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Rapid Deployment of a Community-Centered Mobile Covid 19 Testing Unit to Improve Health Equity

A mobile Covid-19 testing program for high-risk populations, developed through cooperation between a health system and community leaders, brought proactive testing and care to patients who otherwise might have presented acutely ill or unintentionally spread Covid-19 throughout at-risk communities.
NEJM Catalyst
October 22, 2020

Summary

UNC Health rapidly launched a mobile Covid testing unit to underserved community sites in May 2020 to provide targeted testing of uninsured Black and Latinx community members. We engaged with existing Black and Latinx community leaders to co-develop the program, converting a mobile vascular screening unit into a testing site and resource center for patients at risk. In the first three months, 2,464 people were tested with an overall Covid-positive rate of 15.6% and a maximum single day positive rate of 41%. Over the course of the program, testing increased, community leader engagement increased, local community agency interest and participation grew, and patients received proactive testing and care who otherwise might have presented acutely ill or unintentionally spread Covid 19 throughout at-risk communities.

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Notes

Randi Towns, Gisele Corbie-Smith, Al Richmond, Mark Gwynne, and Lynne Fiscus have nothing to disclose.

Information & Authors

Information

Published In

NEJM Catalyst Innovations in Care Delivery
October 22, 2020

History

Published in issue: September 1, 2020
Published online: October 22, 2020

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Authors

Affiliations

Randi Towns
Program Manager, UNC Health Office of Health Equity
Giselle Corbie-Smith, MD, MSc
Kenan Distinguished Professor, UNC Department of Social Medicine, Department of Medicine and UNC School of Medicine; Director, UNC Center for Health Equity Research; Associate Director for Engagement Science, NC TraCS Institute
Al Richmond, MSW
Executive Director, Community-Campus Partnerships for Health (CCPH)
Mark Gwynne, DO
President and Executive Medical Director, UNC Health Alliance; Associate Professor, UNC Department of Family Medicine
Lynne Fiscus, MD, MPH, FAAP, FACP
President and CEO, UNC Physicians Network

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