2009 IHP Annual Report

2009 Annual Report/Research Into Action A Knowledge Translation Initiative2

Our primary mission:

to translate public health research

into evidence-based policies and programs

to enhance the health of communities.

Looking Back at 2009

KTExchange.org Becomes a Reality

SBIRT: Saving Lives, Time, Money

Exercise, Academics: PASS & CATCH Lead the Way

It’s a Wired World

Identifying Our 2010 Topics

Investigating the Health of Houston

Sharing Our Expertise

Looking Forward to 2010

Appendices

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2009 Annual Report/Research Into Action A Knowledge Translation Initiative 3

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Associate Director,

Institute for Health Policy

This past year, Research Into Action advanced the craft and science of knowledge translation

(KT) in three principal ways: through our practical translation activity, in modeling and protocol

refinement, and by building new infrastructure for professionals in the field.

Our translation activity involved two separate initiatives – PAss & CATCH, and screening, Brief

Intervention and Referral to Treatment – that are grounded in different scientific fields and

directed toward very different audiences.

In the first case, our potential adopters were school administrators. Our challenge was to bring

new evidence on the link between physical activity and academic achievement to local school

decision-makers, who in turn could introduce it into their grade-school curricula. We partnered

with a key scientist in the school health field and matched her involvement with a new model for

linking message content to factors that influence adoption. Our first phase in Texas is complete,

and evaluation is underway. Following publication of the latest results, we will be taking our

messages nationwide with the guidance and support of the U.s. Centers for Disease Control.

Our second KT case involves research directed at operations in hospital emergency rooms.

The research shows a dramatic improvement in outcomes and reduction in return visits when

screening for alcohol and substance abuse is accompanied by an on-site intervention for

positive cases. Our ongoing efforts are directed at administrators who can make the

adoption decision. We have developed a special briefing program with supporting materials to

encourage as well as facilitate adoption of a screening and brief intervention protocol in

trauma centers throughout the greater Houston area. Here, the KT model was matched to user

needs and involved direct, rather than mediated communications. Our modeling repertoire,

more fully developed in this past year, is sufficiently flexible to accommodate a wide range of

circumstances, content and adoption patterns.

Finally, with the launch of our KT Web portal this past summer, the RIA team offers a public

resource for building better communications, collaboration and scholarship within the field of

KT. The portal not only contributes to scholarship with databases on funding and literature, but

also informs with a calendar of events and a newsroom. Collaboration is encouraged through

the support of user-provided content and networking. Communications include active Twitter

and Facebook accounts and a growing inventory of podcasts. Plans are in place for a phased

expansion of these capabilities based on user feedback.

None of this would have been possible without the continued support and encouragement of

the ExxonMobil Foundation and our valued liaison, Dr. Myron Harrison. We are very grateful and

intend to expand our activities and innovations in the coming year.


On Aug. 10th, 2009, Research Into Action (RIA) launched www.KTExchange.

org, a comprehensive, Web-based portal for knowledge translation (KT).

The site launch was the culmination of many months of intense research,

development, and design work by the entire RIA staff.

starting with a Web site audit and a worldwide survey of KT experts

conducted in the summer of 2008, RIA staff constructed a detailed picture

of a Web portal that would be extremely user-friendly; meet the research,

information, and networking needs of a broad audience; and set the standard

for design and ease of use.

KTExchange.org features regularly updated, searchable databases for KT

literature, events, and funders; best practices, case studies, and glossary

sections; a growing library of KT podcasts; and social networking tools that

allow registered members to build a professional profile, upload professional

and research work samples, and connect with colleagues from around the

One-Stop Shopping for KT Information


world. The combination of searchable databases, social networking, and an extensive

worldwide events calendar to stay informed is unique.

The launch was accompanied by significant publicity, including traditional direct

mail, e-mail blasts, professional articles, and publicity at a Centers for Disease Control

conference on health communication in Atlanta, Georgia.

“KTExchange.org was created to support the development of an active community of

KT scholars and practitioners with social networking tools for building collaboration

and for sharing best practices,” said stephen Linder, Ph.D., associate director of the

Institute for Health Policy. “Researchers writing about knowledge translation or

practitioners involved in actually doing translation will find the databases we’ve developed

invaluable, and they can also use the site to build new connections with those who share

their interests and experiences.”

Currently, RIA staff is involved in improving KTExchange.org’s search engine optimization

by identifying key words that will lead people who are interested in KT to the site.

