ucsf center for vulnerable populations (cvp) in review ... · dean schillinger md professor of...
TRANSCRIPT
![Page 1: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/1.jpg)
March 2017
UCSF Center for Vulnerable Populations (CVP) in Review Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital
1 Reducing Health Disparities and Addressing the Unmet
Health Needs of Vulnerable Groups!
![Page 2: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/2.jpg)
Disclosure
Some of the content of this talk come from a textbook of the care of vulnerable patients that I am a co-author of (Schillinger)
![Page 3: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/3.jpg)
![Page 4: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/4.jpg)
![Page 5: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/5.jpg)
Vulnerable Populations Defined
Vulnerable Populations are subgroups of
the larger population that, because of
social, economic, political, geographic,
structural and historical forces, are
exposed to “greater risk of risks”, and are
thereby at a disadvantage with respect to
their health and health care.
![Page 6: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/6.jpg)
3 Mechanisms By Which Social Vulnerabilities Affect Health Outcomes
Schillinger et al 2017. McGraw-Hill
![Page 7: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/7.jpg)
Common Social Vulnerabilities V iolence and trauma
U ninsured
L iteracy and Language
N eglect
E conomic hardship/food insecurity
R ace/ethnic discordance, discrimination
A ddiction
B rain disorders, e.g. depression, dementia
I mmigrant
L egal status
I solation/Informal caregiving burden
T ransportation problems
I llness Model
E yes and Ears
S helter
![Page 8: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/8.jpg)
What are We Up Against? Reversing The Inverse Care Law
“Access to and quality of healthcare is inversely proportional to the needs of
the population”
- Tudor-Hart, 1971
![Page 9: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/9.jpg)
Jerry Garcia
“Somebody has to do something, and it's just incredibly pathetic that it has to be us!”
![Page 10: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/10.jpg)
CVP in Review 10
We engage in a broad scope of research and implementation projects that enable creative and innovative solutions to persistent health disparities and challenging problems in our community.
WHO WE ARE
![Page 11: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/11.jpg)
Goals we share with the UCSF and San Francisco community:
§ We value health§ We embrace equity and diversity§ We promote innovation
WHAT DRIVES US
Everything we do is driven by the pursuit of health and health equity.
11 CVP in Review
![Page 12: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/12.jpg)
An iterative process ensures we continuously learn and refine ideas with our partners.
ITERATIVE PROCESS
12 CVP in Review
![Page 13: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/13.jpg)
CVP in Review 13
We focus on a range of research areas to uncover more effective solutions.
AREAS OF FOCUS
Community
Health & Social Policy
Patient-Centered Care
![Page 14: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/14.jpg)
NurturingPartnerships
We partner with change agents for scientific, policy, clinical care, and community health promotion initiatives
Multi-LevelPerspective
Our scientific inquiry reflects multiple influences on health throughout thelife-span
ResearchInnovationsWe develop rigorous methods to improve the relevance of science to populations and policies
Driving Awareness
We promote system changes that make health information more accessible to all using cutting-edge communication tools and technologies
ELEMENTS OF OUR APPROACH
14 CVP in Review
![Page 15: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/15.jpg)
CVP CONCEPTUAL MODEL
15
We bring a rigorous approach to three key focus areas that address a broad range of issues affecting vulnerable populations.
CVP in Review
![Page 16: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/16.jpg)
CASE STUDY
In partnership with St Mary’s Center and an active community board, CVP is studying the causes and consequences of the growing population of people over 50 who experience homelessness.
The HOPE HOME study examines why older adults become homeless, what happens to their health, and what the best options are to improve housing stability and health.
16 CVP in Review
![Page 17: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/17.jpg)
CASE STUDY
The campaign, a collaboration between CVP and Youth Speaks, pairs world-class youth poets and leading health professionals to change the diabetes conversation and instigate social action.
The Bigger Picture aims to end Type 2 diabetes in young people.
17 CVP in Review
![Page 18: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/18.jpg)
CASE STUDY
In San Francisco, Berkeley, and Mexico, CVP faculty have studied the effectiveness of soda tax policies in preventing Type 2 diabetes, heart disease, and obesity.
