Responding to the Disproportionate Impact of COVID-19 Among Latinx Patients in Baltimore: The JHM Latinx Anchor Strategy

By FYH News Team

Published on June 20, 2022

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. May-Jun 2022;20(3):230-237.

doi: 10.1089/hs.2021.0203.

Affiliations

¹ Kathleen R. Page, MD, is an Associate Professor, Division of Infectious Diseases, Johns Hopkins University School of Medicine; Medical Director, The Access Partnership, Johns Hopkins University; and Co-Director, Center for Salud/Health and Opportunities for Latinos (Centro SOL), Johns Hopkins University School of Medicine, Baltimore, MD.
² Alicia Wilson, JD, is Vice President, Office of Economic Development, Johns Hopkins University and Johns Hopkins Health System, Baltimore, MD.
³ Katherine Hartmann Phillips, MSN, MSPH, is Medical Director, Esperanza Center, Catholic Charities, Baltimore, MD.
⁴ Alejandra Flores-Miller is a Research Program Coordinator and a Community Health Worker, Johns Hopkins University School of Medicine, Baltimore, MD.
⁵ Monica Guerrero Vazquez, MS, MPH, is Executive Director, Centro SOL, Johns Hopkins University School of Medicine, Baltimore, MD.
⁶ Benjamin F. Bigelow is a Medical Student, Johns Hopkins University School of Medicine, Baltimore, MD.
⁷ Jacqueline N. Bryan is a Research Assistant, Office of Economic Development, Johns Hopkins University and Johns Hopkins Health System, Baltimore, MD.
⁸ Adrianna Moore, MSW, is a Program Manager and Director of Care Redesign, Department of Care Coordination, The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, Baltimore, MD.
⁹ Tina Tolson, RN, MSN, is Senior Director of Operations, Johns Hopkins Medicine Language Services, Johns Hopkins Health System and Johns Hopkins University, Baltimore, MD.
¹⁰ Nicki McCann, JD, is Vice President, Payor/Provider Transformation, Johns Hopkins Health System, Baltimore, MD.
¹¹ Stephen D. Sisson, MD, is Vice President, Clinical Operations, Office of Johns Hopkins Physicians, and a Professor of Medicine, [division?], Johns Hopkins University School of Medicine, Baltimore, MD.
¹² Ann Parker, MD, PhD, is an Assistant Professor, Division of Pulmonary and Critical Care Medicine and Division of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD.
¹³ Emily Brigham, MD, MHS, was an Assistant Professor, Division of Pulmonary and Critical Care Medicine, and Co-Lead, Post-Acute COVID-19 Team Clinic, Johns Hopkins University School of Medicine, Baltimore, MD.
¹⁴ Inez Stewart, MEd, is Senior Vice President of Human Resources, Johns Hopkins Medicine, Baltimore, MD.
¹⁵ Sherita H. Golden, MD, MHS, is a Professor, Division of Endocrinology, Diabetes, and Metabolism, and Vice President and Chief Diversity Officer, Johns Hopkins Medicine, Baltimore, MD.

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Kathleen R Page et al.

Health Secur.

May-Jun 2022.

. May-Jun 2022;20(3):230-237.

doi: 10.1089/hs.2021.0203.

Authors

Affiliations

¹ Kathleen R. Page, MD, is an Associate Professor, Division of Infectious Diseases, Johns Hopkins University School of Medicine; Medical Director, The Access Partnership, Johns Hopkins University; and Co-Director, Center for Salud/Health and Opportunities for Latinos (Centro SOL), Johns Hopkins University School of Medicine, Baltimore, MD.
² Alicia Wilson, JD, is Vice President, Office of Economic Development, Johns Hopkins University and Johns Hopkins Health System, Baltimore, MD.
³ Katherine Hartmann Phillips, MSN, MSPH, is Medical Director, Esperanza Center, Catholic Charities, Baltimore, MD.
⁴ Alejandra Flores-Miller is a Research Program Coordinator and a Community Health Worker, Johns Hopkins University School of Medicine, Baltimore, MD.
⁵ Monica Guerrero Vazquez, MS, MPH, is Executive Director, Centro SOL, Johns Hopkins University School of Medicine, Baltimore, MD.
⁶ Benjamin F. Bigelow is a Medical Student, Johns Hopkins University School of Medicine, Baltimore, MD.
⁷ Jacqueline N. Bryan is a Research Assistant, Office of Economic Development, Johns Hopkins University and Johns Hopkins Health System, Baltimore, MD.
⁸ Adrianna Moore, MSW, is a Program Manager and Director of Care Redesign, Department of Care Coordination, The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, Baltimore, MD.
⁹ Tina Tolson, RN, MSN, is Senior Director of Operations, Johns Hopkins Medicine Language Services, Johns Hopkins Health System and Johns Hopkins University, Baltimore, MD.
¹⁰ Nicki McCann, JD, is Vice President, Payor/Provider Transformation, Johns Hopkins Health System, Baltimore, MD.
¹¹ Stephen D. Sisson, MD, is Vice President, Clinical Operations, Office of Johns Hopkins Physicians, and a Professor of Medicine, [division?], Johns Hopkins University School of Medicine, Baltimore, MD.
¹² Ann Parker, MD, PhD, is an Assistant Professor, Division of Pulmonary and Critical Care Medicine and Division of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD.
¹³ Emily Brigham, MD, MHS, was an Assistant Professor, Division of Pulmonary and Critical Care Medicine, and Co-Lead, Post-Acute COVID-19 Team Clinic, Johns Hopkins University School of Medicine, Baltimore, MD.
¹⁴ Inez Stewart, MEd, is Senior Vice President of Human Resources, Johns Hopkins Medicine, Baltimore, MD.
¹⁵ Sherita H. Golden, MD, MHS, is a Professor, Division of Endocrinology, Diabetes, and Metabolism, and Vice President and Chief Diversity Officer, Johns Hopkins Medicine, Baltimore, MD.

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Abstract

Latinx immigrants have been profoundly impacted by COVID-19. As the Johns Hopkins Health System faced a surge in admissions of limited English proficiency patients with COVID-19, it became evident that an institutional strategy to address the needs of this patient population was needed. The Johns Hopkins Medicine (JHM) Latinx Anchor Strategy was established in April 2020 with diverse stakeholder engagement to identify the most urgent community needs and develop timely solutions. The JHM Latinx Anchor Strategy provided a platform for information sharing to promote equitable access to resources for Latinxs with limited English proficiency who were impacted by COVID-19. Leveraging institutional, community, and government resources and expertise, the JHM Latinx Anchor Strategy helped establish interventions to improve access to COVID-19 testing and care for low-income immigrants without a primary care doctor and helped mitigate economic vulnerability through the distribution of food for 2,677 individuals and cash to 446 families and 95 individuals (May to August 2020). Expanded linguistic and culturally competent communication through webinars and livestream events reached more than 10,000 community members and partners. Over 7,500 limited English proficiency patients received linguistically congruent direct patient services through the Esperanza Center bilingual hotline, community testing resulting efforts, and inpatient consultations. The first stage of the JHM Latinx Anchor Strategy relied heavily on volunteer efforts. Funding for a sustainable response will be required to address ongoing COVID-19 needs, including expansion of the bilingual/bicultural healthcare workforce, expanded access to primary care, and investments in population health strategies addressing social determinants of health.

Keywords:

COVID-19; Community engagement; Health equity; Hospital preparedness/response; Latinx.

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