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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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Case Study
The El Bari Clinic launched a telemedicine initiative during the COVID-19 pandemic to reduce in-person visits and reduce transportation as a barrier to accessing health care. This cases study notes that the clinic offers patient-centered and culturally competent care to under and uninsured community members, which largely includes working-class ethnic minorities.
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, Summary Report/Recommendations
Article outlines how an opioid treatment program in the Bronx, NY adjusted their clinical practice with COVID-19 and their recommendations for treatment programs going forward. Balancing Covid-19 safety and the need to safely administer medications for opioid use disorder, this program ultimately made changes that allowed for more patient-driven treatment plans that enable fewer in person clinic visits. The article advocates for patient-centered care that encourages people to safely self-manage medication, focusing on patient-centered measures in clinical decision-making, and making appropriate changes to payment/insurance models that allow for such patient-centered care.
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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Systematic Review/Meta-Analysis
Structural inequality during the pandemic has likely compounded health care access barriers for low-income individuals and people of color, who face not only disproportionate health risks, but also greater difficulty in transportation access and heightened economic hardship due to COVID-19. Partnerships between health and transportation systems hold promise for jointly addressing disparities in health- and transportation-related challenges, but are largely limited to Medicaid-enrolled patients. Findings of this study suggest that transportation and health care providers should look for additional strategies to ensure that transportation access is not a reason for delayed medical care during and after the COVID-19 pandemic. Transportation stakeholders need to collaborate to increase access to transportation services. This paper focused on specific health care needs including dialysis, prenatal care, cancer treatment, mental-health and substance use treatment, and health care for people with disabilities.
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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Peer Review Study
Blue Shield of California’s Community Health Advocates (CHA) Program was created to support whole person-health needs by helping individuals of all socio-economic statuses navigate and access community resources, social services, and medical systems. The Health Reimagined initiative embeds Community Health Advocates within physical health practices to increase access to social services and community resources, improve health outcomes, reduce medical costs, and improve overall patient experience. Interviews and focus groups were held and found value in adding CHA’s to the care team. During the pandemic, CHAs have been important. The impacts of the COVID-19 pandemic have made the need for holistic, community-integrated care even more urgent.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Peer Review Study
This article describes how the Northwest Portland Area Indian Health Board (NPAIHB) telehealth program, known as Extensions for Community Healthcare Outcomes (ECHO), or teleECHO, adapted to COVID-19 in providing community clinicians/public health workers access to experts. Descriptions of how healthcare providers and staff adapted practices to be culturally responsive to tribal communities is presented.
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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Case Study
This article summarizes COVID-19 harm reduction approaches taken by a family medicine/OBGYN residency program serving rural, western North Carolina for patients with an opioid use disorder. To meet patient needs, low acuity patients were offered telehealth options and digital prescriptions for buprenorphine/naloxone. For higher acuity patients, in=person visits were maintained and the risk/benefits were weighed on a continuous basis.
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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Summary Report/Recommendations
The resource presents best practices for increasing access to COVID-19 testing and vaccination sites for people with disabilities or special health needs. It highlights physical, sensory, cognitive, and technological ease of access, and gives practical ideas for improving access throughout all steps of the testing/vaccination experience. Ideas include topics from accessible parking to ensuring clear communication despite the use of face masks.
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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Summary Report/Recommendations
This article recognizes the challenges and describes the adaptations necessary to prevent the spread of COVID-19 in the workplace. It also emphasizes employee mental health needs. A theoretical framework for organizational interventions is included that utilizes an Occupational Health Psychology approach. The proposed interventions focus on 8 key topics, such as physical health and safety, and psychological wellbeing, in addition to a tiered structure (primary, secondary, and tertiary) of proposed intervention activities that scale based on need.
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
The intervention outlined in this study took place at a hospital in Italy, and was designed to reduce or prevent provider burnout during the onset of the pandemic. The intervention included having six psychologists always present in the clinical setting to provide on-site as needed services to physicians, nurses, and other hospital staff. A PTSD short scale survey was also conducted to better understand the mental health needs of the providers in the hospital (such as psychosis, sleep problems, mania, suicidal ideation, and more). Providers noting mild to moderate symptoms were offered up to five sessions with a psychologist or psychotherapist.
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.
RELEASE DATE:
Peer Review Study
This article presents the results of a non-randomized controlled trial comparing in-person vs. telemedicine treatment for pregnant women with opioid use disorder in South Carolina. The authors found no statistically significant difference in treatment outcomes for women who received care in-person vs. via telemedicine, and no statistically significant difference in outcomes for the newborns of women in these respective groups. The authors were unable to assign trial participants to telemedicine vs. in-person care at random due to the inability of some rural patients to attend treatment in person. Also, the sample size was not sufficient to achieve ~80% power to detect a difference between the two groups. At the same time, the practice strategy is considered useful for helping to deliver telehealth treatment for vulnerable populations, including pregnant and newly parenting people with substance use disorder, and people living in rural communities.