Chelsea Clinton and Katelyn Yoo write for Forefront
 â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â
Problems viewing this email?
View Message In Browser
Tuesday, June 14, 2022 | The Latest Research, Commentary, And News From
Health Affairs
Dear John,
Today's newsletter comes from the desks of Kate Diaz Vickery and Tyler
Winkelman, primary care physicians who codirect the Health, Homelessness
& Criminal Justice Lab at Hennepin Healthcare
Research Institute.
From Kate Diaz Vickery & Tyler Winkelman
Today, we want to invite you to take a virtual visit with us to
Minnesota, where we're building new collaborations that inform health
equity work across the state!
In the latest issue of Health Affairs
,
we published COVID-19 vaccination rates among Minnesotans experiencing
homelessness or incarceration
(in jail or prison).
The takeaway: rates of vaccination for people experiencing homelessness
or incarceration in jail remain too low, especially for COVID-19
boosters.
To help close outreach and resources gaps, we've developed tools in
Minnesota to help inform and evaluate interventions to progress toward
our goals to eliminate health inequities.
The vaccination rates highlighted in our study were generated using data
from the Minnesota Electronic Health Record Consortium
(MNEHRC), a
collaboration that emerged during the pandemic between eleven health
systems in Minnesota and the Minnesota Department of Health to inform
policy and practice through data.
The MNEHRC developed a distributed data model with linkages to statewide
data and the ability to deduplicate records. Each site analyzes its data
locally and generates summary reports that are then aggregated
centrally.
This approach allows the group to assess trends and disparities in
COVID-19 prevalence, testing, and vaccination, including among key
subgroups at high risk of COVID-19 and severe disease, without a central
data repository.
We founded the Health, Homelessness & Criminal Justice Lab
within the Hennepin Healthcare Research
Institute to overcome barriers to optimal health and wellness for people
experiencing homelessness and/or criminal justice involvement through
research and collaboration.
At the Lab we believe that producing timely and policy-relevant data
about these two key populations can serve an important role in promoting
action to achieve equity in health and health care delivery for people
who have experienced homelessness or criminal justice involvement.
It has been exciting for our lab to work with collaborators in the
MNEHRC to harness its data resources across the state and produce
vaccination data for people experiencing homelessness and incarceration.
Historically, siloed data across sectors have created substantial
barriers to evaluation of health-related interventions for people
experiencing homelessness or incarceration.
Further, when data linkage is feasible, it is typically with an
individual city or county or with payer data that excludes uninsured
populations.
The ability of the MNEHRC to link homelessness and incarceration data
with data from EHRs across the entire state has allowed us to produce
estimates of COVID-19 vaccination in near real-time that would have been
otherwise impossible to produce.
We believe the MNEHRC's creative approach to data linkage and
collaboration are the future of public health.
Such data are granular enough inform the policy and practice decisions
needed to address longstanding health disparities among people
experiencing homelessness and/or incarceration, as well as other
historically marginalized populations.
This approach can also extend beyond COVID into other chronic physical
health, mental health, and substance use conditions.
In past work
, we were
able to link criminal justice, housing, and Medicaid claims to show that
people with high levels of health care use also had high levels of other
types of service use.
We believe the MNEHRC is an improvement on that model because it
provides a lens into health patterns for an entire statewide population
and is not limited by payer.The MNEHRC produces timely, near real-time
data (only delayed one week).
We are just beginning to comprehend the opportunities this level of data
integration offers and are grateful for all our partners across
Minnesota who chose to participate in this project.
If you do journey to our great state of Minnesota in real life (we
recommend a visit from June 20 to August 20 when the almanac assures us
it's "probably" never snowed), we'd encourage you to visit our
great state parks, city lakes, and let us know when you want to stop by
for a tour of the Health, Homelessness & Criminal Justice Lab.
Read The Research
[link removed]
Advertisement
Elsewhere At Health Affairs
Today in Health Affairs Forefront, Chelsea Clinton and Katelyn Yoo argue
that COVAX is not sufficient to vaccinate the world
and its failures are the failures of a global health paradigm which
relies on charity rather than solidarity, elevating the concept of
response over building resilience.
Eleanor Perfetto and coauthors ask, "What should be measured and
monitored?" when it comes to enhancing value by evaluating health care
services.
Elevating Voices: Pride Month: In a September 2021 article, Landon
Hughes and coauthors documented that privately-insured transgender
people are at a greater risk for morbidity
,
including greater risk of several chronic cardiovascular and
neurological conditions, than their cisgender counterparts.
Hughes also discusses the research on an episode of A Health Podyssey
.
[link removed]
Advertisement
[link removed]
Krista Harrison Peers Into The Intersection Of Hospice, Dementia, And
Care Quality
Krista Harrison from the University of California San Francisco joins
Health Affairs Editor-in-Chief Alan Weil to discuss how well hospice
works for people with dementia.
Listen Here
Daily Digest
COVID-19 Vaccination Of People Experiencing Homelessness And
Incarceration In Minnesota
Riley D. Shearer et al.
Is COVAX To Blame For Failing To Close Global Vaccination Disparities?
Chelsea Clinton and Katelyn Yoo
A Blueprint To Advance Patient-Centered Core Impact Sets
Eleanor Perfetto et al.
Privately Insured Transgender People Are At Elevated Risk For Chronic
Conditions Compared With Cisgender Counterparts
Landon Hughes et al.
Podcast: Krista Harrison Peers Into the Intersection of Hospice,
Dementia, And Care Quality
Alan Weil and Krista Harrison
What We're Reading
When we're not reading Health Affairs
,
we're looking at the headlines to keep track of how the health care and
health policy space is changing. Here are some of the stories that
caught our attention today.
You Agreed To What? Doctor Check-in Software Harvests Your Health Data.
Washington Post
Four Practical Ways Healthcare Will Join The Metaverse
Forbes
California Prepares to Launch a Mental Health Hotline
New York Times
Â
[link removed]
[link removed]
Â
[link removed]
Â
[link removed]
Â
[link removed]
Â
mailto:
[email protected]
About Health Affairs
Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs Today
, and Health Affairs Sunday
Update . Â
Project HOPE is a global health and
humanitarian relief organization that places power in the hands of local
health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.
Copyright © Project HOPE: The People-to-People Health Foundation, Inc.
Health Affairs, 1220 19th Street, NW, Suite 800, Washington, DC 20036, United States
Privacy Policy
To unsubscribe from this email, update your email preferences here
.
_________________
Sent to
[email protected]
Unsubscribe:
[link removed]
Health Affairs, 1220 19th Street, NW, Suite 800, Washington, DC 20036, United States
