Search Results: MCHLine

Annotation: This report highlights the common threads between housing and reproductive justice, emphasizing the importance of policy solutions that de-silo maternal health and address social and structural barriers. The first section describes how structural racism and structural disinvestment—including residential segregation, poor housing access and conditions, residential instability and gentrification, and the carceral apparatus—contribute to deleterious health outcomes among Black women and birthing people. The second section outlines how Black pregnancy is policed across the reproductive lifespan through forced evictions and displacement during pregnancy, double jeopardy of racism and discrimination in health care settings, and threatened Child Protective Services (CPS) involvement after birth. The third section highlights the status of housing reform in Washington, D.C. and potential opportunities for change. The report ends with Mamatoto Village’s housing justice framework, a summary of federal housing programs and policies, and links to annotated bibliography of key articles.

Contact: Georgetown University , Health Justice Alliance , 600 New Jersey Avenue, NW, Washington, DC 20001, Telephone: (202) 662-9000 Web Site: https://www.law.georgetown.edu/health-justice-alliance/

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Keywords: Barriers, Blacks, Civil rights, Federal programs , Housing, Housing programs, Maternal health, Policy development, Pregnancy, Racism, Social factors, Underserved communities

Annotation: Podcast host Christie Allen talks with Amy Romano, founder and CEO of Primary Maternity Care. Romano, a nurse midwife with an MBA, who shares her experience blending clinical expertise with system-level healthcare leadership to revolutionize maternity care in rural communities. They discuss the critical role of freestanding birth centers, their capacity to offer low-risk, community-based care, and how these centers could be a key part of the solution to the growing issue of maternity deserts. Romano also dives into the challenges of regulatory barriers, the importance of risk-appropriate care, and the unique quality improvement strategies needed for safe community births. From pandemic-driven innovations to rethinking the future of rural maternity care, this episode is packed with actionable insights for improving maternal health outcomes in underserved areas. It is part of the AIM for safer Birth podcast series that dive deeper into the rising severe maternal morbidity and maternal mortality rates in the United States through a data-driven, quality improvement lens.

Contact: Alliance for Innovation on Maternal Health, 409 12th Street, S.W., Washington, DC 20024, E-mail: [email protected] Web Site: https://saferbirth.org/

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Keywords: Birthing centers, Childbirth, Maternal health, Quality assurance, Risk factors, Rural health, Safety, Underserved communities

Annotation: This electronic resource defines the term "equity" and provides links to the following tools to promote and advance health equity in underserved communities: (1) Equity assessment tip sheet; (2) In-depth equity assessment guide; (3) Guide to advancing equity through quantitative analysis; (4) Guide on advancing equity by incorporating intersectionality in research and analysis; (5) Tips on equitable communication; (6) Tips on engaging diverse groups of external partners; and 7) Practices for meaningfully engaging people with lived experience. The target audience includes state and local governments, tribal governments, and other private or nonprofit organizations focused on programs and policies relating to health and human services.

Contact: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation, Room 415F, 200 Independence Avenue, S.W., Washington, DC 20201, Telephone: (202) 690-6445 Secondary Telephone: (202) 690-7858 E-mail: [email protected] Web Site: https://aspe.hhs.gov/

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Keywords: Assessment, Ethnic factors, Evaluation, Facilitated communication , Health equity, Program planning, Racial factors, Underserved communities

Annotation: This paper provides information on oral health disparities that American Indians and Alaska Natives experience. It discusses the causes of these disparities and presents possible solutions. Topics include historical and current sources of health inequities, information from the State of Oral Health Equity in America Survey, creating and expanding a representative oral health workforce, collaborating to conduct inclusive research, and making funding available that promotes oral health equity. A call to action is included.

Contact: CareQuest Institute for Oral Health, 465 Medford Street, Boston, MA 02129-1454, Telephone: (617) 886-1700 Web Site: https://www.carequest.org Available from the website.

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Keywords: Alaska Natives, American Indians, Collaboration, Diversity, Healthy equity, Oral health, Underserved communities

Annotation: This brief offers information about community members’ attitudes in several states about oral health. It discusses how important it is to community members to get a dental check-up, compared with a medical check-up; how important it is to parents that their child has good oral health; and how institutional and structural factors limit community members’ access to clear information about oral health. Also discussed are community members’ understanding of the importance of oral health to overall health and how the COVID-19 pandemic has impacted their attitudes about getting oral health care.

