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editorial
. 2019 Jun 13;29(Suppl 2):329–342. doi: 10.18865/ed.29.S2.329

Table 6. Applying a health equity lens to policy across five subprojects of the TCC: measurement and evaluation.

Measure and evaluate policy outcomes on health disparities Collaborative Action for Child Equity (CACE) Project THRIVE Health Information Technology (HIT) Policy Health360x Health Policy Training
Downstream outcomes Changes in parent knowledge about healthier lifestyles; Changes in parent motivation to change their own and their family’s health behaviors; Changes in parent knowledge and desire to advocate for improved policies relating to healthy child development. Patient outcomes after exposure to culturally tailored intervention; perceived care-seeking behaviors of targeted patients; Knowledge of integrated care models; Awareness and attitudes related to culturally tailored integrated care models. Types & characteristics of providers adopting EHR; characteristics of Medicaid enrollees receiving telemedicine services. # of patients enrolled; Effectiveness of intervention in improving diabetes management; Provider-level workflow issues. # of and characteristics of fellows who completed program; # of fellows with full-time employment by sector; Promotions/leadership roles since fellowship completion; Importance of/role of health disparities and health equity in current position.
Midstream outcomes Extent to which existing local policies ensure receipt of appropriate early child development resources and program effectiveness in supporting community participation. Perceived barriers/ facilitators to incorporating culturally tailored integrated care models into clinical practice. System and community-level barriers and facilitators to adoption and implementation of HIT in underserved communities. # of practices enrolled and connected to data warehouse; Amount of data flowing; System-level barriers and facilitators to integration. Service on local, state, and national health advisory boards; Promotions/leadership roles since fellowship completion; Develop, implement or change public policy that address health disparities.
Upstream outcomes Extent to which existing state policies ensure receipt of appropriate early child development resources; Post-implementation demonstration of improvement in mental health, school readiness, reduction in child neglect and obesity among vulnerable children in minority communities. Secondary data analysis of Medicaid claims including patients similar to study sample (racial/ethnic minority, Depression diagnosis, 1+ chronic condition). Categories of demographic data included in federal EHR technology programs; Inclusion of health equity language in proposed, final policies; Health equity implications of proposed/ final policies. N/A Service on local, state, and national health advisory boards; Promotions/leadership roles since fellowship completion; Develop, implement or change public policy that address health disparities.