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Established Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by previous studies that are consistent with the objectives of the activities.
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Peer Review Study
This study assessed differences in COVID-19 cases and mortality rates in traditional nursing homes and Green Houses. Green Houses are smaller, more intimate residential living environments that promote personalized care and more tight-knit communities of residents and care givers. Using CMS data, researchers found that, adjusting for age, gender, and disability status, small and large nursing homes had higher COVID-19 cases and mortality rates compared to Green Houses.
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 Massachusetts Executive Office of Elder Affairs (EOEA) oversees programs and services for older adults through the aging service network, and worked closely with the COVID-19 command center during the COVID-19 pandemic. EOEA worked with senior affordable housing providers and advocated for vaccines for older adult populations. They also used their network to disseminate COVID-19 information to older adults, caregivers, and those working directly with older adults.
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
Health equity zones aim to eliminate health disparities and promote healthy communities. To create these zones, the Rhode Island Department of Health leveraged various federal, state, and local funding sources. This article describes the program, outcomes and impacts, and advice for local health departments seeking to replicate this model.
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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Summary Report/Recommendations
The Massachusetts Executive Office of Elder Affairs, the Massachusetts Healthy Aging Collaborative, and Tufts Health Plan Foundation partnered with FSG to conduct interviews and secondary research of COVID-19 lessons and recommendations framed for three key audiences: organizations, partnerships and collaborations, and funders and policymakers. This research was conducted in six communities in Massachusetts, and identifies key themes and strategies to lift up based on real-world activities implemented during the pandemic. Findings emphasize the disproportionate impact of COVID-19 on older adults across a broad range of social, economic, and health factors, and effective strategies for supporting older adults are outlined such as direct communication and flexible services. Gaps are also identified across each of the findings, indicating where there is room for improvement and community strengthening. Lessons and recommendations are also clearly outlined by audience, with clear suggestions for implementing effective strategies to support older populations in various community settings.
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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Summary Report/Recommendations
This article describes structural barriers contributing to inequitable health outcomes for people living with dementia during the COVID-19 pandemic, and provides policy recommendations (based on Canadian examples) to address structural barriers that exacerbated the effects of the pandemic on people living with dementia.
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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Evaluation Report, Peer Review Study
The article evaluates the connection between health care workers’ unions and Covid-19 mortality rates in nursing homes. Using regression analysis, the presence of a union were associated with lower Covid-19 mortality rates (30% lower) and infection rates (42% lower) among nursing home residents. Nursing homes with unions saw increased access to N95 respirators and eye shields as well. These results ultimately show that health care worker unionization may better ensure access to appropriate PPE and infection control policies that will protect nursing home residents.
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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Case Study, Peer Review Study
Practice involves using “get out the vote” (GOTV) outreach strategies, conventionally used in political campaigns, along with mobile pop-up vaccine clinics, to encourage vaccination among marginalized communities.
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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Toolkit
Program to Encourage Active, Rewarding Lives is designed to support older adults thorough depression education and skill building to increase self sufficiency and active living. The program is structured over 6-8 weeks of sessions and is designed to be administered by staff who have no previous counseling or mental health education. The program originally started in the 1990’s in Washington state and has since been implemented with a wide range of minority and hard-to-reach populations.
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
This study highlights the geographic differences in COVID-19 positivity rates within Los Angeles county, taking into consideration other socio-structural determinants that impact these rates. The data — testing data from the LAC Department of Public Health and American Community Survey data — was analyzed and mapped to include testing rates, race/ethnicity, poverty, insurance status, education, and population/household density. Results found higher COVID-19 positivity rates in communities with higher proportions of Latinx residents, those living below the federal poverty line, and those with high household densities.
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 study looks at survey data from the 2020 U.S. Household Pulse Survey to estimate the associations between state-specific mobility restrictions and well-being across historically excluded groups, including those groups at the intersections of race/ethnicity, sex, and income categorizations. Results found that low-income and African American populations are most likely to be affected by lockdown restrictions, including unemployment, food insufficiency, mental health problems, inaccessibility of medical care, rent or mortgage defaults, and class cancellations.