During the Phase II expansion of KTExchange.org, which will be undertaken in

February 2010, we plan to enlarge our presence and active outreach in a variety of social

media. We will add bookmarking widgets to the front page

of the site and add more Rss categories, which will enable

users to further customize their interactions with the site. We

will increase our activities and connections on our Twitter

feed and expand our KT newsroom by adding background

information and links to external resources. We will also

add a blog and discussion boards to the site as ways

to increase the interaction between RIA staff and the

members of KTExchange.org.


Spreading the Word about SBIRTToday, there are 23 million people in the United states who are either addicted to

or abuse illegal drugs and alcohol. Over 95% of those who need treatment do not

receive any, and are unaware that there are programs in place to help them recognize

the problem and begin to deal with it. The most comprehensive, integrated public

health approach to meeting this need is sBIRT – screening, Brief Intervention, and

Referral to Treatment. That’s why RIA chose it as one of its first-year topics.

RIA staff spent 2009 carrying out detailed efforts to promote sBIRT. These

included preparing a resource document to support implementation of future sBIRT

programs within level three and four trauma centers, creating a comprehensive sBIRT

evidence-based presentation, and identifying key stakeholder presentations.

A highlight of the year was RIA’s presentation to the Regional Advisory

Council on Trauma Hospital Care Management Committee. In February 2010, RIA will

present again, this time to selected chief nursing officers of the level three and four

trauma centers within Harris County. Both presentations are pivotal for informing key

stakeholders within the community.

These final presentations are instrumental in laying the foundation for future

potential adoption of sBIRT programs within level three and four trauma centers in

Harris County. There are no guarantees for program adoption. However, the vast

body of literature demonstrates that sBIRT programs are cost-effective to both the

bottom line of each trauma center and their return on investment overall. so it would

be surprising if these respective trauma centers did not support adoption. sBIRT


programs allow for screening and intervention services to be billed, are effective, and decrease

costs. sBIRT programs have even been found to decrease re-admissions, in some cases.

Potential outcomes for a positive impact could result in adoption of sBIRT programs, either

on a partial, full or hybrid scale. The sBIRT materials provided by the RIA team allow for a full

adoption of an entire sBIRT program. The program resource guide RIA developed functions as

a “how to” guide to the implementation process. Ultimately, we created a tool that will help any

trauma center in the United states that wants to adopt the sBIRT program.

six months after our last presentation, the RIA team will assess the sBIRT uptake of these

respective trauma centers within Harris County, and investigate why or why not the program

was implemented in each trauma center.

The American College of surgeons has mandated that level one trauma centers have

screening and intervention efforts, while level two trauma centers currently require only a

screening process. Given the effectiveness and low-cost nature of the sBIRT program, we

believe it is only a matter of time before a mandate for level three and four trauma centers

to implement similar practices is enacted. Our hope is that, if and when this happens, the

materials produced by RIA will help hospital staff do so.

Today, there are 23 million people in the United

States who are either addicted to or abuse illegal

drugs and alcohol. Over 95% of those who need

treatment do not receive any, and are unaware

that there are programs in place to help them

recognize the problem and begin to deal with it.


One of Research Into Action’s first-year topics was

the linkage of PAss & CATCH. Investigators posit

that increased classroom physical activity can help

teachers improve math and reading scores; improve

classroom management, concentration, and time on

task; and help students make healthy choices and

develop healthy habits.

RIA wrapped up its PAss & CATCH commitment in

2009 by working with the principal investigator to

develop an academic manuscript that describes

the science behind the program and the evidence

supporting the results. The manuscript is currently

undergoing review at the American Journal of Public

Health for possible publication.

Moving On From PASS & CATCH

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subsequent to peer review and publication,

RIA will work with the Centers for Disease

Control’s national marketing team to ensure

extensive awareness of the PAss & CATCH

programs and encourage their adoption by

schools throughout the United states.

Meanwhile, RIA is pilot testing an evaluation

instrument that measures the uptake and

implementation of the interventions, and

the success of our communications model.

Once this instrument has been developed,

RIA staff plan to measure our efforts toward

raising awareness and understanding of

PAss & CATCH among educators, parents,

and other audiences in the Houston area.


During the research and development phase of

KTExchange.org, RIA staff learned more about the

lightning-fast growth of social networking media

on the Internet, including Facebook, Twitter, and

YouTube.

