The SIREN Podcast artwork

The SIREN Podcast

37 episodes - English - Latest episode: 5 days ago - ★★★★★ - 11 ratings

Welcome to the official podcast channel of the Social Interventions Research and Evaluation Network (SIREN) at the University of California, San Francisco.

Social Sciences Science Health & Fitness Medicine social sciences medicine government public health
Homepage Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed

Episodes

Lessons from the Camden Coalition's Care Management RCT (Part 1 of 2)

July 17, 2024 15:00 - 56 minutes - 77.4 MB

This is the first of a two-part webinar series on implications of the Camden Coalition’s RCT results.    In 2020, a major article on “healthcare hotspotting” may have caught your eye. It did ours! The article described findings from a four-year, prospective, 800-person randomized evaluation of the Camden Coalition’s Camden Core Model, an innovative and comprehensive approach to care coordination for patients with very high use of healthcare services. The study found no differences...

Organizational Dilemmas in Integrating Medical and Social Care to Improve Health Equity

July 10, 2024 15:00 - 1 hour - 110 MB

On March 29, 2024, the Harvard Medical School Center for Bioethics convened a session of the Organizational Ethics Consortia Series on social care. Addressing health inequity generally requires attention to the most marginalized patients, whose health is often undermined by social, legal and financial challenges. In response, many health care delivery organizations have begun to collect data about health-related social needs and build organizational capacity to address these needs, ...

New SIREN Social Care Conceptual Model

June 26, 2024 15:00 - 51 minutes - 70.3 MB

On Monday March 11th participants joined us for a conversation about the new SIREN Social Care Conceptual Model! Emerging evidence suggests that social care programs do not affect health solely by connecting patients with social services and reducing socioeconomic barriers. In a recent paperwe used this evidence to develop a model that depicts the multiple pathways through which social care interventions appear to operate. SIREN co-directors Laura Gottlieb, Danielle Hessler, and Car...

What Should the Healthcare Sector’s Role Be in Addressing Adverse Social Drivers of Health?

June 19, 2024 15:00 - 51 minutes - 71.2 MB

Although there is no question that adverse social circumstances negatively impact health and healthcare outcomes, it is not clear what the healthcare sector’s role should be in addressing these adverse social factors. On February 28, 2024, SIREN Co-Director Caroline Fichtenberg moderated a lively discussion with three thought-leaders on their perspectives on this important question:  Seth Berkowitz, MD, MPH, Associate Professor of Medicine, UNC School of Medicine  Sherry Glied, Ph...

Lessons from Abolition Work in Other Sectors: What Can Social Care Learn?

March 22, 2023 13:00 - 48 minutes - 66.6 MB

Social care practice and research are often inspired by intentions to advance health equity. However, social care is often planned and executed without a clear recognition of and confrontation with the racism, particularly anti-Black racism, that has led to existing inequities. While the legally-sanctioned enslavement of Black people in the United States was abolished in 1865, many of its aims have been perpetuated through residential segregation, the War on Drugs, and the school-to...

Two Poems for Poetic Health Justice: Poetry as Praxis for an Antiracist and Decolonized Future of ‘Radical Possibility’

March 21, 2023 13:00 - 13 minutes - 18.8 MB

Health research remains ensconced in a heavily positivist, reductionist, settler-colonial, racial-capitalist “ritual” of knowledge extractivism and expropriation wherein credentialed researchers mine marginalized communities for data to (re)package and (re)distribute as their (our) own knowledge. Much of this work has focused on racial health inequities while, curiously, leaving unexamined matters of positionality, epistemic equity, and procedural justice in the production and curat...

Measuring Racial Health Equity in Social Care Research

March 20, 2023 13:00 - 33 minutes - 46.4 MB

Each year an increasing number of original research articles are published about healthcare-based social care programs and policies. However, relatively few of these studies measure the impact of social care interventions on different racial or ethnic minority groups. More information about differential impacts could help to improve the implementation – and ideally the impacts – of social care. During the SIREN 2022 National Research Meeting: Racial Health Equity in Social Care, phy...

