Knowledge Learning Objectives
Caring with Compassion comprises seven learning modules within two knowledge domains. Specific content targets each of the following learning objectives.
Public Healthcare Systems
Learning Module 1: Epidemiology of Homeless and Uninsured Populations
- Define homelessness by federal standards.
- Identify numeric trends relating to homeless persons in the U.S. by region, age, race, ethnicity, work status, and family status.
- Understand prevalence of severe mental illness, substance abuse, survivors of domestic violence and human trafficking, physically disabled, and combined comorbidities among homeless persons.
- Recognize scope of unmet need for shelter housing for the homeless.
- Define federal poverty line for individuals and for a family of 4, average annual cost of employer-sponsored family healthcare coverage, and the resulting approximate ratio of healthcare cost to income for a low income family.
- Compare prevalence of un- and underinsurance in the United States, by age, race/ethnicity, and geography.
Learning Module 2: Public Health Insurance
- Describe the multi-payer system of health insurance in the U.S.
- Identify core benefits and financing mechanisms of Medicare components A, B, and D.
- Describe purposes and structures of Medigap and Medicare Advantage plans.
- Identify eligibility criteria for Medicare, including age-based and disability-based criteria.
- Identify core benefits and eligibility criteria for Medicaid.
- Describe core benefits and eligibility criteria for CHIP.
- Describe Affordable Care Act effects upon public health insurance programs.
- Describe number, demographic characteristics (age, race/ethnicity), and healthcare costs of dually eligible Medicare/Medicaid beneficiaries.
Learning Module 3: Delivery Systems
- Describe major components of the U.S. healthcare delivery system.
- Recognize eligibility criteria for VA health coverage.
- Appreciate the size and range of services of the VA health system.
- Identify VA health system services targeting the needs of homeless veterans.
- Describe financing mechanisms, structure, and number of persons served by FQHCs.
- Identify funding sources and population served by CMH.
- Describe funding mechanisms, governance structure, and range of services for free clinics.
Caring for the Underserved
Learning Module 4: Homelessness & Disease
- Identify type and prevalence of conditions more common among people experiencing homelessness.
- Describe prevalence of tobacco use and substance use disorders in the homeless population.
- Describe examples of biomedical complications of food scarcity and malnutrition.
- Recognize common skin conditions of the homeless, and treatment options.
- Describe management of exposure-related conditions seen in cold conditions: frost bite, immersion foot, and hypothermia.
- Identify challenges to chronic disease management imposed by homelessness, precarious housing, and food scarcity.
Learning Module 5: Social Determinants of Health
- Define health disparities and healthcare disparities, in the context of two moral frameworks—social justice and compassion.
- List major classes of social drivers of health: race/ethnicity, socioeconomic status, environment, behavioral factors, and health system characteristics.
- State examples of negative health consequences of uninsured status.
Learning Module 6: Biopsychosocial Health
- Describe five major classes of psychosocial and behavioral determinants of health: mental health conditions, behavioral disorders, social support relationships, and community resources.
- Identify type and prevalence of mental health disorders common among homeless persons.
- Recall diagnostic criteria for major common substance use disorders.
- Describe major features of substance use treatment programs and role of primary care clinicians.
- Describe major features of recovery-oriented and harm reduction substance abuse services.
- Identify components of the readiness-for-change model and motivational counseling, and their application among homeless patients.
Learning Module 7: Team Care
- Describe training, licensure, and scope of practice of nurse practitioners, physician assistants, and pharmacists.
- Describe training, licensure, and scope of practice of social workers and case managers.
- Compare scope of practice of addiction counselors and mental health providers.
- Identify outreach, team-based health care delivery models of demonstrated effectiveness among persons experiencing homelessness.
- Identify specific team skills and communication approaches essential to high-functioning, interdisciplinary care teams.