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  • 1. UCSF Center for Vulnerable Populationsat San Francisco General Hospital and Trauma Center2009 Annual Report

2. UCSF Center for Vulnerable Populationsat San Francisco General Hospital and Trauma Center 2009 Annual Report Table of ContentsI. Executive Summary.. 2II. Background and Introduction.. 5III. Center Plans and Development. 5IV. CVP Research Projects.7V. Dissemination............. 14VI. CVP Awards and Recognition25VII. Policy Impacts.. 25VIII. Appendices. 28 3. I. CVP ANNUAL REPORT EXECUTIVE SUMMARYThe UCSF Center for Vulnerable Populations (CVP), directed by Dean Schillinger, MD (Director) and Kirsten Bibbins-Domingo MD, PHD, MAS (co-Director) was founded in 2006 and is the only UCSF research center dedicated to chronic disease. Its mission is to carry out innovative research to prevent and treat chronic disease in populations for whom social conditions often conspire to both promote chronic disease and make its management more challenging. CVP is based within the UCSF Department of Medicine located on the campus of San Francisco General Hospital and Trauma Center, the public health hospital of the City and County of San Francisco.CVP has distinguished itself as a practice-based research center whose work has helped translate research into community and public health practice, as well as infuse local practice back into research. CVP faculty has coordinated 7 randomized trials in community settings. Beyond the local communities it serves, CVP is nationally and internationally known for its research in health communication and health policy to reduce health disparities, with special expertise in the social determinants of health, including literacy, food policy, poverty and minority status, and with a focus on the clinical conditions of pre-diabetes, diabetes, and cardiovascular disease, including hypertension, chronic kidney disease and heart failure.In 2009, the CVP successfully recruited new faculty and staff and launched a new website http://cvp.ucsf.edu. In addition, thanks to the vision of the San Francisco General Hospital Foundation and a gift from an individual donor, we developed space plans for a 2600 square foot space to permanently house the CVP and its two future programs-- Health Communications and Health Policy and Chronic Disease Prevention. The CVP has now grown to include 8 multidisciplinary faculty investigators, 3 biostatisticians, 1 mathematician a Center manager, project coordinator and 6 research and administrative staff.During 2009, the CVP received several prestigious awards including the 14th Annual George Engel Award for Outstanding Research Contributing to the Theory, Practice and Teaching of Effective Health Care Communication and Related Skills awarded to Dr. Dean Schillinger. CVP faculty and staff were also recognized as Quality Leaders from the California Association of Public Hospitals/Safety Net Institute (CAPH/SNI) for the Automated Telephone Self-Management Support Model for Diabetes Project.In 2009 alone, CVP faculty 1st-authored 15 peer-reviewed papers and co-authored 36 more, in several prestigious journals that include the New England Journal of Medicine, Annals of Internal Medicine, and American Journal of Public Health and broadened dissemination efforts to reach diverse audiences including the Spanish-language radio station Radio Bilinge; an NBC-affiliated show, Comunidad del Valle; a CBS local station, KTVU, and through the ethnic media consortium, New America Media. The CVP also created and distributed fact sheets that highlighted key research findings to diverse groups.This year the CVP further expanded its research portfolio with grants from the Center for Disease Control and Prevention, the National Institutes of Health (National Heart, Lung, and Blood Institute and National Institute of Diabetes and Digestive and Kidney Diseases), the American Heart Association, the Robert Wood Johnson Foundation, the2 4. California Program on Access to Care, the California Endowment and others that contribute to a research portfolio of over $10 million. The CVP embarked on several pioneering research projects including partnering with the San Francisco Health Plan in a scaled-up automated telephone diabetes management program; adapting a heart disease policy model to explore impacts on minorities and the poor; assessing chronic disease risk in young adults; exploring the relationship between food insecurity and chronic disease; and strengthening binational disease prevention efforts between US and Mexico.The CVP also continues to play an active role in translating research into public policy. Dr. Schillinger continues his role as Chief of the California Diabetes Prevention and Control Program; Dr. Bibbins-Domingo has worked with the Center for Disease Control and other state and local agencies to advise on policies related to salt intake in the US diet; she is also a member of an Institute of Medicine Committee making