The Jewish Healthcare Foundation’s Patient Safety Fellowship will offer a unique curriculum this summer to explore the challenges and opportunities facing senior residential living and senior care. After the disruption of COVID-19, options for elders must embrace creative solutions that help older adults age well and safely in a range of settings. Fellows, working across disciplines, will explore existing and conceptual models for transforming our community and healthcare systems that maximize quality of life for elders and families.

Within teams, fellows will identify core elements to design a new model that enhances current systems to maximize safety and quality, and then they will pitch how the adoption and implementation of their model would address challenges of our current systems.

The Patient Safety Fellowship is a dynamic educational program of the Jewish Healthcare Foundation, Pittsburgh Regional Health Initiative, and Health Careers Futures.

The Fellowship aims to foster the healthcare leaders of tomorrow—leaders who respond to rapid change and discovery, apply an interdisciplinary approach, and strive to continually improve health care and patient safety.

This summer, the Fellowship is focusing on the overall response to COVID-19 in the U.S.. Over the course of the 9-week program, fellows will engage with a variety of expert speakers in the fields of public health, infectious disease, safety science, and emergency preparedness, as well as leaders of healthcare systems and local innovators adapting to the crisis. As the fellows engage with one another and gain insight from the different lens of the pandemic, they will synthesize their lessons and apply them in designing a response to a case study/scenario of a healthcare outbreak or disaster.

The home for the 2019 Salk Health Activist Fellowship.

We are going to use this platform to be able to communicate effectively, collaborate, and build each other up for this fellowship. Activism starts here. Let us learn and use each other's strengths to the best of our ability. 

Together, we can change the world. 

Pregnant women, no matter their socioeconomic status, should have equal rights and access to the best care. We hope to narrow down the potential causes of increased mortality rates and design unique solutions to address gaps in quality and access to care. 

The aim of this project is to establish a maternal care collaborative similar to and modeled after the California Maternal Quality Care Collaborative (CMQCC). This collaborative will differ in that it will be run for and by hospitals that primarily service neighborhoods with a large black population (there is evidence that points to the quality of care at hospitals where a disproportionate number of black women deliver as a contributing factor as to why black mothers are dying at a rate that is higher than white moms). 

Key elements of the collaborative:

- All hospitals in the collaborative will work to submit data to the MMRIA (Maternal Mortality Review Information Application) a free data system that allows users to develop quality improvement plans based on the reports generated by MMRIA (CMQCC has their maternal data center. This collaborative will utilize an existing free one to cut costs at least in the beginning). 

- Create and share development of evidence-based quality improvement toolkits that address the leading causes of preventable complications and deaths 

- Physician education: provide patient first continuing medical education for providers that address the common issues black women face in their pregnancies; physician and hospital administration education on new protocols for rare situations

- Use of predictive analytics to develop a risk score for pregnancy related complications and maternal mortality that will be available for all providers to see in the patient's EHR. (Major difference between this collaborative and CMQCC). 

- Development or outsourcing of a doula program similar to the use of case/disease managers for women who were identified as high risk through the risk score analysis mentioned above 

- Development and distribution of a patient satisfaction survey. Dedicated Committee to review all surveys and address issues 

The home for the 2018 Salk Health Activist Fellowship.

We are going to use this platform to be able to communicate effectively, collaborate, and build each other up for this fellowship. Activism starts here. Let us learn and use each other's strengths to the best of our ability. 

Together, we can change the world. 

Vitiligo (vit-ih-LIE-go) is a disease that causes the loss of skin color in blotches. The extent and rate of color loss from vitiligo is unpredictable. It can affect the skin on any part of your body. It may also affect hair and the inside of the mouth. The main reason and cause of vitiligo is the fact that the body itself decides to destroy its skin pigment. Without a doubt, this is an irregularity of the system. However, the main culprit for this setback is the immune system. Doctors currently can’t predict whether the Vitiligo on a person will spread, and  how fast. Currently, there is no known cure for Vitiligo, but treatment may be able to make skin tone appear more even. However, treatments can be time consuming and expensive, and often not covered by health insurance.  Because Vitiligo affects a person’s appearance, it is considered as a “cosmetic problem.” However, it is more than a “cosmetic problem.” It is a medical condition. People who have Vitiligo have a higher risk of getting some other medical conditions – such as hearing loss; painful sunburns; develop other autoimmune diseases; changes in vision/eye problems; anxiety and depression. Vitiligo is not contagious, and it is not life threatening. However, it is life-altering. Some people develop low self-esteem. They may no longer want to hang out with friends. They can develop serious depression. Most people have Vitiligo for life, so it’s important to develop coping strategies. Researchers have found that many people who have vitiligo often feel anxious and embarrassed around others. It’s easy to understand why. People often stare and make rude remarks. Some people are obviously frightened. Facing this day in and day out can take a toll on a person’s overall wellbeing. 

