Live Healthy, West Side:
A West Side United Initiative
West Side United is an ambitious effort led by Rush University Medical Center, University of Illinois Hospital and Health Sciences System, Sinai Urban Health Institute, Cook County Health and Hospitals System, Ann & Robert H. Lurie Children’s Hospital of Chicago, and Presence/AMITA Health to reduce the gap in life expectancy of the residents on the West Side, which includes ten neighborhoods where more than 500,000 people reside.
The work of West Side United is focused on addressing the social determinants of health –economic vitality, education, the neighborhood environment, and healthcare –to improve health outcomes.
Chicago's West Side:
A Health Diagnosis
Average life expectancy in Chicago's loop is 85 years, however, if you take the train a few stops into the West side, life expectancy drops to 69 years in West Garfield Park.
To reduce the life expectancy gap of residents in Westside, WSU is dedicated to bringing healthcare institutions together to address the health of 10 communities in their backyards. Individually, participating hospital identify community health priorities based on their Community Health Needs Assessments (CHNAs) and their requisite Community Health Improvement Plans (CHIPs). Collectively, they are working on health screening in the ER, expansion of Community Health Workers, and co-location of mental/behavioral health services. However, an overarching strategy to community health strategy—that builds upon current efforts—that can guide future collective initiatives is missing.
What are the people saying?
You’ll hear it from everyone, but there is just not enough behavioral health capacity. We can manage low-complexity conditions, but there is a serious lack of psychiatric providers. I recently heard there are only two Spanish-speaking pediatric psychiatrists in the state of Illinois. West Side Health Stakeholder
We could be all treating the same patients, and we don’t know it unless they tell us. They could be working with three different care coordinators or have fallen through the cracks. West Side Health Stakeholder
When a patient [from our FQHC] goes to the hospital, we don’t usually know unless they tell us. We have no way of knowing what happens to our patients elsewhere, so we might be unaware of a hospital stay or doing duplicative tests when they come to us.” West Side Health Stakeholder
The World Health Organization has models where they are going to communities and taking a grassroot approach and using indigenous people to carry the health message. If we are going to bridge the divide we need peer workers to carry the information for those that don't have accessWest Side Resident
We need education on mental health, some people have severe PTSD and they don’t know it, they think it’s normal and it’s not, it needs to be addressed.West Side Resident
Address our “well-being” versus our healthWest Side Resident
A Doctor's Note
Based on our analysis of mortality/morbidity data, scan of health program gaps, and one-on-one interviews with health stakeholders in the West Side, we have found 5 focus areas to address that can ultimately move the needle in life expectancy in the West Side.
In order to address the social determinants of health, West Side United will focus on foundational elements and existing conditions for hospitals to strengthen their impact through a collective set of community health initiatives around our 1-2 of the 5 focus areas. More information will be made available to the public in late March.