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Health Equity

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Health equity exists when everyone has the opportunity to be as healthy as possible regardless of race, gender, geography or social economic status. Hospitals can play a unique role in population health by incorporating equity standards into their strategic improvement goals. Please note: on some web browsers, document links may automatically download to your computer rather than open up on your screen.

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A Practical Guide for Advancing Health Equity
Hospitals can use this change path tool to create an action plan for collecting and reporting data for the Centers for Medicare & Medicaid Services' new social determinants of health (SDOH) measures.
Adobe PDF    Date Added: 03/27/2024    Date Last Modified: Mar 20 2024 11:34AM  
Best Practices in Health Equity: Advice from Peer Hospitals
This resource created by Health Quality Innovators (HQI) features snippets from peer hospitals explaining the steps they took toward health equity at their own institutions. Hospitals can use this resource for brainstorming ideas to get started or move forward with implementing health equity initiatives.
Adobe PDF    Date Added: 03/20/2024    Date Last Modified: Mar 20 2024 11:43AM  
Social Determinants of Health Series: Food Insecurity and the Role of the Hospital
This guide from the American Hospital Association (AHA) describes the link between food insecurity and adverse health issues and outlines clinical and nonclinical approaches that hospitals and health systems can use to reduce food insecurity and the stigma often associated with it.
Web link    Date Added: 03/18/2024    Date Last Modified: Mar 18 2024 3:29PM  
Feeding America: Food Insecurity
This webpage provides information on the causes and effects of food insecurity, ways to take action to provide food security and how to find food banks.
Web link    Date Added: 03/18/2024    Date Last Modified: Mar 18 2024 3:28PM  
Fast Facts: Preventing Elder Abuse
This Centers for Disease Control and Prevention (CDC) webpage provides answers to commonly asked questions regarding elder abuse—what it is, scale of the issue, possible consequences and how to prevent.
Web link    Date Added: 03/18/2024    Date Last Modified: Mar 18 2024 3:31PM  
Addressing Food Insecurity
In this recorded presentation, Maria De La Cruz, MPA, shares how Harris Health System in Houston, Texas, implemented the "Food Farmacy" program to address food insecurity among its patients. The presentation identifies the resources and support needed to successfully implement similar programs.
WebEx    Date Added: 03/07/2024    Date Last Modified: Mar 7 2024 10:47AM  
2023 National Healthcare Quality and Disparities Report: Executive Summary
This annual report from the Agency for Healthcare Research and Quality summarizes the status of health care delivery in the United States, providing a statistical portrait of how effectively health care delivery systems provide safe, high-quality and equitable care to Americans.
Adobe PDF    Date Added: 03/04/2024    Date Last Modified: Mar 4 2024 11:21AM  
Health Equity Webinar Series, Session 4: Office Hours
Watch the fourth webinar in the Health Equity webinar series. In this webinar, subject-matter experts with ATW Health Solutions answered questions and furthered explore health equity issues.
WebEx    Date Added: 03/01/2024    Date Last Modified: Mar 1 2024 2:09PM  
Health Equity Webinar Series, Session 3: Including health equity strategies in your QI plans
In this recorded webinar, subject matter experts from ATW Health Solutions discussed how participants can incorporate equity-focused strategies in their quality improvement (QI) efforts.
WebEx    Date Added: 02/22/2024    Date Last Modified: Mar 1 2024 8:19AM  
It Starts at the Top: How Boards Can Prioritize Health Equity
This recent Boardroom Brief from the American Hospital Association Trustee Services highlights the board's role in health equity, and explains how hospital and health system boards can prioritize health equity at their organizations.
Adobe PDF    Date Added: 02/22/2024    Date Last Modified: Feb 22 2024 8:59PM  
Health Equity Series, Session 2: Understanding and taking action to address health disparities
In this recorded webinar, subject matter experts from ATW Health Solutions asked attendees to consider common health disparities, discuss the potential root causes of health disparities and review the different ways they are perpetuated today. Also included: stategies for addressing health disparities.
Video    Date Added: 02/09/2024    Date Last Modified: Feb 16 2024 9:35AM  
County Health Rankings & Roadmaps
The University of Wisconsin Population Health Institute developed the County Health Rankings & Roadmaps website to give the majority of counties in the United States the data to help improve health equity in their communities. The data provides a snapshot of how health is influenced by where we live, learn, work and play.
Web link    Date Added: 02/09/2024    Date Last Modified: Feb 9 2024 6:24PM  
Health Equity Webinar Series, Session 1: Demonstrating health equity as a strategic priority
In this recorded webinar, subject matter experts from ATW Health Solutions shared ideas and strategies to help participants consider how to make health equity a strategic priority.
Video    Date Added: 02/01/2024    Date Last Modified: Feb 12 2024 6:19AM  
Addressing Health-Related Social Needs in Communities Across the Nation
The U.S. Department of Health and Human Services released this Call to Action to encourage partners across health care, social care, public health, government and health information technology organizations to collaborate in support of equitable health outcomes.
Web link    Date Added: 01/18/2024    Date Last Modified: Jan 18 2024 5:00PM  
Addressing Disparities: Reducing Unnecessary Emergency Department Use
Watch this webinar from the Health Quality Innovation Network (HQIN) to learn how factors such as social needs, transition processes, medication management and chronic conditions increase the likelihood of frequent ED visits.
Video    Date Added: 01/18/2024    Date Last Modified: Jan 18 2024 8:09PM  
DEI Data Insights: Diversity, Equity and Inclusion Strategies in Hospitals and Health Systems
The American Hospital Association’s Institute for Diversity and Health Equity biennial Diversity, Equity and Inclusion (DEI) Benchmark Survey provides a snapshot of hospitals’ attitudes and practices regarding diversity in the workforce; leadership and governance; equity; and inclusive policies and behavior.
Web link    Date Added: 01/16/2024    Date Last Modified: Jan 16 2024 9:02PM  
The Role of Social Determinants of Health in Emergency Department Use
In this video, Dr. Erin Carlson, from The University of Texas at Arlington, discusses the root causes of disparities and inequities in the health care system that contribute to emergency department usage.
Video    Date Added: 01/08/2024    Date Last Modified: Jan 8 2024 3:02PM  
Dallas' RIGHT Care Unit Responds to Mental Health Crises Across the City
This Jan. 2, 2024, article from The Dallas Observer highlights the success of the RIGHT Care Unit, which consists of an interdisciplinary team of first responders and health care professionals who respond to 911 calls from individuals experiencing behavioral health crises across the Dallas metro area.
Web link    Date Added: 01/02/2024    Date Last Modified: Jan 2 2024 7:07PM  
Health Equity Action Plan
This action plan from the Veterans Health Administration is a living strategic document to achieve health equity for U.S. veterans, and is meant to be reviewed, updated and assessed regularly.
Adobe PDF    Date Added: 12/06/2023    Date Last Modified: Dec 6 2023 10:49AM  
Creating a Culture of Equity Work Plan
This work plan from the Health Quality Innovation Network can be used to help organizations as they work toward creating and advancing a culture of equity with strategies to consider and necessary steps for successful implementation.
Adobe PDF    Date Added: 12/06/2023    Date Last Modified: Dec 6 2023 10:41AM  
Research reveals health disparities among older adults with varying levels of education
New research from the International Journal of Aging and Human Development highlights the significant health disparities that exist among older adults that hold a General Education Development certificate and those that have a high school diploma.
Web link    Date Added: 12/03/2023    Date Last Modified: Nov 29 2023 2:54PM  
Improving Hypertension Care for Underserved Populations with Remote Patient Monitoring
Given the impact that remote patient monitoring (RPM) can have in addressing chronic conditions like hypertension, there is a need for more funding to improve access to proven, digital health interventions. Regulations must be revamped so health care facilities in all settings can bill for RPM.
Web link    Date Added: 12/02/2023    Date Last Modified: Nov 29 2023 2:41PM  
Healthy People 2030 Building a healthier future for all
Health equity is a central focus of the Healthy People initiative. Healthy People 2030 offers tools and resources to support efforts to advance health equity and now features disparities data for many objectives. Health care providers and others can track changes in health disparities, over time, to see where the nation is improving and where increasing health equity efforts need to be improved.
Web link    Date Added: 11/30/2023    Date Last Modified: Nov 29 2023 2:02PM  
2023 CMS Health Equity Conference
This report provides additional information about the 2023 Centers for Medicare & Medicaid Services (CMS) Health Equity Conference, its attendees, themes and more resources about health equity and CMS.
Adobe PDF    Date Added: 11/21/2023    Date Last Modified: Nov 21 2023 5:11PM  
Improving Health Care Equity: Accreditation and Certification Requirements and Resources
In this recorded webinar, a representative from the Joint Commission described how organizations can use its standards to measure and improve performance. Participants also reviewed the new national patient safety goal geared toward promoting equity and explored strategies for reaching that goal.
Video    Date Added: 11/17/2023    Date Last Modified: Nov 17 2023 9:04AM  
Developing a plan to lead and support implementing the CLAS Standards
In this recorded webinar, subject-matter experts from ATW Health Solutions discuss the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (National CLAS Standards). Among other things, participants learned how to develop a plan for implementing CLAS and get leadership support for that plan.
Video    Date Added: 10/25/2023    Date Last Modified: Oct 27 2023 2:23PM  
Intimate Partner Violence
Intimate partner violence (IPV) is abuse or aggression that occurs in a romantic relationship. According to the Centers for Disease Control and Prevention (CDC), IPV is related to serious health issues. This CDC website can help health care workers better understand IPV, and how they can help prevent it.
Web link    Date Added: 10/20/2023    Date Last Modified: Oct 20 2023 1:11PM  
Preventing Child Abuse & Neglect
Child abuse and neglect are serious public health problems. The Centers for Disease Control and Prevention (CDC) maintains this website so health care workers can better understand chlild abuse and neglect. This CDC website also provides evidence-based strategies that can help health care workers prevent child abuse and neglect.
Web link    Date Added: 10/20/2023    Date Last Modified: Oct 20 2023 1:14PM  
Preventing Edler Abuse
Elder abuse occurs when an older adult experiences an act that causes them harm. Abuse, including neglect and exploitation, is experienced by about 1 in 10 people, aged 60 and older, who live at home. The Centers for Disease Control and Prevention (CDC) maintains a website that can help health care workers better understand elder abuse. This CDC website also offers evidence-based strategies that can help health care workers prevent elder abuse.
Web link    Date Added: 10/20/2023    Date Last Modified: Oct 20 2023 1:16PM  
Screening for Social Needs: Guiding Care Teams to Engage Patients
To treat patients’ social needs, we must first identify those needs. The American Hospital Association created this guide to help hospital-based health care providers, patients and community stakeholders determine how to screen and identify the socioeconomic challenges some people may face.
Adobe PDF    Date Added: 10/20/2023    Date Last Modified: Oct 20 2023 1:22PM  
Addressing Social Determinants of Health: The Need for Provider-Community Collaboration
This whitepaper from TMF Health Quality Institute describes key social determinants of health (SDOH) and how they affect health outcomes. The whitepaper includes examples of how provider organizations and hospitals and community-based stakeholders can work together to address SDOH.
Adobe PDF    Date Added: 10/20/2023    Date Last Modified: Oct 20 2023 1:27PM  
Improving Hospital Transfers: A Step Toward Equitable, Patient-Centered Acute Care
This article discusses ways to improve patient transfers from one facility to another. Effective transfers helps ensure that all patients have access to quality care.
