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Improving Community Access to Care Through Health Disparities Grant Learn how states have addressed COVID-related health disparities and improved health equity in their jurisdictions in these case studies. In 2021, as part of the COVID-19 pandemic response, CDC distributed critical funding to state, territorial, and freely associated state health departments through the OT21-2103 COVID Health Disparities grant to promote health equity initiatives. ASTHO, in partnership with the National Association of Community Health Workers and the National Organization of State Offices of Rural Health, created state stories highlighting how some health departments have deployed this funding to advance health equity in their jurisdictions. The following state stories demonstrate how Utah, Virginia, and Texas worked to strengthen public health initiatives in rural communities, empower community health workers, and build stronger bridges between communities and health care. website yes

Environmental health and public health preparedness staff work closely together to respond to natural disasters and climate change—learn how in this report.

This report provides critical insight into the top environmental health and natural disaster preparedness concerns across the nation.

Collecting and sharing data are crucially important to improving health equity, because those datasets inform effective policymaking. Despite having some of the most challenging population health outcomes, the U.S. island areas are often absent within federal public health datasets.Federal, island, and nonprofit partners should prioritize efforts to increase their inclusion.

Learn how increasing the use of indirect cost rates in the territories and freely associated states can help improve public health financing in these jurisdictions.

Explore why cancer prevention messaging is often ineffective and learn how public health communications professionals can message effectively instead.

How Mississippi Prioritizes Environmental Justice During Disaster Response Association of state and territorial health officials, astho, environmental health, environmental justice, public health, cross sector partnerships, emergency preparedness, natural disaster response, emergency response, health equity, social determinants of health, missisippi state department of health, office of environmental health, office of health equity, covid 19 pandemic, emergency planning and response Ali Aslam, Yaryna Onufrey, Beth Giambrone This case study dives into the Mississippi State Department of Health’s environmental justice initiatives, conducted using cross-sector partnerships. Environmental justice is defined as all people enjoying the same degree of access and protection from environmental and health hazards. This happens by intentionally involving all people—regardless of race, color, national origin, or income—while developing, implementing, and enforcing environmental laws and policies. The Mississippi State Department of Health incorporates environmental justice principles into their disaster response and emergency preparedness efforts. Mississippi's environmental justice work has been community-based and equity-driven. This case study dives into Mississippi’s cross-sector partnerships, community health initiatives, and health equity work as the state has worked to address environmental health concerns. Get the Report (PDF) website yes

Establishing an Office of Health Equity or Minority Health Learn how to establish, structure, and fund a health equity or minority health office. A dedicated office of health equity or minority health can provide a focus on cross-cutting efforts and strategies that help to improve services, outreach, and engagement with marginalized communities. This report delves into the typical scope for setting up a health equity or minority health office, including how to establish, structure, and fund it—providing a blueprint to island areas working to build one or considering establishing one in the future. In addition, it explores lessons learned from state offices of health equity or minority health, including California, Michigan, Nebraska, Nevada, New Jersey, New York, Ohio, Vermont, and Washington. Get the Report (PDF) website yes

Commonalities of State-Level HiAP Groups State-Level HiAP Initiatives, Cross-Sector Health Equity Programs, Health in All Policies Strategy, Integrating Health in State Policies, Collaborative Health Policy Development, social determinants of health, department of public health, improving population health, public health institute, social service, address the social determinants, cross sector collaboration, local health departments, health impact assessment, health disparities, incorporate health, community health, population health improvement, state and local governments, American public health, community based organizations, centers for disease control, health considerations, health inequities, long term, ASTHO, Association of State and Territorial Health Officials Kerry Wyss Learn how public health agencies are implementing cross-sector partnerships to improve their work and incorporate health equity. States and localities are developing cross-sector or health in all policies (HiAP) working groups to address the drivers of health from both within and outside of public health and health care. These groups bring together decision-makers from different sectors to explore policies and programs that aim to improve public health and address health inequities. These partners can include government agencies, community-based organizations, educational institutions, businesses, and other stakeholders. This document outlines some of the components, partners, and roles/responsibilities of many of these groups, so they can be replicated across the nation to tackle complex public health challenges at the state and local level. Get the Report (PDF) website yes

Framework for Communities to Prevent Youth Cannabis Use This resource provides evidence-informed strategies and resources to address the unique challenges posed by youth cannabis use. Over the last two decades, there have been significant changes in laws, rules, and regulations regarding cannabis. These changes have increased the availability and accessibility of cannabis in states and communities which may increase potential for harm, particularly for high-risk populations like young people. Use of cannabis at an early age can impact the developing brain and result in poor school performance, increased school dropout rates, impaired driving, and risk for later depression and psychotic disorders. While cannabis use has decreased among youth, data shows there are still a concerning number of youth who use cannabis, highlighting a need for continued prevention strategies. The resource aims to equip Drug-Free Communities coalitions with evidence-informed strategies and resources to address the unique challenges posed by youth cannabis use. Get the Report (PDF) website yes