Vision: 

- Raise awareness about vitiligo and the dermatological and psychological impact the disease has on those affected by it.

- Partner with healthcare professionals, educational institutions and social workers and activists to work diligently toward securing grant funding and increase sponsors and donors.

- Encourage governmental agencies to make vitiligo research and advocacy efforts a high priority.

- Improve the care of patients with vitiligo by providing medical professionals with the best available information about vitiligo and its treatment.

- Improve teacher and staff training in schools so they are prepared to provide support to parents and students cope with this disease. 

About Addiction is committed to challenging harmful stereotypes surrounding addiction and recovery. In today's world, "the addict" is often depicted as someone who is lazy, weak-willed, and even dangerous to our communities. Individuals battling substance use disorders are consistently portrayed in this inaccurate and unfair light, leaving many stranded in a world of overwhelming stigma and cyclic abuse. 

The reality of addiction is that it knows no boundaries. Addiction affects people from all walks of life, regardless of race, gender, or socioeconomic status. Addiction is not a lack of moral judgment, nor is it a lack of willpower. Addiction is a mental illness, a heavily-researched disruption of the body's normal physiological processes.

We, as a nation, are currently facing an epidemic of prescription drug misuse, abuse, and addiction. The number of Americans battling substance use disorders is growing exponentially, with over 100 lives lost to drug overdoses every single day. 

Thankfully, we are beginning to see increased recognition and concern for this problem. Across the nation, communities are mobilizing to create new resources for treatment and recovery. But all of these efforts can only do so much good if we continue to allow harsh and inaccurate stereotypes to propogate. It is paramount that while we continue to build these resources, we simultaneously shift public opinion about addiction away from judgment and discomfort and toward understanding, support, and acceptance. 

About Addiction believes that we must create a world where individuals with substance use disorders are first recognized for who they truly are: human beings, each unique and valuable, who have fallen on difficult times. We must make a conscious effort to learn and to understand the process of this disease and how we can help those affected. We must support our neighbors in their recovery, both short- and long-term, and empower them to re-build their lives and pursue healthy, successful futures. Re-shaping perspectives of addiction is truly the first step on the road to recovery.  

Older adults can be easily overwhelmed with the name and amounts of medication required during hospitalization and in the community. I hope to create a tool to serve elderly adults through hospitalization and medication management at home. From first hand experience, sometimes just knowing the right questions can go a long way!

The vision of this group is to realize the implementation of medical marijuana as a viable therapeutic option. Although legislation has enacted its use in Pennsylvania for a select number of disease states, a number of barriers to implementation exist before comprehensive medical marijuana therapy can become a reality.

This action group hopes to learn from local leaders in medical marijuana policy reform, anticipate these barriers to impelementation, and combine resources to address the root causes that might affect the greatest downstream change. 

Last, this action group hopes to investigate research showing the influence of comprehensive marijuana policy on opioid abuse and overdose in pilot states across the country. Synthesis and analysis of this research may illuminate the role of medical marijuana as an alternative to opiate therapy in the management of long term pain. We hope to investigate this with both precision and urgency and present our findings to experts in pain management.

Adverse Childhood Experiences (ACEs), stressful or traumatic events that a child experiences while growing up, are proven risk factors for future developmental, behavioral, and emotional distubances. For example, ACEs can impact an indiviual's lifespan, sustance abuse, high-risk sexual behavior, pregancy outcomes, and depression levels. Considering the drastic impact ACEs can have on a child's future, we believe it is imperative to increase protective factors against them and investigate how to mitigate their effects. These effort are driven by the goal of impairing the  tragectory of negative outcomes ACEs induce in order to promote a safer future for children disadvantaged at a young age. 

Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Young adults are among the most affected by low rates of health literacy. Increased health literacy can lead to fewer chronic health condtions, better lifestyle choices, and a more complete understanding of one's medical rights. My vision is one where people understand their health insurance and how to navigate it. And based on this understanding of their health insurance, they maintain a healthier lifestyle. It's a vision of a world where people understand their doctor or nurse when speaking to them and do not leave the hospital or office completely confused.  

We are going to use this platform to be able to communicate effectively, collaborate, and build each other up for this fellowship. Activism satrts here, let us learn and use each other's strengths to the best of our ability. 

We are here to help, and are open to any and all questions that you may possess. If we don't know the answer, we will do our best to find someone who does. Together, we can change the world. 

Care coordination mistakes are costly... and not just in terms of financial expenses. Some of the most common care coordination mistakes are also major culprits for death and exacerbated patient health problems. U.S. News & World Reportindicates, “Medical errors are [the] third leading cause of death in the U.S. 10 percent of U.S. deaths are due to preventable medical mistakes" such as: Documentation errors  Communication Disconnects Lack of Coordination Neglecting Follow-ups Delays