Arthritis Expert Advisory Panel

EXPERT PANELISTS – We wanted to call attention to an Notice Of Funding Opportunity (NOFO) from CDC focused on arthritis, CDC-RFA-DP-23-001 State Public Health Approaches to Addressing Arthritis. More information can be found on the CDC Arthritis website. The NOFO supports dissemination of arthritis-appropriate, evidence-based interventions (AAEBIs) and implementation of referral pathways to increase AAEBI access and participation, increase the proportion of adults with arthritis who get counseling for physical activity, reduce health disparities, and improve health outcomes for adults with arthritis.  If you are interested in connecting with a State Health Department colleague about this opportunity please reach out to NACDD (Lisa, eerck_ic@chronicdisease.org or Heather, hmurphy_ic@chronicdisease.org) and they can help facilitate introductions.

Opportunity for Public Comment – The Office of the National Coordinator for Health Information Technology released its draft version 4 of the US Core Data for Interoperability. Physical activity assessment was included in this version. The public comment period for the draft USCDI v.4 is currently open.  Comments are due April 17, 2023. Visit HERE for more info from the Physical Activity Alliance including information on how to submit comments.

Arthritis Expert Advisory Panel and Design Team

Participant Bios – an Excel file listing all participants, a brief bio and photo

Blog Post that describes the work of the Expert Panel

Suggested Supportive Reads – 

  1. Exercise is Medicine Greenville® (EIMG®) Program Report
    • Design and implementation of a clinic-to-community, physical activity health promotion model for healthcare providers
  2. Exercise Is Medicine® Health Care Providers’ Action Guide
  3. Arthritis Appropriate Evidence-Based Interventions (AAEBI) List
  4. American College of Rheumatology (ACR) Clinical Practice Guidelines for Osteoarthritis
  5. Article in Health Promotion Practice “Developing a Primary Care–Focused Intervention to Engage Patients With Osteoarthritis in Physical Activity: A Stakeholder Engagement Qualitative Study”

2022-2023 Meetings

  • PRE-READ
    1. “Key Considerations and Barriers to Creating an Evidenced-Informed Approach for Screening, Counseling, and Referral to Arthritis Appropriate Evidence-Based Interventions: A Landscape Assessment” (Leavitt Partners Report)
      This report is based on an environmental scan of the literature and 12 interviews with key stakeholders (e.g., health care provider leads, payers, National Provider Organizations) and three listening panels with National Partners, State Organizations, and State Health Department leads. Additional validation and viewpoints should and will be considered for the “arthritis care model design.”
  • Agenda
  • Slides
  • Recording link
  • Summary document
  • PRE-READ
    1. Human-centered design (HCD) is a problem-solving technique that builds empathy and creativity to put people at the center. HCD uses a variety of methods–including focus groups, interviews, stakeholder maps, and photo-journals–and revolves around creating an optimistic, empathetic environment to address problems creatively. Here is a link to a short TEDx Talk to give you an idea of how HCD works in practice.

      Our 3 sessions will address a key opportunity to integrating physical activity into screening, counseling, and referral for patients with arthritis: reimaging the way all stakeholders are involved in the process. To prepare, Advisory Panel members will receive pre-session emails roughly 2 weeks in advance with preparation materials to review, including key details from the environmental report and a preview of session content. Advisory Panel members should come to the sessions with an open mindset, ready to reimagine, examine, ideate, explore, and empathize.
      Other helpful links about HCD, in case you’re curious:
      – Designkit.org
      – Harvard Business School Online
      – IDEO.org

    2. Preview the Context Canvas that provides the background we need to hit the ground running. While reviewing, consider the following:
      • What components of this vision stand out to you?
      • Does it reflect our shared vision for this initiative?
      • Do the boundaries we’ve drawn make sense for this project?
      • We are developing a framework that starts here, but we want to keep our output adaptable and flexible. What should we keep in mind that will help our current focus scale to other areas?
    3. Preview personas that represent typical patients with OA to help guide our discussion.
    4. Review the sections from the Environmental Report on different stakeholders that could be involved in this process and come ready to think outside the box. We have included those sections as excerpts.
    5.  
  • Agenda
  • Recording link for main room group discussion
  • UPDATED Context Canvas per feedback from Expert Panel
  • Summary document
  • PRE-READ
    • Arthritis Project Inputs & Outputs – slide that describes how HCD sessions will inform an evidence-informed arthritis care model
    • Preview the top Opportunity Areas that describe ideas that surfaced during call 2 and as outlined below and in the agenda, which we’ll further explore in call 3:
      1. How might we unify screening methods to standardize time of collection and method of capture, and screening components that support care team decisions in term of how to coordinate and interact with the patient?
      2. How might we identify reimbursement opportunities for non-clinical partners who are asked to implement components of the screening, counseling, and referral process?
      3. How might we integrate arthritis screening questions into the PCP appointment prior to visit creating a wrap-around approach where screening is done before the PCP visit (e.g., integration of questions through EMR/pt portal)?
      4. How might we identify and eliminate health inequities in the screening, counseling, and referral process for self-management behaviors?
      5. How might care teams provide active counseling for patients with arthritis according to their specific diagnosis? ((e.g., motivational interviewing, action planning, five A’s)
      6. How might we engage and empower care team members to best utilize educational resources (apps, handouts, web links) to increase physical activity?
      7. How might we intentionally connect PCPs with outside non-traditional care team members (e.g. CHWs, health coaches, health advocates), CBOs, and other partners to alleviate time crunches?
      8. How might we streamline referrals to AAEBIs based on resources available within the community?
      9. How might we create opportunities for community organizations to support proactive follow-up to help people navigate to services following an appointment with their PCP?
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  • Recording link
  • Summary document
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  • Summary document
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  • Recording link

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