CEP retreat presentation 7 24 07

CTSI Community Engagement Program (CEP): 

CTSI Community Engagement Program (CEP) Kevin Grumbach, MD Professor and Chair, UCSF Department of Family and Community Medicine Chief, Family and Community Medicine, SF General Hospital Joe Selby, MD, MPH Director, Division of Research Kaiser Permanente Northern California

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COMMUNITY UCSF

Aims: 

Aims Facilitate mutually beneficial clinical research partnerships between UCSF and the community that will result in More community participation in all stages of research More research that is relevant to community needs. Greater awareness and successful uptake of useful research findings in diverse community settings.

Key CEP Elements: 

Key CEP Elements Steering Committees Representative of academic and community stakeholders Navigators Coordination of CEP activities Connect researchers and the community Roster of Academic/Community Partnerships Training Web-based and classroom Tailored to different audiences and needs Consultation Research design, theories, and models; IRB issues Facilitation of new projects

Four Steering Committees: 

Four Steering Committees Community Academic Research Engagement (CARE) Committee (Linked with UCSF University Community Partnership Program) Community Clinicians Committee Integrated Delivery Systems Committee (i.e. Kaiser Permanente) Reach, Relevance, and Dissemination Committee

Why?!: 

Why?! T2 or not T2? That is the question.

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COMMUNITY UCSF Here: GCRC investigator focused on ADHD (Linda Pfiffner, PhD) There: Disruptive behavior in SFUSD classrooms impeding learning and burning out teachers

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COMMUNITY UCSF Here: Epidemiologist investigator for practice based research network (Margaret Handley, PhD) There: Family doctor in CHC noticing elevated blood Pb+ levels in Latino kids and pregnant women

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COMMUNITY UCSF Here: Clinical Epidemiologist Interested in Stroke Prevention in TIAs (Clay Johnston, MD) There: KP’s 3.2M members, clinical data bases, DOR, neurologists and ED physicians, interest in QI

Which Patients with new TIA are most likely to have a stroke in near future?: 

Which Patients with new TIA are most likely to have a stroke in near future? Johnston SC,….. Sidney S. JAMA 2000. Johnston SC, …. Sidney S. Lancet 2007 Identified and validated prediction score for 2-day risk of stroke in large cohorts of new TIA patients at Kaiser: Age >60 (1) BP > 140/90 (1) Unilateral weakness (1) Speech impairment (1) Diabetes (1) Symptoms lasting >10 minutes (1-2) Now incorporated into Kaiser Permanente clinical guidelines for TIA management

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COMMUNITY UCSF Here: Disparities investigator with data on neighborhood health profiles (K Grumbach, MD) There: BVHP residents, EPA superfund sites, environmental justice groups, legacy of Tuskegee

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COMMUNITY UCSF Here: Children’s Oral Health Disparities Research Center (Jane Weintraub, DDS, MPH) There: poor preschoolers with dental decay (#1 chronic disease) in primary care clinics, head start programs (but not dentist offices)

What Can the Community Engagement Program Do For You?: 

What Can the Community Engagement Program Do For You? Dating service, not pimping Preparatory education in etiquette : Teach about principles and practice of community partnerships in research Matchmaking Navigators fielding requests from UCSF investigators and community Dowries See SOS Technique Methods and design, recruitment, instruments, etc Marriage counseling Procedures, bureaucracies, dissemination of results

UCSF-Kaiser Collaboration: 

UCSF-Kaiser Collaboration Developed the KP CTSI website; includes: search tool to find KP investigators and studies by key words/specialty area a collaboration query form for processing and tracking requests a tutorial on processes and requirements for conducting research at KP http://www.ctsi.kaiser.org Collaboration Highlights - Added an adjunct investigator position Began two new research projects Applied for five joint projects Facilitated three UCSF-KP investigator meetings

UCSF-Kaiser Collaboration: 

UCSF-Kaiser Collaboration

UCSF-Kaiser Collaboration: 

UCSF-Kaiser Collaboration

Program Administration Team: 

Program Administration Team Ellen Goldstein, Program Manager EGoldstein@fcm.ucsf.edu Paula Fleisher, UCSF Navigator pfleisher@fcm.ucsf.edu Sachini Bandara, Research Assistant bandaras@fcm.ucsf.edu Maureen Fitzpatrick, KP Navigator maureen.b.fitzpatrick@kp.org