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1

Embed Equity in Health Systems by Creating Safety Net Hospital Programs and Social Services

Dignity Health Systems aimed to embed equity in health systems by establishing safety net hospital programs and social services. A multilingual, multicultural program offering health services and education to underserved communities was created to address social determinants of health and reduce disparities.

2

Build Coalitions and Community Partnerships with Healthcare Systems

BCBS MN aimed to address health and racial inequities by establishing coalitions and community partnerships with healthcare systems. This effort led to the development of successful coalitions, increased awareness of equity issues, and the promotion of comprehensive approaches to tobacco control through community engagement.

3

Embed Internal Equity Policies and Create Steering Committees in Health Systems

BCBS MN hoped to reduce inequities affecting diverse and underserved communities through an organizational and systemic approach to racial and health equity. BCBS MN adapted broad, planned structural solutions for internal equity policies and created steering committees to embed equity in health systems.

4

Adopt a Community Readiness Framework

APPEAL adapted the transtheoretical model into a framework for analyzing community readiness for policy change. APPEAL employs the community readiness model to help communities identify and evaluate priority areas of focus to develop policy strategies to change social norms.

5

Move Communities With a Policy Change Model

APPEAL developed a framework for engaging communities in policy change from identifying policy champions for leadership development to coordinating collaborative efforts with priority populations. The model targets 4 levels of policy change to reduce and eliminate health disparities within communities.