Center for Achieving and Sustaining Improved Health in Harlem

描述（由申请人提供）：本次修订将增加两个额外的目标，中心的使命。CERED-1：开发，进行，并促进CER，以改善健康，医疗保健质量和公平的哈莱姆社区;和CERED-2：加速社区成员，临床医生，医疗保健组织和政策制定者将CERED转化为实践。为实现这些目标，将在中心内发起一个由四个组成部分组成的消除种族歧视和种族歧视中心倡议。1)调研：研究核心中的CERED研究将比较两种提供者水平的干预措施，以解决蛛网膜下腔出血（一种危及生命的中风形式）诊断中的已知差异。2)人力资本：CERED学者计划和CERED夏季学者计划将在CERED培训年轻的研究人员，CERED种子赠款计划将在我们的机构中鼓励CERED。3)数据基础设施：在中心的行政核心内建立一个新的纵向数据库，连接四个现有的数据源，将有助于CERED研究解决获取和质量方面的差异。 4)传播和翻译：与一个创新和成熟的社区组织建立新的伙伴关系。医学指导，将培训哈莱姆健康大使，向社区成员传播CERED研究的可理解、可操作的发现，并将开发和实施一种新的自动化工具，将已完成的CERED研究中心的结果转化为西奈山医院的临床实践。所有这些都是该中心的新活动。CERED计划将与急诊医学部正式合作，并将由Bickell和Richardson博士领导。它将增加两名高级研究员，三名新的初级研究员，一个新的社区合作伙伴，一个CERED数据库，五名CERED学者，五个CERED资助的种子项目和一个由40名社区健康大使组成的干部队伍。如果成功，此修订申请将能够雇用更多的工作人员，增加当前兼职工作人员的工作时间，并为承包额外所需的技能和服务提供支持，以加速和扩大上述家长补助金活动，并实现ARRA的资助目标。

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.