Engaging Community and Practice To Improve Healthcare

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Engaging Community and Practice To

Improve Healthcare

J. Lloyd Michener, MD

Professor and Chair

Department of Community and Family Medicine

Director, Duke Center for Community Research

AcademyHealth Annual Research Meeting

June 29, 2009

The Duke Center for Community Research (DCCR)

 Provide support to the Durham community, practices, and researchers for community-engaged research;

 Provide training for researchers and trainees in community engagement;

 Measure the impact of innovative, community-engaged research on the improvement of community health.

DCCR Training and Liaison Center

 Train and prepare researchers and learners to work successfully with communities

Electronic training modules –

— 2,664 Duke researchers and trainees

— Duke IRB, AAMC MedEdPortal, Citi (?)

On-site training programs

Modules in Community Engagement in Research are under development

Community-Engaged Service Learning

— 544 Trained, 139 Community Engaged

Projects

DCCR Training and Liaison Center

 Assisted with the development and submission of 30 community-engaged grants.

 Implemented an institutional approval and tracking system to document community-engagement activities, as directed by the health system policy delineating required pre-service training and activity approval.

91community health activities have been approved to date.

 DCCR faculty and staff serve on 14 community committees

 Developed DCCR, CFM, PC SBR Integrated Structure to support researchers in Community-Engaged research.

 DCCR specific plan developed with Library resources and available to both researchers and community members.

Requirements:

 An interdisciplinary Duke-Durham Team

 Clear identification of a relevant health issue and population

 Description of an alternative model of service/care

 Use of Institutional Resources

 Financial Model

 Evaluation Plan

 Dissemination Plan

By the numbers…

 22 Duke-Durham teams submitted Stage I Brief

Proposals

 413 team members –

237 representing Duke and

176 community partners, representing 90 community agencies/organizations and businesses.

 19 Duke-Durham teams were selected to move to Stage

II, all are receiving technical assistance from DCCR

 Up to 10 teams will be selected to proceed to Stage 3 in

April 2009.

Stage 2 applications require that:

 Teams select Co-team Leaders from Duke and the community.

 Teams identify a project manager.

 Teams propose, describe, and present evidence for an innovative model of care (i.e., changes in the structure or function of a service, system, or care delivery setting).

 Teams detail how community partnerships will be central to the planning process.

Finalists

 Life stage

1. Maternal/Fetal

Health

2. Adolescent Health

3. Seniors’ Health

• “Hard”

4. Cardiovascular

5. Cancer screening/survivors

6. Asthma/COPD

 Behaviors

7. Substance abuse/pain management

• Medical/behavioral

8. Obesity

9. Diabetes

10. STDs

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