Center for Health System Design & Implementation
The Center for Health System Design & Implementation (CHSDI) conducts and supports research focused on health systems, their design and operation, and how change is introduced and implemented to optimize them.
Promoting health and better health care delivery requires innovative programs. The CHSDI generates these programs by drawing from diverse disciplines housed in the Institute for Health System Innovation & Policy and across Boston University’s Schools and Colleges.
The CHSDI is led by Dr. Brian Jack, professor of the department of family medicine at the Boston University School of Medicine.
Engaging Local Youth to Create a Culture of Health: Building a Community-Based Culture of Health Accelerator
Led by Katherine Gergen-Barnett, MD (Family Medicine, MED), and Linda Sprague-Martinez, PhD (SSW).
Drs. Gergen-Barnett and Sprague-Martinez are developing and carrying out research that supports the development of evidence-based practices in the area of youth engagement in community health and development efforts. They are engaging, mentoring and supporting local youth to conceptualize, organize and implement a culture of health initiative in the shared community of Boston Medical Center and its surrounding residents.
By rigorously studying this effort, they are working towards an evidence-based guide to realizing the value of engaging youth voice holds for both youth and their broader community.
WCVB 5 Reports: Youth researchers focus on public health in Boston neighborhoods
Experts in Print: IHSIP Fellows and Faculty in October Health Affairs Issue
What Do We Have to Learn from Young People When It Comes to Improving Community Health?
Innovations in End of Life Care
Led by Suzanne Mitchell, MD MSS (Family Medicine & Palliative Care, MED).
Dr. Mitchell’s research is focused on developing a better perspective on the best practice models of palliative and hospice care in the US in order to bring high quality serious illness and end of life care to our community.
Care near the end of life should be person-centered, family-oriented, and evidence-based. Health care delivery for people nearing the end of life has changed significantly in the past two decades. Factors such as the aging population, structural barriers in access to care for certain populations, and a fragmented health care system present challenges to providing quality care in the face of serious illness and near the end of life. The goal of palliative care is to reduce the burden of illness that is experienced by both the patient and the patient’s family from the time of diagnosis onward. When a person finally reaches the point of a terminal illness, health professionals must do their best to provide a psychologically and emotionally healing experience for patients and their families with a palliative and/or hospice approach.
Timely palliative care consultations have been shown to improve the quality of care, reduce overall costs, and sometimes even increase longevity. In an era when health care organizations may soon receive capitated payments for all services that patients receive, many are investing in palliative care to improve overall value. However, it’s not clear which models of palliative and/or end of life care delivery best meet the needs of patients and their families.