Shreya Kangovi, MD MS Profile picture
#Founder of IMPaCT community health worker program ( Doctor and scientist. Wife, mom, daughter. #sdoh #womeninmedicine @pennmedicine
Oct 4, 2021 25 tweets 17 min read
I’ve been out for the past 6 months.

I think I want to write about it.

Deep breath: here is my #LongCovid story. You may remember this tweet from April of 2020.

Gandalf let me down, and I ended up getting #COVID19 just 3 weeks after getting H1N1 influenza. (I am a doctor and toddler mom, pretty germy).
May 20, 2020 6 tweets 4 min read
Every state/local #Covid_19 initiative I’ve read about is making one of the following mistakes.

Thread. 1. Ignoring community altogether and just doing apps.

Case example: Utah.

$2.75 million to purchase an app PLUS a *monthly* maintenance fee of $300,000.

(Could’ve employed 100 FTE #CHWs with this $ but who’s counting)

And the app isn’t working.
Apr 12, 2020 7 tweets 4 min read
1/ Here are two very different takes on the racial disparities in #COVID19. If you read them back to back, you’ll have a perfect understand of the root cause of most racism and inequality in the world: the fundamental attribution error.

Thread. 2/ Article 1 @phillymag is some classic victim blaming from my hometown of Philly:…
Feb 3, 2020 7 tweets 3 min read
Feb @Health_Affairs is out!

We did a formal return on investment (ROI) analysis of the IMPaCT community health worker program using randomized controlled trial evidence.

Each dollar invested by Medicaid returns $2.47, annually.

@threadreaderapp unroll
This paper is important because most estimates of ROI from #SDOH programs are likely exaggerated because they are based on pre-post studies.
Dec 12, 2019 7 tweets 3 min read
I’m reading the most important book you’ve never heard of.

Why am I reading this? All my roads lead to self-deception:

It’s why patients don’t change their behavior, #hcldr ignore science, politicians perpetuate inequity, etc.

Follow along, I’ll tweet notes as I read. 1/ Most of us (esp in healthcare) are stuck in rationalism (Plato): failure to behave is due to inadequate understanding.

Ignores hedonism and it’s implications: we want to feel good! Also we ignore something not mentioned in this book, behavioral economics.
May 17, 2019 5 tweets 5 min read
1/ Ok by special request from my dear mentee @dn_charles: here’s my version of the HPI for new #primarycare patients.

Key points: welcome them and get to know them as people.

Don’t worry, it takes no longer than usual! I still see 8-10 pts in a morning. 2/ Here are some prompts I use to get a quick overview of my patients’ life stories, including trauma history.

I also try to reflect and synthesize what they’ve told me so that we are on the same page about their strengths/hopes/fears/root causes of any troubles.
Nov 2, 2018 8 tweets 3 min read
1/ To #reporters, #policymakers and #execs out there, here is something you absolutely need to know about interventions that claim to reduce hospitalizations or healthcare costs:

Many of these studies are misleading. 2/ To understand why, we need to- deep breath- do a little science. I’m going to quickly walk through a concept called regression to the mean.