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Social determinants of healthcare are the conditions in which people are born, live, work, play, worship, and age. Read how these issues affect population health.

This report shares results and key takeaways from interviews on topics including the overall structure of Legionnaires’ disease programs, diagnosis and clinical testing protocols, and risk communication.

This resource provides strategies to incorporate health equity in overdose prevention programs.

Community Action Plan Templates for Children’s Environmental Health Environmental Health Community Action Plan Templates Health agencies can use these community action plan templates to bolster their children’s environmental health programs. ASTHO, through support from EPA, developed a set of four Community Action Plan Templates for use by state and territorial health agencies. These templates are intended to be adapted and customized by jurisdictions according to their specific needs and goals for children’s environmental health. Jurisdictions can prioritize the most pressing actions based on the areas of highest importance, needs, strategic plans, and timelines. The templates focus on air quality, climate, environmental justice, and lead poisoning. They provide a roadmap for creating community change by specifying what will be done, who will do it, and how it will be done. Health agencies can utilize the templates when helping communities develop new (or refine existing) action plans. Learn more about the templates by exploring the primer, or dive right in with one of the four templates below. website yes

The Keys to Driving Generational Health, Well-Being, and Justice 30:13 Tune in to this podcast episode to hear a discussion about the vital conditions for health and well-being framework to reach full potential. PH Conversations Series - The Keys to Driving Generational Health, Well-Being, and Justice Somava Saha and Andrew Martin from Well-Being and Equity in the World (WE in the World) discuss the vital conditions for health and well-being framework or what we all need to collectively thrive and reach our full health and wellness potential. Through their conversation, they offer reflections and stories around how public health and community collaborations across the country organize around the vital conditions, prioritizing belonging and building civic muscle, to drive health, well-being, and justice across generations. Show Notes Guests Somava Saha, MD, MS, President and CEO, WE in the World Andrew Martin, MS, MHCDS, Director of Networks and Partnerships, WE in the World Resources Organizing Around Vital Conditions Moves The Social Determinants Agenda Into Wider Action | Health Affairs Thriving Together Springboard Vital Conditions | WIN NETWORK Pathways to Population Health Equity PHC Podcast Transcript - The Keys to Driving Generational Health, Well-Being, and Justice website yes

This podcast explores innovative practices for leveraging non-traditional partnerships to support and sustain health equity expansion efforts.

Leveraging Medicaid to Support Community Health Workers and Address Health-Related Social Needs This conversation dives into the role community health workers play in improving public health and how Medicaid funding can support them. 20:13 PH Conversations Series - Leveraging Medicaid to Support Community Health workers and Address Health-Related Social Needs Across the nation, states are exploring opportunities to improve population health by integrating community health workers (CHWs) into the health care workforce. CHWs are public health workers who typically have lived experience and personal connections with the communities they serve. Through these connections, CHWs build trust with community members and serve as crucial links between health systems and marginalized communities. CHWs are vital to addressing health-related social needs (HRSN) and play critical roles in achieving more equitable care across the nation. CHWs may work in clinical and community-based settings under a range of titles, including promotores. CHWs provide many different services and assist clients in navigating resources to support their needs. For example, CHWs can conduct outreach and education, and link people to state and federal benefit programs. State Medicaid agencies and state/territorial health agencies can support the provision of CHW services through collaboration and cross agency-partnerships between public health and Medicaid agencies. These partnerships are particularly salient as state Medicaid agencies begin covering more HRSN services, related HRSN case management, and CHW-provided services through Section 1115 demonstrations and state plan amendments (SPAs). Section 1115 demonstrations, which allow states to test new policies to support Medicaid members and their needs, can fund state pilots for Medicaid-funded CHW programs. Approximately 20 of 64 approved 1115 demonstrations related to HRSN and five states have used 1115 demonstrations to support CHWs. The Centers for Medicare and Medicaid Services’ new 1115 demonstration opportunity on HRSN allows states to invest in CHW certification programs, among other workforce development infrastructure investments. SPAs are another pathway to create sustainable funding for CHW programs. To date, Centers for Medicare and Medicaid Services has approved SPAs to cover CHW services as formal Medicaid benefits in nine states, including Louisiana and California. To learn more about the financing mechanisms states can use to integrate CHW services into the health care system—and how state/territorial health agencies can support Medicaid in these efforts—ASTHO spoke with Diana Crumley, JD, MPAff, Former Associate Director of Delivery System Reform at the Center for Health Care Strategies. Listen to an abbreviated version of the discussion below. Show Notes Article Authors Jahira Sterling, Center for Health Care Strategies Madison Hluchan, ASTHO Interviewer Jennifer Jean-Pierre, Director, Content Development and Communications, ASTHO Guest Diana Crumley, JD, MPAff, Former Associate Director of Delivery System Reform, Center for Health Care Strategies Resource ASTHOBrief: Leveraging Medicaid to Support Community Health Workers PHC Podcast Transcript - Leveraging Medicaid to Support Community Health Workers and Address Health-Related Social Needs website yes

This toolkit is designed to support public health leaders in leveraging the policy development process to achieve health equity in their jurisdiction.

On Oct. 4, 2023, ASTHO responded to a Request for Information from the U.S. House of Representatives' Ways and Means Committee on the subject of improving access to healthcare and rural and underserved areas, including the island jurisdictions.

Health is impacted not only by our genes and our lifestyles, but also by the social and economic systems that determine our quality of life and access to certain resources and care.

This product identifies strategies for preventing ACEs, the role of public health in ACEs across levels of government, and policy development strategies to inform ACEs prevention.

Learn how the Minnesota Department of Health partnered with stakeholders to educate legislators on the impact of ACEs on incarcerated families.

Learn how to leverage public health assets in Medicaid managed care, with helpful background, life cycle details, and information on key obligations.

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

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

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

Hypertension disorders in pregnancy are the leading cause of maternal death, but state and territorial health agencies can address hypertension in pregnancy and reduce maternal morbidity and mortality.

This ASTHOBrief addresses the importance of developing robust, culturally competent risk-appropriate care systems for American Indian and Alaska Native communities.

This ASTHOBrief offers a menu of strategies and considerations for organizations interested in incorporating a Health in All Policies and equity-centered approach to the development and implementation of requests for proposals and notice of funding opportunities.