| McKinlay Model Level of Intervention |
Downstream, Midstream, Upstream |
Downstream, Midstream, Upstream |
Downstream, Midstream, Upstream |
Downstream, Midstream |
Downstream, Midstream, Upstream |
| Level of Policy Research/Intervention |
Evaluate impact of SSC quality parenting program on childhood obesity and mental health (downstream); Assess impact of state and local policies on childhood obesity and mental health (midstream & upstream); Inform current and proposed policies to enhance provision of equitable early child development programs (upstream) |
Activate patients to seek mental health care through data and shared decision-making (downstream); Inform provider and practice-level policies that ensure integration between primary care and behavioral health providers, sharing clinical information and team-based coordination (downstream & midstream); Evaluate impact of culturally centered integrated care model on system/clinic policies related to quality, safety, efficiency and disparity reduction (midstream); Analyze population-level characteristics of Medicaid patients with depression (upstream) |
Assess state and federal laws for impact on health equity (upstream); Analyze implementation of HIT policies by health care providers and systems (midstream); Inform, engage and activate health care providers and communities to inform HIT policies regarding impact on health equity (midstream & downstream) |
Assess provider, practice and system barriers and facilitators to implementing a technology-based chronic care management program in an accountable care organization (downstream & midstream); Evaluate effectiveness of a technology-based chronic care management program on diabetes outcomes and patient management (downstream) |
Examine the workforce and training needs for health policy leaders focused on health equity (midstream & upstream); Evaluate training outcomes for a health policy fellowship program focused on health equity (downstream) |
