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Show Assessing Refugee Utilization of Healthcare Systems Erica Kueneman BSN, DNP Student, Linda Johnson, DNP, AG-ACNP-BC Farah Al-Hamdani, Anna Gallegos, BA, Brian Head, Romany Redman, MD, Sheri Vanderhoff, RHIA Key Findings: The learning module assessment revealed that participating refugees felt more comfortable after receiving mentor education. The results of the Refugee FYI flag provided valuable baseline information about the 1,000+ refugees accessing care at an academic medical center in an urban area. Needs and opportunities for improving refugee healthcare initiatives merit additional investment. Results Background Objective I: Health Mentor Program • Healthcare support from professionals is critical for positive refugee healthcare system interactions • Data regarding refugee health utilization is incomplete, not well researched, nor well documented • In Utah, no data has been published regarding refugee health needs, utilization, cost, and outcomes • The purpose of this quality improvement project is to provide data, assessment, and recommendations to organizations working with refugee health Pre-assessment Data: 50% of meetings had an interpreter present 50% of refugees knew to identify address/location in 9-1-1 call 67% of refugees didn’t know/understand if money was required prior to ED services Post-assessment Data: 83% of refugees knew to identify address/location in 9-1-1 call 83% of refugees reported feeling more comfortable accessing different levels of healthcare 83% of refugees received the Levels of Healthcare handout Method and Aims • Collaborated among a refugee resettlement agency, DNP nursing students, and an academic medical center in an urban environment • Objective I: Created an evaluation tool for refugee health promotion program and provided recommendations to improve refugee health program – Pre- and post-learning data collected from six mentor/refugee pairs – Subjective feedback collected from five DNP mentors • Objective II: Provided healthcare staff education on the EHR software function of the Refugee FYI flag. Modified Refugee FYI flag report to improve data, representation, and service of refugees – Education provided to Ambulatory Nursing and Guest Communications – Data collected from 2018 – 2019 Objective II: Refugee FYI tool Top 10 Refugee Languages Arabic 18% Somalian Swahili 16% 14% Burmese 8% Kinyarwanda 7% Nepali 6% Karen French English Farsi Other 5% 3% 2% 2% 18% The “average” refugee: Gender = Female Age = 33 Most frequent language = Arabic Refugee Urgent Care Utilization (N = 2,025 encounters) 12% of all refugee encounters 98% of encounters occur at one community Urgent Care Primary diagnoses related to: EENT, GI, Respiratory, Musculoskeletal, or Integumentary systems Refugee Emergency Department Utilization (N = 507 encounters) 3% of all refugee encounters 99% of encounters occur at the main Emergency Department 18% of ED encounters result in hospitalization Primary diagnoses related to: GI, Cardiac, Pregnancy, Neurologic, or Respiratory systems Conclusions • • • • • • The Health Mentor Program encourages the adoption of positive health behaviors through self-efficacy The functionality of pre- and post-learning assessment tool is viable Recommend assessing remaining modules in the Health Mentor Program The Refugee FYI flag tool has been relaunched Additional study is required to further explore Refugee FYI flag data Focus quality improvement measures on needs of refugees in a specific and targeted manner COLLEGE OF NURSING |
