Equity & Social Health

Equity-Centered Improvement

This session supported health center implementation teams in using data to identify opportunities for improvement, apply equity-centered approaches to population health management work, and consider practical next steps to improve care for all patients within their population of focus.
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PHMI Social Health Evidence: Chronic Conditions

This resource reviews interventions designed to support adults managing chronic conditions by integrating social risk screening with clinical care to improve disease self-management.
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PHMI Social Health Evidence: Preventive Care

This resource details how social health interventions, such as patient navigation and transportation assistance, can increase the uptake of preventive screenings and annual wellness visits.
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Implementation Guide: Chronic Conditions

This guide provides step-by-step guidance for improving population-based care for adults living with chronic conditions with the goal of supporting substantive cultural, technological, and process changes.
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