Administrative Core

ADMINISTRATIVE CORE ABSTRACT The Administrative Core (ADMIN) for the Center to Improve Chronic disease Outcomes through Multi-level and Multi-generational approaches Unifying Novel Interventions and Training for health EquitY (The COMMUNITY Center) is essential for meeting the Center?s mission. The ADMIN will fully leverage the exceptional research and training resources and infrastructure of Columbia University Irving Medical Center (CUIMC), Weill Cornell Medical Center (WCM) and Hunter College at the City University of New York (CUNY) and the regional healthcare systems and networks of New York-Presbyterian (NYP) Hospital System and the Physician Affiliate Group of New York (PAGNY) to conduct prevention, screening, treatment, and management interventions to reduce health disparities in multiple chronic diseases. The Center focuses on rigorous testing of interventions that incorporate the multiple levels of influence from individual, interpersonal, community and societal approaches developed by interdisciplinary team science. We have designed three synergistic projects that focus on novel interventions in the community and NYP health care systems employing the community health worker (CHW) model for enrollment and/or retention into the studies while also connecting participants to services based on five domains of Social Determinants of Health (SDoH; housing instability, food insecurity, transportation problems, utility help needs and insurance enrollment). The ADMIN will oversee, manage, and coordinate the range of administrative activities for the entire COMMUNITY Center (Aim 1). Within the ADMIN we will also provide COMMUNITY Center members support for projects and pilots through Core faculty with expertise in: 1) Biostatistics; 2) Implementation Science; 3) Data Harmonization and Biomedical Informatics. The ADMIN will also monitor research progress and ensure implementation of the Center Plans through formal feedback and ongoing evaluations and disseminate approaches, methods, findings and best practices across our NYC Region and through the NIMHD Centers and health policy forums. In addition to evaluating the projects and IDC pilots based on their deliverables, we will evaluate the other novel aspects of our program including the CHW model and the CONNECTOME?S community projects. The COMMUNITY Center?s ultimate impact in eliminating health disparities in multiple chronic diseases in our NYC Region will come from our collective efforts in developing, translating and sustaining novel interventions and programs through community engaged research that addresses synergies across prevention, treatment and management strategies. The projects that we have developed and the pilots and community grants that will form the heart of this Center are the first steps to meeting this goal. The ADMIN will support this mission.