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PIMS - Strategic Framework
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- Leadership, coordination, and strategic and active partnerships are needed to improve racial/ethnic minority health and address racial/ethnic health disparities.
- The Strategic Framework developed by OMH can help guide, organize, and coordinate our efforts for better results.
- There must be a science-based rationale for action(s).
- "Systems-level" factors play a critical role in promoting or inhibiting success.
- Identify expected outcomes and relevant measures for assessing progress as part of the planning process (not after the fact).
- Evaluate efforts in a systematic fashion to generate new knowledge and facilitate continuous improvement.
- A "systems approach" is critical to achieving racial/ethnic minority health improvement and racial/ethnic health disparities reductions.
- A number of weaknesses and gaps in science and knowledge have been identified. These include, but are not limited to:
- Nature and extent of minority health/health disparities in small and hard-to-reach populations (e.g., Asian Americans, Native Hawaiians and Other Pacific Islanders, American Indians/Alaska Natives) due to lack of data;
- Knowledge and understanding of systems-related factors and how they promote or inhibit minority health/health disparities problems;
- Relative importance and interrelationships of factors known to inhibit or promote health;
- Strategies and practices that work, esp. in producing desired outcomes and impacts at the environmental/community and systems levels;
- Development and testing of outcome measures/indicators, especially at the environmental/community and systems levels;
- Evaluation of strategies and practices relative more 'distal' outcomes (e.g., behavioral change, improved use of clinical preventive services) versus "proximal' outcomes (e.g., short-term increases in awareness/knowledge, changes in attitudes/perceptions); and
- User- or practitioner-centered research that brings development and dissemination of research results and integration of such results into practice at the same time.
- Nature and extent of minority health/health disparities in small and hard-to-reach populations (e.g., Asian Americans, Native Hawaiians and Other Pacific Islanders, American Indians/Alaska Natives) due to lack of data;
- Nature and extent of funding can provide incentives for the kinds of research and evaluation needed.
- The Strategic Framework can serve as the basis for – and drive – more results-oriented action by OMH, its partners, and other stakeholders