Integrating KTExchange.org into this rapidly

expanding social networking universe quickly

became a secondary goal of the site’s launch. During

the first six months of thesite’s existence, we have

added a Facebook page, a Twitter feed, and a YouTube

channel. In fact, RIA was one of the first entities

within The University of Texas Health science

Center at Houston to establish all of these – and

was the first in the UT school of Public Health.

The Facebook page is not specific to KTExchange.

org, but covers all of the activities of the Institute

for Health Policy (IHP). KTExchange.org, with its

numerous updates, is featured frequently on the

IHP Facebook page.

Original video programming is in the works for the

YouTube channel, starting with a brief review of

the most recent Rice University 360 conference,

“Transitioning Technologies From Labs to Least

Developed Countries.” All of these social

media outlets are accessible from the front page of

KTExchange.org.

The Twitter feed, accessible at www.twitter.com/

KTExchange, is updated daily with public health and

knowledge translation-related news from around

the Web, all in the more informal Twitter style.

The RIA staff will continue to explore social

networking advancements in order to remain easily

accessible to those interested in KT.

RIA Embraces Social Media

Post-Doctoral Fellow Leah Fischer, Senior Communications Specialist Rick

Austin, and Program Manager Nick Rocha listen as Research Associate Amy

Beaven makes a point while choosing the 2010 research topics.

Narrowing Our Focus – New RIA Research TopicsIn January 2009, the Research Into Action staff initiated the selection of new

projects for a second round of knowledge translation (KT) efforts. The group

retained the useful review criteria used for selecting projects in round one,

but decided to depart from our previous process by looking beyond research

conducted at the UT school of Public Health. Instead, RIA turned to agencies and

organizations of public health at the regional, state, and national level for timely

public health topics and community interventions. We reviewed Web sites and

publications and compiled a list of the most pressing public health issues.

sixteen broad topics were identified for further consideration based on the

perceived size of the problem, potential impact of a solution, local relevance and

expertise, and group interest. Information on each topic was then gathered from

peer-reviewed literature, grey literature, and news sources and distributed to the

RIA team. After a brief review, each team member rated the prospects of the

topics individually. In April 2009 the team met for a day-long retreat to

narrow our selections down to six topics using our criteria scores and a

consensus-building exercise similar to a Delphi method.

Members of the team then researched sub-themes and evidence-based

community interventions for each of the six topics, compiling materials to

help determine the readiness of new research for KT. Insurance coverage and

environmental public health were selected as the most KT-ready topic areas.

Local experts were brought in to discuss research ready for dissemination and



practice within these fields. The RIA team decided that, within environmental health, the

evidence on the physiological effects of noise pollution and noise abatement programs and

policies was something we should pursue further.

Due to the timeliness of both state and federal attention to the expansion of insurance

coverage and the concern that, with only 25% of its population insured, Texas ranks last among

the states for coverage, RIA determined translation of research on policies or programs of

expanded coverage was an appropriate KT project. A post-doctoral position was created and

filled within RIA to study expansion of insurance coverage through three-share programs, a

recommendation of the Code Red report currently employed in Galveston and Houston.

since August 2009, the RIA team has been developing KT efforts around the expansion of

insurance coverage through three-share programs and interventions to reduce the

physiological effects of noise pollution.

Expansion of Insurance Coverage

The 2007 release of the “Code Red: The Critical Condition

of Health in Texas” report included a review of innovative

programs for expanding insurance coverage to low-income

families and to employees of small businesses. Three-share

pilot programs from other states were highlighted as one

potential model, with the task force recommending state

investment in local three-share programs for Texas.

shortly thereafter, the state legislature passed a bill authorizing counties to establish or

participate in a local or regional health care program offering health care services or benefits

to uninsured employees of small employers. Grant funding from two state agencies made it

possible for three-share programs to be created in several Texas localities.

The three-share program is a community-based health coverage model that is designed

as a locally governed nonprofit. Collaborative arrangements and the integration of

community resources allow three-share programs to deliver affordable health care by

spreading the financial risk.

Further, three-share programs are not state-regulated insurance products and so are not

required to comply with mandated requirements for health coverage. Additionally, the cost

of health care is shared among employers, employees and a community subsidy. Affordable

health care improves access to health care. In this way, three-share programs fill the gap

between government-funded health programs and commercial health insurance.

The first area in Texas to establish a program was Galveston County in 2008. More recently,

Harris County and the Central Texas region (Travis, Hayes, and Williamson counties)

implemented programs, while three additional ones are expected to launch within the

next year. The six Texas three-share programs combined are expected to cover 50,000

individuals.

