Integrating Firearm Injury Prevention into Health Care Proceedings of a Joint Workshop of the National Academies of Sciences, Engineering, and Medicine; Northwell Health; and PEACE Initiative (2022) / Chapter Skim
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6 Defining a Firearms Violence Prevention Road Map for Hospital and Health Systems
6 Defining a Firearms Violence Prevention Road Map for Hospital and Health Systems
Pages 53-62
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From page 53... ...
HOW THE PANELISTS BECAME INVOLVED IN FIREARM INJURY PREVENTION To start, Sathya asked the panelists to talk about their background, why firearm injury prevention is so important to them, and why they believe firearm violence is both a public health and health care issue. Braxton said that he grew up in the Hampton, Virginia, area, had trouble in school, was incarcerated, turned his life around, and ended up working in the neighborhood in which he grew up and serving as a symbol of transformation to the young men in that neighborhood.
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From page 54... ...
• Hospitals can address social and economic issues that lead to firearm violence by engaging with the community. • The health care industry can address gun violence by system atically implementing effective gun violence prevention strate gies across hospital systems.
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From page 55... ...
It also involves a great deal of work with policy makers, the media, and people who may not typically consider themselves to be part of public health. Ranney noted that she has been fortunate not only to conduct funded research on firearm injury prevention but also to work as a cofounder of a nonprofit and serve on the board of the local Nonviolence Institute in Providence, Rhode Island, all of which deeply informs her approaches to this issue.
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From page 56... ...
"Of course the people who are listening today are passionate about this issue, but when you look at the health care industry overall, the implementation of these strategies is lacking in a majority of hospitals," said Sathya. Jackiewicz introduced himself by noting that he has been at UChicago Medicine for 20 months, following more than 8 years as chief executive officer of Keck Medicine at the University of Southern California in East Los Angeles, and before that serving as chief executive officer of the University of California, San Diego School of Medicine.
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From page 57... ...
Wanting to understand the mental health sequelae of combat exposures led him to work on suicide prevention, particularly in the veteran community, and on evaluating suicide prevention programs, which to him, meant looking at firearms. Ramchand said that as an epidemiologist, he comes to this issue with a passion for high-quality data.
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From page 58... ...
As with violence prevention programs, suicide prevention programs tend to come in waves, where a particularly high-profile case gets attention and people get involved, and then attention fades and so do the programs. One of the biggest successes and challenges that Ranney noted was around tracking actual data on both firearm injuries and what she calls firearm injury adjacent patients.
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From page 59... ...
When asked about his successes or challenges with respect to implementation, Ramchand first noted that the National Action Alliance for Suicide Prevention has recommended that hospitals and health systems begin col lecting postdischarge patient mortality and patient survival data as a patient centered outcome. Researchers could use these data to test what is or is not working in terms of death prevention and firearm injury interventions.
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From page 60... ...
TRANSFORMING COMMUNITIES TO PREVENT FIREARM VIOLENCE Sathya asked Braxton whether he could share his thoughts about the critical components that health systems need to consider when developing a road map to move forward with efforts to reduce firearm violence in the community. Braxton said that there is no one answer and that ultimately most of the responsibility falls to the community.
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From page 61... ...
The specialists are integrated into the clinical care teams and work with community groups, like street outreach organiza tions, to provide wraparound support and connect gun violence victims with programs and resources that best meet their needs. The violence recovery initiative is also a workforce program.
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From page 62... ...
Jackiewicz recounted a story about someone he met who moved away from the South Side where she had been born and raised because she was scared of getting shot while walking to the grocery store. This common story highlights the need for violence prevention programs, health equity programs, investments in training community members, and other steps to be intertwined because unless people feel safe in their community, progress will be limited.
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