recommendations on vaccine safety; Dr Urmimala Sarkar serves in an advisory capacity for the National Patient Safety Foundation; and Dr. Seligman advances policies around food insecurity by participating in the Food Security Task Force and the Southeast Food Access Program of the City and County of San Francisco.The CVP spent much of last year strengthening and forming new partnerships both within and beyond UCSF. The CVP continues to play leadership roles in UCSFs Clinical and Translational Sciences Institute (CTSI), advancing community engagement and dissemination sciences, helping direct the training program for the CTSI mentored scientist awards, and participating in the San Francisco Health Improvement Project to improve collaborations between UCSF, local health departments and the broader community. The CVP also collaborated with UCSF Global Health Sciences to pilot a medical residency exchange program in Tanzania, Africa. Lastly, CVP is collaborating on a planning process to improve collaborations between UCSF faculty based at SFGH and the San Francisco Unified School District.The CVP is building momentum to generate even broader impact in 2010. The Center will focus programmatic efforts on space renovation and fundraising, and will refine and further realize our vision for two new CVP programs in Health Communications and Health Policy and Chronic Disease Prevention. The CVP will also increase its visibility and impact by 1) launching a UCSF Health Communications Research Seminar series; 2) coordinating a larger initiative to bring together research expertise on the SFGH campus to improve the health of vulnerable populations; and 3) holding symposia that showcase work related to vulnerable populations both at SFGH and in the larger UCSF community. The CVP is expanding its role as a premier translational research home for a range of trans-disciplinary scientists dedicated to reducing the burden of chronic disease in vulnerable populations. 3 5. Annual Report SectionSummaryFaculty20 Faculty and Staff Members-1 Constance B. Wofsy Professor-1 Professor-1 Associate Professor-5 Assistant Professors-3 Biostatisticians-1 Mathematician-1 Center Manager-1 Project coordinator-1 Administrative Assistant-5 Staff Research AssociatesResearch projectsCVP faculty members are principal investigatorsor co-investigators on 24 projects. Theprojects with CVP faculty as PIs represent$10,103,799 in total costs Publications 51 peer-reviewed articles in 31 academicjournals17 additional research abstracts7 non-peer reviewed publications Presentations/Symposia 52 Presentations and Invited Lectures-19 national-28 regional -5 international Awards and recognition 5 Awards or nominations -1 national award -1 program award -1 abstract finalist -1 abstract award -1 national research award finalist Research mentoring and 27 Mentees training -14 Faculty members -Primary mentorship on two K Awards -Secondary mentorship on VACD Award -Secondary mentorship on K Award -Secondary mentorship on ACR junior faculty award-11 Postdoctoral fellows and residents - 2 Predoctoral students 4 6. II. BACKGROUND AND INTRODUCTION Established in October 2006, the UCSF Center for Vulnerable Populations (CVP http://cvp.ucsf.edu) is the only research center at UCSF dedicated to chronic disease. With its academic home in the UCSF Department of Medicine, its mission is to carry out innovative research to prevent and treat chronic disease in populations for whom social conditions often conspire to promote chronic disease and make its management more challenging. CVP has distinguished itself as a practice-based research center whose work has helped translate research into community and public health practice, as well as infuse local practice back into research. Beyond the local communities it serves, CVP is nationally and internationally known for its research in health communication and health policy to reduce health disparities, with special expertise in the social determinants of health, including literacy and language, food policy, poverty and minority status, and a focus on the clinical conditions of pre-diabetes, diabetes, hypertension and heart failure.The following report focuses on CVP activities and accomplishments for 2009 only. We will present an overview of the Centers infrastructure development; current research projects and grants; dissemination efforts; and policy impacts.III. CENTER PLANS AND DEVELOPMENT A. NEW DESIGNATED SPACEThe CVP recently secured a 2,600 square foot shell space on 25 th Street and Potrero Avenue (two blocks south of the hospital) to renovate and house the CVP. This new space will allow the CVP to support and centralize its current operations and house two new programs--Health Communications and Health Policy and Chronic Disease Prevention--that further the CVP mission of translating innovative research into effective clinical and public health practice.The CVP Health Communications Program is dedicated to improving health commun