CIN Community,

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In this edition of the CIN newsletter, we bring you updates, resources, and insights from our network of partners and collaborators working in health and social services. This month we are sharing various resources highlighting the work of CIN partners and other efforts related to the CIN priorities, advancing health equity and evolving roles and care models.

Thank you for continuing to share the CIN newsletter with your colleagues to grow the network and help achieve more. Participation in CIN continues to be free and open to all. And if you ever have resources that would benefit the CIN community, please let us know!

Systemic poverty and resulting hardships fall unevenly across community members. How can we more finely tune supportive services to optimize interventions? New research analyzes San Diego County data to explore with more specificity how severe different types of hardships are for people, and to leverage that analysis to better design CalAIM programs.

This resource aims to demonstrate how community networks might publicly share the results of macro-level analysis to improve services and systems — and act on insights driven by the people who are most impacted. CIN partner organization 211 San Diego, an information and referral hub for health and social services, collaborated in this research with Health Leads.

The California Department of Health Care Services (DHCS) is supporting the transformation of primary care practices to advance health equity and reduce disparities by investing in up-stream care models and partnerships. These efforts align with value-based payment models to enable better care for Medi-Cal enrollees.

DHCS funds will be allocated through three pathways over five years to help primary care practices (pediatrics, family practice, adult medicine primary care, primary care OB/GYN, and behavioral health providers in primary care settings) participate in new payment models. See details to understand specific goals and eligibility.

Community engagement is central to addressing the systemic inequities and structural discrimination entrenched in our health and social services systems. However, community engagement must move beyond “checking a box” – from transactional engagement to transformational engagement.

Transformational community engagement shares power with the community and is built on trust, transparency, and mutual accountability. This issue brief discusses practical considerations for power sharing and offers strategies and tactics for communication and collaboration.

Learn how to build programs that support in-home asthma services, including program funding, training staff, enrolling clients, client education, asthma trigger assessments, remediation activities, and results tracking.

The Roadmap for In-Home Asthma Services from PHI offers a flexible and adaptable tool with detailed modules to help service providers develop asthma interventions that fit the needs and strengths of the local community.

For many health centers and clinics, teaching patients about digital tools to monitor blood pressure remotely is a challenge, but necessary to better manage patient health and staff workloads. Asian Health Services (AHS) in Oakland, California, leverages health coaches and digital health advocates to assist patients with varying levels of hypertension and digital literacy.

The Center for Care Innovations asked George Lee, chief innovation officer at AHS, to share AHS’s journey in patient education for remote care and how they’ve pivoted to better integrate IT into their operations.

While there is a clear connection between nutrition and health, limited access to fruits and vegetables for many US residents contributes to diet-related chronic disease, rising health care costs, and deepening disparities. How can health centers, other providers, and health plans incorporate nutrition services such as produce prescriptions into patient care?

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