Building a Systems Approach to Community Health and Health Equity for Academic Medical Centers

摘要 学术医疗中心（AMC）内的各种工作人员和教师开展活动，以解决 社区卫生、人口健康、人口健康管理和健康公平。不幸的是，尽管 许多这些努力的稳健性，以及参与者之间缺乏协调和合作，都限制了这两方面的工作 这些劳动力的效率及其对当地社区和研究、教育和 AMC自身的临床目标。由于医疗保健改革和其他驱动因素， 看似顽固的健康和医疗保健不平等以及改善人口健康问题变得更加严重 对于长期处于医疗和社会状况财务风险中的AMC来说，这是紧迫的。 虽然有机会召集在各机构中发挥类似作用的个人， 分享经验教训和传播成功，很少有会议提供一个受保护的空间来聚集 从不同角度处理人口和社区卫生问题的机构中的个人。到 为了弥补这一关键差距，我们建议举办三次年度研讨会，召集四个机构小组 由各种工作人员及其合作伙伴组成，他们的工作重点是社区和人口健康， 目的是“建立一个系统的方法，以社区健康和健康公平的学术医学 中心”。在三个拟议的年度研讨会期间，我们的目标是：目标1：创建一个受保护的空间 学术医疗中心团队（例如社区福利负责人、指定机构官员（DIO）） 负责GME认证，社区参与科学家，首席医疗官，首席质量官 改善主任等）及其公共卫生和/或社区合作伙伴确定交叉优先事项 以及加强方案和科学合作与协调的机会;目标2： 具体的实施计划，汇集临床，研究，教育和行政社区 目标3：开展研究和评估， 战略，以丰富和评估这些具体地点计划的执行情况及其产出/成果， 社区、卫生系统和学习者。

Abstract A variety of staff and faculty within academic medical centers (AMCs) carry out activities to address aspects of community health, population health, population health management and health equity. Unfortunately, despite the robustness of many of these efforts, the lack of coordination and collaboration between players limits both the efficiency of these labors as well as their impact on local communities and the research, education and clinical goals of the AMC itself. As a result of health care reform and other drivers, identifying solutions to seemingly intransigent health and health care inequities and improving population health have become more urgent for AMCs who are now at financial risk for medical and social conditions over prolonged periods of time. Although opportunities exist to convene individuals who play similar roles across institutions so they might share lessons learned and spread successes, few if any meetings provide a protected space to gather individuals at institutions approaching issues of population and community health from distinct angles. To address this crucial gap, we propose a series of three annual workshops to convene four institutional teams comprised of the varied staff and their partners whose work focuses on community and population health with the aim of “Building a Systems Approach to Community Health and Health Equity for Academic Medical Centers”. Over the course of three proposed annual workshops, we aim to: AIM 1: Create a protected space for academic medical center teams (e.g. Community Benefit lead, Designated Institutional Official (DIO) responsible for GME accreditation, community-engaged scientist, Chief Medical Officer, Chief Quality Improvement Officer, etc.) and their public health and/or community partners to identify cross-over priorities and opportunities for enhanced programmatic and scientific collaboration and coordination; AIM 2: Deploy site- specific implementation plans that bring together clinical, research, educational and administrative community health efforts into a system of mutually reinforcing activities; AIM 3: Develop a research and evaluation strategy to enrich and assess the implementation of these site-specific plans and their outputs/outcomes for communities, the health system, and learners alike.