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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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White Paper/Brief
The paper outlines the work of the Gender Harmony Project, which has developed a gender-inclusive Health Level Seven International (HL7) logical model: the HL7 Gender Harmony Model. The Gender Harmony Model is a logical model that provides a standardized approach that is both backwards-compatible and an improvement to the meaningful capture of gender identity, recorded sex or recorded gender, sex for clinical use, the name to use, and pronouns that are affirmative and inclusive of gender-marginalized people. The Gender Harmony Project was formed to create more inclusive health information exchange standards to enable a safer, higher-quality, and embracing healthcare experience. The Gender Harmony Model provides the informative guidance for standards for developers to implement a more thorough technical design that improves the narrow binary design used in many legacy clinical systems.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study details a national, state-level analysis of COVID-19 infection and mortality disparities between ethnic and racial subgroups using data from the COVID Tracking Project. Results found significantly higher rates of COVID-19 infections among Hispanic and African American populations. A choropleth map of disparities in the United States was produced as part of the study.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
To begin bridging the gap in knowledge about COVID-19 risk among sexual minority adults, the Centers for Disease Control and Prevention examined disparities between sexual minority and heterosexual adults in the prevalence of underlying conditions with strong or mixed evidence of associations with severe COVID-19-related illness, by using data from the 2017–2019 Behavioral Risk Factor Surveillance System (BRFSS). Collecting data on sexual orientation in COVID-19 surveillance and other studies would improve knowledge about disparities in infection and adverse outcomes by sexual orientation, thereby informing more equitable responses to the pandemic.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
The study analyzed data from different sources to estimate the racial and ethnic diversity of the current healthcare workforce and the graduate pipeline for healthcare professions, and to evaluate whether the diversity of the pipeline suggests greater representation of Black, Hispanic, and Native American populations in the future.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
The article highlights quantitative bias analysis as a method for improving racial and ethnic COVID-19 disparity estimates when data are missing.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Commentary
This article outlines a framework for partnering with Indigenous nations in research and data collection and calls for the need for equitable data use agreements. The framework guidelines include (1) incorporating respect and collaboration early in negotiations; (2) recognition that specificity of terms is key to trust-building; (3) remembering that good data stewardship entails safeguarding; and (4) building sustainable relationships.