Improving the Health of San Francisco

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UCSF researcher Kevin Grumbach presented updates from the San Francisco Health Improvement Partnerships.

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Improving the Health of San Francisco

  1. 1. Improving the Health of San Francisco: SF HIP Update<br />CTSI 2011 Retreat<br />
  2. 2. What Is SF HIP?<br />San Francisco Health Improvement Partnerships<br />
  3. 3. SF HIPA Cross Cutting CTSI Initiative<br />“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.”<br />
  4. 4. SF Gov’t<br />SF DPH<br />Community Clinicians<br />SF USD<br />Coordinating Council<br />UCSF<br />Hospitals & Health Systems<br />SFHIP<br />Employers<br />CBOs, FBOs<br />Philanthropy<br />
  5. 5. SF HIP Priority Areas<br />Physical activity & healthy eating<br />Hepatitis B<br />Alcohol<br />Mental health/youth/violence<br />Childhood dental caries<br />Tobacco<br />HIV<br />Place-based/holistic program (SF HOPE redevelopment program)?<br />
  6. 6. Partnership Working GroupsFramework<br />Define a target population<br />Specify the outcomes to be changed for that population<br />Identify outcome metrics<br />Prioritize interventions<br />Evidence based<br />Experience based<br />Feasible, scalable, sustainable<br />Implement and evaluate interventions<br />
  7. 7. Alcohol:High Users of Multiple Services (HUMS) Project<br />SF DPH focus on HUMS “hot spotters”<br />SF DPH merged 13 data sets (EMS-911, substance abuse, mental health, medical care, jail, etc); individual level data<br />SF DPH and HUMS community partners need: expertise in analyzing complex population data sets and making sense of data<br />CTSI asset: Laura Schmidt<br />
  8. 8. Hepatitis BSF Hep B Free Campaign<br />Be tested. Be vaccinated. Be treated.<br />
  9. 9. Hepatitis B Quality of Care Gaps<br />Inappropriate screening tests<br />HepBsAg and HepBsAb<br />Failure to complete Hep B immunization series for susceptible patients<br />Inappropriate and inadequate follow-up care for patients with chronic Hep B<br />
  10. 10. The San Francisco Hepatitis B Quality Improvement Collaborative<br />Tung Nguyen, Mandana Khalili, Albert Yu, Paula Fleisher, Larry Green<br />
  11. 11. Physical Activity and Healthy EatingSan Francisco<br />
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  15. 15. Multilevel Problem Analysis<br />Model courtesy of Gerry Oliva, UCSF<br />
  16. 16. Identifying Target Population<br />Bayview Hunters Point Healthy Eating and Active Living (HEAL) Zone <br />$1M grant to SFDPH from Kaiser Community Benefits Program<br />CDC Community Transformation Grant Proposal<br />
  17. 17. Scientific Evidence<br />Community Wisdom: Asset Mapping & Needs Assessment<br />Data<br />CTSI Bioinformatics<br />BVHP Food Guardians<br />
  18. 18. Indispensible Assets<br />
  19. 19. The Strategic Value of the UCSF Research Enterprise in Collaborations to Improve the Health of SF<br />Networking and convening<br />Research evidence base<br />Theory and conceptual frameworks<br />Data collection and analysis<br />Human and material resources<br />Investigation & evaluation of community interventions<br />Capacity building among community partners<br />

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