improving the health of san francisco
DESCRIPTION
UCSF researcher Kevin Grumbach presented updates from the San Francisco Health Improvement Partnerships.TRANSCRIPT
Clinical and TranslationalScience Institute / CTSIat the University of California, San Francisco
Improving the Health of San Francisco: SF HIP Update
CTSI 2011 Retreat
What Is SF HIP?
•San Francisco Health Improvement Partnerships
SF HIPA Cross Cutting CTSI Initiative
• “The CTSI will challenge, encourage, and support UCSF researchers to take our research capital—the great wealth of clinical research discoveries, knowledge, and know-how at UCSF— and link it with our community partners’ expertise and priorities to effectively translate this research capital into interventions that can be scaled to make a measurable impact on the health of our local community and eliminate disparities.”
SFHIP
SF Gov’t
SF USD
UCSF
CBOs, FBOsCommunity Clinicians
Hospitals & Health
Systems
Employers
Philanthropy
SF DPH
Coordinating Council
SF HIP Priority Areas• Physical activity
& healthy eating
• Hepatitis B
• Alcohol
• Mental health/youth/violence
• Childhood dental caries
• Tobacco
• HIV
• Place-based/holistic program (SF HOPE redevelopment program)?
Partnership Working GroupsFramework
• Define a target population
• Specify the outcomes to be changed for that population
• Identify outcome metrics
• Prioritize interventions– Evidence based– Experience based– Feasible, scalable, sustainable
• Implement and evaluate interventions
Alcohol:High Users of Multiple Services (HUMS) Project
• SF DPH focus on HUMS “hot spotters”
• SF DPH merged 13 data sets (EMS-911, substance abuse, mental health, medical care, jail, etc); individual level data
• SF DPH and HUMS community partners need: expertise in analyzing complex population data sets and making sense of data
• CTSI asset: Laura Schmidt
Hepatitis BSF Hep B Free Campaign
Be tested. Be vaccinated. Be treated.
Hepatitis B Quality of Care Gaps
• Inappropriate screening tests– HepBsAg and HepBsAb
• Failure to complete Hep B immunization series for susceptible patients
• Inappropriate and inadequate follow-up care for patients with chronic Hep B
The San Francisco Hepatitis B Quality Improvement Collaborative
Tung Nguyen, Mandana Khalili, Albert Yu, Paula Fleisher, Larry Green
Physical Activity and Healthy Eating
San Francisco
Multilevel Problem Analysis
Model courtesy of Gerry Oliva, UCSF
Identifying Target Population
• Bayview Hunters Point Healthy Eating and Active Living (HEAL) Zone
• $1M grant to SFDPH from Kaiser Community Benefits Program
• CDC Community Transformation Grant Proposal
• Scientific Evidence • Community Wisdom: Asset Mapping & Needs Assessment
• Data– CTSI Bioinformatics
BVHP Food Guardians
Indispensible Assets
The Strategic Value of the UCSF Research Enterprise in Collaborations
to Improve the Health of SF• Networking and convening
• Research evidence base
• Theory and conceptual frameworks
• Data collection and analysis
• Human and material resources
• Investigation & evaluation of community interventions
• Capacity building among community partners