CONNECTOME-Community Engagement CORE

以社区为核心，多层次、多层次地改善慢性病治疗效果 代际方法统一新的干预措施和卫生公平培训（社区 中心）将所有项目、试点项目和核心项目与我们所服务的约2/3的不同社区联系起来 非白人，三分之一在国外出生，五分之一生活在联邦贫困线以下。作为网络的中心枢纽 在整个纽约市地区，我们恰当地将其核心命名为“连接”。的目标 社区责任-建立信任，促进双向沟通，创造公平的制度， 促进和维持经济、身体、精神和社会健康的政策-定义健康公平， 社区.虽然对社区参与的承诺反映在一些主要的联邦政策中， 尽管我们采取了一些新的举措，但我们尚未充分发挥其在解决多种慢性健康状况方面的潜力， 美国人口日益多样化。未能充分发挥潜力的主要原因是， 许多研究、护理和社区外展仍然集中在单一的慢性疾病上，而且往往在晚些时候， 在生命周期的各个阶段，往往只在一个学术机构。我们很高兴这个RFA是专门为 旨在为患有多种慢性疾病的社区提供服务，并正确地挑战我们， 更综合的方法，超越了传统的界限， 模型，以解决上游影响。这一机制将为可持续发展提供资源 采取干预措施，以改善整个纽约市地区的社区健康。社区中心合作伙伴CUIMC， WCMC、Hunter/CUNY和PAGNY（见总体）。为了充分解决纽约市存在的健康差距， 在本区域，我们必须解决健康的社会决定因素（SDOH）和塑造健康的更广泛的社会背景 和疾病社区中心寻求解决SDOH在个人，人际/社区和 社会层面。社区核心（CONNECTOME）通过以下方式支持这些努力：1）协同和 赋予越来越多的纽约市利益攸关方（安全网提供者组织， 社区成员、社区组织、基金会、非营利组织、CTSA和研究人员）使用 改善多种慢性疾病（特别是CVD和癌症）管理的联合方法; 2） 作为组织和培养各组织之间富有成效的双向关系的协调中心， 社区连接体成员、核心主管、项目调查人员和内部及跨区域试点 我们的社区和利益相关者群体，以及3）传播社区产生的信息 通过连接体向包括我们当地社区、公众和社区在内的各种受众提供节目 学院，信仰和社区为基础的组织在纽约和地区和国家政策的领导人， 做出有意义的改变这些目标不可或缺的是新的参与方法，包括社区 微型项目和社区中心的愿景到声音-项目到政策组成部分。

The Community Core for the Center to Improve Chronic disease Outcomes through Multi-level and Multi- generational approaches Unifying Novel Interventions and Training for health EquitY (COMMUNITY Center) connects all of the projects, pilots, and cores to the diverse communities we serve approximately 2/3 non-white, 1/3 foreign-born, and 1/5 living below the Federal poverty line. As the central hub of the networks throughout the New York City region, we have aptly named the core, the CONNECTOME. The goals of community engagement—to build trust, foster bi-directional communication, create equitable systems and policies that promote and sustain economic, physical, mental and social health—define health equity for communities. While the commitment to community engagement is reflected in a number of major federal initiatives, we have yet to realize its full potential in addressing multiple chronic health conditions in an increasingly diverse United States population. Key reasons for the lack of realization of the full potential is that much research, care, and community outreach still remain focused on single chronic disease and often at later stages of the lifespan and frequently only at one academic institution. We are thrilled that this RFA is specifically designed to serve communities who suffer from multiple chronic diseases and rightly challenge us to have a more integrated approach reaching beyond the boundaries of academe and integrating across the siloed medical model to address upstream effects. This mechanism will provide the resources to develop sustainable interventions to improve community health across the NYC Region. The COMMUNITY Center partners CUIMC, WCMC, Hunter/CUNY and PAGNY (see Overall). To fully tackle the health disparities that exist in the NYC region, we must address the social determinants of health (SDOH) and broader social contexts that shape health and disease. The COMMUNITY Center seeks to tackle the SDOH at the individual, interpersonal/community and societal levels. The COMMUNITY Core (CONNECTOME) supports these efforts by: 1) Synergizing and empowering a growing number New York City-based stakeholders (safety-net provider organizations, community members, community-based organizations, foundations, non-profits, CTSA’s and researchers) using a coalition approach to improving management of multiple chronic diseases, specifically CVD and cancer; 2) Serving as a focal point for organizing and nurturing productive bi-directional relationships between the COMMUNITY connectome members, core directors, investigators in the projects and pilots within and across our communities and stakeholder groups, and 3) Disseminating the information generated by the COMMUNITY program through the connectome to diverse audiences including our local communities, public and community colleges, and faith and community-based organization in New York and regional and national policy leaders to enact meaningful change. Integral to these aims are novel methods for engagement which includes community micro-projects and a Vision to Voice—Project to Policy component of the COMMUNITY Center.