Actions Speak Louder: Fulfilling Social Care’s Racial Health Equity Potential

March 19, 2023 13:00 - 39 minutes - 54.7 MB

The final panel at the SIREN 2022 National Research Meeting: Racial Health Equity in Social Care featured four Experts by Experience (Lisa Hamlett, Mike McNear, Ann Reynoso, and Stephanie Walker) as they reflected on their takeaways from the meeting, expressed what was most important to them, and pointed out opportunities for more research and action. The goal of this session was for participants to leave the SIREN National Research Meeting feeling grounded in what mattered to patie...

Patient and Caregiver Perspectives on Social Screening in Healthcare Settings

September 21, 2022 04:20 - 25 minutes - 35.1 MB

In this episode, Sarah Coombs, the director for health system transformation at the National Partnership for Women & Families, and Janice Tufte, an active patient partner in research, evidence generation, measurement, and care improvement, discuss their reactions to the patient and patient caregiver perspectives section of the State of the Science on Social Screening in Healthcare Settings.   To read the SIREN social screening report and a bevy of related resources, visit the SCREE...

Implementation Research on Social Screening in Healthcare Settings

September 21, 2022 04:15 - 28 minutes - 39.5 MB

In this episode, we are joined by Cherelle Vanbrakle, MEd, the Director of Health Promotion and Community Advocacy at People’s Community Clinic based in Austin, TX, and Andrea Nederveld, MD, MPH, an Assistant Professor in the Department of Family Medicine at the University of Colorado, to discuss the state of the science about the implementation of social screening in healthcare settings. To read the SIREN social screening report and a bevy of related resources, visit the SCREEN R...

Asset-Based Screening in Healthcare Settings

September 21, 2022 04:10 - 38 minutes - 53.4 MB

In this episode, we are joined by Jaedon Avey, Health Program Analyst, and L’aakaw Eesh Kyle Wark, Researcher, both of whom are from the Southcentral Foundation in Anchorage Alaska, a non-profit, tribally owned and operated healthcare organization serving 65,000 Alaska Native/American Indian peoples in urban and rural communities across over 100,000 square miles of Southcentral Alaska. Emilia De Marchis talks with Jaedon and L’aakaw about screening for patient assets – not just risk...

Prevalence of Social Screening in Healthcare Settings

September 21, 2022 04:05 - 21 minutes - 29.3 MB

SIREN Senior Research Associate Yuri Cartier, MPH, sits down with Kalpana Ramiah, DrPH, MSc, CPH, Vice President of Vice President of Innovation at America’s Essential Hospitals and Director of the Essential Hospitals to discuss SIREN’s recent review of surveys measuring the prevalence of social screening activity in different health care settings in the United States. Dr. Ramiah shares how the review’s findings can be used by essential hospitals, and what other considerations and c...

Provider Perspectives on Social Screening in Healthcare Settings

September 21, 2022 04:00 - 27 minutes - 37.6 MB

In this episode, Andy Quiñones-Rivera, MD, MPH, an ER resident physician with LA county is joined by Loel Solomon, MPP, PhD, a Professor of Health Systems Science at the Kaiser Permanente School of Medicine and former Vice President for Community Health at Kaiser Permanente. The two explore the evolution of healthcare providers’ perspectives on social screening and what this means for the future of social care practice. Their discussion also begins re-imagining the roles and respons...

SIREN Coffee & Science Wrap Party

December 13, 2021 22:00 - 28 minutes - 16.7 MB

On December 3rd, 2021, SIREN organized a special closing event (insert tears) for the 2021 Coffee & Science series. Special guests Bethany Hamilton, JD, and Kelly Doran, MD, shared their own takeaways from the series and asked participants to share favorite episodes and raise big-picture questions about how social care research can be used to move the needle on policy and practice.  Reminder! Please let us know what you thought of Coffee & Science and your ideas for SIREN’s 2022 Na...

