Administrative Core

管理核心摘要 多层次改善慢性病治疗效果的中心管理核心（ADMIN） 和多代方法统一新的干预措施和培训的健康公平（ 社区中心）是满足中心的使命必不可少的。管理员将充分利用 哥伦比亚大学欧文医学中心卓越的研究和培训资源及基础设施 （CUIMC）、威尔康奈尔医学中心（WCM）和纽约市立大学亨特学院（CUNY） 以及纽约长老会医院系统的区域医疗保健系统和网络， 纽约医师附属小组（PAGNY）进行预防、筛查、治疗和管理 采取干预措施，减少多种慢性病的健康差距。该中心专注于严格测试 干预措施，包括个人，人际，社区和 由跨学科团队科学开发的社会方法。我们设计了三个协同项目 重点关注社区和纽约市警察局卫生保健系统的新型干预措施， 健康工作者（CHW）模型，用于入组和/或保留研究，同时还将参与者与 基于健康的社会决定因素（SDoH）五个领域的服务;住房不稳定，粮食不安全， 交通问题、公用事业帮助需求和保险登记）。管理员将监督、管理和 协调整个社区中心的行政活动范围（目标1）。在ADMIN中 我们还将通过核心教师为社区中心成员提供项目和试点支持， 专长：1）生物统计学; 2）实施科学; 3）数据协调和生物医学信息学。的 ADMIN还将监督研究进展，并通过正式的 反馈和正在进行的评价，并传播各种办法、方法、调查结果和最佳做法， 我们的纽约地区，并通过NIMHD中心和卫生政策论坛。除了评估项目外， 和IDC试点的基础上，他们的交付成果，我们将评估我们的计划，包括其他新的方面， CHW模型和CONNECTOME的社区项目。社区中心的最终影响 消除纽约地区多种慢性病的健康差距将来自我们的集体努力 通过社区参与，开发，翻译和维持新的干预措施和方案 开展研究，探讨预防、治疗和管理战略之间的协同增效作用。的项目 我们已经开发了，试点和社区赠款，将形成这个中心的核心是第一步 实现这一目标。管理处将支持这项使命。

ADMINISTRATIVE CORE ABSTRACT The Administrative Core (ADMIN) for the Center to Improve Chronic disease Outcomes through Multi-level and Multi-generational approaches Unifying Novel Interventions and Training for health EquitY (The COMMUNITY Center) is essential for meeting the Center’s mission. The ADMIN will fully leverage the exceptional research and training resources and infrastructure of Columbia University Irving Medical Center (CUIMC), Weill Cornell Medical Center (WCM) and Hunter College at the City University of New York (CUNY) and the regional healthcare systems and networks of New York-Presbyterian (NYP) Hospital System and the Physician Affiliate Group of New York (PAGNY) to conduct prevention, screening, treatment, and management interventions to reduce health disparities in multiple chronic diseases. The Center focuses on rigorous testing of interventions that incorporate the multiple levels of influence from individual, interpersonal, community and societal approaches developed by interdisciplinary team science. We have designed three synergistic projects that focus on novel interventions in the community and NYP health care systems employing the community health worker (CHW) model for enrollment and/or retention into the studies while also connecting participants to services based on five domains of Social Determinants of Health (SDoH; housing instability, food insecurity, transportation problems, utility help needs and insurance enrollment). The ADMIN will oversee, manage, and coordinate the range of administrative activities for the entire COMMUNITY Center (Aim 1). Within the ADMIN we will also provide COMMUNITY Center members support for projects and pilots through Core faculty with expertise in: 1) Biostatistics; 2) Implementation Science; 3) Data Harmonization and Biomedical Informatics. The ADMIN will also monitor research progress and ensure implementation of the Center Plans through formal feedback and ongoing evaluations and disseminate approaches, methods, findings and best practices across our NYC Region and through the NIMHD Centers and health policy forums. In addition to evaluating the projects and IDC pilots based on their deliverables, we will evaluate the other novel aspects of our program including the CHW model and the CONNECTOME’S community projects. The COMMUNITY Center’s ultimate impact in eliminating health disparities in multiple chronic diseases in our NYC Region will come from our collective efforts in developing, translating and sustaining novel interventions and programs through community engaged research that addresses synergies across prevention, treatment and management strategies. The projects that we have developed and the pilots and community grants that will form the heart of this Center are the first steps to meeting this goal. The ADMIN will support this mission.