee
Research Assistant Professor
University of Utah College of Nursing
Hispanic/Latinx adults’ perceptions of deservingness in addressing social care in medical settings
Poster
P-31
Biography
Dr. Bybee's program of research focuses on the structural determinants of health impacting historically marginalized groups in the context of chronic illness, end-of-life care, palliative care, and hospice.
Minal R. Patel
Professor
University of Michigan School of Public Health
Implementation of social needs screening across a collaborative partnership with leading health agencies
Poster
P-32
Biography
Dr. Patel's research has established her reputation as a scholar at the intersection of social determinants of health and chronic disease. Her work aims to foster partnerships between patients, their providers, and the health care systems in which they interact. Dr. Patel's research can be grouped into two interconnected themes: Financial burden and unmet social determinants of health as factors that influence poor health outcomes; interventions focused on removing access to care barriers, alleviating financial burden and unmet social needs, and supporting chronic disease management. She explores these themes in a wide range of chronic conditions including diabetes, cancer, respiratory diseases, cardiovascular disease, and cancer. Her intervention work prioritizes populations experiencing health inequities. Dr. Patel has a strong track record of stakeholder collaboration in large-scale intervention projects and practice-based teaching, both with community-based, healthcare delivery, and health-serving organizations. The long-term goal of her research program is to improve chronic disease outcomes by addressing both social factors and disease management.
Kavita Vani
Assistant Professor
Department of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine
Implementing a social needs screening and community health worker referral program for obstetric patients
Poster
P-33
Biography
Kavita Vani is an Assistant Professor in the Department of Obstetrics, Gynecology & Women's Health at Montefiore Einstein. Her interests include developing patient-centered care models for high-risk pregnancies, particularly during the postpartum period.
John Øvretveit
professor
Karolinksa
Improving support to informal caregivers of older persons from minority groups who also work
Poster
P-34
Biography
Dr John Øvretveit, works as R&D officer for Stockholm healthcare system and as Professor of improvement, implementation and evaluation at the Karolinska Institute medical university Stockholm.
Previously he learned the value of thermal underwear at Nordic School of Public Health where he worked for 15 years. When establishing and running the quality improvement program at Bergen Medical school, he was advised by his Norwegian family to buy the best rain wear at the North Atlantic fisherman store there. He served a frightening 12 years as a board director of the USA Joint commission international where he saw the best and worst of healthcare, and serves as a board director of the global implementation society leading their implementation competencies committee. He has published over 400 scientific peer reviewed articles and 12 books and is reviewer to 6 scientific journals and editor of one.
Radhika Gore
Director of Research; Assistant Professor
Family Health Centers at NYU Langone; NYU Grossman School of Medicine, Dept of Population Health
Integrating Social Care in the EHR in an FQHC: Reach and Equity 2 Years Post-Integration
Poster
P-35
Biography
As Director of Research for the Family Health Centers at NYU Langone, I facilitate research partnerships at a large FQHC in NY. In my research I apply social science theory and methods to investigate health services questions focused on the integration of health and social care.
Na'amah Razon
Assistant Professor
University of California, Davis
Integrating social risk screening in kidney disease care: Ethical considerations and approaches
Poster
P-36
Biography
Na’amah Razon, MD, PhD is a family physician, medical anthropologist, and Assistant Professor in the Department of Family and Community Medicine at the University of California, Davis. Dr. Razon’s research focuses on improving clinical resources to reduce social adversity and the evaluation of policies aiming to facilitate these types of social care activities in the healthcare sector. Her current research explores the ethics and complexity of addressing transportation insecurity.
Barbara Rubino
Associate Chief Medical Officer
Covered California
Outreach for equity: Learning from enrollees on California’s state-based exchange
Poster
P-37
Biography
Barbara Rubino is a board-certified Internal Medicine physician and primary care doctor who currently serves as the Associate Chief Medical Officer at Covered California. She has a relentless focus on primary care access, high quality and equitable outcomes, and innovative approaches to quality delivery and measurement. Her broad perspective from across the healthcare industry is built upon a foundation of excellence in direct care delivery, as well as experience working with payers and within health tech.
She started her career in primary care within the Los Angeles Department of Health Services as a clinic Medical Director, as well as overseeing quality programs and the integration of behavioral and social health services into the primary care setting. Immediately prior to joining Covered California, she worked at Oscar Health as Senior Medical Director for Clinical Strategy where she designed the care delivery model for Virtual Primary Care, as well as the quality and population health programs that serve patients and members on state health benefits exchanges across the nation. This gave her a unique perspective and understanding of the opportunities and needs of patients who receive coverage through the exchanges, which she brings to her work with Covered California.
Judy Monestime
Research Associate and Instructor
Florida Atlantic University
Perspectives on capturing social determinants of health codes in EHRs for new federal policy
Poster
P-39
Biography
Judy Monestime, DBA, RHIA, a health informatics scholarly practitioner. She is a faculty member in the Health Administration Program at the College of Business at Florida Atlantic University. Dr. Monestimes' research goals are to provide policymakers with recommendations to enhance the utilization of EHRs in low-resource clinical settings and, in turn, increase the usage of socioeconomic and demographic variables in these settings to promote population health equity. She has co-authored several manuscripts in top-tier peer-reviewed journals on the Meaningful Use of EHRs, ICD-10 Implementation in Underserved Areas, and Social Determinants of Hospital Readmissions.
Hannah Lee
Medical Student
Stanford School Of Medicine
Piloting a community-based intervention to reduce medication theft among people experiencing homelessness.
Poster
P-40
Biography
Hannah Lee is a first-year medical student at Stanford School of Medicine. She is interested in exploring health systems delivery and innovations to advance health equity. She hopes to leverage human-centered design and bring people across disciplines to the table to create change.
