IV. Potential fee-for-service billing
• There is taxonomy for CMs; frontline staff acknowledged as
part of health care team
Step 8: Advocacy
I. Contact hospital or university foundation for advocacy,
Case study: Bank of America Foundation approached one
hospital foundation. Bank of America was interested in supporting the underserved community in improving the economic state. In conjunction with the foundation, the HVIP
worked with an urban arborist program to create a vocational training program for clients with the potential to secure a city or private arborist job at the end of the internship.
II. Fee-for-service billing
•State-level bills advocating for CMs to be capable of billing
Medicare for their services are under review, with an ultimate
goal of federal-level policy
•May be able to advocate at the state level for this form of
III. Potential pitfalls
•Missed opportunities to highlight the program in press conferences and in city hall; poor social media presence and lack
of public advocacy leads to missed opportunities for buy-in,
financial support, and political backing ♦
For more information about the violence intervention programs
primer, contact Tamara Kozyckyj, Coordinator, Trauma Systems
The authors are all members of the ACS COT Injury Prevention and Control Committee’s Violence Prevention Programs
Karraker N, Cunningham RA, Becker M, Fein JA, Knox
LM. Violence Is Preventable: A Best Practices Guide
for Launching and Sustaining a Hospital-Based
Program to Break the Cycle of Violence. Youth
ALIVE! 2011. Available at: www.ncdsv.org/images/
pdf. Accessed August 29, 2017.
Kramer EJ, Dodington J, Hunt A, et al. Violent reinjury
risk assessment instrument (VRRAI) for hospital-based violence intervention programs. J Surg Res.
May 11, 2017 [Epub ahead of print].
Law Center to Prevent Gun Violence. Healing
Communities in Crisis: Lifesaving solutions to
the urban gun violence epidemic. March 1, 2016.
Available at http://smartgunlaws.org/healing-communities/. Accessed August 29, 2017.
Loveland-Jones C, Ferrer L, Charles S, et al. A
prospective randomized study of the efficacy of
“Turning Point,” an inpatient violence intervention
program. J Trauma Acute Care Surg. 2016; 81( 5):834-
Purtle J, Cheney R, Wiebe DJ, Dicker RA. Scared
safe? Abandoning the use of fear in urban violence
prevention programmes. Inj Prev. 2015; 21( 2):140-141.
Purtle J, Dicker RA, Cooper C, et al. Hospital-based
violence intervention programs save lives and
money. J Trauma Acute Care Surg. 2013; 75( 2):331-333.
Purtle J, Rich LJ, Bloom SL, Rich JA, Corbin TJ.
Cost-benefit analysis simulation of hospital-based violence intervention program. Am J Prev
Med. 2015; 48( 2):162-169.
Purtle J, Rich JA, Fein JA, James T, Corbin TJ.
Hospital-based violence prevention: Progress and
opportunities. Ann Intern Med. 2015;163( 9):715-717.
Smith R, Dobbins S, Evans A, Balhotra K, Dicker RA.
Hospital-based violence intervention: Risk reduction
resources that are essential for success. J Trauma
Acute Care Surg. 2013; 74( 4):976-982.
Smith R, Evans A, Adams C, Cocanour C, Dicker
RA. Passing the torch: Evaluating exportability
of a violence intervention program. Am J Surg.
Sood AB, Berkowitz SJ. Prevention of youth violence:
A public health approach. Child Adolesc Psychiatr Clin
N Am. 2016; 25( 2):243-256.
The Wraparound Project. Department of Surgery at
Zuckerberg San Francisco General. 2017. Available
Accessed August 12, 2017.