Why and How a Health Center Created a Social Enterprise

November 30, 2021 17:00 - 28 minutes - 16 MB

This episode features a conversation between Damon Francis, MD, Medical Director of the Homeless Health Center in the Alameda Health System as well as Chief Clinical Officer of Health Leads, and Noha Aboelata, MD, Chief Executive Officer and co-founder of the Roots Community Health Center in Oakland, California. This is the last in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are both about what health care can do at the community level ...

Using Procurement to Support Sustainable Local Food Systems

November 16, 2021 17:00 - 25 minutes - 13 MB

This episode features a conversation between Nessia Berner Wong, MPH, Senior Policy Analyst at Change Lab Solutions, and Lauren Poor, MPH, a Regional Program Manager with the Healthy Food in Health Care program at Health Care Without Harm. This is the fifth in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are both about what health care can do at the community level to address social conditions. This conversation explores Healthcare witho...

Taking Action on Housing as a Political Determinant of Health

November 02, 2021 21:00 - 24 minutes - 14 MB

This episode features a conversation between Bich Ha Pham, JD, the Director of Communications and Policy at the Healthcare Anchor Network, and Mike Koprowski, MA, Ed.M, who is the National Campaign Director at the National Low Income Housing Coalition. This is the fourth in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are the last two “A”s of the National Academy of Medicine’s framework that SIREN has used to organize Coffee & Science. A...

Community-Hospital Collaborations to Improve Neighborhoods

October 19, 2021 21:00 - 26 minutes - 14.6 MB

This episode features a conversation between Kelly Kelleher, a pediatrician and Vice President for Community Health and Community Health Services Research at Nationwide Children’s Hospital, and Reverend John Edgar, who is the Executive Director and Pastor Emeritus at United Methodist Church & Community Development for All People. This is the third in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are the last two “A”s of the National Acade...

The Health Care Anchor Model

October 04, 2021 21:17 - 25 minutes - 15.7 MB

This episode features a conversation between Wylie Liu, MPH, MPA, Executive Director of the Center for Community Engagement at the University of California, San Francisco, and Darlene Oliver Hightower, JD, Vice President, Community Health Equity at Rush University Medical Center. This is the second in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are the last two “A”s of the National Academy of Medicine’s framework that SIREN’s used to or...

Clinic-Based Community Organizing to Improve Health Equity

September 21, 2021 18:44 - 28 minutes - 15.8 MB

This episode features a conversation between two health center-based community organizers: Hilary Mar Lopez Nichols, from Oregon Health Sciences University Family Medicine Clinic at Richmond, and Toffer Lehnherr, from Partnership Health Center in Missoula, Montana. This is the first in a series of six Coffee & Science events on topics related to Alignment and Advocacy, which are the last two “A”s of the National Academy of Medicine’s framework that SIREN’s used to organize Coffee & ...

Are Real Time Pharmacy Benefits Tools Actually Social Care Adjustments?

September 08, 2021 03:28 - 26 minutes - 17 MB

This episode features a conversation between Emmy Ganos, PhD, Senior Program Officer at the Robert Wood Johnson Foundation and Stacie Dusetzina, PhD, Associate Professor of Health Policy and Ingram Associate Professor of Cancer Research at Vanderbilt University Medical Center. This session is the last of four talks focused on health care sector efforts to Adjust clinical care based on information about patients’ social circumstances. In this conversation, Emmy and Stacie dive into t...

The Promise and Pitfalls of Adjusting Care to Context

August 23, 2021 21:00 - 26 minutes - 15.1 MB

This episode features a conversation between Kedar Mate, MD, President and CEO of the Institute for Healthcare Improvement and Saul Weiner, MD, Professor of Medicine, Pediatrics and Medical Education, Director of the Clinical Leaders and Academic Scholars Fellowship at the University of Illinois at Chicago, and Deputy Director of the Center of Innovation for Complex Chronic Health Care at the Veterans Health Administration. This session is the third of four talks focused on health c...

