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Evaluation of Practices in Health Care Settings

Diverse group of health professionals meet around a conference table
Exploring practices in health care settings by identifying multi-level strategies to address systemic barriers and promote access to quality care
  • Funder
    Centers for Disease Control and Prevention
  • Dates
    September 2022 – September 2024

Problem

The Centers for Disease Control and Prevention wanted to understand the application and impact of practices in health care settings.

Disparities in health outcomes remain a significant public health concern. Differences in access to resources, historical policies, and systemic factors have contributed to variations in health, education, and economic mobility. Research shows that certain communities experience disproportionate rates of illness and mortality across various health conditions, including hypertension and cardiovascular disease. Without intentional efforts to examine and address limiting practices in health care, gaps in health outcomes may persist, creating barriers to high-quality care for many populations.

Solution

NORC and our partners led an examination of practices in health systems.

NORC, in partnership with BLKHLTH and the American Hospital Association (AHA), led an exploratory evaluation for the Centers for Disease Control and Prevention (CDC) Division for Heart Disease and Stroke Prevention’s (DHDSP) with a shared purpose to increase knowledge about practices and initiatives in health systems, highlighting promising practices to transform health care, improve cardiovascular health, and reduce disparities.

NORC conducted an environmental scan concurrent with evaluability assessments (EAs) to identify three health care systems. NORC designed and implemented three rapid case study evaluations of practices being implemented in the selected health care systems. A subject matter expert panel, recruited from various backgrounds, oversaw and informed the evaluation design and implementation. Finally, NORC produced dissemination products highlighting practices in health care systems.

Result

Health systems have new tools to advance health equity.

The evaluation identified five key elements essential for implementing practices that address systemic disparities in health care. The five foundational elements included:

  • Strong leadership commitment
  • Training and education
  • Workforce representation
  • Community engagement
  • Data-driven accountability

These elements were integral to improving organizational practices and patient outcomes. The selected health systems implemented multi-faceted interventions, including leadership task forces, workforce development, community partnerships, and data-informed strategies to reduce disparities. Findings highlight the importance of sustained leadership support, culturally responsive training, recruitment strategies that reflect patient populations, and robust data systems to assess and address disparities. 

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