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25475 Healthcare Delivery Science in LA: Addressing patient and health system priorities with cross-sector research infrastructure

Published online by Cambridge University Press:  30 March 2021

Amytis Towfighi ,
Allison Z. Orechwa ,
Arleen F. Brown ,
Moira Inkelas ,
Stefanie Vassar  and
Deborah K. Herman
Amytis Towfighi
Affiliation:
University of Southern California and LA County Department of Health Services
Allison Z. Orechwa
Affiliation:
Southern California Clinical and Translational Science Institute
Arleen F. Brown
Affiliation:
University of California Los Angeles and LA County Department of Health Services
Moira Inkelas
Affiliation:
University of California Los Angeles
Stefanie Vassar
Affiliation:
University of California Los Angeles Clinical and Translational Science Institute
Deborah K. Herman
Affiliation:
University of California Los Angeles Clinical and Translational Science Institute
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Abstract

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ABSTRACT IMPACT: Effective healthcare interventions improve access, quality of care, and health outcomes for underserved, high-disparity populations of Los Angeles county and beyond. OBJECTIVES/GOALS: We will expand our successful, Los Angeles-based public-academic partnership to develop and evaluate health system interventions aimed at improving healthcare for underserved communities, as well as develop workforce skilled in healthcare delivery science. METHODS/STUDY POPULATION: Together with the LA County Department of Health Services, the two LA-based CTSA hubs at USC and UCLA have established critical infrastructure for effective cross-sector translational research: (1) New funding mechanisms to evaluate health system interventions in county hospitals and clinics in areas of mutual interest; (2) Specialized research service cores (Safety-net Health Innovation core, Clinical Research Informatics core, and Healthcare Delivery Science core), and (3) Training and mentorship programs tailored for healthcare delivery scientists. RESULTS/ANTICIPATED RESULTS: Outcomes from the first four years of the partnership include: (1) Significant impact on health outcomes from eight funded projects, e.g., lowered A1c levels by 0.9%; (2) Successful, coordinated service to dozens of research projects, e.g., a teleretinal screening program decreased ophthalmology visit wait times from 158 to 17 days; (3) New virtual coursework in seven domains (healthcare delivery science, dissemination and implementation science, systems engineering, behavioral economics, informatics, team science, and community engagement); (4) A published ‘synergy paper’ w/ CTSA hubs in three other urban cities examining common themes of academic-public partnerships; and (5) Rapid and streamlined COVID-19 research policy setting with county leadership. DISCUSSION/SIGNIFICANCE OF FINDINGS: Our sustainable infrastructure is effectively bridging research-policy-practice gaps in Los Angeles and addressing patients’ and the health system’s priorities.

Type
Translational Science, Policy, & Health Outcomes Science
Information
Journal of Clinical and Translational Science , Volume 5 , Issue s1 , March 2021 , pp. 127
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Association for Clinical and Translational Science 2021