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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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Commentary
This story is part of a series, “Race Matters.” It highlights the problems with inconsistent data collection and reporting for Native Hawaiians and Pacific Islanders. Native Hawaiians and Pacific Islanders are often grouped with Asians or not tracked at all.
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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Commentary
The authors discuss the need for a formal evaluation of the health equity impact of a new intervention, as these evaluations are hardly ever performed as part of a health technology assessment to understand its value. An evidence-based quantitative assessment of the health equity impact can help decision makers develop coverage policies, program designs, and quality initiatives focused on optimizing both total health and health equity, given the treatment options available. The authors outline the conceptual basis of how a new intervention can impact health equity and adopt distributional cost-effectiveness analysis based on decision-analytic models to assess this quantitatively, using a newly FDA-approved drug for Alzheimer’s disease (aducanumab) as an example.
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
During the pandemic, the Minnesota Department of Health created three new teams focused on an equitable COVID-19 response. These teams included the Cultural, Faith, and Disability Communities Branch; the Tribal COVID-19 Healthcare Team; and the Vaccine Equity Branch. These teams created partnerships with community partners, elevated community voices, set equity goals and metrics, and respected tribal sovereignty in their COVID-19 response. This helped to ensure resources were used equitably and that COVID-19 responses were effective within diverse 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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Case Study, Summary Report/Recommendations
This case study describes how the North Carolina Department of Health and Human Services implemented a multipronged strategy to prioritize vaccinations on Black and Hispanic North Carolina residents following the disproportionate impact of COVID-19. This intervention included increasing vaccine allocation to these communities, facilitating community partnerships, and mapping these communities with the proportion of persons aged ≥65 years. They also addressed other barriers. During this implementation, vaccination rates doubled among Black residents, and the share of vaccine doses doubled.
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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Case Study
This case study describes how the Student Response Team (SRT) at the University of Nebraska Medical Center assisted the local health departments in mitigation and response activities during the COVID-19 pandemic. The SRT was a voluntary student-led effort that assisted in health contact tracing, monitoring social media, and education the public. Their experience demonstrates how students can increase the public health surge capacity of local health departments while gaining applied experience during public health emergencies. The recommendations include forming, training, and deploying SRTs throughout academic institutions to implement during and beyond the current pandemic.
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.
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 case study describes how the Virginia Equity Leadership Task Force (ELT) uses data to drive allocation of resources. ELT used a data-driven approach to learn where they should allocate resources to make a maximum impact, with a specific focus on marginalized and underserved populations who are at greatest risk of severe disease from COVID-19. They profiled neighborhoods by equity factors including income, race and ethnicity, comorbidities, crowded housing, and preferred language, and then distributed personal protective equipment with priority given to more vulnerable populations. They used similar analyses of social determinants of health; up-to-date COVID-19 vaccination status; and data on cases, hospitalizations, and deaths to determine where to place vaccine centers and hold mass vaccination events.
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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Commentary
This article provides an overview of the link between racism and COVID-19 disparities, missing race and ethnicity data, and literature on demographic data gaps. The authors also provide recommendations on how health departments and healthcare systems can engage communities of color to co-develop race and ethnicity data collection processes.
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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Commentary
This article outlines a framework for partnering with Indigenous nations in research and data collection and calls for the need for equitable data use agreements. The framework guidelines include (1) incorporating respect and collaboration early in negotiations; (2) recognition that specificity of terms is key to trust-building; (3) remembering that good data stewardship entails safeguarding; and (4) building sustainable relationships.