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