Gap analysis to reconcile resource capacity to resource needs

1. The Colorado Medical Legal
Partnership: Reconciling Resource
Capacity to Resource Needs
Ebele Mogo MSc. Global Health and Public
Policy
Preceptor: Professor Dayna Matthew JD
Faculty Advisor: Dr Jenn Leiferman
Thank you!

2. Goal
- Evaluate the process of MLP Delivery
- Identify gaps in implementation
- Needs that were not being met
- Resources that were underutilized
- Develop recommendations for improving
efficiency in delivery and streamlining the
process

3. About the Medical Legal
Partnership
- Healthcare delivery model that integrates
legal assistance into patient care to improve
health and wellbeing of vulnerable
individuals, children and families

4. Method
Literature review on MLP delivery,
effectiveness and quality in order to
generate questions for the key informants on
the delivery and measurement of MLPs in
the state
Conduct site visits- Salud Medical Clinic,
Colorado Legal Services, Colorado
Children's Hospital, Colorado Refugee
Wellness Center

5. Method
Administer qualitative interviews to the 4
medical champions responsible for MLP
implementation and delivery
Transcribe and analyze interviews and provide
an annotated transcript for each of the
interviews
Based on the interviews, develop guidelines
for improvement in the data collection, care
delivery, documentation and the efficiency of
the MLP at meeting patient's needs in
Colorado

6. DrPH Competencies strengthened
Using systematic approaches to assess
programs
Effectively work with communities and
stakeholders, in an equitable and ethical
manner
Determine and apply appropriate designs and
methods for assessing and evaluating
program reach and implementation.

7. Analyze data to identify disparities in health
and inform the design of culturally
appropriate programs to promote health
equity.
Identify knowledge gaps in the selected field

8. Theory versus practice?
- Emotional intelligence and building rapport
as an external evaluator
- Time constraints
- Communicating public health in a non-
intellectual way
-Community engagement

9. Recommendations for next steps
Need for standardized screening procedure across
the clinics: different screening tools, consulted with
different professionals in choosing clients
e.g. health needs assessment of accountable care
collaborative, medical personnel, screening
children at routine checkups or Well Child care
Need to coordinate the medical and legal aspects of
the model: patients waiting, repitition
building legal capacity for the personnel

10. Difficulty in identifying the ideal patient.
 false positive screens
 false negative screens
 (gap between anticipated needs and
actual needs)
 not getting patients at the right time
 language barriers
Staff not feeling adequately prepared to
triage from a legal perspective

11. Recommendations
 Staff capacity building
 Adapting the screening tools to the context
 Adapting the timing of the delivery to the context
 A needs assessment would be very helpful to
adapt previously agreed upon screening forms for
the exact needs of the communities.

12. Thank You and Happy Holidays!