Solidarity Medical Impact Teams (SMITs)

Mission Statement

Solidarity Medical Impact Teams: Delivering immediate and compassionate healthcare solutions in underserved communities, bridging the gap between urgent needs and sustainable health equity. Through innovative care delivery and solidarity, we build healthier futures.

1. Structure of SMITs

Each SMIT is a modular, deployable unit designed to respond rapidly to healthcare gaps in underserved regions. Teams are built for flexibility, cultural responsiveness, and measurable impact.

  • Team Composition (per unit):

    • 1 Lead Clinician (MD, NP, or PA)

    • 1 Logistics Coordinator

    • 2–3 Support Staff (nurses, EMTs, translators, community health workers)

    • 1 Data & Impact Officer (tracks metrics, EMR integration, CIM reporting)

  • Deployment Model:

    • Mobile and semi-permanent setups (e.g., pop-up clinics, school-based interventions)

    • Operates under coalition umbrella (PAMA + partners)

    • Linked to local health systems for continuity and sustainability

2. Estimated Cost Per Team ( Deployment)

Costs vary by geography and scope, but a baseline estimate includes:

Note: Costs can be offset through in-kind donations, coalition pooling, and grant funding.

3. Roles & Responsibilities

  • Lead Clinician: Oversees clinical care, ensures ethical standards, liaises with local providers.

  • Logistics Coordinator: Manages transport, supply chain, and site setup. Ensures compliance with protocols.

  • Support Staff: Delivers direct care, supports triage, translation, and patient education.

  • Data & Impact Officer: Implements EMR systems, tracks CIM metrics, prepares reports for funders and coalition partners.

4. Protocols

  • Meeting Cadence: Biweekly team meetings (virtual or in-person) to review operations, impact, and challenges.

  • Intervention Protocols:

    • Rapid needs assessment within 24 hours of arrival

    • Deployment of care within 48 hours

    • Integration with local health actors by Day 3

    • Impact reporting by Day 10

    • Debrief and coalition feedback loop post-deployment

  • Decision-Making: Consensus-based, with Lead Clinician and Logistics Coordinator holding tie-break authority.

  • Conflict Resolution: Escalation path: Team → Coalition Lead → External Mediation (if needed)

  • Transparency & Ethics: All interventions documented via EMR and CIM. Community consent and cultural alignment are mandatory.

5. Conclusion

SMITs embody the principle of solidarity in action, bridging urgent care with long-term equity. By deploying nimble, ethically grounded teams, we respond not just to medical needs but to systemic neglect. Each team is a living commitment to transparency, compassion, and measurable impact. As we scale, SMITs will serve as a replicable model for coalition-based care rooted in justice and sustainability.

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