208773 Collaborative imperative: A city-county initiative to improve community health through the transition of clinical preventive health services

Monday, November 9, 2009: 1:30 PM

Camerino I. Salazar, MS , Director, Outcomes and Evaluation, University Center for Community Health, University Health System, San Antonio, TX
Christine Rutherford-Stuart, MPH , Executive Assistant, San Antonio Metropolitan Health District, San Antonio, TX
Theresa De La Haya, RN, MPH , Senior Vice President, Community Health and Clinical Preventive Programs, Univeristy Center for Community Health, University Health System, San Antonio, TX
Fernando A. Guerra, MD, MPH , Health Director, San Antonio Metro Health District, San Antonio, TX
Steve Enders, FACHE, MS, MA , Senior Vice President, Ambulatory Services, University Health System, San Antonio, TX
Bryan J. Alsip, MD, MPH , Assistant Director, San Antonio Metropolitan Health District, San Antonio, TX
Priti Mody-Bailey, MD, MA , President/CEO, Community Medicine Associates, San Antonio, TX
Charles E. Pruski, MBA , Assistant Director, Environment and Administrative Services, San Antonio Metropolitan Health District, San Antonio, TX
Adela Gonzalez, MPA, PhD , Laredo Campus Extension and South Texas AHEC, Executive Director for South Texas Programs, San Antonio, TX
In 1997, the Committee on Medicine and Public Health Collaboration at the New York Academy of Sciences released a monograph detailing national models of medical and public health collaboration to improve access to care. This “Collaborative Imperative” was considered as the next stage in improving quality and access to clinical and preventive care for the population.In the decade since this publication; the stressors facing the nation's public health entities (i.e., local public health departments, public hospitals, clinics and related research institutions) have only increased. In this context it has become critical for public health partners to leverage resources and expertise to improve both the delivery of and access to heatlh services. To address these challenges joint partnership was formed between the San Antonio Metropolitan Health District (Metro Health) and the Bexar County Hospital District d/b/a University Health System (UHS) in October 2006. Through a collaborative health planning process all clinical preventive health services were transitioned from Metro Health to UHS with the broader goal being that such a transition would a) enhance the quality of services, b) reduce duplication, and utilize resources more efficiently, and c) support a seamless system of care for patients. This presentation will discuss the transition process, evaluation findings, challenges encountered, opportunities and lessons learned. Public health partnerships have the potential to leverage and combine resources (clinical expertise, infrastructure, and preventive services) in an era of increasing demand and limited resources for the delivery of health services.

Learning Objectives:
Discuss the value of collaborative goal setting and planning to develop a health system that includes prevention, delivery of efficient high value care, evidence-based practice, community engagement, and inter-operable information systems. Describe the practical aspects of collaborative partnerships that are critical to supporting the planning and implementation of broad health system initiatives. Discuss considerations in planning, conducting, and responding to evaluation results regarding the quality and accessibility of services in health system initiatives.

Keywords: Community Health Planning, Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Currently I am the Director of Clinical Outcomes and Program Evaluation at University Center for Community Health/TDI. In my position I oversee the programmatic evaluation and reporting of outcomes associated with interventions targeting chronic disease among at-risk populations. I currently hold a Master of Science in Sociology and have have for the past decade worked within the area of public health research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.