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UCSF INSTITUTE FOR HEALTH & AGING ◊ UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
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| Integrating Medicine and Public Health (IMAP) |
Our mission:
IMAP creates, facilitates, supports and evaluates
collaborative efforts in Medicine
and Public Health to improve
healthcare access, quality, and
outcomes.
IMAP
is a program of the Institute for Health & Aging at the
University of California, San Francisco.
It maintains an affiliation with the California Department
of Health Services' Medicine and Public Health Section
in the Chronic Disease Control Branch for several of its
projects.
| Who We Are - IMAP Team |
| What We Do - IMAP Expertise |
| Current Projects & Partnerships |
| Past Projects & Partnerships |
| IMAP Publications |
| More Information |
Joel W. Adelson, M.D., PhD, M.P.H.,
is Director of the Integrating Medicine and Public Health
Program (IMAP).
Dr. Adelson's areas of expertise
include health policy, quality issues in clinical
practice, hospital and academic administration and
leadership, clinical medicine and pediatrics, and the
basic medical sciences.
Email:
Joel.Adelson@ucsf.edu
Patricia G. Porter, R.N., M.P.H., CHES, is Associate Director of the Integrating Medicine and
Public Health (IMAP) Program and a full partner in its
leadership.
She is also the Program Director for the
Best Practices in Childhood Asthma (BPCA) Program and
the Vice-Chair of the California Adult Immunization
Coalition.
Ms. Porter's areas of expertise include
program development implementation and evaluation,
quality improvement, collaborative studies, disease
management, health promotion, health education, and
clinical preventive services.
Ms. Porter received the UCSF Institute for Health and
Aging Staff Achievement Award for 2005.
Email:
Patricia.Porter@ucsf.edu
Patrick J. Fox, Ph.D., M.S.W.,
is Co-Director, Institute for Health & Aging and
Professor of Sociology and Health Policy, Department of
Social and Behavioral Sciences at the University of
California, San Francisco.
He serves as the Principal
Investigator for IMAP as well as for numerous other
projects at the Institute for Health and Aging.
His expertise is in long-term care services to the elderly,
Alzheimer's disease, the economic costs of disease, and
breast and cervical cancer screening.
Email:
Pat.Fox@ucsf.edu
Sibylle H. Lob, M.D., M.P.H.,
is IMAP's Medical Epidemiologist.
Dr. Lob provides
leadership, expertise and technical assistance to the
design and evaluation of all of IMAP's research
projects. The Best Practices in Childhood Asthma (BPCA) Program
is the current focus of her work with IMAP. Her areas of
expertise include health services research, study design
and evaluation, biostatistics, and infectious diseases.
Email:
Sibylle.Lob@ucsf.edu
Jennifer Holloman Boer, M.S., is the Coordinator of the Best Practices in Childhood Asthma (BPCA) Program.
Her major interests lie in
program evaluation, research design and methodology, the
application and evaluation of Continuous Quality
Improvement (CQI) principles and psychobiology of
behavior.
Ms. Boer received
the UCSF Institute for Health and Aging Staff
Achievement Award for 2004.
Email:
jholloma@dhs.ca.gov
Nuny O. Khamphay, B.A.S,
is the Assistant Coordinator of the Best Practices in
Childhood Asthma (BPCA) Program.
Her primary interests
are in research methods in biological and behavioral
psychology, program
evaluation and family and community-based healthcare and
education.
Email:
nkhampha@dhs.ca.gov
Christine Brennan, B.S.,
is the Staff Research Associate of the Best Practices in
Childhood Asthma (BPCA) Program.
Her major interests
lie in data analysis, biostatistics, and epidemiology of
chronic and infectious disease.
Email:
Cbrenna1@dhs.ca.gov
Patricia M. Laija,
is the Project Assistant III
for the IMAP, the California Adult Immunization Coalition and
the Best Practice in Childhood Asthma (BPCA) Program.
Email:
Patricia.Laija@ucsf.edu
The IMAP Team has the ability to improve healthcare access, quality and outcomes through the provision of leadership and technical expertise. IMAP has the expertise to focus on individuals/populations across the lifespan.