Web link    Date Added: 10/20/2023    Date Last Modified: Oct 20 2023 1:39PM  
Social determinants of health and Medicare Advantage risk adjustment
This article, from Optum.com, explores how commercial Medicare Advantage insurance plans can address social determinants of health (SDOH), just as Medicare or Medicaid do. According to Optum.com, addressing SDOH requires an evolution in coding capabilities within existing documentation systems.
Adobe PDF    Date Added: 10/20/2023    Date Last Modified: Oct 20 2023 1:42PM  
Social Determinants of Health Virtual Expedition Modules
The American Hospital Association shares these videos to help hospital-based health care providers explore ways to address the social determinants of health that directly affect their patients' wellbeing.
Web link    Date Added: 10/20/2023    Date Last Modified: Oct 20 2023 1:25PM  
Environmental Scan of Best Practices for COVID-19 Vaccination and Testing for Underserved Populations
The Office of the Assistant Secretary for Planning and Evaluation has released an environmental scan that details the improvements made to COVID-19 testing and vaccination rates, in particular highlighting individuals who are at a disproportionate risk of contracting the virus that causes COVID-19 or experiencing related adverse outcomes because of chronic conditions.
Web link    Date Added: 10/16/2023    Date Last Modified: Oct 16 2023 4:12PM  
Social Determinants of Health database from the American Hospital Association
The Social Determinants of Health (SDOH) website, maintained by the American Hospital Association (AHA), houses reports and case studies, along with webinars and videos, on several SDOH characteristics. The AHA website also links to resources hospitals can use to better meet their community's needs while addressing health care disparities.
Web link    Date Added: 10/13/2023    Date Last Modified: Oct 13 2023 2:20PM  
Housing and the Role of Hospitals
Where and how people live directly affects their heath. People experiencing housing instability have limited access to preventive care and are more likely to have infectious diseases and chronic health conditions. This website, maintained by the American Hospital Association, shares resources to help hospital workers better understand how housing instability affects health, and what they can do to ensure that people in their communities have access to affordable, stable housing.
Web link    Date Added: 10/13/2023    Date Last Modified: Oct 13 2023 2:23PM  
Transportation and the Role of Hospitals
People who do not have reliable transportation may find it difficult to access health care, which results in missed or delayed access to preventive health care services. This website, maintained by the American Hospital Association, shares resources to help hospital workers better understand how transportation issues affect health and health care outcomes, and what they can do to reduce transportation barriers in their communities.
Web link    Date Added: 10/13/2023    Date Last Modified: Oct 13 2023 2:29PM  
Roadmap to Better Care
Understanding health coverage can be confusing, but the Centers for Medicare & Medicaid Services (CMS) is making it easier through its Coverage to Care (C2C) initiativer. CMS released updated resources in several languages to help patients understand their coverage and get services.
Adobe PDF    Date Added: 10/05/2023    Date Last Modified: Oct 5 2023 10:30AM  
Disparities in Health Care in Medicare Advantage by Race, Ethnicity and Sex
This Centers for Medicare & Medicaid Services (CMS) stratified report discusses racial, ethnic and gender differences in health care experiences and quality of care for Medicare Advantage enrollees.
Adobe PDF    Date Added: 10/05/2023    Date Last Modified: Oct 13 2023 2:47PM  
Improving Care for People With Limited English Proficiency
This Centers for Medicare & Medicaid Services (CMS) infographic discusses health disparities among people with limited English proficiency and relevant resources.
Adobe PDF    Date Added: 10/05/2023    Date Last Modified: Oct 13 2023 2:47PM  
Understanding the Health Needs of Diverse Groups of Hispanic Medicare Beneficiaries
This Centers for Medicare & Medicaid Services (CMS) data highlight discusses the future medical needs and challenges of America's growing Hispanic population.
Adobe PDF    Date Added: 10/05/2023    Date Last Modified: Oct 13 2023 2:48PM  
Get Preventive Care
This Centers for Medicare & Medicaid Services (CMS) webpage offers information and resources on which preventive health care services are available at no cost under most health coverage.
Web link    Date Added: 10/05/2023    Date Last Modified: Oct 13 2023 2:46PM  
Roadmap to Behavioral Health
Behavioral health care usually starts with a screening and diagnosis. It includes treatment, recovery services and support. Use this guide to learn how to use your health coverage to improve your mental health. This guide is part of the Centers for Medicare and Medicaid Services' C2C Coverage to Care series.
Adobe PDF    Date Added: 10/05/2023    Date Last Modified: Oct 5 2023 10:32AM  
Guide to Developing a Language Access Plan
A language access plan can help ensure that an organization provides high quality and appropriate language services. This guide, developed by the Centers for Medicare and Medicaid Services, identifies ways that providers can assess their programs and develop language access plans to ensure persons with limited English proficiency have meaningful access to their programs.
Adobe PDF    Date Added: 10/05/2023    Date Last Modified: Oct 5 2023 12:59PM  
Utilization of Z Codes for Social Determinants of Health among a Sample of Medicare Advantage Enrollees, 2017 and 2019
This Data Highlight report from the Centers for Medicare & Medicaid analyzes the use of Z codes for social determinants of health data in a sample of Medicare Advantage (MA) enrollees drawn from a single, nationwide insurer from 2016 through 2019, which shows low rates of Z code utilization in MA at the enrollee and claims-level.
Adobe PDF    Date Added: 09/26/2023    Date Last Modified: Sep 26 2023 6:15PM  
Improving the Collection of Social Determinants of Health (SDOH) Data with ICD-10-CM Z Codes
This resource from the Centers for Medicare & Medicaid (CMS) can help providers better understand the use of Z codes to improve the quality and collection of health equity data. Using social determinants of health, Z codes can enhance quality improvement activities, track factors that influence people’s health and provide further insight into existing health inequities.
Adobe PDF    Date Added: 09/20/2023    Date Last Modified: Sep 28 2023 12:07PM  
States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model
The Centers for Medicare & Medicaid Services has created a new state total cost-of-care model designed to enhance multi-payer alignment. The AHEAD Model has several goals: to collaborate with states to curb health care cost growth, improve population health and reduce disparities in health outcomes.
Web link    Date Added: 09/18/2023    Date Last Modified: Feb 9 2024 6:04PM  
Disparities in SDOH Highlight Need for Social Intervention in the Heart Failure (HF) Space
A new analysis of health and nutrition, conducted by a team from the University of Texas Southwestern Medical Center, shows that social determinants of health (SDOH) significantly influence heart failure outcomes for people of color. The study also shows that patients with incomes below the federal poverty level face more challenges to overcome within the different categories of SDOH.
Web link    Date Added: 09/18/2023    Date Last Modified: Sep 18 2023 2:48PM  
Implementing CLAS to Improve Health Equity: Assessing your communication and language assistance efforts to meet CLAS Standards
In this recorded webinar, subject-matter experts from ATW Health Solutions explore how enhanced communication efforts can help your organization meet the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (National CLAS Standards). Among other things, participants in this second CLAS webinar discussed how to assess their organization's success in creating an effective language services program.
Video    Date Added: 08/31/2023    Date Last Modified: Sep 6 2023 10:15AM  
Patient Engagement Is Key to the Success of Value-Based Care Programs
This article explains the differences between value-based care (VBC) programs and the traditional fee-for-service model, and discusses how patient engagement is is key to the success of VBC programs.
Adobe PDF    Date Added: 08/30/2023    Date Last Modified: Sep 1 2023 1:37PM  
Going Beyond SDOH to Reduce Readmissions
This article examines recent research about how new technologies, such as artificial intelligence, can be used in a post-discharge patient engagement program. New technologies could address factors beyond social determinants of health (SDOH) and address emotional, behavioral and other barriers to recovery.
Adobe PDF    Date Added: 08/30/2023    Date Last Modified: Aug 30 2023 9:20AM  
Social Determinants of Health, Part 2: Screening and Coding for Social Determinants of Health
Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. In 2024, the Centers for Medicare and Medicaid will require hospitals in the Inpatient Quality Reporting program to submit two new SDOH measures. This recording provides an overview of these new measures.
Video    Date Added: 08/30/2023    Date Last Modified: Oct 3 2023 11:27AM  
Working Toward Health Equity in the Rural Space
In this podcast from the American Hospital Association, two heads of rural health systems explain how they're working to reach underserved communities. They also describe the steps they are taking to get to full equity.
Podcast    Date Added: 08/30/2023    Date Last Modified: Sep 1 2023 1:41PM  
Health Equity/Disparities—Health Area Deprivation Index, Session One
This webinar recording, organized by Health Services Advisory Group (HSAG), discusses the role health literacy plays in care coordination.
Web link    Date Added: 08/30/2023    Date Last Modified: Aug 30 2023 9:55AM  
Health Equity/Disparities—Health Area Deprivation Index, Session Two
This webinar recording, organized by Health Services Advisory Group (HSAG), introduces tools to address health disparities and social determinants of health that impact readmissions.
WebEx    Date Added: 08/30/2023    Date Last Modified: Aug 30 2023 9:59AM  
The Role of Health Equity in Care Coordination
This presentation, organized by Health Services Advisory Group (HSAG), discusses how a facility can identify the contributing factors that impact health equity and readmissions.
Web link    Date Added: 08/30/2023    Date Last Modified: Aug 30 2023 9:37AM  
Words Matter Badge Reel/Wallet Card
This tool, developed by Telligen, is an easy reference that can be kept on a badge reel or in a wallet to encourage the use of people-first language.
Web link    Date Added: 08/30/2023    Date Last Modified: Aug 30 2023 9:44AM  
Social Determinants of Health, Part 3: Understanding and Documenting Z-Codes
Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. This recording will discuss the categories of Z-codes and how they can be used to improve health care processes.
Video    Date Added: 08/30/2023    Date Last Modified: Apr 4 2024 9:09AM  
Social Determinants of Health, Part 1: Domains of Social Determinants of Health
Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. This recording reviews the five domains of SDOH identified by the Centers for Medicare & Medicaid for hospitals to screen.
Video    Date Added: 08/28/2023    Date Last Modified: Apr 4 2024 9:08AM  
Health Equity Gap Analysis
This checklist, from the Eastern U.S. Quality Improvement Collaborative (EQIC), can help hospital staff assess how well the hospital has incorporated health equity best practices in its operations.
Adobe PDF    Date Added: 08/23/2023    Date Last Modified: Feb 9 2024 6:25PM  
CMS Announces New Dementia Care Model for Medicare Patients
Medicare beneficiaries with dementia could have better access to coordinated care under a model announced in August 2023 by the Centers for Medicare & Medicaid Services (CMS).
Web link    Date Added: 08/23/2023    Date Last Modified: Aug 23 2023 7:41AM  
Telehealth and Medicare: The Use of Audio-Only Visits
When the pandemic was at its peak, Medicare expanded its coverage of telehealth visits. Most of the coverage expansions are temporary and scheduled to expire at the end of 2024. This article explores how audio-only telehealth visits, which will continue to be covered by Medicare, enhances access to mental heath and other care.
Web link    Date Added: 08/23/2023    Date Last Modified: Aug 23 2023 7:44AM  
Social Determinants of Health Items Explainer Video
The Centers for Medicare & Medicaid Services offers a 4-minute, animated video that explains when a proxy response is allowed for Social Determinants of Health items.
