The Foundation's Health Tracking initiative was designed to support efforts to understand better health system changes and how these changes affect people.In October 1994, the Foundation authorized the Monitoring Changes in the Health Care System, an initiative designed to track and report on changes in the U.S. health care system and how they affect Americans' health. One initial project of the Monitoring Initiative is a series of assessments about the dynamics of local health systems change--or "community snapshots." The purpose of these assessments is to produce up-to-date information that describes how local health systems are changing in 15 communities across the country. This information will help further understanding of how local systems of care are evolving and of the impact of these changes on the people in those communities. The assessments will be based on available data describing the community, a series of structural interviews with selected community health care leaders, and collaborative review and analysis by the investigators. The University of Washington School of Public Health and Community Medicine was selected as one of the three teams to conduct these analyses. Each team will work in five communities and each team will be responsible for producing a report on each of their communities as well as for an additional comparative report on an important issue that draws on selected information in all fifteen communities. Information will be collected in each community using a common approach so that information can be compared and contrasted across communities. A series of dissemination activities are planned to communicate the findings of the analyses to policy makers, researchers, and health care leaders. These include a conference to discuss what these findings mean and to highlight the importance of local delivery system change. Other possible dissemination activities will focus on the public and include convening media representatives from the communities to discuss results and to release city-specific reports in each locale. The findings will also provide useful contextual information for selecting a sample of communities for ongoing community monitoring studies. These projects will be managed and coordinated with other monitoring efforts in conjunction with the Center for Studying Health System Change.
Amount Awarded $167,613.00
Awarded on: 2/1/1995
Time frame: 2/1/1995 - 3/31/1996
Grant Number: 26722