CVP’s pioneering work on the health effects of sugar-sweetened beverages has extended from research to policy.
18 CVP in Review
![Page 19: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/19.jpg)
Since our founding in 2006, CVP has grown tremendously—moving from a virtual center with just three faculty members to a brick-and-mortar center carrying out innovative research with broad impact locally, nationally, and internationally.
GROWTH
19 CVP in Review
![Page 20: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/20.jpg)
20
HOW HAS OUR FACULTY GROWN?
Our faculty numbers have grown steadily overthe last 10 years.
CVP in Review
31 Faculty membersin 2017
![Page 21: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/21.jpg)
21
HOW MANY PAPERS HAVE WE PUBLISHED?
CVP in Review
![Page 22: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/22.jpg)
CVP in Review 22
![Page 23: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/23.jpg)
CVP in Review 23
![Page 24: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/24.jpg)
~115 Grants
24
Grant and philanthropic funding to core faculty since joining CVP
HOW MUCH FUNDING HAVE WE RAISED?
CVP in Review
$100 Million
![Page 25: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/25.jpg)
CVP in Review 25
Federal Center Grants
![Page 26: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/26.jpg)
CASE STUDY
Through research in the outpatient clinics at ZSFG, CVP’s Ambulatory Safety Center for Innovation (ASCENT) is designing, testing, and implementing technology and organizational solutions to make medical care safer.
CVP has created a network to share and collaborate on innovative practices among 21 public hospitals across California.
26 CVP in Review
![Page 27: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/27.jpg)
CASE STUDY
EatSF was formed as a result of strong partnerships between CVP, the City and County of San Francisco, and community based organizations such as the Curry Senior Center.
EatSF is a healthy food program, providing low-income San Franciscans vouchers for free fruits and vegetables.
27 CVP in Review
![Page 28: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/28.jpg)
CASE STUDY
Through activities at the institutional, faculty, and student levels, SF BUILD enables students from underrepresented groups in science to draw from their unique personal experiences to successfully pursue a career in biomedical research.
SF BUILD is a partnership between San Francisco State University and CVP to enhance the diversity of the biomedical research workforce.
28 CVP in Review
![Page 29: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/29.jpg)
WHERE WE ARE
CVP is based at Zuckerberg San Francisco General Hospital, known as the heart of the city.
29 CVP in Review
![Page 30: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/30.jpg)
176 Mentees by our core facultysince joining CVP
WHOM HAVE WE MENTORED?
30 CVP in Review
![Page 31: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/31.jpg)
31
LOOKING AHEAD
Looking to the future, our priority is to deepen and expand our partnerships to achieve measurable health outcomes in San Francisco and beyond.
CVP in Review
![Page 32: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/32.jpg)
CVP Core Faculty
32 CVP in Review
![Page 33: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/33.jpg)
CVP Associate Faculty
33 CVP in Review
![Page 34: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/34.jpg)
CVP Affiliate Faculty
34 CVP in Review
![Page 35: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/35.jpg)
CVP Staff
35 CVP in Review
Melissa AkersTanushree Banerjee
Cissie BoniniClaudine Catledge
Roy CherianPamela CoxsonEugene FairleyJessica Fields
Sarah FineGato Gourley
David GuzmanAxel HerreraStephen King
Gem LeSarah LiskerBrookelle Li
Sanjana MarpadgaGeorge Matta
Laura MillerPamela OlsenStacy Osua
Joanne PenkoAlana PfeffingerClaudia Ponath
Jana PowellJudy Quan
Belkiz QuintanillaFrancisco Quintanilla
Nicholas RianoKate RadcliffeChristina Rios
Sophie RosenmossEric Steinbrook
Lina TieuGabriela VanegasPamela Williams
![Page 36: UCSF Center for Vulnerable Populations (CVP) in Review ... · Dean Schillinger MD Professor of Medicine University of California San Francisco San Francisco General Hospital 1](https://reader030.vdocuments.us/reader030/viewer/2022040923/5e9ec5656ba88c31ec56c459/html5/thumbnails/36.jpg)
January 2017
Thank You!
36