Alameda County Diabetes Disease Management Program
The Alameda County Diabetes Disease Management Program features a clinic-based disease management program for African American diabetics in East Oakland and a community-based program designed to improve diabetes awareness among Hispanics in a Hayward, CA.
This program receives funding from The California Endowment. IMAP was actively involved on the Advisory Board for the Alameda County Public Health Department's Diabetes Management Program from 2002 - 2005.
Alliance Working for Antibiotic Resistance Education
The California Medical Association Foundation has initiated a long-term, statewide effort to promote the appropriate use of antibiotics, called Alliance Working for Antibiotic Resistance Education (AWARE).
AWARE is a partnership that includes physician organizations, healthcare providers, health systems, health plans, public health agencies, consumer and community based health organizations, federal, state and local government representatives and the pharmaceutical industry. AWARE's goal is to increase the appropriate use of antibiotics and decrease the spread of antibiotic resistance. IMAP has provided ongoing technical assistance and support to this statewide initiative since 2000.
Analysis of Access to Care in Northeastern California
IMAP received funding from the Sierra Health Foundation (SHF) to produce a comprehensive report focused on Access to Health Care for the general population in SHF's 26-county catchment area in Northeastern California.
The report featured a comprehensive review of the literature related to the topic area, the collection, compilation and analysis of new and existing county-level (primary and secondary) data, the identification of opportunities for improvement and related best practice approaches, and specific recommendations for funding for SHF's Board of Directors.
Analysis of the Health Status of Seniors in Northeastern California
IMAP received funding from the Sierra Health Foundation (SHF) to produce a comprehensive report focused on the health status of seniors in SHF's 26-county catchment area in Northeastern California.
This report featured a comprehensive review of the literature related to the topic area, the collection, compilation and analysis of new and existing county-level (primary and secondary) data, the identification of opportunities for improvement and related best practice approaches, and specific recommendations for funding for SHF's Board of Directors.
Asthma Management Program (AMP)
The Children's Asthma Management Program (AMP) is a group based in the California children's asthma community, interested in developing a reimbursement mechanism to disseminate improved children's care management throughout the state.
The group has a particular focus on diffusion to the public payers that serve most low-income children (Medi-Cal, Healthy Families, Healthy Kids), and disseminating care management in community based safety net clinics. IMAP is an active participant in this collaborative project.
Best Practices in Childhood Asthma (BPCA) Program
IMAP receives funding from the California Asthma Public Health Initiative (CAPHI)/California Department of Health Services to provide technical assistance to the development, implementation and evaluation of this multi-year, statewide program.
The purpose of the BPCA program is to improve the quality of care and health outcomes for California children aged 0-18 years with asthma in twenty-one California communities by applying the key elements of California's two recent demonstration projects - the California Asthma Among the School Aged (CAASA) project, funded by The California Endowment and the Childhood Asthma Initiative (CAI), funded by First 5.
The key components of the BPCA model include the use of Continuous Quality Improvement to promote data driven decision making, the dedication of a clinic-based Asthma Coordinator (AC) and clinical Asthma Project Leader to provide optimal asthma education, prevention, and clinical management for children with asthma and a focus on four components of care: the use of asthma visit flow sheets, asthma action plans, home environmental assessment, and comprehensive child/family asthma education.
IMAP will provide ongoing
training, technical assistance and support to the
twenty-one BPCA project teams (including ACs) and will
assess and evaluate population-based data to make
patient and system level changes.
California Asthma Public Health Initiative Website
California Adult Immunization Coalition (CAIC)
Convened and established under the leadership of IMAP in June 2002, the California Adult Immunization Coalition (CAIC) represents over 40 organizations committed to developing a long-term, strategic, and integrated effort to improve adult immunization rates for adults who are underserved, at risk and/or have limited access to preventive care services in California.
This coalition approach is highly attractive, given the challenges to improving and sustaining adult immunization rates, including:
The CAIC mission is to build and support cross-sector (medicine, public health, community) collaboration that results in improved adult immunization rates, particularly the rates among high-risk adults and of those adults who have limited access to preventive care. IMAP provides ongoing leadership and technical assistance to work groups and activities of the CAIC.