Opportunities for Informatics to Inform Social Care Adjustment Strategies

August 09, 2021 21:04 - 26 minutes - 15.7 MB

This episode features a conversation between Julia Adler-Milstein, Professor of Medicine and Director of the Center for Clinical Informatics and Improvement Research at the University of California, San Francisco and Tiffany Veinot, Professor of Health Behavior and Health Education cross-appointed at the School of Information and School of Public Health at the University of Michigan. This session is second of four talks focused on health care sector efforts to Adjust clinical care b...

Using Clinical Decision Support Tools to Contextualize Care

July 26, 2021 23:25 - 25 minutes - 14.5 MB

This episode features a conversation between Danielle Hessler Jones, PhD, SIREN investigator and Professor in the Department of Family and Community Medicine at the University of California, San Francisco and Rachel Gold, PhD, MPH, an investigator at the Kaiser Permanente Northwest Center for Health Research and Lead Research Scientist at the OCHIN community health information network. This session is the first of four talks focused on health care sector efforts to Adjust clinical c...

Delivering Social Care in the Virtual Frontier

June 28, 2021 21:00 - 26 minutes - 16.6 MB

This episode features a conversation between Tamara J. Cadet, PhD, LICSW, MPH, an Associate Professor at the Simmons School of Social Work and faculty at the Harvard School of Dental Medicine in Oral Health Policy and Epidemiology, and Bonnie Ewald, MA, the Associate Director of the Center for Health and Social Care Integration and Program Manager of Strategic Development and Policy for Rush University Medical Center’s Social Work and Community Health Department. This session is the...

Should Community Resource Referral Platforms be a Public Good?

June 15, 2021 20:11 - 25 minutes - 15.2 MB

This episode features a conversation between Lauren Taylor, PhD, MDiv, MPH, a postdoctoral scholar at NYU School of Medicine, and Kelly Cronin, MPH, MS, Deputy Administrator, Innovation and Partnership at HHS Administration for Community Living. This session is the fifth in a series focused on health care sector efforts to provide Assistance to patients to reduce their social risks. In this conversation, Lauren and Kelly explore pressing questions surrounding the governance and inte...

Evaluation of the Accountable Health Communities Model

June 02, 2021 00:22 - 24 minutes - 13.7 MB

This episode features a conversation between Lucia Rojas-Smith, DrPH, MPH, Director of the Center for Community Health Evaluation and Economic Research at RTI and Shannon O’Connor, PhD, MS, MA, a social science research analyst at the Center for Medicare and Medicaid Innovation. This session is the fourth in a series focused on health care sector efforts to provide Assistance to patients to reduce their social risks. Drs. Rojas-Smith and O’Connor discussed findings from the Accounta...

Global Lessons on Addressing Social Isolation and Loneliness

May 17, 2021 22:38 - 26 minutes - 15.1 MB

This episode features a conversation between Reginald Williams II, Vice President of International Health Policy and Practice Innovations at the Commonwealth Fund, and Matt Pantell, MD, MS, a pediatric hospitalist, assistant professor of pediatrics at UCSF, and SIREN researcher. This session is the third in a series focused on health care sector efforts to provide Assistance to patients to reduce their social risks. Reggie and Matt define social isolation and loneliness and explore ...

Challenging Racist Systems, Processes, and Analyses in Social Care

May 03, 2021 22:03 - 29 minutes - 16.9 MB

This episode features a conversation between Megan Sandel, MD, MPH, an associate professor of pediatrics at the Boston University Schools of Medicine and Public Health and co-lead principal investigator with Children’s Health Watch, and Rhea Boyd, MD, MPH, a pediatrician, public health advocate, and scholar who is the Director of Equity and Justice for The California Children’s Trust and most recently, co-developed THE CONVERSATION: Between Us, About Us, a national campaign to bring...