Web link    Date Added: 08/23/2023    Date Last Modified: Feb 9 2024 6:06PM  
Social Determinants of Health, Workflow Implementation
This resource helps health care leaders plan training for clinical staff who must collect data on the social determinants of health; several sample workflows are presented to assist in planning training.
Web link    Date Added: 08/23/2023    Date Last Modified: Aug 23 2023 8:00AM  
Forming Partnerships to Increase Rural Immunization Rates
This article discusses the challenges that people in rural communities face when accessing health care services, including when trying to get recommended vaccinations. The article also highlights strategies that have been successful in helping people overcome those challenges.
Web link    Date Added: 08/23/2023    Date Last Modified: Aug 23 2023 7:46AM  
Scripting Examples for SDoH Screening
This resource provides scripting options clinical staff can use to communicate with patients when gathering Social Determinants of Health (SDoH) information.
Adobe PDF    Date Added: 08/23/2023    Date Last Modified: Aug 23 2023 8:01AM  
Patient Engagement Is Key to the Success of Value-Based Care Programs
This article explains the differences between value-based care (VBC) programs and the traditional fee-for-service model, and discusses how patient engagement is is key to the success of VBC programs.
Web link    Date Added: 08/23/2023    Date Last Modified: Aug 23 2023 8:07AM  
Understanding Equity and What It Means to Provide Responsive Care
In a recorded webinar, panelists from the Primary Care Development Corporation discuss issues related to health equity.The panelists also share strategies that help health care providers assess their clients' needs in order to best respond to those needs.
Web link    Date Added: 08/07/2023    Date Last Modified: Aug 7 2023 11:57AM  
Achieving Healthy and Thriving Communities
The CDC Foundation produced a series of videos that address health equity as well as systems change approaches to eliminating health inequities.
Video    Date Added: 08/07/2023    Date Last Modified: Aug 7 2023 12:14PM  
Rural Healthcare Disparities Are Greatest in U.S.
The United States leads other developed countries in having health care disparities between rural and urban residents. This article summarizes the results of a study published in July 2023. Note: You must create a free account with Medscape to read this report and other articles.
Web link    Date Added: 08/07/2023    Date Last Modified: Aug 7 2023 12:09PM  
AHRQ Stats: Emergency Department Visits for Substance Use Disorders
This article summarizes a 2019 study that found that the population rate of emergency department visits related to substance use disorders was highest among Black non-Hispanic individuals. Understanding how this and other findings can help highlight potential inequities in care.
Web link    Date Added: 07/24/2023    Date Last Modified: Jul 24 2023 1:22PM  
Implementing CLAS to Improve Health Equity: Using patient-centered data to meet CLAS standards
In this recorded one-hour webinar, subject-matter experts from ATW Health Solutions explore how implementing the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (National CLAS Standards) can help advance health equity. In this first of three webinars, viewers will learn why it's important to implement these standards and review the National CLAS Standards' Principal Standard and Themes, with particular attention on Theme 3.
Video    Date Added: 06/26/2023    Date Last Modified: Sep 6 2023 9:59AM  
Policy Design Tools For Achieving Equity Through Value-Based Payment, Part 2
This article analyzes design tools for advancing equity through payment. The tools and related examples correspond to four design considerations: performance measurement, spending targets, performance-based incentives and care delivery redesign.
Web link    Date Added: 06/26/2023    Date Last Modified: Jun 26 2023 2:33PM  
4 strategies to reach a 5-star CMS rating
This article describes how organizations can ensure continuous improvement, which will result in a higher "Star Rating" with the Centers for Medicare and Medicaid Services.
Web link    Date Added: 06/26/2023    Date Last Modified: Jun 26 2023 2:31PM  
Webinar: Battling Health Disparities in Treating Chronic Kidney Disease
LaVarne Burton, president and chief executive officer of the American Kidney Fund, was part of an expert panel that discussed efforts to ensure that all people have access to the most effective kidney care. The webinar was hosted by the U.S. News and World Report.
Web link    Date Added: 06/16/2023    Date Last Modified: Jun 16 2023 1:03PM  
New Tools to Lower Prescription Drug Costs for Low-Income Seniors and People with Disabilities
People with limited resources and incomes may be eligible to participate in the Extra Help program. In addition to the Fact Sheet, information about the Extra Help program can be found at https://www.medicare.gov/basics/costs/help/drug-costs.
Adobe PDF    Date Added: 06/16/2023    Date Last Modified: Jun 16 2023 1:23PM  
How Different Types of Patient Data Are Used to Improve Health Equity
Pharmacists at the Pharmacy Quality Alliance (PQA) 2023 Annual Meeting discussed the role of data collection and analysis in the movement toward health equity. Panelists emphasized that a variety of data needs to be collected, including race, ethnicity, language, SDOH, geography, disabilities, sexual orientation and gender identification information. All of these factors play a role in narrowing the gaps in health care.
Web link    Date Added: 06/12/2023    Date Last Modified: Feb 9 2024 6:26PM  
Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
This article describes the diverse rural and remote populations across the nation, highlighting sources of strength and struggle for rural Americans and rural health care providers. The article also explores approaches to disaster behavioral health in rural and remote areas.
Web link    Date Added: 06/12/2023    Date Last Modified: Jun 12 2023 11:42AM  
Rural Community Engagement Resource Guide
Community engagement is key in developing and implementing strategies to improve health, increase value and drive equitable care delivery. This resource guide provides rural health care leaders with a variety of toolkits, strategies and information to help initiate, improve and inspire community engagement strategies that support value.
Adobe PDF    Date Added: 06/12/2023    Date Last Modified: Jun 12 2023 11:55AM  
How Chronic Care Management Helps with Social Determinants of Health
This article addresses how social determinants of health (SDOH) increase or decrease the risk of poor health outcomes and why doing so is critical to improving the nation’s health and wellbeing.
Web link    Date Added: 06/12/2023    Date Last Modified: Jul 28 2023 1:02PM  
On-Demand Webinar Introduction to Joint Commission’s New Health Care Equity Certification Standards
Effective July 1, 2023, a new voluntary Health Care Equity (HCE) certification program will be available to recognize hospitals that strive for excellence in efforts to provide equitable care. This program builds upon the Joint Commission’s existing health equity accreditation standards and requirements to reduce health care disparities. This on-demand webinar will introduce each standard and element of performance. This webinar is approved for 1 Continuing Education Credit until July 24..
Web link    Date Added: 06/09/2023    Date Last Modified: Jun 9 2023 2:54PM  
Improving Patient Care: How Hospital are Addressing Social Needs
This infographic from American Hospital Association data shows how hospitals are addressing social needs of their patients. In surveys, 87% of hospitals reported that their health systems screen some patients for social needs and that, on average, hospitals have 19 types of external partnerships to support population and/or community health.
Adobe PDF    Date Added: 06/09/2023    Date Last Modified: Jul 28 2023 1:03PM  
CMMI Describes Progress on Addressing Health Equity
The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (CMMI) continues to work toward achieving health equity in testing its payment and service delivery models. This article describe future CMMI efforts, which includes developing new models and revising existing models to promote and incentivize equitable care and increasing its collection and analysis of equity data.
Web link    Date Added: 06/05/2023    Date Last Modified: Feb 9 2024 6:06PM  
Community Health Workers Offer Critical Supports for Patients with Complex Health and Social Needs: An Evidence Review
Community health workers (CHWs) can improve health outcomes for those in the populations they serve. This blog post explores how CHWs bridge gaps between health professionals and their patients’ communities.
Web link    Date Added: 06/05/2023    Date Last Modified: Jul 28 2023 1:03PM  
Mapping Medicare Disparities Tool
Chronic diseases pose a significant problem in the United States resulting in substantial morbidity, mortality, disability and cost. The CMS Office of Minority Health has designed an interactive map, the Mapping Medicare Disparities (MMD) Tool, to identify areas of disparities between subgroups of Medicare enrollees (e.g., racial and ethnic groups) in health outcomes, utilization and spending.
Web link    Date Added: 05/31/2023    Date Last Modified: May 31 2023 1:50PM  
AHA Disparities Toolkit
The American Hospital Association created this toolkit for hospitals to use in educating staff about the importance of data collection, how to implement a framework to collect race, ethnicity and primary language data, and ultimately how to use these data to improve quality of care for all populations.
Web link    Date Added: 05/31/2023    Date Last Modified: May 31 2023 1:40PM  
Accountable Health Communities (AHC) Model Evaluation
When the Center for Medicare & Medicaid Innovation (Innovation Center) launched the Accountable Health Communities (AHC) Model in 2017, the intent was to test whether connecting Medicare and Medicaid beneficiaries to community resources and addressing health-related social needs (HRSNs) can improve health outcomes and reduce costs. This report provides an overview of findings from the Second Evaluation Report.
Web link    Date Added: 05/28/2023    Date Last Modified: Jul 28 2023 1:04PM  
Social determinants of health exacerbate racial disparities in excess uncontrolled BP
This article explores how social determinants of health contribute to uncontrolled blood pressure among Black adults. One conclusion: addressing the structural racism that leads to this challege requires interventions at the individual, interpersonal and institutional levels.
Web link    Date Added: 05/26/2023    Date Last Modified: Aug 22 2023 11:05PM  
America's Health Rankings 2023 Senior Report
The report provides a portrait of the health and well-being of older adults across the United States. The report covers social and economic factors, physical environment, clinical care, behaviors and health outcomes. It includes state-by-state summaries and county-level maps for risk of social isolation by state.
Adobe PDF    Date Added: 05/26/2023    Date Last Modified: Jul 28 2023 1:06PM  
America’s rural hospitals are in the red
Listen to this Marketplace report about how one small, rural hospital in Texas struggles to stay afloat as operating expenses rise, but patient volume declines
Web link    Date Added: 05/26/2023    Date Last Modified: May 26 2023 12:24PM  
CMS Health Equity Strategic Plan Fact Sheet
The Centers for Medicare & Medicaid's health equity strategy will build on the Biden-Harris Administration's commitment to advancing racial equity and support for underserved communities through the federal government, as described in President Biden's Executive Orders 13985 and 14091.
Web link    Date Added: 05/25/2023    Date Last Modified: Feb 9 2024 6:04PM  
The Health Equity Roadmap
The Health Equity Roadmap is a framework to help hospitals and health care systems chart a path toward becoming more equitable and inclusive organizations.
Web link    Date Added: 05/25/2023    Date Last Modified: May 25 2023 2:42PM  
Disparities in Diabetes Care: Differences Between Rural and Urban Patients Within a Large Health System
This study shows that rural patients have worse diabetic quality metrics than their urban counterparts, even when controlling for common contributing factors within the same integrated health system.
Web link    Date Added: 05/23/2023    Date Last Modified: May 26 2023 12:21PM  
Improving Health Care Access in Rural Communities: Obstacles and Opportunities
Watch a recording of the May 17, 2023 U.S. Senate Committee on Finance, Subcommittee on Health Care. The hearing addresses improving access to high-quality, affordable healthcare in rural communities.
Web link    Date Added: 05/23/2023    Date Last Modified: May 26 2023 12:23PM  
Building Local Level Partnerships for Rural Emergency Preparedness
Watch the first of a three-part webinar series on rural emergency preparedness. The webinar features four panelists who share tips on how to collaborate and form partnerships in their communities.
Web link    Date Added: 05/23/2023    Date Last Modified: May 23 2023 9:37AM  
How Regional Partnerships Bolster Rural Hospitals
This article shares results of a study that examined how critical access hospitals — facilities with 25 or fewer beds located more than 35 miles from another hospital — and other rural providers have partnered to overcome their challenges to providing quality health care to people in their communities.