California Asthma Advisory Committee
The California Asthma Advisory Committee was a statewide asthma advisory panel that came together and established workgroups to develop and refine specific goals, objectives and strategies for California to address asthma over a three to five year period.
IMAP worked closely with the Department of Health Services to convene and facilitate this advisory panel that began meeting in October of 1999. The results of this collaborative effort are featured in the Strategic Plan for Asthma in California.
California Asthma Among the School-Aged (CAASA) Project
IMAP received funding from The California Endowment in 2001 to conduct a 3.5-year research study to improve heath outcomes and reduce health disparities for underserved school-aged (5-18 years old) children with asthma in seven communities in California through use of the California Asthma Among the School-Aged (CAASA) model.
The key components of the CAASA model include the use of Continuous Quality Improvement to promote data driven decision making and Community Health Workers (CHWs) who promote self-management through asthma education in the clinic, home and community where underserved school-aged children with asthma are living.
IMAP provided ongoing training, technical assistance and support to seven CAASA Clinical CQI teams (including CHWs) to assess and evaluate population-based data to make patient and system level changes.
The intervention phase and data collection for this study was completed in August 2004. Formal evaluation and dissemination of study findings are in the final phases of completion.
In collaboration with colleagues at the UCLA Center for Research and Health Policy, a cost-benefit analysis is being conducted.
California Inter-Agency Asthma Interest Group
The California Interagency Asthma Interest Group (CIAIG) promotes collaboration and communication among State agencies and programs to work toward an integrated and sustained State effort to reduce the impact of asthma on individuals, families and communities in California. IMAP has been actively involved in this collaboration since its inception in 2003.
California Medicine and Public Health Initiative
The mission of the California Medicine and Public Health Initiative (CMPHI) is to bring together leadership from public health and medicine to discuss current and emerging community health issues of mutual interest and to encourage and support long-term collaboration between medicine and public health as guided by community health priorities.
The CMPHI Steering Committee has three key functions:
1. The identification of opportunities for building medicine and public health collaborations in California and for providing support to organizations that take action on these opportunities.
2. The review of major challenges and obstacles faced by organizations that are engaging in collaborative efforts and identification of vehicles for overcoming these barriers.
3. The creation of a vehicle for communicating and sharing information and lessons learned as collaborative efforts are advanced throughout the State. (Adopted, 2000)
The CMPHI is comprised of organizations and programs representing medicine and public health, community-based organizations and academic organizations.
IMAP actively participates on the Steering Committee that meets quarterly to provide a forum for ongoing communication to address areas of mutual interest as well as to provide oversight to the initiative.
IMAP has provided ongoing technical assistance and support to this statewide initiative since 1998.
California Tobacco Control Alliance
The California Tobacco Control Alliance (CTCA) is a statewide organization working to reduce the use of tobacco in California through collaboration with traditional tobacco control organizations and new partners. The Alliance unites government, nonprofit, health, corporate, academic and business organizations behind a comprehensive statewide tobacco control strategy.
IMAP has provided ongoing technical assistance and support to this statewide initiative from 1999 - 2005.
Creating, Developing and Sustaining a Continuous Quality Improvement (CQI) Culture in a County-Based Healthcare Delivery System
IMAP is providing leadership and technical support to the development of continuous quality improvement (CQI) infrastructure and processes within two county-based public health clinics within the Solano County Health and Social Services Department - Public Health Division. The general aims of this project are to:
This project is supported through funding from the California Health Care Foundation.
Disaster Response and Bioterrorism
The Integrating Medicine and Public Health program, with additional staff from the Institute for Health & Aging, is completing a major project providing leadership, technical assistance, and consultation to Solano County Public Health, in their efforts to complete a series of disaster response and bioterrorism preparedness tasks for the federal government and the State of California.
A full-scale mass influenza vaccination exercise, reports on special-needs populations, communications, training needs, and a table-top pandemic influenza exercise were among the multiple accomplishments of the ongoing project.
Evaluation of An Arthritis Health Communication Campaign
The California Arthritis Partnership Program at the CA Department of Health Services conducted a health communication campaign in two Northern California cities, using a campaign designed by CDC to promote physical activity for arthritis management.
