Center for Achieving and Sustaining Improved Health in Harlem

描述（由申请人提供）：此次修订将为中心的使命增加两个额外的目标。CERED-1：发展、实施和促进CER，以改善哈莱姆社区的健康、医疗质量和公平；和CERED-2：加速社区成员、临床医生、卫生保健组织和政策制定者将CERED转化为实践。这些目标将通过在中心内发起一项有四个组成部分的全面消除种族歧视倡议来实现。1)研究：研究中心的一项CERED研究将比较两种提供者水平的干预措施，以解决在蛛网膜下腔出血（一种危及生命的中风）诊断方面的已知差异。2)人力资本：一个CERED学者计划和一个CERED暑期学者计划将培训CERED的年轻研究人员，一个CERED种子资助计划将鼓励整个学院的CERED。3)数据基础设施：中心行政核心内一个连接四个现有数据源的新的纵向数据库将促进消除种族歧视中心研究，解决获取和质量方面的差异。

DESCRIPTION (provided by applicant): This revision will add two additional aims to the Center's mission. CERED-1: Develop, conduct, and promote CER to improve health, healthcare quality, and equity in the Harlem community; and CERED-2: Accelerate the translation of CERED into practice by community members, clinicians, health care organizations, and policy-makers. These aims will be achieved by launching a CERED initiative within the Center that has four components. 1) Research: a CERED study within the Research Core will compare two provider-level interventions to address an known disparity in the diagnosis of subarachnoid hemorrhage, a life-threatening form of stroke. 2) Human Capital: a CERED Scholar Program and a CERED Summer Scholars Program will train young investigators in CERED and a CERED Seed Grant Program will encourage CERED throughout our institution. 3) Data Infrastructure: a new longitudinal database within the Center's Administrative Core linking four existing data sources will facilitate CERED studies addressing disparities in access and quality. 4) Dissemination & Translation: a new partnership with an innovative and well-established community-based organization. Mentoring in Medicine, will train Harlem Health Ambassadors to disseminate understandable, actionable findings of CERED research to community members, and a new automated tool will be developed and implemented to translate the results of a completed Center CERED study into clinical practice in the Mount Sinai Hospital. All of these represent new activities for the Center. The CERED Initiative will launch a formal collaboration with the Department of Emergency Medicine and will be led by Drs. Bickell and Richardson. It will add two senior investigators, three new junior investigators, a new community partner, a CERED database, five CERED Scholars, five CERED funded seed projects and a cadre of 40 community health ambassadors to the Center. If successful, this revision application will enable the hiring of additional staff, increase the hours of current part-time staff, and provide support for the contracting of additional needed skills and services to accelerate and expand the parent grant activities as described above, and fulfill the ARRA funding objectives.