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Improving the Health of San Francisco
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Transcript of Improving the Health of San Francisco
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Clinical and TranslationalScience Institute / CTSIat the University of California, San Francisco
Improving the Health of San Francisco: SF HIP Update
CTSI 2011 Retreat
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What Is SF HIP?
•San Francisco Health Improvement Partnerships
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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.”
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SFHIP
SF Gov’t
SF USD
UCSF
CBOs, FBOsCommunity Clinicians
Hospitals & Health
Systems
Employers
Philanthropy
SF DPH
Coordinating Council
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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)?
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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
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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
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Hepatitis BSF Hep B Free Campaign
Be tested. Be vaccinated. Be treated.
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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
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The San Francisco Hepatitis B Quality Improvement Collaborative
Tung Nguyen, Mandana Khalili, Albert Yu, Paula Fleisher, Larry Green
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Physical Activity and Healthy Eating
San Francisco
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Multilevel Problem Analysis
Model courtesy of Gerry Oliva, UCSF
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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
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• Scientific Evidence • Community Wisdom: Asset Mapping & Needs Assessment
• Data– CTSI Bioinformatics
BVHP Food Guardians
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Indispensible Assets
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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