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职员工开展活动，以解决以下方面 社区健康、人口健康、人口健康管理和健康公平。不幸的是，尽管 其中许多努力的健壮性，以及参与者之间缺乏协调和合作，限制了这两种努力 这些劳动力的效率及其对当地社区和研究、教育和 AMC本身的临床目标。由于医疗改革和其他驱动因素，确定解决方案 看似不妥协的卫生和医疗保健不平等和改善人口健康已变得更加 对于那些目前因长期的医疗和社会状况而面临财务风险的资产管理公司来说，这是当务之急。 尽管存在召集跨机构扮演类似角色的个人的机会，因此他们可能 分享经验教训和传播成功，很少有会议提供一个受保护的聚集空间 各机构的个人从不同的角度处理人口和社区健康问题。至 为了解决这一重大差距，我们提议举办一系列三次年度研讨会，召集四个机构小组 由不同的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 《构建系统的社区卫生方法与学术医疗卫生公平》的目标 中心“。在三个拟议的年度讲习班期间，我们的目标是：目标1：创造一个受保护的空间 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，社区参与的科学家，首席医疗官，首席质量 改善主任等)和他们的公共卫生和/或社区合作伙伴确定交叉优先事项 以及加强方案和科学协作与协调的机会；目标2：部署现场-- 将临床、研究、教育和管理社区聚集在一起的具体实施计划 将卫生工作纳入相辅相成的活动系统；目标3：开展研究和评价 充实和评估这些现场具体计划的执行情况及其产出/成果的战略 社区、卫生系统和学习者一样。

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.