Opportunities for Public Health Agencies to Advance Sustainable Financing of Community Health Worker Programs Advancing Sustainable Financing of Community Health Workers Explore how health officials can play key roles as funders, administrators, and policy designers to advance sustainable financing of community health workers. Many states face upcoming funding gaps for community health worker (CHW) positions, with COVID-19 related grant funding streams expiring. Concurrently, many states are rapidly beginning to cover CHW services under Medicaid. In addition, Medicare launched a new reimbursement opportunity for CHWs in January 2024. These factors create an opportunity for state and territorial health agencies to develop or contribute to equitable reimbursement and robust implementation. This report details how health officials can play key roles as funders, administrators, and policy design champions to ultimately advance sustainable financing of CHW services. Get the Report (PDF) website yes

State interviews reveal insights into supports and resources for advancing nutrition security for children, ages 0 to 3.

Sustaining DMI: Leveraging Medicaid to Advance Public Health Data and Surveillance A primer for states: leveraging Medicaid to design and execute a sustainable DMI. This primer describes how to leverage Medicaid to design and execute a sustainable data modernization initiative (DMI). It provides guidance, resources, and practical tools for effective management, strategic planning, and skill development to strengthen sustainability planning. Get the Report (PDF) website yes

Policy Options to Improve Data Sharing Between State and Local Health Departments Organizational policies on data sharing between state and local public health agencies. This report explores organizational policies related to data sharing between state and local public health departments. ASTHO, in collaboration with the National Association of County and City Health Officials and the Network for Public Health Law developed this report, which aims to serve as a guide for state and local public health leaders as they consider organizational policy options to improve state and local data-sharing efforts. Get the Report (PDF) website yes

Insurer-sponsored community health worker programs can address health plan members' SDOH needs. Learn how, from literature scan and focus group interview results.

Moving from Design to Implementation: Lessons on Expanding Contraception Access in New Jersey Liz Gipson, Jahira Sterling, Lauren Moran, Brittany Lee, Sophia Durant Lessons on expanding contraception access in New Jersey. Public sector health leaders play a critical role in influencing reproductive health policy design and program implementation. As the key authorities on state programs, public sector leaders foster necessary collaboration between community partners and other state agencies. In New Jersey, state officials are implementing two contraception access bills, S 413 and S 275, enacted in 2022 and 2023 respectively. This report details lessons learned from New Jersey’s cross-sector and interagency collaboration, which can guide public sector leaders in other states working to expand access to reproductive health services. Get the Report (PDF) website yes

Developing Internal Quality Improvement and Performance Management Training Modules Training modules can enhance staff capabilities in quality improvement and performance management methodologies, improving organizational efficiency and effectiveness. Training modules can enhance staff capabilities in quality improvement (QI) and performance management (PM) methodologies, helping to improve organizational efficiency and effectiveness. Developed in partnership with the New Mexico Department of Health (NMDOH) and the Public Health Foundation, this guidance document outlines a structured approach to developing QI and PM training modules, based on NMDOH's experiences and lessons learned. By following the adaptable processes within, agencies can effectively plan and implement training initiatives tailored to their workforce's unique requirements. Get the full Policy Guide in English (PDF) » Descarga la versión completa de la guía en español (PDF) » website yes

Multi-State Network of Linked PRAMS and Clinical Outcomes Data for Patient-Centered Outcomes Research Shannon Vance, Stephany Strahle, Shanna Cox, Sowmya Kuruganti, Lauren Kipling Multi-state network of linked Pregnancy Risk Assessment Monitoring System (PRAMS) and clinical outcomes data ASTHO, with support from the CDC’s Division of Reproductive Health and HHS’ Office of the Assistant Secretary for Planning and Evaluation, convened the Linking Pregnancy Risk Assessment Monitoring System (PRAMS) and Clinical Outcomes Data Multi-Jurisdiction Learning Community. Through this work, state health departments conducted data linkages between PRAMS and a variety of maternal and child health clinical outcomes and administrative datasets. This report highlights data linkage activities from each state, capacity building and TA offerings from the project, lessons learned, and future recommendations. Get the Report (PDF) website yes

Medicaid analysis project assesses COVID-19's impact on adults with intellectual and developmental disabilities.

These states are connecting public health and transportation to improve access to healthcare—learn how in this report.