This project involved FHOP working with the Stanislaus County Public Health Department to analyze survey data collected by Stanislaus County as part of a Community Health Assessment.
Center for Health Statistics, California Department of Health Services
The Center for Health Statistics/ Office of Health Information and Research funded an ongoing cooperative agreement for providing support and consultation on data methods, data quality and data standards.
The components of the project for the most year of this project were: evaluating the effectiveness of a training to improve the quality of birth certificate collected by hospital delivery room staff and recorded by local birth clerks; consulting on data methods for public health analysis; revising guidelines to standardize collection; coding and reporting of race and ethnicity data; and developing recommendations for improving the accuracy of geocoding of vital records data. This project involved working with CHS staff to evaluate effects of regional training for birth clerks on ways to improve the collection of data for birth certificates. FHOP consulted with CHS on assessing the quality of death data being processed by EDRS and elicited input from stakeholders on quality issues as they impact CHS reports. Another component of the project involved working with other CADPH Branches and Departments to develop data standards and data policies.
Clinical Translational Science Institute (CTSI), Community Engagement Program
This was a five year NIH grant to UCSF to improve the translation of clinical and other health information to health providers and communities to improve the effectiveness of clinical treatment and other health interventions through promoting the diffusion of evidence based treatments and practices.
FHOP's director, Dr. Geraldine Oliva was part of the training and consulting groups for the Community Engagement portion of CTSI. This included providing training and consultation to UCSF faculty who want to develop community-based participatory research projects as well as to community-based agencies wishing to evaluate the effectiveness of their programs or develop research partnerships with the university. The focus of the most recent year's activity was to participate in a supplemental NIH grant to develop a working partnership with the San Francisco Department of Public Health to conduct joint research and evaluation projects involving the collaboration of the two institutions with other community agencies.
Prima Medical Foundation, California
This one year research project involved helping the Prima Medial Foundation evaluate the impact of implementing a new model of labor and delivery at a local community hospital on job satisfaction, stress level, work-life balance, quality of care, attitudes toward C-sections, and knowledge, attitudes and perceptions of outcomes regarding the use of hospital-based obstetricians and certified nurse midwives teams to deliver the babies of both publicly insured and privately insured women. This information was used to help evaluate and improve the new program, and to help understand the positive and negative impact of such a program change on the medical community.
Children's Medical Services Branch, California Department of Health Care Services
The Family Health Outcomes Project was contracted by the California Children's Medical Services Branch to manage the design, implementation, and coordination of a large year-long needs assessment project for the California Department of Health Service's California Children's Service (CCS) program. The CCS program provides diagnostic and treatment services, medical case management, and physical and occupational therapy services to children under age 21 with CCS-eligible medical conditions. Examples of CCS-eligible conditions include, but are not limited to, chronic medical conditions such as cystic fibrosis, hemophilia, cerebral palsy, heart disease, cancer, traumatic injuries, and infectious diseases producing major sequelae. CCS also provides medical therapy services that are delivered at public schools. The CCS needs assessment is required as part of state's Title V application, and was a multifaceted project that involved convening a stakeholder group, collecting and analyses of both primary and secondary data, deciding on CCS program priorities for 2010 - 2015, and developing an action plan to address the priorities.
Seven Principles, Centers for Disease Control and Prevention
The "Seven Principles Project for African American Infant Survival and Community Unity" was a project funded through the CDC REACH 2010 initiative to end racial disparities in health. The San Francisco Department of Public Health was the prime contractor for this project, while the Family Health Outcomes Project (FHOP) serving in the capacity of project evaluator. The overall objective of this project was to improve perinatal outcomes through the use of a community-oriented set of strategies and interventions. These interventions were designed to involve the targeted population in improving the community in which they live. Further, the project aimed to build community capacity, increase social capital, and support community unity through the following strategies: 1) Promote leadership development, build community capacity, and promote community unity through the support of neighborhood Community Action Teams (CATS); 2) Increase community awareness of health disparities and risks through social marketing campaigns, 3) Build capacity in health and social service providers to recognize the impact of racism on health, and to develop culturally competent practices and systems by the use of Provider Trainings on, “Cultural Humility” and multi-day workshops on “Undoing Racism”; 4) Increase community connectedness through the support of community-based agencies to convene social events that provide opportunities for residents to come together in a safe environment to view a film that is relevant to issues affecting African Americans and to meet their neighbors, and (5) Develop a coalition of health and social service providers, community representatives and agencies, that builds capacity and promotes community health and wellness. Evaluation results supported the effectiveness of the marketing campaign, the provider training component, the “Undoing Racism” workshops, and the coalition development in meeting their goals.