Contact: Community Catalyst, Dental Access Project, 30 Winter Street, 10th Floor, Boston, MA 02108, Telephone: (617) 338-6035 Fax: (617) 451-5838 E-mail: [email protected] Web Site: https://communitycatalyst.org/work/projects/dental-access-project/ Available from the website.

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Keywords: Access to health care, Attitudes, COVID-19, Communities, Disease transmission, Health information, Infectious diseases, Oral health, Underserved communities, Virus diseases

Annotation: This report provides information about a research project to examine how to strengthen advocacy to more effectively promote equity and meet the oral health needs of communities that are underserved. The report presents project findings and offers recommendations for funders, advocates, and other key stakeholders to strengthen and expand oral health advocacy that is equity-informed and that includes community engagement as a core component.

Contact: Community Catalyst, 30 Winter Street, 10th Floor, Boston, MA 02108, Telephone: (617) 338-6035 Fax: (617) 451-5838 E-mail: [email protected] Web Site: https://www.communitycatalyst.org Available from the website.

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Keywords: Advocacy, Community health services, Health equity, Low income groups, Oral health, Underserved communities

Annotation: This paper describes the lack of published literature analyzing learning taking place in and with communities that has a demonstrated value to that community and the factors attributable to it, and efforts to build the evidence by establishing a common definition for community-engaged health professional education that is relevant to all health professionals in all disciplines in all settings or context. Contents include elements of the definition. Topics include sustainable community-academic partnerships; collaborative design, delivery, and evaluation; and next steps for building the evidence.

Contact: National Academy of Medicine, 500 5th Street, N.W., Washington, DC 20001, E-mail: [email protected] Web Site: http://nam.edu Available from the website.

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Keywords: Collaboration, Equal opportunities, Evaluation, Goals, Health occupations, International health, Leadership, Learning, Policy development, Professional education, Public private partnerships, Strategic plans, Sustainability, Training, Underserved communities, Work force

Annotation: This report discusses difficulties related to accessing oral health care in Arizona and how licensing mid-level oral health practitioners (dental therapists) to perform routine oral health procedures could make care more accessible and affordable. Topics include the importance of oral health, crossing the border for care, reimbursement rates, dental therapy, dental therapy supervision, and the safety of dental therapy.

Contact: Goldwater Institute , 500 East Coronado Road, Phoenix, AZ 85004, Telephone: (602) 462-5000 Fax: (602) 256-7045 E-mail: [email protected] Web Site: http://www.goldwaterinstitute.org Available from the website.

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Keywords: Access to health care, Arizona, Dental care, Health care delivery, Health care reform, Models, Oral health, Policy development, State legislation, Underserved communities, Vulnerability, Work force

Annotation: This report describes a three-year demonstration project dedicated to sustainable health care practice change for Michigan medically underserved children and adolescents. The report addresses project sites, activities, and qualitative and quantitative key findings. A report, summary, webinar, and power point slides are available.

Contact: Michigan Department of Health and Human Services, Capitol View Building, 201 Townsend Street, Lansing, MI 48913, Telephone: (517) 373-3740 Web Site: http://www.michigan.gov/mdhhs Available from the website.

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Keywords: Adolescent health, At risk children, At risk populations, Child health, Michigan, State programs, Underserved communities

Annotation: This fact sheet describes how health centers increase access to oral health care in the communities they serve. Contents include information about oral health services provided and the number of visits and patients served. Topics include activities to increase access to oral health care for underserved populations, modernize the safety net infrastructure and delivery system, improve oral health outcomes, and promote an innovative organizational culture. Links to resources for general information and technical assistance for health centers are also included.

Contact: U.S. Bureau of Primary Health Care, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (888) 275-4772 Secondary Telephone: (877) 489-4772 Fax: (301) 480-4098 Web Site: https://bphc.hrsa.gov/ Available from the website.

