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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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Systematic Review/Meta-Analysis
This is a list of recommendations based on a review of the literature focusing on promoting health equity in the delivery of virtual care. The authors conducted a narrative review of literature on health equity and virtual care during the COVID-19 pandemic published in 2020, describing strategies that have been proposed in the literature at three levels: (1) policy and government, (2) organizations and health systems, and (3) communities and patients. They discuss three strategies for promoting health equity through virtual care: (1) simplifying complex interfaces and workflows, (2) using supportive intermediaries, and (3) creating mechanisms through which marginalized community members can provide immediate input into the planning and delivery of virtual care.
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 details the results of a randomized clinical trial evaluating web-based versus in-person substance use disorder counseling. While participants who completed the study reported similar levels of satisfaction with treatment, and similar rates of attendance and drug-positive urinalysis results, it should be noted that most study withdrawal occurred among participants assigned to the web-based intervention, with 26 participants withdrawing due to problems with computer or internet function. If this program were replicated in other settings, the digital divide could pose a barrier to equitable outcomes. The practice strategy this article is focused on is telemedicine for treatment of substance use disorder.
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
The article describes a study undertaken to determine whether messages delivered by physicians improve COVID-19 knowledge and preventive behaviors, and to assess the differential effectiveness of messages tailored to the Black community. This randomized control trial that included a sample of self-identified White and Black adults with less than a college education was conducted from August 7 to September 6, 2020. The final sample had 20,460 individuals (participation rate, 68%). Participants saw video messages delivered either by a Black or a White study physician. In addition, participants saw three placebo videos with generic health topics in the control groups. Participants in both the control and intervention groups were also randomly assigned to see 1 of 2 American Medical Association statements, one on structural racism and the other on drug price transparency. A physician messaging campaign effectively increased diverse groups’ COVID-19 knowledge, information-seeking, and self-reported protective behaviors.
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 describes the rapid scale-up of adolescent telehealth services at the Children’s Hospital of Philadelphia (CHOP) Division of Adolescent Medicine. While the scale-up was partially effective in reaching some underserved populations (e.g., people living with HIV, people with substance use disorder, people living with mental illness), racial disparities in visit completion rates are concerning and would need to be addressed by sites replicating this intervention to avoid exacerbating health disparities. The practice strategy this article is focused on is adolescent telehealth services.
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:
Summary Report/Recommendations
This practice describes a Three-Phase Approach to mitigating COVID-19 in long-term and post-acute care nursing facilities in the Seattle, WA area. The authors outline a structure for addressing the pandemic based on disease surveillance measures, with different focus areas within each phase. Measures include:
(1) Initial: Communication, tracking, PPE preparation
(2) Delayed: Education, testing, isolation
(3) Surge: Activation of a “drop team”” of health care professionals during an outbreak
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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Case Study
This article summarizes the lessons learned from implementing telehealth in rural environments over the past 3 years and how to expand these efforts in the context of COVID-19. The needs of elderly populations in rural environments are also addressed. It provides 5 strategies for implementing telehealth in this context: (1) Preparation and Training; 2) Standardize and Expedite Credentialing; (3) Technology; (4) Broadband; and (5) Feedback and Rapid Improvement.
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
This article summarizes the approach one vaccine collaborative in Philadelphia, PA took to address vaccination inequity among Black community members. The intervention utilized community partners to build trust and encourage community members to schedule vaccinations at a clinic through a low-tech platform. These vaccination clinics were also designed to minimize wait times.
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 study evaluated the effectiveness of a telephone-based intervention using a Regional Operational Call Center as a primary method of providing COVID-19 information to rural communities and connecting those at risk with medical appointments. Results indicated that interaction with the call center led to an increased likelihood of scheduling a healthcare appointment and receiving a COVID test.
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 case study describes how Inova Health System in Northern Virginia developed and integrated a vaccination administration program, while simultaneously caring for patients hospitalized with COVID-19, and provides recommendations on how other health cares systems can integrate a vaccine program. Inova Health System created a Vaccination Implementation Team led by a triad of leaders in conjunction with established emergency management leaders and Inova’s COVID-19 Coordination Center to plan for the immediate delivery of the COVID-19 vaccine, once available. The guiding imperatives were to protect the safety of the vaccination team and vaccine recipients while offering vaccination for all eligible individuals. The initial work streams carried out by the team included: (1) process design, including space/geography, personnel, and vaccine handling; (2) prioritization and scheduling; and (3) communications. Inova’s Inclusion Council implemented strategies that facilitated culturally appropriate communication, identified ethnic and racial biases and fears, and promoted recommended and safe vaccination practices through an “inside-out” program.
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.
RELEASE DATE:
Peer Review Study
This multidisciplinary vaccine delivery strategy was implemented by the Puget Sound Veterans Affairs (VA) facility to mitigate inequities in COVID-19 vaccination among veterans. The practice, which followed the Equitable Vaccine Framework, was put in place in the VA Puget Sound Health Care System and entailed targeted outreach to individual patients based on a score consisting of the sum of risk factors for severe COVID-19 disease and high-risk race or ethnicity. The strategy included four main domains: allocation, outreach, delivery, and monitoring. The care system conducted sequential outreach using multiple communication modalities, worked with community partners to publicize and deploy mobile clinics to underserved areas, and monitored vaccination coverage rates by age, race, sex, and rural status at prespecified intervals and adjusted operations to ensure equity. During the vaccine drive, vaccination rates were higher among Black, multiracial, and Hispanic veterans, compared with white veterans.