Across the country there are approximately seven other active three-share programs, with

six others (excluding those in Texas) in planning and developmental stages. And while indi-

The RIA team has been

developing KT efforts

around the expansion

of insurance coverage

through three-share

programs


vidual programs are tailored to address specific community needs and preferences, common

design features include: an enrollment mechanism; income eligibility requirements; a limited local

provider network; and a defined set of benefits.

The RIA team recognized a large gap in knowledge about the different mechanisms,

effectiveness, and sustainability of insurance coverage provided through three-share. In fact,

little to no evaluation has been done of the existing pilot programs. The RIA staff will spend

time in 2010 generating a report and other communication pieces sharing information that is

currently lacking about three-share programs and other innovative coverage strategies.

As the project moves forward, we will work to place our recommendations and KT products

in the context of rapidly changing state and federal efforts to expand insurance coverage.

Research Into Action, and the Institute for Health Policy, will be providing a much-needed and

timely service to local and state decision-makers by synthesizing information, evaluating existing

programs, and reporting on policies and programs to insure more Texans.

Noise Pollution and Abatement

Noise pollution is currently a hot topic within the environmental

public health field. Growth in urbanization and industrialization

has led to life getting louder at home and in the workplace. City

residents may recognize the annoyance, but few realize it could be

making them sick.

The relationship between exposure to excessively loud

noises and hearing loss is well-established. However, until recently

other physiological effects related to extreme or chronic

exposure to noise were less researched and certainly less known.

And while occupational noise exposure has been a source for

adverse health information and receives a fair amount of attention,

non-occupational urban noise may be a not-so-silent and less obvious killer.

The RIA team is currently reviewing and mapping the evidence of a growing body of literature on

the adverse health effects of urban noise. so far, the evidence has shown associations between

urban noise and adverse outcomes such as:

• Poor performance in tasks such as reading and memorizing; poor cognition;

poor motivation

• Adverse health effects, such as cardiovascular disease; ischemic heart disease; stroke;

hypertension; elevated stress hormones; raised levels of nor-adrenaline and adrenaline;

disturbed sleep patterns

• Adverse psychiatric disorders, such as headaches, restless nights and being tense and edgy

As we compile information on adverse health effects, we are also working to identify noise

abatement efforts at the local, state, and national levels. We are gathering information on

acceptable noise levels set by relevant governing agencies, active ordinances, and enforcement

activities. We will be in contact with government officials, researchers, and other stakeholders as

we try to identify effective interventions or gaps warranting further KT.


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nFocused on the Health of HoustonThree distinctive, yet interconnected projects make up the Health of Houston

Initiative. All are aimed at providing new information and insight, based on

careful research, that will help improve Houston’s health overall and the quality

and effectiveness of its public health care delivery systems.

The Institute for Health Policy’s goal for these projects is to provide community

leaders and government officials with better evidence on which to base their

decisions and resource commitments. Evidence, in this instance, will include

evaluations of mental health policy and service initiatives, assessments of the

performance and challenges in our safety net system, and more accurate

portrayals of the population’s health status and health care gaps.

A number of reports will be produced in the coming two years – seven on

mental health policy and five on safety net topics – and a large data

repository will be assembled from interviews and serve as a basis for analyses

and dissemination. several of the reports are well underway and will be

completed in the next few months. For the most part, however, our first year of

projects implementation was devoted to planning, data gathering and

background analysis.

Targeted dissemination will be a critical feature of our success in reaching

decision-makers with our results in a form that they can use and appreciate. As

the dissemination plan becomes more detailed in year two, we will be working

with various organizations to help ensure that the directions and products of

our research will prove useful in determining how best to impact the health of

our community.

Finally, collaboration across these three projects is critical to the success of evaluating our

efforts. Have these projects made a difference to decision-makers? Have they made a

difference in how agencies, services and philanthropic organizations direct their programmatic

investments? We plan to be able to answer these questions in addition to those more topical

ones that direct our research.

The Mental Health Policy Analysis Collaborative

The Mental Health Policy Analysis Collaborative (MHPAC) is on track to produce seven studies

on current mental health care concerns and policy issues. The project’s inter-institutional team

(The University of Texas Health science Center at Houston, Baylor College of Medicine, Rice

University, the University of Houston, and the Mental Health and Mental Retardation Authority

of Harris County) has completed its background research, drawing both on the literature and

direct contacts with researchers and experts.