Web link    Date Added: 05/23/2023    Date Last Modified: May 23 2023 9:38AM  
Food Insecurity is a Leading Health-Related Social Need Among Patients With Diabetes
This article discusses how the physical and economic burdens of living with type 2 diabetes may make it harder for Medicare beneficiaries to afford, access and prepare health-promoting food.
Web link    Date Added: 05/15/2023    Date Last Modified: May 15 2023 9:09AM  
Nonprofit grocery stores rehab America’s food desert
In 2008, the U.S. Department of Agriculture (USDA) researched how many areas in the United States are “food deserts” - where people have limited access to food retailers providing fresh produce and healthy groceries for affordable prices. This article explores how nonprofit grocery stores offer a new approach to addressing food insecurity.
Unknown item type    Date Added: 05/15/2023    Date Last Modified: May 15 2023 9:03AM  
More than One in Five Adults with Limited Public Transit Access Forgo Health Care Because of Transportation Barriers
This article describes an analysis of June 2022 data from the Urban Institute's Health Reform Monitoring Survey (HRMS). The result: five percent of adults reported that transportation barriers meant they couldn't get the health care they needed. The experiences varied significantly by race/ethnicity, income, disability status, health insurance coverage, rural/urban residence and household access to a vehicle.
Web link    Date Added: 05/15/2023    Date Last Modified: May 15 2023 9:22AM  
The High Costs Of Ignoring Health Inequities
This article explores how including equity as an important goal of the U.S. health system can improve efficiency in how resources are allocated.
Web link    Date Added: 05/09/2023    Date Last Modified: May 9 2023 8:01AM  
CMS Framework for Health Equity 2022–2032
The Centers for Medicare & Medicaid Services (CMS) released an updated framework to further advance health equity, expand coverage and improve health outcomes for the more than 170 million individuals supported by CMS programs.
Adobe PDF    Date Added: 05/08/2023    Date Last Modified: Feb 9 2024 6:03PM  
Community Health Workers: Key Players in Advancing Value-Based Care
This article explores how community health workers (CHWs) help ensure patients are well cared for and provider practices meet benchmarks. CHWs have a deep understanding of the communities they serve and, as a result, can address social determinants of health (SDOH) that often lead to disparities. CHWs also provide education, advocacy, and outreach opportunities for community members.
Web link    Date Added: 04/17/2023    Date Last Modified: Apr 17 2023 6:42AM  
Health Equity in Tobacco Prevention and Control
This guide promotes the ideal that all people have a right to live a healthy, tobacco-free life, regardless of their race, level of education, gender identity, sexual orientation, the job they have, the neighborhood they live in or whether or not they have a disability. The guide focuses on programs and intervention that have shown evidence of effectiveness.
Adobe PDF    Date Added: 04/14/2023    Date Last Modified: Apr 14 2023 8:20AM  
Fiscal Years 2023–2027 NIH-Wide Strategic Plan for Diversity, Equity, Inclusion and Accessiblity
In this strategic plan, the National Institutes of Health explains how it hopes to grow and sustain diversity, equity, inclusion and accessibility (DEIA) across all of the agency's activities. The strategic plan has three objectives: enhancing DEIA through structural and cultural change; implementing organizational practices to center and prioritize DEIA in the biomedical and behavioral research workforce and advancing DEIA through research.
Adobe PDF    Date Added: 04/14/2023    Date Last Modified: Feb 9 2024 6:27PM  
CMS Proposes Policies to Improve Patient Safety and Promote Health Equity
The Centers for Medicare & Medicaid Services (CMS) is proposing to recognize, for the first time, that homelessness impacts resource utilization in the acute inpatient hospital setting. CMS is also proposing that rural emergency hospitals could be designated as graduate medical education training sites.
Web link    Date Added: 04/14/2023    Date Last Modified: Apr 14 2023 8:08AM  
How Community Health Workers Are Impacting Rural Communities
This article explores how communities can address health care disparities by using funding to build health worker programs. The article focuses on six rural counties involved in the University of Kansas Medical Center's Local Health Equity Action Teams initiative.
Web link    Date Added: 04/14/2023    Date Last Modified: Apr 14 2023 8:06AM  
National Rural Health Association Policy Brief
This policy brief includes an analysis of the current rural health care status and offers policy and action recommendations.
Adobe PDF    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:24PM  
Tools to Guide Your 2023 Health Equity Journey
Collected by the Robert Wood Johnson Foundation, these resources can inform the efforts of Partnerships for Community Health to advance policies, practices and programs that foster health and wellbeing for all.
Web link    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:14PM  
Food Security: Key Dimensions of the Social Determinant of Health
This article examines how food access and security affects health and well-being. It states that many illnesses, such as heart disease and diabetes, may be diet-related. However, through community health partnerships, health care organizations are trying to connect patients in need with nutritious food.
Web link    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:18PM  
Create a Health Literacy Plan for your Organization with CDC Resources
According to the Centers for Disease Control and Prevention (CDC), health care organizations should strive to ensure information, products and services are accessible and easily understood. This CDC website provides step-by-step guidance on how to improve health literacy in your organization.
Web link    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:20PM  
Rural Mental Health’s Stressors, Barriers, and Protective Factors: Q&A with Dr. Dawn Morales
Dawn Morales, PhD, is the program chief of the Office of Rural Mental Health Research at the National Institute of Mental Health. In this article, Morales discusses the challenges facing rural mental healthcare, as well as why it's important for heath care providers to understand the people and cultures they serve.
Web link    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:30PM  
Over the Hills and Through the Hollers: How One Program is Assisting Residents of Appalachian with Opioid Use Recovery
This article presents results of a study that evaluated the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties.
Web link    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:23PM  
Hospitals and health equity: Examples of novel strategies
This article shares unique strategies hospitals are taking to reduce health disparities in underserved communities. The idea is to look at patient health rather than health care, working with community partners to have lasting success.
Web link    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:28PM  
It’s All About Relationships: Driving Health Equity by Prioritizing Connections
This article highlights the Advancing Integrated Models (AIM) program and the gains pilot sites have made in pursuing person-centered approaches for delivering medical, behavioral health and social services.
Web link    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:47PM  
Measuring And Addressing Nutrition Security To Achieve Health And Health Equity
This article explores food insecurity and the impact nutrition-related diseases have on health inequity and health care costs in the US and globally. The article also offers potential interventions to address nutrition security in different populations.
Web link    Date Added: 04/07/2023    Date Last Modified: Apr 7 2023 12:48PM  
Incorporating SDoH Into Community Health Programs
Researchers have identified how social determinants of health (SDoH) impact vulnerable communities. SDoH data help clinicians and public health experts better understand those who live in their communities. Community Health Programs (CHPs) continue to incorporate elements of SDoH into their work serving patients. This report, from Executives for Health Innovation, provides an overview of the important elements of incorporating SDoH into a community health strategy.
Web link    Date Added: 03/29/2023    Date Last Modified: Mar 29 2023 12:27PM  
New ER-Only Status Will Preserve Hospital’s Crucial Services. But Others Worry about Distance to Care
This article explores reactions to the news that St. Mark's Medical Center in La Grange, Texas, become a Rural Emergency Hospital. It was a surprise of many local people who worry that the move adds more barriers to health care for the residents in Fayette County, Texas, where La Grange is located.
Web link    Date Added: 03/23/2023    Date Last Modified: Mar 23 2023 12:32PM  
EQIC Health Equity
Beginning in 2020 as a part of the Centers for Medicare & Medicaid Services (CMS) Hospital Quality Improvement Contract (HQIC), the Eastern US Quality Improvement Collaborative (EQIC) initiative supports participating hospitals' improvement work with education, tools, resources and direct project management support. This EQIC page offers information, tools, resources, webinars and focus areas targeting equity in the care of all patients.
Web link    Date Added: 03/17/2023    Date Last Modified: Mar 20 2023 3:01PM  
Effective cross-cultural communication skills
The U.S. Department of Health and Human Services' Office of Minority Health has developed this fact sheet to give health care providers more information to help them improve how they communicate with their patients and staff, and to better understand and recognize differences in communication styles.
Adobe PDF    Date Added: 03/14/2023    Date Last Modified: Mar 14 2023 1:50PM  
Communication styles
The U.S. Department of Health and Human Services' Office of Minority Health has developed this fact sheet to give health care providers more information about different aspects of communication styles and how they tend to vary across cultures.
Adobe PDF    Date Added: 03/14/2023    Date Last Modified: Mar 14 2023 1:50PM  
Health Equity Framework for Medicare Organizations
Advancing health equity is one of five main goals in a 10-year strategic plan released by the Center for Medicare and Medicaid innovation (CMMI). This article describes progress made toward reaching this goal since CMMI unveiled its strategic plan in October 2021.
Web link    Date Added: 03/13/2023    Date Last Modified: Mar 13 2023 2:10PM  
Bringing health care to people’s homes in rural communities
This article describes how two communities, in two states, created a home-health model to address rural health needs.
Web link    Date Added: 03/09/2023    Date Last Modified: Mar 9 2023 12:27PM  
CMS Approves Arkansas Medicaid Waiver to Address SDOH
The Centers for Medicare & Medicaid Services (CMS) has approved an amendment to Arkansas' Medicaid section 1115 demonstration. The approved amendment will address various health-related social needs among targeted populations.
Web link    Date Added: 03/09/2023    Date Last Modified: Mar 9 2023 12:12PM  
The Impact of Food Insecurity in Value-Based Care
This article addresses food insecurity, the ways in which it affects patients' health outcomes and how nutritional awareness can reduce vulnerabilities, address health equity and drive value-based care.
Web link    Date Added: 03/09/2023    Date Last Modified: Mar 9 2023 12:22PM  
The Hospital-at-Home Care Model: What it is and Why it Works
The hospital-at-home model became popular during the COVID-19 pandemic. Health care organizations, as a result, provided care in patient homes. This article explores why health care organizations continue to rely on hospital-at-home models, even while in-person care has resumed.
Web link    Date Added: 03/09/2023    Date Last Modified: Mar 9 2023 12:24PM  
Rural Emergency Hospitals
Medicare patients can get emergency care and other services at rural emergency hospitals (REH) on an outpatient basis. This article lists the criteria a facility must meet to be considered an REH, along with information about how to bill for such services.
Adobe PDF    Date Added: 03/09/2023    Date Last Modified: Jan 3 2024 11:01AM  
Risk of Hospitalization Tied to Food Insecurity, Social Determinants of Health
This article focuses on a "Health Affairs" study that found a link between food insecurity and missed workdays and overnight hospital stays among U.S. adults with diabetes.
Web link    Date Added: 03/09/2023    Date Last Modified: Aug 22 2023 11:05PM  
Type 2 Diabetes Management Barriers in People of Color
This article focuses on some of the barriers that minorities face when trying to manage their Type 2 diabetes. These barriers include lack of diabetes education, as well as limited access to fresh fruits and vegetables and transportation to health care services.
Web link    Date Added: 03/09/2023    Date Last Modified: Mar 9 2023 12:33PM  
Rural Emergency Hospital (REH) Model: Frequently Asked Questions
This Q&A fact sheet provides answers to frequently asked questions regarding the Rural Emergency Hospital (REH) designation.
