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Guns Down, Life Up

Gun violence is a serious public health crisis in New York City. Not only are thousands of lives lost to gun violence every year, but it is also the leading cause of death among young people between the ages of 13-24 in NYC. To address this issue, NYC Health + Hospitals implemented Guns Down, Life Up (GDLU). The goal of GDLU is to reduce violent injuries among young people, ages 11-18, so they never end up as trauma patients in hospital facilities. To achieve this, the program has three main components.

  • Prevention: engaging youth early in long-term mentorship and developmental activities to divert them from involvement with violent peer groups and behaviors.
  • Community Mobilization: engaging with concerned organizations and neighborhood residents to build community strategies to reduce neighborhood violence.
  • Intervention: immediately engaging with people who have been violently injured to prevent retaliation and provide counsel and support.

NYC H+H works with many partners on GDLU, including local schools, Cure Violence programs across the city, the Bronx Documentary Center, and other local vendors and community-based organizations to share resources and activities.

 

Road to Better Health

The Road to Better Health Coalition (RTBH) was formed in 2008 following a community health assessment that identified serious needs in the areas of teen pregnancy, access to care, obesity and other health-related issues. It also confirmed that the community faced significant health disparities related to race, income and education. Leaders took action and formed RTBH, a coalition of over 70 partners and stakeholders, to identify health priorities for Spartanburg County and improve health outcomes through data-driven decision-making. The current priority areas are access to care, adult oral health, behavioral health, birth outcomes, health equity, obesity prevention and tobacco cessation.

The RTBH Coalition is guided by an Advisory Board that includes key leaders from 18 organizations. The Advisory Board provides leadership and strategic input on the operations and activities of RTBH and serves as the collective decision-making body. RTBH taskforces have been formed to establish goals and monitor progress across each of the priority areas. The hospital and participating organizations leverage partnerships and resources and equally share the expenses of the coalition. Although the RTBH focuses on all residents of Spartanburg County, particular emphasis is placed on disparate populations.

The RTBH Coalition strives to connect and mobilize partners who are working to improve local health outcomes. The hospital along with representatives from academia, non-profits, government, philanthropy, and the business community  offer their skills, expertise, and resources to the coalition and are committed to bringing about positive change as engaged members of RTBH taskforces and initiatives.

RTBH stakeholders come together every three years to review and prioritize the critical health issues identified in the Spartanburg Community Indicators Public Health Report.  They also convene annually to assess progress toward collective goals. The following initiatives serve as select examples of successful efforts to address community health concerns and reduce healthcare costs.

  • AccessHealth Spartanburg (AHS) connects uninsured residents to a network of donated care, a medical home, and other services including behavioral health care. The success of AHS has contributed to the decrease in charity costs at Spartanburg Medical Center from $116 million (2008) to $64 million (2016). For every $1.00 invested in AHS, there is $12.62 returned in benefits.
  • Collaborative efforts among local institutions and multiple community partners have led to a remarkable reduction in teen birth rates. The overall teen birth rate for 15-19 year olds in Spartanburg County decreased by 50% from 2010 – 2016. The most substantial decline occurred among African American females; decreasing by 68% from 2010 to 2016.
  • Spartanburg County’s County Health Ranking improved from 21st in 2010, to 18th in 2014, to 14th in 2017.

Preventive Food Pantry

Boston Medical Center (BMC) created its Preventive Food Pantry in October 2001 to address hunger-related illnesses and malnutrition among its low-income patient population.  Shortly before the Pantry’s opening, a survey found that 1 in every 10 families served at BMC did not know where their next meal was coming from.  The Pantry first served Pediatrics and the Women’s Center, as children and pregnant moms were the target population. The other clinical areas were gradually added over a five-year period. It now serves patients from all departments at BMC who have a physician’s referral, a prescription for supplemental food that best promote physical health, prevent future illness, and facilitate recovery.

Striving solely on philanthropy, the Food Pantry provides food to approximately 7,000 people per month. It is open Monday to Friday from 10:00 am to 4:00 pm, and families can visit twice per month. They receive three to four days’ worth of food each visit, based on their household sizes and dietary restrictions. A key feature is the provision of perishable foods, such as fresh fruits and vegetables, meats, milk, cheese and eggs – items that are costly and therefore often lacking in a low-income family’s diet.

The Pantry works closely with the Greater Boston Food Bank, receiving an average of 15,000 pounds of food each week. It also benefits from partnerships with companies, local schools, churches and temples that donate food.

Recipient of the 2012 James W. Varnum National Quality Health Care Award, BMC’s food pantry has helped change the lives of many patients and families in a personal and dignified manner. This is evident in the pantry receiving a satisfaction rate of over 90 percent by its clients over the course of its existence.