Relationships were developed with several local and state organizations – the Texas

Department of state Health services (DsHs), the Michael E. DeBakey Veteran’s Affairs Medical

Center, the Houston Independent school District, and the juvenile justice system. Already, these

relationships have resulted in contract negotiations with the Texas Medicaid office of DsHs to

acquire a complete and identified dataset of Medicaid in Harris County, necessary to address

several of the MHPAC’s research questions. It is likely the most comprehensive dataset of its

kind in the United states.

Houston Health Services Research Collaborative

The overall goal of the collaborative is to conduct high-quality policy-relevant health services

research focusing on key issues in Harris County and southeast Texas that affect low-income

populations. The specific objectives are to:

• Organize research teams to conduct specific projects that provide needed information

to health policy decision makers, community leaders, and program administrators

• Develop and maintain databases that can be used by the community to monitor health

problems and health service performance

• Provide technical assistance to the community in health services research, planning, and

program evaluation

In the summer of 2009, community leaders were interviewed on local health care issues and key

informational needs that could be addressed by the collaborative researchers.


The Health of Houston 2010 Survey

An important goal for the 2010 survey is to involve community groups and stakeholders

throughout the planning, implementation, and dissemination process. In the first year,

attention focused on building cooperative relationships with governmental, provider and

community organizations and preparing communication and dissemination materials.

We designed a Web page (www.sph.uth.tmc.edu/ihp/survey2010) to support the survey’s

dissemination, created tailored PowerPoint presentations, online and printed survey

brochures, and online and paper-based forms to solicit public input on the selection of topics

for the survey questionnaire.

Briefings were held with the leadership of the Houston Department of Health and

Human services and the Harris County Public Health and Environmental services, with

provider groups focused on health (Harris County Health Care Alliance, One Voice Texas and

Gateway to Care) and with community groups, including super neighborhood councils and civic

organizations. An input form was distributed, and responses were gathered from 88

organizations throughout the Houston area. We produced customized fact sheets for

each participating stakeholder and community group reporting on the results from this

input process.

An important goal, once our survey is completed in early 2011, is to establish full and easy

access to survey results and to tailor data dissemination to the needs of potential users. Our

intent is to utilize recent technological advances to support Web-based access, analysis

and visualization of statistical information. To that end, the team selected data presentation

products that will permit us to reach two kinds of potential users – those who just want simple

summaries and displays, and those who will require complex multivariate analysis.



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Sharing and Supporting Our WorkResearch Into Action staff were busy this past year with activities beyond

KTExchange and our research topics. staff prepared public health information for

government officials, helped spread the word about knowledge translation, and

established a new way to reach out to potential donors in 2009.

Becoming the Go-To Resource for Elected Officials

Elected officials are often required to make tough decisions regarding health

care and the public’s best interests. In 2009, Research Into Action provided

information on a variety of topics for our government representatives.

For instance, a research associate produced a policy brief at the request of Texas

state senator Rodney Ellis on routine testing for HIV/AIDs in Texas. The brief

outlined the benefits of widespread testing for HIV, and identified the obstacles

– such as testing too late, testing too few people, and the costs involved. The

brief gave sen. Ellis a snapshot of the current state of HIV/AIDs in Texas, and the

cost-effectiveness and public health benefits of expanding testing.

RIA also created a summary of the public health research being carried out

at the six research centers and institutes and six regional campuses of The

University of Texas school of Public Health. This summary was made available to the

leadership of the Texas state Legislature, so our state representatives were aware

of the cutting-edge research into important topics - including diabetes, obesity, cancer, and

prevention - currently being undertaken by the school.

Spreading the Word

The Institute for Health Policy’s associate director, stephen Linder, Ph.D., began 2009 by

presenting his research on climate change at the National Academy of science in

Washington, D.C. This was just the first of many opportunities Linder had throughout the year

to demonstrate his knowledge of a variety of public health topics – everything from causality

and epidemiology before an international audience in Barcelona, spain, to the Environmental

Protection Agency’s endangerment findings at the society of Risk Analysis in

Baltimore, Maryland.

In addition, senior Communication specialist Rick Austin and Research Associate Amy

Beaven attended the Centers for Disease Control’s National Conference on Health Communication,

Marketing and Media in August 2009, an annual gathering in Atlanta that brings

together more than 1,000 professionals from the fields of public health, social marketing, health

communications, and academia. This was the second consecutive year RIA staff had attended

and presented at the conference.