Adobe PDF    Date Added: 03/09/2023    Date Last Modified: Jan 3 2024 11:00AM  
Making Healthcare More Accessible and Affordable: A Conversation with Medicare Director Meena Seshamani, MD
In this article, Dr. Meena Seshamani, director, Center of Medicare, discusses the Centers for Medicare and Medicaid Services' efforts to grow participation in Accountable Care Organizations, where groups of providers come together to provide more holistic care of their populations, taking accountability for the quality and cost of care
Web link    Date Added: 03/09/2023    Date Last Modified: Mar 9 2023 12:14PM  
Rural Health Disparities
This topic guide introduces Rural Health Disparities and can be used as a reference that collects the “best of the best” resources, such as selected documents, organizations, tools, funding opportunities, news items, events and program examples.
Web link    Date Added: 03/08/2023    Date Last Modified: Mar 8 2023 8:27AM  
Addressing Rural Health Inequities in Medicare
This article discusses some of the Centers for Medicare & Medicaid Services' policies to support rural providers, improve access to care in rural areas and support the transformation of the rural health delivery system.
Web link    Date Added: 03/08/2023    Date Last Modified: Mar 9 2023 12:12PM  
Working to 'Break Down Barriers': Rural Health Center to Reach Out to Hard-to-Reach Patients
This article highlights a rural Arizona health clinic's efforts to increase vaccination rates and improve access to other health services. Approaches include offering childhood immunizations at dental clinics, adding more walk-in hours at health clinics, and reaching farmworkers with mobile medical and dental clinics.
Web link    Date Added: 03/08/2023    Date Last Modified: Mar 8 2023 8:29AM  
Rural-Urban Health Disparities Persist with Higher Risk of Heart Failure
New National Institutes of Health data documents rural-urban health disparities, with this latest study finding that those living in rural regions are 19% more likely to develop heart failure than those living in urban areas. The study, published in JAMA Cardiology, also found that Black men living in rural areas were 34% more likely to develop heart failure than Black men in urban areas.
Web link    Date Added: 03/08/2023    Date Last Modified: Mar 8 2023 8:31AM  
Connecting Peripheral Artery Disease, Social Determinants of Health Could Lead to Earlier Diagnoses
This article addresses how social determinants of health (SDOH), such as food and housing insecurity can directly increase the burden of other blood vessel diseases, such as heart disease and stroke. Exploring and understanding the relationship between peripheral artery disease (PAD) and negative social determinants of health (SDOH) in older Black adults could lead to earlier diagnoses.
Web link    Date Added: 03/08/2023    Date Last Modified: Aug 22 2023 11:06PM  
In Rural America, Deadly Costs of Opioids Outweigh the Dollars Tagged to Address Them
This article describes the challenges in funding opioid overdose prevention programs in rural counties. Although rural areas have been disproportionately harmed by the opioid crisis, the highest amount of settlement dollars are allocated to urban counties.
Web link    Date Added: 03/08/2023    Date Last Modified: Mar 8 2023 8:25AM  
Health Care Access in Rural Communities
This recently updated topic guide provides an overview of health care access in rural America, including the benefits and barriers that rural residents face.
Web link    Date Added: 02/23/2023    Date Last Modified: Feb 20 2023 7:30AM  
New Toolkit Offers Tips On Emergency Response And Preparation For Rural Communities
Compiled in collaboration with the Centers for Disease Control and other agencies, the information in this toolkit is meant to help rural areas better prepare for public health emergencies, disasters and threats.
Web link    Date Added: 02/20/2023    Date Last Modified: Feb 20 2023 7:32AM  
A doctor creates program to expand medical care in rural and underserved area
Millions of Americans live in rural or underserved areas where there are fewer medical care facilities and doctors with specialized expertise. One doctor in New Mexico is trying to help change that with his vision dubbed "Project ECHO." Fred de Sam Lazaro reports in a partnership with the Under-Told Stories Project at the University of St. Thomas in Minnesota.
Web link    Date Added: 02/20/2023    Date Last Modified: Feb 20 2023 8:33AM  
Racial Disparities in Access and Use of Diabetes Technology Among Adult Patients with Type 1 Diabetes in a U.S. Academic Medical Center
Recent studies have shown racial disparities in insulin pump and continuous glucose monitor use in children and adolescents with type 1 diabetes, but not many have explored this among adults with type 1 diabetes. This study, published in the January 2023 issue of Diabetes Care, showed that significant racial disparities were observed in discussions, prescribing and use of diabetes technology.
Web link    Date Added: 02/20/2023    Date Last Modified: Feb 23 2023 1:27PM  
Diabetes Study to Assess Approaches to Social Determinants
Researchers at the University of Alabama at Birmingham and the University of Mississippi Medical Center are studying sustainable and effective Type 2 diabetes management interventions in adults who have Type 2 diabetes and sub-optimal social determinants of health. The study will enroll patients in Alabama and Mississippi to evaluate variables such as health coaching, food delivery and remote patient-monitoring to see which will help patients manage diabetes.
Web link    Date Added: 02/20/2023    Date Last Modified: Feb 20 2023 7:56AM  
COVID-19 Materials for People with Intellectual and Developmental Disabilities and Care Providers
COVID-19 is challenging to explain, live through and communicate about. The materials on this webpage were created to help make communicating about COVID-19 a little easier. Choose from videos, posters, social stories and interactive activities to best meet your communication needs.
Web link    Date Added: 02/20/2023    Date Last Modified: Feb 20 2023 7:23AM  
Emergency Department Transfer Communication
This measure for hospitals to evaluate communication for transitions of care during emergency department (ED) transfers is particularly relevant for critical access hospitals (CAHs). The measure is included in the Medicare Beneficiary Quality Improvement Project (MBQIP). The goal of MBQIP is to improve the quality of care provided in CAHs by increasing quality data reporting that will drive quality improvement activities based on the data.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 8:04AM  
Rural Health Clinic Program at 45 Years: Created for Access and Still Delivering Care
Rural health policy experts, researchers and clinicians review the impact of the Rural Health Clinic Services Act of 1977 on outpatient healthcare delivery in rural America.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 8:06AM  
Rural Healthcare Payment and Reimbursement
This new topic guide features resources and information regarding the Rural Emergency Hospital (REH). The guide describes the contribution different payers make to rural healthcare, payment systems and related facility types in rural areas and how payment policies impact rural facilities' financial sustainability.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 8:09AM  
Assessment of Strategies Used in US Hospitals to Address Social Needs During the COVID-19 Pandemic
The results of this survey study suggest that rural hospitals, Critical Access Hospitals and Safety Net Hospitals are not doing more and, in some cases, are engaging in fewer strategies to address the Social Determinants of Health of their vulnerable populations, especially regarding community partnerships.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 12:36PM  
Inside a bus, East Texans get the health care they can’t afford or find anywhere else
Access to health care is limited in rural Texas. The mobile clinic operated by Beaumont-based TAN Healthcare aims to close that gap.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 8:11AM  
Advancing Health Equity And Integrated Care For Rural Dual Eligibles
A public health crisis is growing more acute in rural America, affecting individuals with both Medicaid and Medicare (the “dually eligible”). Rural residents suffer a “rural mortality penalty,” with rurality and poverty as predictors of mortality. Among the social determinants are hospital closures, workforce shortages, migration to urban centers, inadequate transportation and limited access to broadband internet. Perhaps most affected are cultural minority populations and indigenous peoples.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 8:17AM  
Rural Health Research Recap
Recent research finds that, on average, rural populations are older than urban populations, and the proportion of older adults is increasing more quickly in rural communities. While most older adults want to stay in their own homes as they age, older adults living alone in rural areas can be socially isolated and lonely. n, loneliness, and unsafe living conditions.
Adobe PDF    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 12:40PM  
Dartmouth Health launches Center for Advancing Rural Health Equity
This article announces the Center for Advancing Rural Health Equity (CARHE) inauguration. CARHE will focus on identifying and addressing persistent health disparities through collaboration and will engage with the community to better understand the issues people face when accessing health care.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 1:29PM  
Telehealth Policies and Federally Qualified Health Centers
This fact sheet provides an overview of telehealth policies for Federally Qualified Health Centers (FQHCs). The fact sheet covers originating and distance sites, reimbursement and services outside the FQHC. It includes a chart of FQHC Medicaid telehealth reimbursement eligibility by state.
Adobe PDF    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 12:38PM  
Rural Emergency Preparedness and Response Toolkit
This toolkit compiles evidence-based and promising models and resources to support organizations implementing emergency planning, response and recovery efforts in rural communities across the United States.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 12:43PM  
State Offices of Rural Health Address Health Equity through Collaboration
This article describes the role of State Offices of Rural Health (SORHs) in relation to state Primary Care Offices (PCOs), highlighting New Hampshire's Office of Rural Health and Primary Care. The article also discusses collaboration between SORHs and other state offices and the unique challenges of supporting rural health.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 12:45PM  
Health and Healthcare in Frontier Areas
This recently updated topic guide provides resources and information about healthcare and population health issues in remote and sparsely populated areas. It also features a new FAQ on health-related infrastructure challenges in rural areas.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 1:25PM  
Healing Through Culture
This article highlights efforts to incorporate traditional Native American medicine and spiritual practices alongside Western medicine through Indian Health Service (IHS) facilities, focusing on this work in the Navajo Nation. The article describes issues of intergenerational trauma and mental health struggles and barriers to mental health services for Native people in Arizona.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 1:32PM  
Racial Disparities in Access and Use of Diabetes Technology Among Adult Patients with Type 1 Diabetes in a U.S. Academic Medical Center
Recent studies have shown racial disparities in insulin pump and continuous glucose monitor use in children and adolescents with type 1 diabetes, but not many have explored this among adults with type 1 diabetes. This study, published in the January 2023 issue of Diabetes Care, showed that significant racial disparities were observed in discussions, prescribing and use of diabetes technology.
Web link    Date Added: 02/16/2023    Date Last Modified: Feb 16 2023 1:35PM  
Social Determinants of Kidney Disease (SDoH)
The National Kidney Foundation (NKF) has identified some of the SDoH that have been found to contribute to people developing kidney disease. There are many environmental, medical, and social factors that contribute to an increased risk of developing kidney disease, also known as chronic kidney disease or CKD.
Web link    Date Added: 02/10/2023    Date Last Modified: Feb 10 2023 2:17PM  
The American Kidney Fund launches Kidney Health for All
This new website from the American Kidney Fund is intended to improve health equity, especially among patients from underrepresented groups. The site houses tools and resources that can be shared with patients to help them have conversations with their doctors and make informed health care decisions.
Web link    Date Added: 02/07/2023    Date Last Modified: Apr 7 2023 12:15PM  
Black Health Matters: Improving Population Health Equity within African American Communities
The Black community tops the list of groups afflicted by hypertension, stroke, diabetes, heart disease, kidney failure and cancer. In this podcast, Dr. Richard Walker offers a number of commonsense ways to prevent, manage and possibly eliminate these killers, turning the tide of African-American health.
Web link    Date Added: 02/06/2023    Date Last Modified: Feb 6 2023 1:41PM  
Patient and Family Engagement Network flyer
This flyer promotes the Patient and Family Engagement network and can be displayed in many settings.
Adobe PDF    Date Added: 01/27/2023    Date Last Modified: Jan 27 2023 9:45AM  
Partnership for Community Health Network flyer
This flyer promotes the Partnership for Community Health network and can be displayed in many settings.