March of Dimes
This was a 2-year contract to provide consultation on the Center for Health Statistics Birth Certificate revision process. It involved reviewing worksheets for Birth Clerks, consulting on training for Birth Clerks, and acting as a liaison with stakeholder groups.
This was a one year contract to provide consultation for the county Epidemiologist on a project to analyze the local birth/death cohort file and produce a report on Perinatal Periods of Risk, do an in-depth analysis of birth data to identify risk factors and patterns that may assist in developing interventions and providing a literature review on potential causal factors and evidence–based interventions.
Children’s Medical Services Branch – California Department of Health and Human Services
FHOP was contracted in 2005 to work with the CA DHHS Children’s Medical Services Branch on its portion of the Federal Title V Needs Assessment. This involved consultation on the assessment process, convening a stakeholders group and facilitating one group meeting to select indicators and choose criteria for problem prioritization and another meeting to review the data and determine priority areas for the Needs Assessment report. In between the two meetings, FHOP staff collected and analyzed data on the indicators. Following the second stakeholders group meeting, FHOP prepared a report to discuss the final CMS priorities and process by which they were determined.
California Office of Statewide Health Planning (OSHPD), Community Benefits Program
Cooperative agreement to develop the capacity of California's 200 non-profit hospitals to perform community assessments and develop plans to address identified problems. By law, California nonprofit hospitals are required to provide community service, some of which is charity care but some of which is intended to address population health issues. Every five years each hospital must develop a community assessment and plan as well as report their community service. FHOP conducted focus groups with hospital representatives to identify areas in which they have assessment or planning problems and training needs, conducted fact to face trainings in community needs priority setting and problem analysis, and developed community assessment and action plan chapters to be included in OSHPD's Implementation of California's Hospital Community Benefits Law-A Planners Guide.
WT Grant Foundation
Funded project to produce a report on the status of Adolescent Health Indicators and to make recommendations for a new framework and new indicators. The WT Grant Foundation project involved reviewing major national indicator reports and data collection instruments to identify domains and indicators and relevant questions and evaluation their relevance and utility. It also involved reviewing the literature on factors that impact adolescent health and well-being and determining their use as indicators for the future.
California Policy Research Center Project
"Impact of Changing Hospital Characteristics on Children's Hospital Outcomes - 1983 to 2000." In this project, FHOP investigated the impact of hospital structural characteristics such as the presence of a licensed pediatric unit, hospital staffing patterns, availability of 24 hour ER care on in-hospital complication rates, length of stay and disposition.
Health and Human Resources Administration
Funded project through the Solano County Coalition for Better Health "Solano Coalition for Better Health Community Access Program (CAP)." FHOP was the evaluator of the CAP Project Connect activities funded under this agreement. CAP Project Connect is an emergency room based outreach, assessment and brief counseling program that links people who are assessed to need a primary health care provider or substance abuse treatment with services.
The California Endowment
Funded project through the Solano County Coalition for Better Health "Multicultural Health Improvement Initiative (MCHII)" to reduce racial and ethnic disparities in diabetes and cancer rates. FHOP assisted the project staff in its community needs assessment and community intervention planning and is conducting the project evaluation. The MCHII project has developed and is coordinating interventions to reduce rates of diabetes and breast, prostate and colon cancers for African Americans in North Vallejo, California and rates of diabetes in Latinos in Dixon, California. The interventions include community outreach, a community awareness campaign, the development of community and social support networks for both prevention and control or illness, and provider education to promote screening for and co-management of disease. The evaluation included the development and analysis of a cross-sectional survey of community residents for longitudinal monitoring of community knowledge, attitudes and practices and assessment of the effectiveness of engaging health care providers in an effort to identify and utilize treatment protocol and involve clients in their care plan.
University-wide AIDS Research Program
Funded collaborative grant between FHOP and the California Prostitute's Education Project "Reducing HIV in African Americans: A Comprehensive Approach." FHOP was evaluating the effectiveness of two different strategies to reduce rates of HIV transmission: standard HIV testing and counseling vs. a bio-psycho-behavioral (BPB) intervention. The bio-psycho-behavioral intervention (BPB) included STD screening, education, and treatment, HIV counseling and testing, personalized counseling which focuses on the individual's risk behaviors and motivations to change these behaviors, and a safer sex/harm reduction workshop. The participants in this intervention group received these services during the baseline visit and again on the one-year follow-up visit. The comparison group was given only HIV testing and counseling at baseline, and received the comprehensive B