CAPP's implementation tested whether adding a physical activity opportunity in one city increased the intended effects of the CDC campaign. IMAP provided technical assistance during the study design and intervention phases and conducted the evaluation of the campaign, analyzing pre and post telephone surveys.
Evaluation of Outcomes Associated With A Clinic System's Capacity Building Grant
Life Long Medical Care (LMC) in Berkeley, CA received a Capacity Building Grant from The California Endowment to build administrative infrastructure at LMC, increase patient capacity, increase the sustainable funding basis at LMC, improve human resources and improve specific aspects of the quality of patient care and patient satisfaction.
IMAP has partnered with LMC to evaluate the outcomes associated with this Capacity Building Grant.
Evaluation of Medi-Cal's Medical Case Management Program
Medical Case Management (MCM) is a non-disease-specific, fee-for-service Medi-Cal program designed to provide integrated care for complex, chronically or catastrophically ill patients. Using claims data, the program's impact on hospital admissions, emergency department visits, and preventive services was evaluated. Two studies have been completed:
1. The impact on persons with diabetes (Lob SH, Kohatsu ND. Case management: a controlled evaluation of persons with diabetes. Clinical Performance and Quality Health Care 2000; 8(2):105-111) and
2. The effect on patients with congestive heart failure.
Healthy California Report Card Initiative
The Healthy California Report Card Initiative was an effort led by the United Way to develop a report card for communities throughout California. If implemented, the report card would have included county level and comparable data on 100 indicators including the economy, safety, education, environment, and health.
IMAP was on the design team for the development of this statewide community reporting system.
Influenza and Pneumonia Prevention in Long Term Care Facilities for the Elderly in California
The overall mission of this project is to increase rates for seasonal influenza and pneumococcal disease vaccination, and to employ other methods of influenza and pneumococcal disease prevention throughout the several types of residential Long-Term Care facilities in California.
The goal will be accomplished by an education campaign and outreach effort to the several California-based Long Term Care Associations and their member facilities, which together house and care for tens of thousands of residents, many of them elderly.
The project focuses on outreach via an Internet campaign, using Web-based educational surveys, toolkits and educational materials for long term care facilities, and offers specific technical assistance in support of facilities' efforts to increase prevention and immunization rates. The IMAP team has designed a website for this purpose: www.immunizeCAadults.org/ltc/. IMAP is also providing technical assistance to facilities in support of the ongoing campaign, which is being conducted on behalf of the California Adult Immunization Coalition with major funding from the Archstone Foundation.
Medicine and Public Health Partnership Survey
The Medicine and Public Health Partnership Survey was a statewide survey of medicine and public health partnerships in California.
The goals of this research study were to identify and describe the characteristics of active medicine and public health partnerships in California; to explore factors predictive of “success” and to translate and disseminate these findings. IMAP developed, conducted and evaluated this statewide survey. A manuscript is soon to be published that describes the findings and recommendations.
Office of Statewide Health Planning and Development - Hospital Community Benefits Planner's Manual
The Office of Statewide Health Planning and Development (OSHPD) Hospital Community Benefits Planner's Manual and its related trainings were developed to assist planners with their efforts to plan, implement and evaluate effective community-focused health improvement activities.
IMAP provided technical assistance to the development of this manual and six regional trainings for hospital-based community benefits planners.
Quality Improvement Project with the Medi-Cal In-Home Operations Program
An immunization survey was done for In Home Operations, a long-term case management program for severely ill or disabled Medi-Cal beneficiaries. IMAP assessed the vaccination coverage for two-year olds, reviewed possible barriers to timely immunizations, and made quality improvement recommendations.
Regional Disease Management Project
The Northern Sierra Rural Health Network (NSRHN) was funded through the TIDES Foundation to improve Information Technology (IT) infrastructure. NSRHN sought IMAP's advice on how to use their improved infrastructure for clinical purposes. IMAP performed a burden of disease assessment for the region, with specific focus on ten community clinics in a total of eight rural counties.
The clinics involved worked individually and as a region to use their IT competencies toward improvement of health outcomes in persons with diabetes mellitus.
