Health Systems Interventions to Prevent Firearm Injuries and Death Proceedings of a Workshop (2019) / Chapter Skim
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1 Introduction
1 Introduction
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Firearm injuries are also costly to the health system, accounting for nearly $3 billion in emergency department and inpatient care each year. At the suggestion of officials at Kaiser Permanente, and with the support of both Kaiser Permanente and the American Hospital Association, the Board on Population Health and Public Health Practice of the National Academies of Sciences, Engineering, and Medicine convened a workshop that examined the roles that health systems can play in addressing the epidemic of firearm violence in the United States.
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The workshop would include speakers and discussion panels that: • define the current state of evidence on health care–based interventions • present current evidence-informed practices from selected health systems • define foundations for best approaches to disseminate and imple ment evidence-based practices • identify community linkages that may help empower health sys tems to be more effective with interventions • frame the scope and programming of potential future research that can be carried out by Kaiser Permanente and others to fill identified research gaps Panel discussions should consider the many facets of the health system3 that may be touch points for gun injury prevention strategies, such as pri mary care, specialty care, behavioral health, and emergency departments. Furthermore, prevention strategies to be discussed should include a focus on high-risk individuals who, through a combination of environmental and behavioral risk factors, are at highest risk of a firearm injury or death.
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m Health systems conduct research and engage in quality improvement work to translate research findings into the best possible day-to-day care for people they serve. In addition, there is a strong precedent for health systems 4 As of March 2016, the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine continues the consensus studies and convening activities previously carried out by the Institute of Medicine (IOM)
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"They have developed this track record by implementing best practices based on good science, and, as a result, they have had a substantial impact by contributing to many public health issues." As examples, he cited the role that health systems played in reducing tobacco use by including tobacco use as a vital sign and connecting every patient who smoked with advice on quitting, as well as in promoting cancer screening and early detection and childhood immunizations. On a final note before introducing the first speaker of the day, Isham acknowledged that the controversy surrounding firearms in the United States makes it difficult to have any discussion about firearm violence without evoking strong feelings.
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