Adobe PDF    Date Added: 01/27/2023    Date Last Modified: Jan 27 2023 9:46AM  
Financial Impact of Telehealth: Rural Chief Financial Officer Perspective
This article explores how rural chief financial officers (CFOs) and hospital administrators perceive the financial impacts of telehealth in their facilities. Analyzes 30 interview responses from CFOs and administrators between October 2021 and January 2022 about the perceived benefits and challenges of telehealth programs/ The article also discusses opportunities to improve telehealth infrastructure to make the modality more cost effective for hospitals.
Web link    Date Added: 12/27/2022    Date Last Modified: Dec 28 2022 9:40AM  
Five Million in Grants Available for Nebraska Nursing Students
For our Nebraska Partnership for Community Health members -- Nebraska nursing students may be qualified for scholarships through the American Rescue Plan Act (ARPA). Qualified applicants will receive scholarships on a first-come, first-served basis. When scholarship recipients graduate, they must practice nursing in Nebraska for at least two years. Visit the Application for Nursing Incentives Scholarship Program for more information and to apply.
Video    Date Added: 11/22/2022    Date Last Modified: Nov 22 2022 9:13AM  
Getting the Care You Need: A Guide for People with Disabilities
Health care providers are required to offer everyone access to medical services without discrimination on the basis of disability. Use this guide to learn how to work with your provider to get the care you need. This guides is part of the Centers for Medicare and Medicaid Services' C2C Coverage to Care series.
Adobe PDF    Date Added: 11/16/2022    Date Last Modified: Nov 16 2022 9:11AM  
Rural Healthcare Payment and Reimbursement
This topic guide offers resources and information on how rural healthcare providers are reimbursed by different payers and payment systems, including by programs such as Medicare and Medicaid.
Web link    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 10:28AM  
Automated External Defibrillator (AED) Grant Program
Community-based organizations that can demonstrate need for an automated external defibrillator (AED) can apply for a grant to cover all or part of the costs associated with purchasing the equipment. Applications are accepted on an ongoing basis.
Web link    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 11:10AM  
DATA 2000 Waiver Training Payment Program
Federally Qualified Health Centers and Rural Health Clinics providers who have a DATA 2000 waiver to prescribe buprenorphine to treat opioid use disorder can apply for a one-time direct payment of $3,000. Applications accepted on an ongoing basis.
Web link    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 11:12AM  
National Emergency Tele-Critical Care Network Project
This national network of clinical care teams can provide expert medical advice and COVID surge support using network enabled mobile devices. Critical care experts from around the country can assist with e-consults, remote home monitoring, relief coverage, tiered staffing, and specialty services. Applications for such assistance are accepted on an ongoing basis.
Web link    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 11:15AM  
Rural Health Clinic Program at 45 Years: Created for Access and Still Delivering Care
This article shares the Rural Health Clinic (RHC) program’s history. Thanks to decades of work by many — federal agencies, dedicated public health experts and researchers, health policy experts, membership organizations, and the rural healthcare delivery teams themselves — RHCs now number nearly 5,200.
Web link    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 10:13AM  
Rural Emergency Hospital Resources
Beginning January 1, 2023, rural hospitals that qualify can seek the Rural Emergency Hospital (REH) designation from the Centers for Medicare & Medicaid Services (CMS). The program aims to ensure access to critical outpatient hospital services in communities that may not have a Critical Access Hospital or small rural hospital. REH-designated facilities will get enhanced Medicare payments for certain outpatient services. This webpage has links to resources that explain the program.
Web link    Date Added: 11/08/2022    Date Last Modified: Jan 3 2024 11:01AM  
Inside a Bus, East Texans Get the Health Care They Can't Afford or Find Anywhere Else
Access to health care is limited in rural Texas. This article describes how a mobile medical unit operated by a Federally Qualified Health Center helps meet the needs of the underserved in rural communities in eastern Texas.
Web link    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 10:32AM  
Configuration and Delivery of Primary Care in Rural and Urban Settings
After comparing the structure, capabilities and payment reform participation in a variety of settings, a key finding in this study is that despite challenges, Medicare patients may be able to adequately get primary care services in rural settings.
Web link    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 11:37AM  
Rural Health Research Recap: Aging in Place
Among other things, this study finds that, on average, rural populations are older than urban populations, and the proportion of older adults is increasing more quickly in rural communities. The majority of older adults would prefer to remain in their own home as they age, but older adults living alone in rural areas are at risk of social isolation, loneliness and unsafe living conditions
Adobe PDF    Date Added: 11/08/2022    Date Last Modified: Nov 8 2022 11:34AM  
Admissions Guide for Partnership for Community Health members
This form can be used to help patients and their families talk with health care providers about being admitted to a new health care setting such as a long-term care facility, in-patient rehabilitation, skilled nursing facility or a long-term acute care facility.
Adobe PDF    Date Added: 11/04/2022    Date Last Modified: Feb 28 2023 8:12AM  
Communicate Clearly to Promote Chronic Disease Self-Management
Learn how health literacy and cross-cultural communication can help patients better manage their chronic diseases. In this TMF Quality Innovation Network presentation, Erin Carlson, DrPH., MPH, shares practical guidelines and examples of health literacy education for provider-patient encounters. She provides tools and resources you can use to implement health literacy principles within your health care organization.
Video    Date Added: 11/04/2022    Date Last Modified: Nov 4 2022 9:05AM  
Discharge Guide for Partnership for Community Health members
This guide has a checklist of important items to discuss with your health care team when being discharged from a long-term care facility, in-patient rehabilitation, skilled nursing facility, or a long-term acute care facility.
Adobe PDF    Date Added: 11/04/2022    Date Last Modified: Feb 28 2023 8:29AM  
Importance of CLAS standards during COVID-19 to communicate clearly and simply
The national Culturally and Linguistically Appropriate Services (CLAS) standards were created in 2000 to advance health equity, improve quality and help eliminate health care disparities. One specific standard, the number eight standard, calls for health care institutions to provide easy-to-understand print and multimedia materials for patients, families and the community. This was never more important than during the COVID-19 pandemic. Learn more about this standard and how to apply it in your everyday practices.
Video    Date Added: 10/27/2022    Date Last Modified: Dec 16 2022 1:19PM  
Association of Rurality, Race and Ethnicity, and Socioeconomic Status with the Surgical Management of Colon Cancer and Postoperative Outcomes among Medicare Beneficiaries
This study’s findings suggest that Medicare beneficiaries from small town and rural areas were more likely to undergo surgery for non-metastatic colon cancer than metropolitan beneficiaries. They are also more likely to undergo emergent surgery and less likely to have minimally invasive surgery. The experiences of rural patients varied by race; rurality was associated with higher postoperative mortality for Black patients but not for other racial and ethnic groups.
Web link    Date Added: 10/24/2022    Date Last Modified: Oct 24 2022 12:57PM  
Aligning Systems for Health
This toolkit can help stakeholders and collaborators measure how systems and actions align across sectors to improve community health and well-being in sustainable ways.
Web link    Date Added: 10/24/2022    Date Last Modified: Oct 24 2022 1:06PM  
Medicare Incentive Payments in Health Professional Shortage Areas
Physicians in geographic Health Professional Shortage Areas (HPSAs) can get incentive payments from Medicare. Psychiatrists practicing in mental health HPSAs are also eligible. Payments are made on a quarterly basis, rather than claim-by-claim, and are handled by each area's Medicare carrier. Note: The Health Resources & Services Administration makes shortage area designations, not the Centers for Medicare and Medicaid Services. Applications are accepted on an ongoing basis.
Web link    Date Added: 10/22/2022    Date Last Modified: Oct 24 2022 1:00PM  
Quick Start Guide: Joint Commission Standards on Health Equity
This guide provides assistance in meeting the new health equity elements of performance for The Joint Commission. It provides resources and information on how hospitals can attest to each element.
Web link    Date Added: 10/18/2022    Date Last Modified: Oct 18 2022 2:16PM  
The Joint Commission R3 Report: New Requirement to Reduce Health Care Disparities
Effective Jan. 1, 2023, new and revised requirements to reduce health care disparities will apply to organizations in the Joint Commission’s ambulatory health care, behavioral health care and human services, critical access hospital, and hospital accreditation programs. This report provides the rationale and references that The Joint Commission employs in the development of new requirements.
Web link    Date Added: 10/18/2022    Date Last Modified: Oct 18 2022 2:21PM  
C2C Prevention Resources
An important part of the Coverage to Care (C2C) journey is prevention. These resources focused on prevention and healthy living can be shared with consumers, reposted online, printed or ordered. C2C also has resources to help you and your family stay safe and healthy.
Web link    Date Added: 10/17/2022    Date Last Modified: Oct 17 2022 1:22PM  
From Coverage to Care: A Roadmap to Better Care and a Healthier You
This tool is available in Arabic, Chinese, English, Haitian Creole, Korean, Russian, Spanish, Ukrainian and Vietnamese. There is also a Tribal Version available. The tool explains what health coverage is and how to use it to get primary care and preventive services for you and your family.
Web link    Date Added: 10/13/2022    Date Last Modified: Nov 1 2022 9:26AM  
Utilization of Z Codes for Social Determinants of Health among Medicare Fee-for-Service Beneficiaries
This resource from Centers for Medicare & Medicaid Services Office of Minority Health provides an update to past-published data focused on Z code claims for Medicare fee-for-service beneficiaries.
Adobe PDF    Date Added: 10/13/2022    Date Last Modified: Oct 13 2022 9:05AM  
National Action Plan to Improve Health Literacy
This report seeks to engage all people in a linked, multilevel effort to create a health literate society. The action plan identifies seven overarching goals and highest priority strategies that should be pursued to achieve health literacy.
Adobe PDF    Date Added: 10/13/2022    Date Last Modified: Oct 13 2022 10:30AM  
Health Literate Care Model
This tool helps patients to be more engaged in prevention, decision making and self-management by calling health care providers to approach all patients as if they are at risk for not understanding health information, employ a range of strategies for clear communication and confirm patients understand what providers are saying.
Web link    Date Added: 10/13/2022    Date Last Modified: Oct 13 2022 10:29AM  
Promoting Health Equity: A Resource to Help Communities Address Social Determinants of Health
This workbook from the Centers for Disease Control and Prevention (CDC) is aimed at public health practitioners and partners interested in addressing social determinants of health (SDOH) in order to promote health and achieve health equity. It was created to encourage and support the development of new and the expansion of existing, initiatives and partnerships to address the SDOH inequities.
Adobe PDF    Date Added: 10/13/2022    Date Last Modified: Oct 13 2022 10:07AM  
An Implementation Checklist for the National CLAS Standards with a CLAS Action Worksheet and CLAS Testimonials
QIN-QIOs will help providers develop a CLAS implementation action plan using the "An Implementation Checklist for the National CLAS Standards" checklist, developed by the U.S. Health and Human Services department.See pages 4-8.
Adobe PDF    Date Added: 10/13/2022    Date Last Modified: Oct 13 2022 12:29PM  
Mental Health America: Latinx/Hispanic Communities and Mental Health
This webpage offers many resources in English and Spanish for the Latinx/Hispanic communities to help raise awareness about mental health. Mental Health America (MHA) develops materials and content that work to bridge the gap in knowledge about mental health conditions with the goal of normalizing conversations around mental health in the Latinx/Hispanic communities.
