R-6 Community Engagement Evaluation Project (CEEP) Oregon Health and Science University Center on Community Accessibility Principal Investigator: Charles.

R-6 Community Engagement Evaluation Project (CEEP)

Oregon Health and Science UniversityCenter on Community Accessibility

Principal Investigator: Charles E. Drum

MICL Advisory Panel MeetingNov. 18, 2009

Purpose:

To establish the evidence basis for the

Community Engagement Initiative (CEI)

Methodology. The project uses a multi-

site (3x OR, KS, MO) embedded case

study design to assess the efficacy of

CEI to increase access to health care

for people with disabilities in the study

sites.

Review of CEI Methodology

Phase I- Town Hall Meeting

Phase II- Community Infrastructure Meeting

Phase III- Community Mobilization

Accomplishments: Bend, Oregon CEI Phases I-III

completed in 2008 (Results previously reported to MICL Advisory Panel)

Corvallis, Oregon CEI Phases I-III completed (Results previously reported to MICL Advisory Panel)

Pendleton, Oregon CEI Phases I & II

Emporia, Kansas CEI Phases I & II

Preliminary Findings

Seven out of eight prioritized barriers addressed in Bend, Oregon

Transportation, hospital accessibility and disability awareness are currently being addressed in Corvallis

No other findings reported at this time

Emporia Prioritized Barriers Facility Access

Exam rooms/tables at health care facilities are not effectively accessible for wheelchair users and/or people with mobility disabilities.

Reception desks at health care facilities are not accessible for wheelchair users.

Lack of enough designated van accessible spaces in parking lot.

Emporia Prioritized Barriers

Communication and Attitudes Health care provider communicates with

caregiver/family member instead of the patient during visits/treatment.

Meaningful and direct communication

Need for more in-depth knowledge about treating other conditions in conjunction with the disability

Emporia Prioritized Barriers Transportation

Limited bus schedule

Equipment sufficiency

Transportation to out-of-town appointments

Next Steps: Analysis of individual and environmental

measurements

Complete Case Reports

Follow-up with Pendleton, OR & Emporia, KS

Begin planning CEI in second Kansas location|

Begin planning CEI in Missouri

Update Community Action Guide

Barriers:

Establishing community partners

Improving the follow-up process

Questions:

How can we improve the follow-up piece?

Who are other community development experts in the field we can contact?

Outputs and Products Outpatient Health Care Usability Profile

(OHCUP) version 3

Article published:Drum, C., Krahn, G., Horner-Johnson, W., Ritacco B., Berardinelli, M., Wasfi, R., & Pickett-Cooper, P. (2008) The Oregon community engagement initiative: Case studies of a coalition development process. Journal of Community Development and Society, (39) 4.

Case Report Draft