Publications by authors named "Jennifer L Frehn"
Telemedicine systems were rapidly implemented in response to COVID-19. However, little is known about their effectiveness, acceptability, and sustainability for safety net populations. This study systematically reviewed primary care telemedicine implementation and effectiveness in safety net settings.
View Article and Find Full Text PDFBackground: Federally qualified health centers (FQHCs) rapidly adopted and implemented telemedicine during the COVID-19 pandemic. This study analyzes FQHC personnel accounts of care redesign strategies to support telemedicine implementation in 2020 and 2021, and identifies improvement opportunities.
Methods: We conducted semistructured, in-depth interviews with clinic personnel (n = 15) at 2 FQHCs in Northern California (December 2020-April 2021) to examine telemedicine adoption and use of audio-video and audio-only/phone telemedicine encounters.
Article Synopsis
- Many pediatric practices lack standardized screening processes for developmental delays in children, despite guidelines from the AAP.
- An intervention was implemented in six health centers in Northern California from 2014 to 2017, utilizing an automated tablet system to enhance screening at recommended intervals and improve follow-up care with the support of social workers.
- Results showed that the intervention significantly increased screening rates from 65.3% to 91.8% and maintained high follow-up visit rates between 74% and 88%, demonstrating its effectiveness in meeting AAP recommendations and improving early detection of developmental issues.
In March 2020, federal and state telehealth policy changes catalyzed telemedicine adoption and use in community health centers. There is a dearth of evidence on telemedicine implementation and use in these safety net settings and a lack of information reflecting the perspectives of patients with limited English proficiency. We conducted in-depth interviews with clinic personnel and patients during the pandemic in two federally qualified health centers that primarily serve Chinese and Latino immigrants.
View Article and Find Full Text PDFComparing health care system and physician practice influences on social risk screening.
Health Care Manage Rev
February 2022
Background: Health care systems can support dissemination of innovations, such as social risk screening in physician practices, but to date, no studies have examined the association of health system characteristics and practice-level adoption of social risk screening.
Purpose: The aim of the study was to examine the association of multilevel organizational capabilities and adoption of social risk screening among system-owned physician practices.
Methodology: Secondary analyses of the 2018 National Survey of Healthcare Organizations and Systems were conducted.