Community Health Workers and Social Care Integration

April 19, 2021 21:00 - 21 minutes - 11.7 MB

This episode is the first in a set of six Coffee and Science conversations on Assistance—health care sector activities that aim to reduce social risk by providing or linking patients with relevant social services. Nadia Islam, PhD, an associate professor in the Department of Population Health at NYU Langone, speaks with Maria Lemus, the executive director of Visión y Compromiso, an organization created and led by promotores that supports work to improve both individual and community...

Bonus Episode: Awareness Afterparty

April 13, 2021 03:39 - 28 minutes - 17.2 MB

This bonus episode is a special addendum to the first five episodes, which all focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Laura Gottlieb, MD, MPH, SIREN Director and Associate Professor of Family and Community Medicine at UCSF chats with SIREN Advisor Eric Fleegler, MD, MPH, Assistant Professor of Pediatrics and Emergency Medicine at Harvard Medical School and pediatric emergency physician at Boston Children’...

Social Risks vs. Social Needs: Assessing Patients' Interest in Assistance

March 30, 2021 03:24 - 26 minutes - 16.7 MB

This episode is the final in a series of five conversations focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Minal Patel, PhD, MPH, an associate professor of health behavior and health education at the University of Michigan School of Public Health, speaks with Emilia De Marchis, MD, MAS, an assistant professor in the Department of Family and Community Medicine at the University of California San Francisco, a famil...

Building Accountability for Social Risk Screening into State Medicaid Programs

March 15, 2021 22:00 - 24 minutes - 14.9 MB

Sarah DeSilvey, DNP, FNP-C, social determinants of health clinical informatics director of the Gravity Project and faculty at the University of Vermont Larner College of Medicine speaks with Michael Bailit, MBA, founder of Bailit Health, a consulting firm dedicated to ensuring insurer and provider performance accountability. This conversation is the fourth in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions...

Understanding Patients’ Perspectives on Social Risk Screening

March 03, 2021 21:17 - 26 minutes - 16.6 MB

Elena Byhoff, MD, MSc, assistant professor in the Department of Medicine at Tufts Medical Center and Tufts University School of Medicine speaks with David Schleifer, PhD, the director of research at Public Agenda, a national, nonpartisan, nonprofit research and public engagement organization. This conversation is the third in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Drs. Byhoff and Schleifer discus...

The Intersection of Racism, Discrimination, and Social Risk Screening in Clinical Settings

February 16, 2021 21:08 - 28 minutes - 18 MB

Dr. Toyin Ajayi, Co-founder and Chief Health Officer at Cityblock Health speaks with Dr. Monica Peek, associate professor of General Internal Medicine at the University of Chicago. This conversation is the second in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Drs. Ajayi and Peek discuss concerns structurally marginalized people may have in spaces like health care in and outside the context of social r...

To Scale or Not to Scale: Social Risk Screening and the US Health Care System

February 01, 2021 21:42 - 24 minutes - 17.5 MB

 Dr. Anand Shah, Vice President of Social Health at Kaiser Permanente speaks with Dr. Stacy Lindau, tenured professor at the University of Chicago, founder of NowPow, and president of MAPSCorps. This conversation is the first of several conversations about health care sector efforts to increase Awareness about both patient and community-level social conditions. Dr. Shah and Dr. Lindau share why whole person care matters to them personally and delve into the opportunities and challen...

Introducing the SIREN Coffee & Science Series: The NASEM Social Care Framework

December 21, 2020 23:23 - 33 minutes - 21.3 MB

What is this conversation series all about? What are the “five As” of social and medical care integration? How is the COVID-19 pandemic changing how health care systems see their roles and responsibilities related to the integration of social and medical care delivery? SIREN Director Dr. Laura Gottlieb introduces SIREN’s new biweekly conversation series and interviews Dr. Kirsten Bibbins-Domingo, Professor and Chair of the Department of Epidemiology and Biostatistics, Vice Dean for ...