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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.
RELEASE DATE:
Peer Review Study
This report investigates the relationship between patient race and ethnicity in the use of in-person and telehealth vists for chronic conditions prior to and after a stay-at-home order in California on March 19th, 2020. Findings advocate for investing in telehealth navigation support, hybrid approaches, technological accessibility and digital literacy, and education for providers on the role of race and ethnicity in telehealth delivery.
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, Systematic Review/Meta-Analysis
This literature review outlines support for mobile health clinics as a successful and cost-effective method of healthcare delivery, especially towards underserved populations. Although financial and logistical challenges exist when implementing mobile health clinics, they ultimately help eliminate common barriers to health access. “Serving as a stepping-stone between the clinic and the community, MHCs are able to address both medical and social determinants of health, and have the potential to play an important role in our evolving healthcare system.”
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, Summary Report/Recommendations
Article outlines how an opioid treatment program in the Bronx, NY adjusted their clinical practice with COVID-19 and their recommendations for treatment programs going forward. Balancing Covid-19 safety and the need to safely administer medications for opioid use disorder, this program ultimately made changes that allowed for more patient-driven treatment plans that enable fewer in person clinic visits. The article advocates for patient-centered care that encourages people to safely self-manage medication, focusing on patient-centered measures in clinical decision-making, and making appropriate changes to payment/insurance models that allow for such patient-centered 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 study describes harm reduction and health services provided by the U.S. syringe services programs (SSPs) in 2019 and changes in provision of those services in 2020. Many SSPs that offered health services in 2019 and remained operational in 2020 increased telehealth provision of mental health and primary care services, increased MOUD provision, and expanded harm reduction services, but most SSPs reduced or stopped on-site HIV and HCV testing. With the record high opioid overdose fatality rates in 2020, sustaining the trajectory of SSP growth and innovation leading up to and through 2020 requires ensuring adequate and flexible funding to support the life-saving work of SSPs in preventing future overdose deaths and outbreaks of HIV and HCV.
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.
RELEASE DATE:
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.
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 article describes how the Northwest Portland Area Indian Health Board (NPAIHB) telehealth program, known as Extensions for Community Healthcare Outcomes (ECHO), or teleECHO, adapted to COVID-19 in providing community clinicians/public health workers access to experts. Descriptions of how healthcare providers and staff adapted practices to be culturally responsive to tribal communities is presented.
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
The article describes a practice based on training community health workers (CHWs) to present oral health information one-on-one to older Chinese adult patients. More than 98% of participants agreed that CHWs helped them improve their oral health and satisfactorily answered their questions/concerns.
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
The intervention outlined in this study took place at a hospital in Italy, and was designed to reduce or prevent provider burnout during the onset of the pandemic. The intervention included having six psychologists always present in the clinical setting to provide on-site as needed services to physicians, nurses, and other hospital staff. A PTSD short scale survey was also conducted to better understand the mental health needs of the providers in the hospital (such as psychosis, sleep problems, mania, suicidal ideation, and more). Providers noting mild to moderate symptoms were offered up to five sessions with a psychologist or psychotherapist.
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 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.
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.