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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.
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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White Paper/Brief
This article discusses the need for a disability data justice framework to support health equity goals. Even though 27% of American adults report having a disability, there exists limited COVID-19 data for the disabled community. Some public health surveys administered during the pandemic did not incorporate questions around disability until 2021. The article presents a series of recommendations on ways to achieve disability data justice. These include making disability a core element of all demographic data collection alongside race, ethnicity, and gender identity, increasing representation of disabled people across health professions, collaborating with members of the disabled community when developing and implementing disability data collection, and making health data accessible to all people with disabilities.
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.
RELEASE DATE:
Peer Review Study
To make sure we’re accurately understanding people’s health, we need to use the same measuring tools in the same way for everyone, no matter who they are. In this study, Cintron and their team checked if a widely used depression test, the Patient Health Questionnaire (PHQ-8), works the same for different groups of people based on their age, gender, education, and race. They found that in about 24% of the cases, the test worked a little differently for these different groups. However, this is just slightly below the 25% limit we usually use to decide if the test is working the same for everyone. So, in general, the PHQ-8 seems to measure depression in a similar way for all the groups they studied. To make sure we’re treating everyone fairly when collecting health data, we should do similar research for other common tests and questionnaires to see if they work the same for different groups of people.
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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Other
This episode from the podcast 99 Percent Invisible reflects on how the COVID-19 pandemic exposed the American public to a long-standing problem: the disjointed nature of the U.S. health system. Because state and local health departments largely operate independently and use their own data collection and analysis tools, health systems across the country lack standardized data definitions and systems. These inconsistencies made it nearly impossible to collect and analyze comprehensive, standardized data on COVID-19 cases, deaths, and vaccines administered amid the pandemic. Health experts featured on this episode believe that the pandemic made the need for an overhaul of America’s informatics system very apparent. When rebuilding this system, it’s important to focus on remedying existing inequalities in data collection and classification that in some cases render the health status of certain populations – think Native American communities and other communities of color – completely invisible in the data. By virtue of being small populations, it can be difficult for health departments to collect sufficient and/or statistically significant data on minority communities. Another issue discussed in this episode is the use of broad racial categories like “other,” “multiple races,” or even “Asian American,” which, if not disaggregated, obscures the health status of diverse populations who are grouped under the same category. Without comprehensive and inclusive health data, it’s difficult to identify disparities and implement policies and programming that promote social mobility and health equity.
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
This study from the American Journal of Managed Care identifies the main factors influencing the implementation and sustainability of cross-sector data sharing between a community-based organization and an academic medical center via a case study of the Mid-Ohio Farmacy (MOF) produce referral program. The MOF is a unique program developed by the Mid-Ohio Food Collective and Ohio State University Wexner Medical Center (OSUWMC) to provide food insecure patients who have a qualifying chronic condition with money to purchase produce from food pantries on a monthly basis. Researchers conducted a series of key informant interviews with OSUWMC and Mid-Ohio Food Collective representatives to characterize the challenges of data sharing between the academic medical center and the community-based organization. Challenges were grouped into three main buckets: data sharing regulations, data exchange capabilities, and cross sector data integration. Some keys findings from this paper include the need for clarification around HIPPA regulations for data exchange between covered and non-covered entities, the importance of incorporating social-risk data (such as a food security screening tool) into the electronic health record, and the need for additional research and guidance around how to create fully integrated shared databases between health care and social service agencies.
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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Implementation Guide
Data Across Sectors for Health (DASH) is a national initiative funded by the Robert Wood Johnson Foundation and co-led by the Michigan Public Health Institute and the Illinois Public Health Institute. Created in 2015, DASH promotes and supports multisector data-sharing ecosystems with the goal of fostering more equitable, informed decision-making practices and ultimately improving community health outcomes. They provide financial support, technical assistance, resources, and programming to help foster community collaborations around data-sharing. Their website features information on their two active funding programs, a link to the DASH data-sharing framework and accompanying webinars, as well as information about their knowledge-sharing platform, DASH Knowledge Base, that is still in development. DASH is a great resource for organizations and community leaders seeking guidance on how to foster relationships and enhance data sharing capabilities between governments, community-based organizations, and other local players.
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 Community Outreach Specialist (COS) program aimed to increase COVID-19 vaccine uptake among rural communities through targeted outreach efforts. The program trained and deployed community outreach specialists who engaged with community members, provided education about COVID-19 and vaccination, addressed concerns and misconceptions, and facilitated access to vaccination services. The COS program in reaching and engaging with socially vulnerable and medically underserved populations, successfully increasing vaccine acceptance and uptake in these communities by building trust, addressing barriers to vaccination, and tailoring outreach strategies to the local context. The article discusses the importance of community-based approaches, cultural competency, and collaboration with local organizations and leaders in achieving successful vaccine outreach. It also emphasizes the need for sustained efforts to ensure equitable access to vaccination and to address disparities in vaccine uptake among different 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.
RELEASE DATE:
Peer Review Study
A 9-week social media campain promoting COVID-19 prevention to mothers of teen daughters was found to increase exposure to credible online information online. This campaign effectively used an epidemiological model for monitoring, diagnosing, and responding to misinformaiton from mothers on COVID-19.
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
COVID-19 caused significant disruptions to routine vaccination efforts worldwide. Several factors contributed to these disruptions, including reduced healthcare access, fear of infection, and diversion of healthcare resources towards COVID-19 response. These led to a decline in immunization rates, leaving populations vulnerable to vaccine-preventable diseases. The article emphasizes the importance of addressing these collateral impacts and implementing strategies to mitigate the negative consequences. It suggests various approaches such as ensuring vaccine supply chains, enhancing public trust in vaccines, and implementing catch-up vaccination campaigns. The authors stress the need for collaborative efforts between public health agencies, healthcare providers, and communities to restore and maintain routine immunization services amidst the ongoing 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.
RELEASE DATE:
Peer Review Study
This article examines the association between county-level Black/white residential segregation and COVID-19 vaccination rates. Findings emphasize the need for considering interaction effects and stratified analysis when modeling disparities in COVID-19 vaccinations. Doing so can better inform policies around effective vaccine distribution and outreach.