Discussion of a Work in Process: Evaluation of the Senior Care Home Based Program
October 27th, 2020
Frail geriatric patients pose unique challenges to the provision of high-quality care in and out of the hospital due to functional limitations and cognitive impairments, which at times leave them homebound. To address their needs, Stanford Health Care (SHC) designed the Stanford Home-Based Senior Care program, which provides primary care for older homebound patients who are high utilizers of SHC services. It is accompanied by a three-year evaluation of its effectiveness and quality improvement. This project is a partnership between the SHC Office of Research Patient Care Services and the Evaluation Sciences Unit in the Division of Primary Care Population Health at the Stanford University School of Medicine. The evaluation will compare patients in the home-based program to a comparable group of clinic-attending patients and will gather qualitative information about the patient and caregiver experience in the program to inform operations. This talk will discuss the development of the program, progress to date, and lessons learned about partnered quality improvement evaluations.
Maria Yefimova, PhD
Maria Yefimova is a nurse scientist with the Office of Research Patient Care Services at Stanford Health Care, supporting ambulatory care nursing and patient care service professionals in their research. Her work is grounded in her interest in improving care for frail older patients through systematic change in care delivery. Dr. Yefimova obtained her B.S., M.S., and PhD in nursing from the University of California, Los Angeles (UCLA). Her postdoctoral fellowship training followed in the National Clinician Scholars Program at UCLA/VA Greater Los Angeles and she was the 2018-2019 Academy Health Delivery Science Fellow, gaining skills in implementation science and learning health systems at VA Palo Alto. She is an instructor with the Division of Primary Care Population Health at Stanford School of Medicine.
Anna Sophia Lestoquoy, MPH
Anna Sophia Lestoquoy serves as the research manager for this evaluation. She is currently a Research Operations Program Manager in the Evaluation Sciences Unit within the Primary Care and Population Health Division at Stanford University School of Medicine. Her previous experience in health services research has included work on chronic pain in underserved patients, evidence-based integrative health approaches, and cross-cultural mental health at the Boston Medical Center and Cambridge Health Alliance. She holds a B.A. from Wellesley College and a Master of Public Health from the Boston University School of Public Health