Web link    Date Added: 10/13/2022    Date Last Modified: Oct 13 2022 10:24AM  
A Physician’s Practical Guide to Culturally Competent Care
This self-directed training course is designed for physicians, physician assistants, and nurse practitioners. With growing concerns about racial and ethnic disparities in health and about the need for health care systems to accommodate increasingly diverse patient populations, cultural competence is a matter of national concern. This e-learning program will equip health care providers with competencies that will enable them to better treat the increasingly diverse U.S. population.
Web link    Date Added: 10/13/2022    Date Last Modified: Jul 26 2023 2:29PM  
Social Determinants of Health (SDoH) Z Code Tip Sheet (ICD-10)
This tip sheet lists Z codes that can help practices identify unmet needs and barriers of patients.
Adobe PDF    Date Added: 10/13/2022    Date Last Modified: Aug 22 2023 11:03PM  
Rural Emergency Hospital Technical Assistance Center
The Rural Health Redesign Center provides technical assistance to rural hospitals and Critical Access Hospitals interested in examining the feasibility of converting to a Rural Emergency Hospital (REH).
Web link    Date Added: 10/10/2022    Date Last Modified: Jan 3 2024 10:59AM  
Family Medicine Residencies: How Rural Training Exposure in GME Is Associated With Subsequent Rural Practice
This article explores study results that found when future family medicine (FM) providers do their residencies in rural areas, they are more likely to consider eventually practicing in rural areas. Findings further suggest increasing the amount of rural exposure during FM residencies may be a way to strengthen future rural primary care workforce supply.
Web link    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:20AM  
Assessment of Disparities in Diabetes Mortality in Adults in US Rural vs Non-rural Counties, 1999-2018
In this cross-sectional study, U.S. rural counties had the highest overall diabetes mortality rate. The determinants of persistent rural disparities, in particular for rural men and for adults in the rural South, require investigation.
Web link    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:29AM  
Supporting Smaller Health Centers
The Community Health Center Capital Fund LoanPLUS Program provides loans and technical assistance designed to smaller health centers and those with limited financial resources. Health centers in the United States and U.S. Territories that have not been able to access financing through conventional lenders are encouraged to apply. Applications are accepted on an ongoing basis.
Web link    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:39AM  
Key Informant Perspectives on Supporting Health and Well-Being for LGBTQ+ Rural Residents
This article provides an overview of challenges rural LGBTQ+ populations face in getting physical and mental health care. The respondents, representatives from 14 LGBTQ+ advocacy groups, noted that lack of resources and cultural competency in rural areas are among the main hurdles to overcome.
Adobe PDF    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:16AM  
Federal Funding for Transportation Programs Serving Older Adults and People with Disabilities
This Resource Guide provides an inventory of federal grants that may be used to serve the transportation needs of older adults and people with disabilities.
Adobe PDF    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:19AM  
Examining the Burden of Public Stigma Associated with Mental Illness in the Rural United States
This policy brief documents the burden of public stigma associated with mental illness in rural communities compared with non-rural areas. Among the findings: female respondents held more positive attitudes towards recovery than did their male counterparts, while older respondents held more negative stereotypes than did younger respondents.
Adobe PDF    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:23AM  
Biden-Harris Administration National Strategy on Hunger, Nutrition and Health
This document provides an overview of the current hunger, nutrition and health landscape in the United States. The report outlines a national strategy to address hunger and diet-related diseases and disparities.
Adobe PDF    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:26AM  
2022 National Strategy to Support Family Caregivers
This report outlines a national support strategy for family caregivers of all ages, including elderly adults, people with disabilities and people with chronic conditions, among others. The report also discusses recommendations for caregivers who live in rural and underserved areas. The Administration for Community Living, an agency of the U.S. Department of Health and Human Services, commissioned the report.
Adobe PDF    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:34AM  
Monkeypox Vaccine Equity Pilot Program
The Centers for Disease Control and Prevention (CDC) is providing free vials of monkeypox vaccine for projects seeking to address vaccination disparities among priority population groups most affected by the disease. The CDC recommends requesting up to 100 vials. Proposals must be submitted through state or territorial health departments, tribal governments, federally funded tribal healthcare facilities, or cities currently getting monkeypox vaccines through the Strategic National Stockpile.
Web link    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:37AM  
Healthy People 2030 Champion Program
Apply to become a Healthy People 2030 Champion. Healthy People 2030 Champions are a diverse array of public and private organizations that promote strengthening and evaluating efforts to improve the health and well-being of all people. Applications are reviewed on a rolling basis. Healthy People Champions are part of the U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion’s Healthy People 2030 project.
Web link    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:44AM  
Next Steps for the Rural Emergency Hospital Model
This blog post from the Bipartisan Policy Center discusses rural hospital closures and describes the Rural Emergency Hospital (REH) model.
Web link    Date Added: 10/10/2022    Date Last Modified: Jan 3 2024 11:06AM  
Receipt of Out-of-State Telemedicine Visits among Medicare Beneficiaries during the COVID-19 Pandemic
This study examines how Medicare beneficiaries used out-of-state telemedicine during the COVID-19 pandemic, from January to June 2021. One finding: out-of-state telemedicine visits were common and used most by patients who live near state borders or in rural communities. Therefore, limitations on out-of-state telemedicine care may disrupt many existing patient-clinician relationships in primary care and mental health treatment.
Web link    Date Added: 10/10/2022    Date Last Modified: Oct 10 2022 10:12AM  
ICD-10-CM Coding for Social Determinants of Health
This guide from the American Hospital Association (AHA) can aid hospitals in adding social needs data to hospital claims, which enables system-wide research to gain a better understanding of the health-related social needs of patients and communities around the country.
Adobe PDF    Date Added: 10/06/2022    Date Last Modified: Oct 6 2022 3:59PM  
USING Z CODES: The Social Determinants of Health (SDOH)
"The Social Determinants of Health Data Journey to Better Outcomes" infographic from the Center for Medicare & Medicaid Services outlines steps to collect, report and use Z codes. It also offers directives specific to hospital administrators, coding professionals and providers regarding Z codes.
Adobe PDF    Date Added: 10/04/2022    Date Last Modified: Oct 4 2022 4:42PM  
Improving Blood Pressure Control for African Americans Roadmap
Created by Million Hearts and the National Association of Community Health Centers, this tool helps organizations achieve at least 80% blood pressure control for their African American – and all – patients with hypertension.
Adobe PDF    Date Added: 09/30/2022    Date Last Modified: Sep 30 2022 7:30AM  
AMA Hypertension Medication Treatment Protocol
Created by the American Medical Association (AMA), this resource includes guidance from AMA hypertension experts and can improve blood pressure control rates by 10% and sustain results  for patients who are not pregnant and are not diagnosed with congestive heart failure, coronary artery disease or chronic kidney disease stage 3.
Adobe PDF    Date Added: 09/30/2022    Date Last Modified: Sep 30 2022 7:32AM  
COVID-19 Vaccination for Children and Teens with Disabilities
Children and youth with special healthcare needs require more care for their physical, developmental, behavioral, or emotional differences than their typically developing peers. A special healthcare need can include physical, intellectual, and developmental disabilities, as well as long-standing medical conditions.
Web link    Date Added: 09/30/2022    Date Last Modified: Sep 30 2022 12:45PM  
Find COVID-19 vaccine locations near you
Use Vaccines.gov to find COVID-19 and flu vaccine providers near you and additional vaccine-related information
Web link    Date Added: 09/30/2022    Date Last Modified: Sep 30 2022 12:46PM  
Get Adults’ Vaccinations Back on Track
This is a tip sheet for providers on new CDC adult vaccine recommendations for Hepatitis B, Zoster (shingles), Pneumococcal, preferred flu vaccines for adults 65 and older, along with tools to help adults catch up on needed vaccinations.
Adobe PDF    Date Added: 09/30/2022    Date Last Modified: Sep 30 2022 12:53PM  
HTN Three-Pillars Case Study
In this study, conducted from June 2020 – June 2021, Miami Beach Community Health Center (MBCHC) identified methods to address hypertension using fortified protocols, advancing their approach to telemedicine and building relationships with their patients. MBCHC saw maintained blood pressure control for more than 80% of patients, with 79.1% of African American patients whose blood pressure was controlled.
Adobe PDF    Date Added: 09/30/2022    Date Last Modified: Sep 30 2022 7:27AM  
A Guide for Community Partners: Increasing COVID-19 Vaccine Uptake Among Members of Racial and Ethnic Minority Communities
The Guide for Community Partners is a resource for organizations with community-level reach that are looking to get engaged in or support COVID-19 vaccination confidence and access in racial and ethnic minority communities.
Adobe PDF    Date Added: 09/20/2022    Date Last Modified: Sep 30 2022 12:55PM  
PCORI Ambassador Program
The Patient-Centered Outcomes Research Institute's (PCORI) Ambassador Program is a national volunteer network designed to engage healthcare stakeholders in strengthening the patient-centered outcomes research community and increasing the dissemination of PCORI-funded research. PCORI accepts applications on an ongoing basis for its Ambassador Program.
Web link    Date Added: 09/16/2022    Date Last Modified: Sep 16 2022 7:14AM  
The Rural Community Health Literacy Toolkit
The Rural Community Health Literacy Toolkit includes evidence-based models and resources to support organizations that want to improve health literacy in rural communities across the United States. The seven modules in the toolkit contain resources and information focused on developing, implementing, evaluating and sustaining rural health literacy programs.
Web link    Date Added: 09/16/2022    Date Last Modified: Sep 16 2022 7:02AM  
Physician Response to COVID-19–Driven Telehealth Flexibility for Opioid Use Disorder
Many physicians who participated in a July 2020 study used telehealth for the first time during the early COVID-19 era. Most respondents found telehealth to be more effective than expected and 77% would be likely to use telehealth after the COVID-19 pandemic. The survey results were published in the American Journal of Managed Care.
Web link    Date Added: 09/16/2022    Date Last Modified: Sep 16 2022 7:31AM  
Sparta Community Hospital Spotlight
In this video, Sparta Community Hospital describes how it worked to identify the social determinants of health in its community. Sparta listened to their community and added a mobile clinic to increase the accessibility of primary care to address barriers and advance health equity.
Web link    Date Added: 09/16/2022    Date Last Modified: Sep 16 2022 7:12AM  
CMS Flexibilities to Address Public Health Emergencies
The Centers for Medicare and Medicaid Services (CMS) is assessing its response to the COVID-19 pandemic to ensure the health care system is prepared for addressing future emergencies. Visit the CMS website for details of what CMS calls "a cross-cutting initiative" to streamline the process used to reestablish health and safety standards. CMS will identify barriers and opportunities for improvement using a health equity lens.
Web link    Date Added: 09/06/2022    Date Last Modified: Sep 6 2022 9:35AM  
One Hospital's Journey to a Culture of Health Equity: Lessons Learned from a Rural Community
Learn about the population health initiatives at Jefferson Healthcare, a rural health system located in Port Townsend, Washington. The virtual event, held in November 2021,shared the strategy for population health and equity in a critical access hospital. An event recording, slides, and a Change Path document listing key takeaways and additional resources are available.
Web link    Date Added: 09/06/2022    Date Last Modified: Sep 6 2022 9:40AM  
Achieving Health Equity: A Guide for Health Care Organizations
Health care organizations have the power to address inequities in health outcomes directly at the point of care, and to influence many of the determinants that create inequities. This Institute for Healthcare Improvement white paper provides a five-part framework to improve health equity; a case study of an organization that has strategically integrated this work throughout their system; and a self-assessment tool to gauge current efforts and develop an action plan.
