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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
This brief lists interventions to support state public health efforts to address rural disparities and racial discrimination. It emphasizes the importance of localized data on social determinants of health and improving systemic and structural underpinnings of racial disparities. Suggested interventions address data collection and workforce issues, including representativeness and paid family leave.
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.
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.
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 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.
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 case study outlines how the Maricopa County Department of Public Health (MCDPH) incorporated health equity capacity into their collaborative work with community partners (the case study refers to this as a “public health cloud”). To do so, MCDPH created internal trainings, hired consultants to provide recommendations in strategic planning, and created a health equity cloud to connect staff directly to underserved communities in order to improve internal practices.
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 case study describes how the New York City Department of Health created a Race to Justice Core Team to advance racial equity within the department, with a specific focus on coordinated policies and workplans across all of the department’s divisions and staff. The team has focused on training staff and on creating workplans that address bias in hiring, contracting, and policies.
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
The case study outlines how Solano Public Health used funding to create a Race Equity Team, which conducted trainings internally and built relationships with external partners to address policy changes focused on racial equity. The Solano Public Health Division used this grant funding to work with community partners and other government agencies to undertake projects focused in low-resourced neighborhoods, such as conducting healthy store makeovers, adopting and implementing policies to increase access to water in parks and schools, improving clinical prevention referrals, and introducing policies that address access and exposure to tobacco. Of note, much of this work has focused on racial equity in the realm of chronic disease prevention in low-resourced neighborhoods.
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 outlines how Rice County Public Health (RCPH) used a health equity data analysis tool to complete an assessment of internal policies and practices related to health equity. Given this assessment, RCPH developed a health equity plan with seven recommended practices to implement, and RCPH created trainings to increase staff awareness of 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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Case Study
The case study outlines how Lake County Health Department (LCHD) in Illinois created a health equity team whose job included facilitating relationships with community and agency partners. The case study includes examples of how the team created tools to increase awareness within LCHD of the impact of social determinants on health. For the team, LCHD specifically prioritized candidates who had lived experience in historically vulnerable communities and those who were used to multicultural bridging.
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:
Case Study
The case study outlines how the Tacoma-Pierce County Health Department (TPCHD) created a dedicated health equity team that put together a Health Equity Assessment report, which, in turn, allowed TPCHD to create a variety of tools, including maps and short documents, to help advance health equity. TPCHD also hired a health equity coordinator who uses these tools to encourage partner government agencies to prioritize health equity. These tools also inform internal policies at TPCHD, particularly around program planning and implementation.