Table 1.

Key solutions and action points for addressing digital redlining.

Socio-ecological domain	Key solutions	Action points
Individual	1. Increase access to digital devices	• Establish programs (local, state, and federal) that subsidize cost of digital devices for individuals/populations that cannot afford these devices. • Health systems can develop digital health platforms that are accessible across multiple mobile operating systems and types of mobile devices.
	2. Increase digital literacy	• Providers and health systems should assess the level of digital literacy of their patients, i.e., ask if patients have clarity on how to use their devices for health-related purposes such as signing in for a doctor's visit, scheduling a lab test, reviewing their test results, sending a message to their provider. • Create handouts and videos that can walk patients through steps needed for digital device use.
Relationship	1. Employ community-based digital navigators	• Each clinic and hospital service should have access to a digital navigator who is available to explain to a patient, if needed, steps to using their mobile device or computer in accessing services. • The Information Technology (IT) department in each health system should be available at all times to respond to questions that patients may have about using their devices to access services. For systems or clinics without IT departments, a plan for accessing a digital navigator after hours should be in place. • Train current staff to provide services relating to digital navigation of technology for health services.
	2. Increase awareness of and access to digital navigators	• Part of the initial assessment and orientation to a clinic or hospital service should include information provided to the patient about how to access digital navigators. • Information about accessing digital navigators should be easily found on hospital/clinic websites.
Community	1. Increase financial support for under-resourced schools	• Local and state governments should include in their school budget funds for digital devices that includes internet access.
	2. Access to equitable health platforms	• Create digital health platforms that are accessible across multiple mobile and computer operating systems
Societal	1. Expand internet infrastructure and access	• Funding should be provided to internet companies to install adequate internet infrastructure in areas that are lacking, including cell towers, fiber, fixed wireless, digital subscriber lines (DSL), or cable • Expand WiFi hotspots to provide free WiFi for individuals who primarily access the internet using their mobile devices. • Subsidized cost of WiFi for specific individuals who cannot afford it.
	2. Redefine broadband	• Continuously review if the current definition of reliable high-speed internet meets current individual needs and update as needed. • Monitor internet maps to assess if residents are connected at the minimum requirement for high-speed internet.
	3. Regulatory policies	• States should use the Federal Communications Commission definition of reliable high-speed internet (download speeds of at least 25 Mbps and upload speeds of at least 3 Mbps). • Create regulations that ensure Internet Service Providers build infrastructure that meets the minimum requirement for high-speed internet.