Web link    Date Added: 08/03/2022    Date Last Modified: Aug 3 2022 2:26PM  
An HIT-Supported Care Coordination Framework for Reducing Structural Racism and Discrimination for Patients with Alzheimer's Disease and Related Dementias (ADRD)
A paper written by The American Journal of Geriatric Psychiatry presents a framework of how care coordination can successfully be achieved through health information technology systems and reduce structural racism and discrimination for ADRD patients and their caregivers.
Web link    Date Added: 07/20/2022    Date Last Modified: Jul 20 2022 2:10PM  
Affordable Connectivity Program Lowers Cost of Broadband Services for Eligible Households
The Centers for Medicare & Medicaid Services is working to help build awareness about the Affordable Connectivity Program, a Federal Communications Commission program. This program is designed to help lower the cost of broadband service for eligible households struggling to afford internet service. Learn how to help eligible patients.
Web link    Date Added: 07/14/2022    Date Last Modified: Jul 14 2022 1:12PM  
Reducing Hospital Readmissions through Health Equity
In this presentation, TMF staff discuss how health equity strategies may help organizations reduce hospital readmissions.
Video    Date Added: 06/16/2022    Date Last Modified: Feb 2 2024 5:39PM  
Improving Health Care Quality for LGBTQ People
This 1-hour, 3-lesson course is for health care providers and staff who are responsible for collecting Medicare patient data from LGBTQ persons. Such data will help providers deliver high quality and culturally competent care to LGBTQ persons. This training on This training on collecting data in clinical settings is grounded in a review of best practices.
Web link    Date Added: 06/10/2022    Date Last Modified: Jun 10 2022 2:42PM  
Achieving Health Equity Online Course
Disparities in the quality of care received by minority populations is well documented. This 2-hour, 3-lesson course gives a structured process for identifying and eliminating health disparities. It also explains the benefits to organizations that are considering focused quality improvement efforts targeted to populations at risk for disparities.
Web link    Date Added: 06/10/2022    Date Last Modified: Jun 10 2022 2:44PM  
CMS Office of Minority Health
The CMS Office of Minority Health offers a comprehensive source of information on eliminating health disparities and improving the health of all minority populations, like racial and ethnic minorities, people with disabilities, members of the lesbian, gay, bisexual, and transgender community, individuals with limited English proficiency, and rural populations.
Web link    Date Added: 06/10/2022    Date Last Modified: Oct 13 2022 2:25PM  
An Implementation Checklist for the National CLAS Standards
Use this checklist to successfully implement culturally and linguistically appropriate services (CLAS). From the Office of Minority Health at the U.S. Department of Health and Human Services.
Adobe PDF    Date Added: 06/06/2022    Date Last Modified: Jun 9 2022 9:06AM  
A Practical Guide to Implementing the National CLAS Standards
This toolkit can enable organizations to implement the National CLAS Standards and improve health equity.
Adobe PDF    Date Added: 06/06/2022    Date Last Modified: Oct 13 2022 1:40PM  
AHRQ's Culturally and Linguistically Appropriate Services
This Agency for Healthcare Research and Quality webpage is a repository of tools you can use to promote culturally and linguistically appropriate services (CLAS).
Web link    Date Added: 06/06/2022    Date Last Modified: Jun 9 2022 9:05AM  
Think Cultural Health
This website, from the U.S. Department of Health & Human Services, promotes education, continuing education opportunities, and resources to learn about culturally and linguistically appropriate services (CLAS).
Web link    Date Added: 06/06/2022    Date Last Modified: Oct 13 2022 9:34AM  
Social Determinants of Health: Know What Affects Health
This website connects you to the Centers for Disease Control and Prevention (CDC) resources for social determinants of health (SDOH) data, research, tools for action, programs and policy. They may be used by people in public health, community organizations, research organizations, and health care systems to assess SDOH and improve community well-being.
Web link    Date Added: 03/24/2022    Date Last Modified: Sep 28 2023 8:55AM  
Rural Health Clinic
Download this manual from the Medicare Learning Network to learn about payment, visit and service changes that went into effect Jan. 1, 2022, for rural health clinics. There are also specific updates related to hospice visits, transitional care management, COVID-19 monoclonal antibody products and mental health care telehealth visits.
Adobe PDF    Date Added: 01/20/2022    Date Last Modified: Jan 20 2022 2:22PM  
Building an Organizational Response to Health Disparities
Learn how to identify, prioritize and take action on health disparities in your organization with this resource guide from the Centers for Medicare & Medicaid Services.
Adobe PDF    Date Added: 11/10/2021    Date Last Modified: Nov 10 2021 3:06PM  
CDC Health Equity Guiding Principles for Inclusive Communication
This information from the Centers for Disease Control and Prevention emphasizes the importance of addressing people inclusively and respectfully. The principles are intended to help public health professionals ensure their communication adapts to the specific cultural, linguistic, environmental, and historical situation of each population or audience of focus.
Web link    Date Added: 10/22/2021    Date Last Modified: Oct 22 2021 10:52AM  
The Rural Health Equity and Quality Summit Report
This report summarizes a June 2022 summit held with experts in rural healthcare policy and health equity, among others, to explore how small rural hospitals and Rural Health Clinics can achieve health equity. While discussing the challenges, the report also shares best practices and innovative models in promoting health equity in rural areas.
Adobe PDF    Date Added: 10/10/2021    Date Last Modified: Oct 10 2022 10:06AM  
Toolkit Addresses Cultural Humility Training
The COVID-19 pandemic has disproportionately affected communities of color, renewing a focus on health equity. The latest toolkit developed by the American Hospital Association's Institute for Diversity and Health Equity provides evidence-based practices that support cultural humility along with implicit bias training and education as part of its Health Equity Resources Series.
Web link    Date Added: 05/23/2021    Date Last Modified: May 24 2021 6:59PM  
The Conservation: Between Us, About Us
Part of a campaign from the Kaiser Family Foundation's Greater than COVID and the Black Coalition Against COVID, this video is designed to dispel misinformation and provide accessible facts about the vaccine from Black health care workers.
Web link    Date Added: 04/29/2021    Date Last Modified: Apr 29 2021 12:23PM  
Minority Health Videos About Vaccine Safety
The Food and Drug Administration’s Office of Minority Health and Health Equity has released two videos that speak to the importance of COVID-19 vaccines, how communities of color have been disproportionately impacted by COVID-19 and how it is important to get vaccinated to protect themselves and loved ones from the virus. The videos are available in English and Spanish.
Video    Date Added: 02/26/2021    Date Last Modified: Mar 11 2021 12:30PM  
Improving Cultural Competency for Behavioral Health Professionals
Cultural and linguistic competency is recognized as an important strategy for improving the quality of care provided to clients from diverse backgrounds. The goal of this e-learning program is to help behavioral health professionals increase these skills.
Web link    Date Added: 12/21/2020    Date Last Modified: Dec 20 2020 6:39PM  
Health Equity Snapshot: A Toolkit for Action
This report from the American Hospital Association provides information and resources for hospitals striving to address the social determinants of health and achieve health equity and diversity.
Adobe PDF    Date Added: 12/20/2020    Date Last Modified: Dec 20 2020 7:20PM  
Health Equity, Diversity & Inclusion Measures for Hospitals and Health System Dashboards
Helpful measures and tools to assist organizations in identifying the right equity metrics to measure and track progress toward health equity and inclusion.
Adobe PDF    Date Added: 12/20/2020    Date Last Modified: Dec 20 2020 7:07PM  
Rural Health Research RECAP: Rural Ethnic/Racial Disparities: Social and Systemic Inequities
A report highlighting the racial and ethnic disparities related to social determinants of health, specifically rates of poverty, broadband access, education and insurance of Black, Hispanic, American Indian and Alaska Native, and Asian American and Pacific Islander populations in rural and urban areas.
Adobe PDF    Date Added: 12/20/2020    Date Last Modified: Dec 20 2020 7:43PM  
Rural Health Research RECAP: Rural Ethnic/Racial Disparities: Adverse Health Outcomes
This report explores the racial and ethnic disparities in rural health outcomes, highlighting rates of premature mortality and disability status of Black, Hispanic, American Indian and Alaska Native, and Asian American and Pacific Islander populations.
Adobe PDF    Date Added: 12/20/2020    Date Last Modified: Dec 20 2020 7:37PM  
Societal Factors that Influence Health: A Framework for Hospitals
This American Hospital Association fact sheet is designed to guide hospitals’ strategies in addressing the social needs of their patients, social determinants of health in their communities and the systemic causes that lead to health inequities.
Adobe PDF    Date Added: 12/20/2020    Date Last Modified: Dec 20 2020 7:28PM  
A Systems Approach to Addressing Covid-19 Health Inequities
The development of a dashboard to track racial, ethnic, and language metrics related to patients with coronavirus within the community the health care organization is essential for discovering, addressing and resolving health disparities.
Unknown item type    Date Added: 12/18/2020    Date Last Modified: Dec 18 2020 5:54PM  
How COVID-19 and the flu are shedding light on inequities in Black and underserved communities
This podcast highlights health inequities in Black and underserved communities through the lens of the COVID-19 public health emergency and this year’s flu season, featuring Elisa Arespacochaga of the American Hospital Association’s Institute for Diversity and Health Equity and Andrea Custis of the Urban League of Philadelphia.
Podcast    Date Added: 12/16/2020    Date Last Modified: Dec 16 2020 8:53PM  
Strategies for Reducing Health Disparities
The Centers for Disease Control and Prevention highlights effective public health programs for addressing health disparities among specified groups in this 2016 report.
Web link    Date Added: 12/11/2020    Date Last Modified: Dec 11 2020 4:23PM  
National Healthcare Quality and Disparities Reports
The annual National Healthcare Quality and Disparities Report assesses the performance of the country's health care system using more than 250 outcome measures across a broad array of settings and services.
Web link    Date Added: 12/11/2020    Date Last Modified: Dec 11 2020 4:24PM  
Health Equity Considerations and Racial and Ethnic Minority Groups
The Centers for Disease Control and Prevention has outlined factors that may contribute to an increased risk for catching COVID-19 in certain racial or minority groups.
Web link    Date Added: 12/10/2020    Date Last Modified: Dec 14 2020 8:03AM  
Physician Order Form for Cardiac Rehab - Spanish
Providers can use this form when they want to refer Spanish-speaking patients to cardiac rehabilitation.
Adobe PDF    Date Added: 07/27/2023    Date Last Modified: Jul 27 2023 9:03AM  
Admissions Guide for Partnership for Community Health members (Spanish)
This form can be used to help patients and their families talk with health care providers about being admitted to a new health care setting such as a long-term care facility, in-patient rehabilitation, skilled nursing facility or a long-term acute care facility.
Adobe PDF    Date Added: 02/28/2023    Date Last Modified: Feb 28 2023 8:28AM  
Discharge Guide for Partnership for Community Health members (Spanish)
This guide has a checklist of important items to discuss with your health care team when being discharged from a long-term care facility, in-patient rehabilitation, skilled nursing facility, or a long-term acute care facility.
Adobe PDF    Date Added: 02/28/2023    Date Last Modified: Feb 28 2023 8:31AM  
CMS to reward hospitals for high-quality, equitable care
The Centers for Medicare and Medicaid Services (CMS) will increase payments to hospitals that treat patients who experiencing homelessness. Payments will also increase for hospitals that implement heath equity quality measures.
Adobe PDF    Date Added: 08/23/2023    Date Last Modified: Aug 23 2023 7:39AM