IMAP provided assistance to each clinic in mining their administrative data and surveying the clinic's current Clinical Quality Improvement (CQI/Quality Assessment (QA) work. In addition, IMAP was a source for continuing education of staff and providers at each clinic on topics such as population health, disease management, and clinical quality improvement. Next steps for NSRHN may include the development of a regional approach to diabetes care. This regional collaborative of clinics is another example of the IMAP mission in action.
State of the Great Central Valley Indicators Report: Public Health and Access to Care
IMAP received funding from the Great Valley Center (GVC) to produce a comprehensive report focused on the status of public health and access to care in the 19 counties in the greater central valley of California.
This report featured the compilation and analysis of county level data on 23 public health and access to care indicators as identified by medicine and public health leaders in the Central Valley. For purposes of comparison and improvement, IMAP also included data that allows the user to compare the Central Valley to other regions and the state as a whole.
The report focuses on important components of health, including maternal and child health, senior health, chronic and communicable diseases, social indicators and measures of access to care such as the rate of uninsured people in the Central Valley.
Released in 2003, the report has
been used as a key reference for public health and
access to care stakeholders across the Central Valley.
GVC link to Indicators Report: Public Health and Access
to Care
Chapman RW, Porter P, Cho E, Fox P. The Health Status of Seniors In 26 Northern California Counties: A Report to the Sierra Health Foundation. September, 2000.
Fox P, Porter PG, Lob SH, Boer JH, Rocha DA, Adelson JW, Improving Asthma-Related Health Outcomes Among Low-Income, Multi-Ethnic School-Aged Children: Results of a Demonstration Project Combining Continuous Quality Improvement and Community Health Worker Strategies. Pediatrics (in press)
Kohatsu N, Lob S, Chapman RW, Fox P. Integrating Medical Care and Public Health to Improve the Health of Seniors. New Medicine 1998, 2:337-342.
Lob SH, Kohatsu ND. Case Management: A Controlled Evaluation of Persons with Diabetes. Clinical Performance and Quality Health Care 2000; 8(2):105-111.
Porter, P, Staff Influenza Vaccination - to Protect Your Patients, California Pediatrician, Fall 2006. 11-12.
Porter, P, Gandhi, N, Backer, H, Heinzerling, J. The Unprotected: Characteristics of Older Adults Who Did Not Receive Their Annual Influenza Immunization. (2003) http://repositories.cdlib.org/iha/2/
Porter, P. Final Report: A Survey of Adult Immunization Activities in California. May 2003.
Porter P, Beard R, Chapman R, Fox, P. The State of the Great Central Valley - Assessing the Region via Indicators: Public Health and Access to Care. January 2003 http://repositories.cdlib.org/iha/3/
Porter P, Ross L, Kohatsu N, Chapman R, Fox P. Medicine and Public Health Partnerships: Predictors of Success. (2002) http://repositories.cdlib.org/iha/4/
Porter, P, Chapman RW. California Medicine, Public Health, and Community Organizations: Common Intersects and Significant Barriers. California Family Physician, Summer 2002.
Porter P, Chapman RW, Cho E, Fox P. Access to Health Care In 26 Northern California Counties: A Report to the Sierra Health Foundation. September, 2000.
Porter, P, Chapman, R. Medicine and Public Health: Partnering to Improve the Health of Californians. Coalition of Nurse Practitioners Connection Newsletter, July/August 1999.
Porter P, Chapman RW. Medicine and Public Health: Partnering to Improve Health. Medical Board of California Action Report, July, 1999.
For additional information contact:
| Joel W. Adelson, M.D., PhD, M.P.H., Director Integrating Medicine & Public Health Program UCSF Institute for Health and Aging 3333 California Street, Suite 360 San Francisco, CA 94118 Telephone: (415) 502-9623 Fax: (415) 476-3915 Email: Joel.Adelson@ucsf.edu |
Patricia M. Laija, Project Assistant III Integrating Medicine and Public Health UCSF, Institute for Health and Aging 1616 Capitol Avenue, Suite 74.317 P.O. Box 997413, MS 7210 Sacramento, CA 95899-7413 Telephone: (916) 552-9717 Fax: (916) 552-9910 Email: Patricia.Laija@ucsf.edu |
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More information, contact:
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Last revised: Apr. 2008
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