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Keywords: Access to health care, Community health centers, Comprehensive health care, Oral health, Organizational change, Primary care, Public health infrastructure, Service delivery systems, Technical assistance, Underserved communities

Annotation: This document summarizes results from a 6-year demonstration of a system for improving the oral health of groups in the United States that do not receive oral health care on a regular basis and that have high rates of untreated oral disease. The report describes a model that reaches people who do not regularly visit dental offices by bringing services to them using geographically distributed, telehealth-connected teams to provide the essential ingredients of a dental home. Contents include an overview of the system, major accomplishments, lessons learned, and future directions.

Contact: University of the Pacific School of Dentistry, Arthur A. Dugoni School of Dentistry, Pacific Center for Special Care, 155 5th Street, San Francisco, CA 94103, E-mail: [email protected] Web Site: http://www.pacificspecialcare.org Available from the website.

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Keywords: Demonstration programs, Dental care, Geographic regions, Health care delivery, Oral health, Special health care needs, Teamwork, Telemedicine, Underserved communities

Annotation: This report presents findings from six case studies of organizations using teledentistry across the United States. Contents include background on the facilitators of telehealth and teledentistry, the benefits of teledentistry, a description of teledentistry modalities, the history and current use of teledentistry services, a description of the project methods and findings, and elaboration on common themes. The appendices contain the case study briefs and protocol and a table describing regulation of teledentistry by state.

Contact: Oral Health Workforce Research Center, New York Center for Health Workforce Studies, University of Albany, SUNY, School of Public Health, 1 University Place, Suite 220, Rensselaer, NY 12144-3445, Telephone: (518) 402-0250 Fax: (518) 402-0252 Web Site: http://www.oralhealthworkforce.org Available from the website.

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Keywords: Access to health care, Barriers, Case studies, Costs, Financing, Health care utilization, Low income groups, Model programs, Oral health, Regulations, Research, Rural population, Service coordination, Technology, Teledentistry, Training, Underserved communities, Work force

Annotation: This brief provides information about the role of dental therapists in effectively expanding access to oral health care in underserved communities. The brief describes barriers to care, how programs in Alaska and Minnesota approached setting their scope of practice, policy recommendations for legislation, and advocacy strategies.

Contact: Families USA, 1225 New York Avenue, N.W., Suite 800, Washington, DC 20005, Telephone: (202) 628-3030 Fax: (202) 347-2417 E-mail: [email protected] Web Site: http://www.familiesusa.org Available from the website.

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Keywords: Access to health care, Advocacy, Costs, Dental care, Equal opportunities, Health care disparities, Models, Oral health, State legislation, Underserved communities, Work force

Annotation: This report for educators, researchers, policy influencers, and advocates examines provisions in the Every Student Succeeds Act (ESSA) that can be used to advance equity and excellence in education for all students. The report reviews the provisions in the following four areas: higher-order skills for all students, multiple measures to assess school performance and progress, resource equity, and equity strategies and evidence-based interventions. Topics include standards and learning goals, assessments, opportunities to learn, school climate and student inclusion, equitable access to effective teaching, reporting school expenditures and tracking inequities, state plans' focus on equity, incentives for equitable funding approaches, how equity policy can leverage successes for new immigrant students, school improvement funding, early childhood education, community schools, and integration and school diversity.

Contact: Learning Policy Institute, 1530 Page Mill Road, Suite 200, Palo Alto, CA 94303, Telephone: (650) 332-9797 Web Site: https://learningpolicyinstitute.org/ Available from the website.

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Keywords: Academic achievement, Barriers, Educational change, Equal opportunities, Intervention, Legislation, Low income groups, Measures, Public education, Resource allocation, Students, Systems development, Thinking, Underserved communities, Vulnerability

Annotation: This brief describes the virtual dental home, a model program in California that uses telehealth technology to provide oral health care services to underserved populations outside traditional dental offices (e.g., in Head Start programs, elementary schools, residential care settings, nursing homes). Topics include what the virtual dental home is and how it works. Additional contents include findings on the number of patients seen, total visits and the percentage of those needing referral to a dental office by type of site; findings from an associated demonstration project to test expanded practice procedures; satisfaction survey results; an economic analysis; and conclusions.

Contact: University of the Pacific School of Dentistry, Arthur A. Dugoni School of Dentistry, Pacific Center for Special Care, 155 5th Street, San Francisco, CA 94103, E-mail: [email protected] Web Site: http://www.pacificspecialcare.org Available from the website.