They presented a poster session titled, “An Axial Model for Knowledge Translation: Building

Complexity Into Design.” The session introduced RIA’s new model for knowledge translation,

and drew interest from a variety of attendees.



A secondary goal of the conference was to introduce and publicize www.KTExchange.

org, RIA’s new Web portal, which launched the first day of the conference. Beaven and

Austin brought promotional materials for both the Web portal and RIA, and distributed

them throughout the conference.

Establishing Online Giving

The Research Into Action initiative relies on the financial support of organizations

such as the ExxonMobil Foundation and the Houston Endowment Inc. to carry out its

work. Launching Web sites, producing knowledge translation materials, presenting at

conferences, and offering fellowships all costs money, and RIA receives limited funding

from The University of Texas Health science Center at Houston or The University of Texas

school of Public Health.

In an effort to reach out to potential donors, the RIA, working with the UT school of

Public Health’s development director, created a way for interested groups to help us

bridge the gap between research and public health policy and practice by donating

online at the Institute for Health Policy’s university Web site, located at www.sph.uth.tmc.

edu/ihp, and on our knowledge translation portal, www.KTExchange.org.

Gifts to the institute and the RIA initiative enable us to address large-scale public

health issues with evidence-based programs and policies that have proven effective.

Philanthropic gifts provide necessary funds for our work in helping effective KT become

the norm. As more people use the Internet as their main information resource, we are

meeting the challenge to thrive in the new 2.0 world.


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As we reported earlier, our intent in the coming year is to

introduce two new content areas for practical translation and to refine

further our modeling and implementation efforts. Likewise, we will be

expanding the Web portal to incorporate new features and

capabilities, based on user experience and preferences, and extending

our reach with search engine optimization.

Given the time it takes to see impact from translation activity, in the

coming year we will also be better able to assess our performance

in the prior round of translation activity. Our point of departure in

2010 will be efforts to leverage our direct funding to take on new KT

challenges. Certainly, efforts to raise matching funds for other

institute projects will continue. In this instance, however, we will seek

new funds to underwrite an expansion of the RIA initiative with new

staff and communications capabilities.

Our key funding opportunity follows the release by the National

Institutes of Health (NIH) of a new request for proposals in the area

of translation and dissemination. Although other funding lines have

included a KT component as part of conventional scientific research,

this is the first in the United states focused on KT modeling and the

testing of alternative communication schemes.

continued...


A second source of supplemental funding will come with our

assumption of a leadership role over the community engagement

component of UT’s Center for Clinical and Translational sciences.

This center was one of the first funded by the NIH and will seek a full

renewal this spring, with RIA funding included. The opportunity to join the

center is, in part, a reflection of our growing reputation for effective KT.

The content areas we have chosen for translation represent special

challenges that will stretch our models and communications capabilities.

We will also continue to lead in KT Web applications and pursue new

interactive features.

Finally, we will lay a foundation for long-term sustainability of the RIA

by applying for federal funding support. None of this would be possible

without the initial commitment of the ExxonMobil Foundation to our

idea and their willingness, as the founding funder, to provide multiple

years of support to help us achieve this sustainability. Thank you.


KT Model

KTExchange Databases

Staff List

Appendices


KT Axial Model Developed by RIA


sampleKTExchangeDatabases


INSTITuTE FOR HEALTH POLICy Staff Information

Rick Austin

senior Communications specialist

713-500-9486

[email protected]

Amy Beaven

Research Associate

713-500-9409

[email protected]

Larissa Estes

Graduate Assistant

713-500-9443

[email protected]

Leah Fischer, Ph.D.

Post-Doctoral Fellow

713-500-9410

[email protected]

Stephen H. Linder

Interim Director

713-500-9494

stephen. H. [email protected]

Dritana Marko

Faculty Associate

210-562-5541 (sPH-san Antonio)

[email protected]

Syed W.B. Noor

Graduate Assistant

713-500-9497

[email protected]

Folake M. Olaniran

Graduate Assistant

713-500-9498

[email protected]

Patty Poole

Executive Assistant

713-500-9318

[email protected]

Shannon Rasp

senior Communications specialist

713-500-9490

[email protected]

Tom Reynolds

Research Associate

713-500-9387

[email protected]

Nick Rocha

Program Manager

713-500-9488

[email protected]

Denise Truong

Graduate Assistant

713-500-9480

[email protected]

Jessica M. Tullar

Faculty Associate

713-500-9481

[email protected]

2009 IHP Annual Report

Health & Medicine

Transcript of 2009 IHP Annual Report