Paulina Kaiser
Director for Community Health & Research
Samaritan Health Services
Privacy-preserving record linkage in community settings: merging HMIS & EMR data
Poster
P-41
Biography
Director, Community Health & Research, Samaritan Health Services
Previously at Oregon State University (2014-2017), University of Michigan School of Public Health (MPH 2010, PhD 2014)
Emma Tucher
Research Post Doctoral Fellow
Kaiser Permanente
Predictive value of a financial strain question to pre-screen individuals for social risks
Poster
P-42
Biography
I will be presenting Two posters: Impact of HC Discrimination on Social Needs: Evidence from an integrated health system; and Predictive value of a financial strain question to pre-screen individuals for social risks.
Andrea Wallace
Associate Dean for Research
University of Utah College of Nursing
Psychometric testing of Spanish SINCERE (SINCERE-Sp)
Poster
P-43
Biography
Dr. Andrea Wallace, Associate Dean for Research at the University of Utah College of Nursing, studies ethical and effective methods for integrating social context information into routine clinical care. Her research examines social needs screening and referrals, their impact on discharge planning and communication, and strategies to support family caregivers during care transitions.
Rachel Eisenhauer
Medical Student
McGovern Medical School at UTHealth Houston
Referrals and repeat screening for social determinants of health in pediatric primary care
Poster
P-44
Biography
Rachel is a third year medical student at McGovern Medical School at UTHealth Houston. She completed her undergraduate degree in Cell and Molecular Biology at Northeastern University.
Lasheena Brooks
Research Assistant, Center for Child Health and Policy
University Hospitals Rainbow Babies and Children's- The Center for Child Health and Policy
Social and Community Barriers to Primary Care Access Among Black Fathers
Poster
P-45
Biography
Lasheena Brooks is a Research Assistant at University Hospitals Rainbow Babies in Children’s for the Department of Center for Child Health and Policy. Her areas of expertise include data analysis, and project recruitment with a focus on community engagement and outreach, health equity and maternal health.
Cassidy Valade
Integrated Behavioral Health Care Coordinator
Indian Health Board
Social drivers of health screening development and implementation at an urban Native American community clinic
Poster
P-46
Biography
Cassidy Valade works at Indian Health Board, in Integrated Behavioral Health, advocating for patient-centered care and community collaboration to address health disparities in the Twin Cities. She graduated cum laude with a bachelor's degree in biology, BA, from the University of Minnesota-Twin Cities.
Victoria Davis
PhD Student
University of Michigan School of Public Health
Social needs referral practices across a collaborative partnership with leading health agencies
Poster
P-47
Biography
Victoria Davis is a PhD student at the University of Michigan with over four years of experience collaborating with patients and researchers to integrate social care into inpatient and outpatient settings. She is passionate about anti-racism, community-led social care interventions, and healthcare equity.
Katie Coleman
KP/Research to Practice
Social Needs Screening Learning Collaborative in Washington State FQHCs
Poster
P-48
Biography
Ms. Coleman serves as director of Kaiser Permanente’s Social Needs Network for Evaluation and Translation (SONNET), a national learning network of researchers and evaluators who build the field of health-related social needs implementation and impact. She also co-directs the ACT Center which supports care transformation in KP & FQHCs.
Vincent Grande
Project Manager
NYS Office of Mental Health
Statewide implementation of social needs screening in mental health clinics: Staff perception of client benefit
Poster
P-49
Biography
Vincent has worked as a Project Manager for the New York State Office of Mental Health since 2018, where he coordinates quality improvement collaboratives with outpatient mental health treatment and rehabilitation programs across the state. He received his doctorate in Social/Health Psychology from Stony Brook University in 2009.
Elizabeth Heitkemper
Assistant Professor
The University of Texas at Austin
System and policy issues for adults with intellectual disability disorder who are experiencing homelessness
Poster
P-50
Biography
Elizabeth Heitkemper is an Assistant Professor at the University of Texas at Austin School of Nursing. Her research is focused on working with historically marginalized and underrepresented communities to co-identify and co-develop digital tools to improve health outcomes, services, and systems.
Ryan Lowery
Assistant Professor of Pediatrics
Department of Pediatrics, The University of Texas at Austin Dell Medical School
The proverbial “What do you do?”: An evaluation of FQHC pediatrician perspective on DOH screening
Poster
P-52
Biography
Ryan Lowery, MD, FAAP is a community pediatrician working in a Federally Qualified Health Center in Austin, Texas. He completed a Fellowship with The Physicians Foundation focused on drivers of health and national efforts around standardizing screening and response to health-related social needs. He is an Assistant Program Director with the Dell Medical School Pediatric Residency Program. He has a specific interest in resident education and mentorship in the field of pediatric advocacy.
Eduardo Hernandez Mozo
SDSU/ UC San Diego Joint Doctoral Program in Clinical Psychology
Understanding social and mental health needs of hospital workers earning low wages
Poster
P-53
Biography
My name is Eduardo. I am a clinical psychology doctoral student. My research focuses on the impact of social determinants on cardiovascular and mental health among Latinx and low-income populations.
Anaeliz Colon
OHSU-PSU School of Public Health
Alex Erkenbeck
Sr. Evaluation Consultant
Kaiser Permanente
Rachel Gold
Senior Investigator
KPCHR, OCHIN
Supporting adoption of enabling technologies to advance clinical-community linkages to address patient social needs: Protocol
Poster
P-56
Biography
I study how to improve health equity using HIT-based interventions in safety net clinics. Expertise in social risks, health services, clinical decision support, and implementation science.