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Keywords: Allied health personnel, California, Children, Dental assistants, Dental hygienists, Model programs, Oral health, Telemedicine, Underserved communities, Work force

Annotation: This report presents two case studies of private dental practices that employ dental therapists (Minnesota, United States and Saskatchewan, Canada). Each case study describes the rules governing dental therapists; the dental practice and the role of the dental therapist in the practice; supervision; and the impact of the dental therapist on productivity (quantity of services performed), access to care for underserved populations, time spent by the dentist on complex vs. routine procedures, and practice profits.

Contact: Pew State and Consumer Initiatives, 901 E Street, N.W., Washington, DC 20004-2008, Telephone: (202) 552-2000 Fax: (202) 552-2299 E-mail: [email protected] Web Site: http://www.pewstates.org Available from the website.

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Keywords: Access to health care, Case studies, Dentistry, Economics, Oral health, Underserved communities, Work force

Annotation: These plans for oral health professionals outline steps in a comprehensive approach to caring for individuals with untreated oral disease, strengthening and enhancing the oral health care safety net, and providing disease-prevention and health-promotion services in underserved communities. Topics include authorizing and piloting a community oral health coordinator, collaborating with other health professionals and community-based programs such as Head Start, contracting with a health center, establishing an emergency department oral health referral program, participating in Medicaid, streamlining and promoting reimbursement, and creating a college- or university-based training program.

Contact: American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611-2678, Telephone: (312) 440-2500 Fax: (312) 440-7494 E-mail: [email protected] Web Site: http://www.ada.org Available from the website.

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Keywords: Collaboration, Community health services, Comprehensive health care, Head Start, Medicaid, Oral health, Provider participation, Public private partnerships, Reimbursement, Training, Underserved communities

Annotation: This issue brief explores how four managed care organizations (MCOs) serving vulnerable populations are tackling budget cuts and other challenges and changing the way care is delivered by investing in partnerships and a strong community presence. The brief explores promising strategies, presents early results reported by the plans, and identifies factors that appear to contribute to successful MCO-community partnerships as well as policy options for state Medicaid programs that seek to foster these approaches. The brief also discusses drivers (external and internal) of the MCOs' community-based efforts, challenges, and policy implications.

Contact: Commonwealth Fund, One East 75th Street, New York, NY 10021, Telephone: (212) 606-3800 Fax: (212) 606-3500 E-mail: [email protected] Web Site: http://www.commonwealthfund.org Available from the website.

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Keywords: Collaboration, Communities, Health care delivery, High risk groups, Low income groups, Managed care, Medicaid, Programs, Public policy, Underserved communities

Annotation: The ten guidelines presented in this document are grouped into three broad categories: person-focused, community-focused, and program-focused. Under each guideline, several possible strategies for implementation are suggested. Guideline topics include access to care, health education, outreach-centered case management, behavioral health support, clinical outreach, eligibility assistance, community-based outreach, advocacy, community collaboration, and program planning and evaluation. The guidelines and accompanying strategies are intended to provide direction for how to most effectively use outreach to increase access to and utilization of comprehensive primary health care services in underserved communities.

Contact: Health Outreach Partners, 405 14th Street, Suite 909, Oakland, CA 94612, Telephone: (510) 268-0091 Fax: (510) 268-0093 E-mail: http://outreach-partners.org/contact Web Site: http://outreach-partners.org/ Available from the website.

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Keywords: Communities, Community based services, Community health services, Guidelines, Outreach, Underserved communities

Annotation: This report, which focuses on the unmet need for primary health care in the United States, discusses why this need exists, contributing factors, and costs and consequences. The report presents community health centers as a solution to this problem and discusses identifying primary care needs, how health centers can meet these needs, the trend toward health centers filling the primary health care gap, and what still needs to be done.

Contact: National Association of Community Health Centers, 7501 Wisconsin Avenue, Suite 1100W, Bethesda, MD 20814, Telephone: (301) 347-0400 Web Site: http://nachc.org

Keywords: Access to health care, Chronic illnesses and disabilities, Community health centers, Community health services, Costs, Culturally competent services, Geographic factors, Cultural factors, High risk groups, Immigrants, Income factors, Low income groups, Poverty, Primary care, Underserved communities, Uninsured persons