Health Equity Solutions

The first full week of April is now recognized in statute as Health Equity Week! This week annually reaffirms Connecticut’s commitment to eliminating inequities in health and ensuring all residents have the opportunity to achieve optimal health. This year, HES will focus our Health Equity Week efforts on the health equity impact of Connecticut’s lay health workers. A “lay health worker” is anyone providing non-clinical health services like a community health worker, doula, or peer support specialist.

Community Health Workers (CHWs), go by many names: lay health workers, navigators, promotores, peer support workers, health educators, community health advocates, community health liaisons, and many other titles. All community health workers are public health outreach professionals with an in-depth understanding of the experiences, languages, cultures, and socioeconomic needs of the community they serve. Currently, Connecticut’s Medicaid program does not reimburse for CHW services or incentivize health care providers to work with CHWs.[1] 25 other states do. It’s time for that to change. Community health workers are an effective way to address inequities and promote health, particularly for low-income households served by Medicaid.

Community engagement is a key part of health equity. State Health and Value Strategies recently published some of our work on this issue. Please check out these two new issue briefs!

Partners at Health Equity Solutions, Connecticut Health Foundation, the Office of Health Strategy, and CT Association of Community Health Workers held a forum on Monday, January 30th from 10 AM - 11:30 AM. Participants heard from key experts about Community Health Workers (CHWs), their role in addressing health inequities, AND opportunities for sustainable funding.

Health Equity Solutions (HES) is teaming up with Primary Maternity Care (PMC) and the HUSKY Health program! We want to hear from you! We are hosting focus groups to get your feedback on doula care services. A new benefit is being considered for members who are pregnant. ¡Health Equity Solutions (HES por sus siglas en inglés) se está asociando con Atención Primaria a la Maternidad (PMC por sus siglas en inglés) y el programa de Salud HUSKY! ¡Queremos escucharle! Estamos organizando grupos de consulta para obtener información suya sobre los servicios de atención de doula. A Healthy Equity Solutions (HES) se uniu à Primary Maternity Care (PMC) e ao programa HUSKY Health! Queremos ouvir a sua opinião! Vamos conduzir grupos focais para receber seu feedback a respeito do serviço de assistência no parto.

Health Equity Solutions (HES) is teaming up with Primary Maternity Care (PMC)! We want to hear from you! We are hosting focus groups to collect information that will support the design, planning, and successful inclusion of doula care services into the HUSKY Maternity Bundle program. HES and PMC are working with the HUSKY Health program! These focus groups will help evaluate strategies to include doula care services as a new benefit for HUSKY Health members who are pregnant.

Health Equity Solutions (HES) is teaming up with Primary Maternity Care (PMC)! We want to hear from you! We are hosting focus groups to collect information that will support the design, planning, and successful inclusion of doula care services into the HUSKY Maternity Bundle program. HES and PMC are working with the HUSKY Health program! These focus groups will help evaluate strategies to include doula care services as a new benefit for HUSKY Health members who are pregnant.

Your advocacy has been an essential part of progress over the last few years! As we celebrate success in advancing health equity, we know our work is far from finished. Join us in building on those early steps to move Connecticut further along the path to health equity in 2023! In the year ahead, we will focus on priorities identified by Connecticut’s people. Health Equity Solutions' 2022 Community Conversations highlighted consistent themes: access to affordable, quality health care, meeting basic needs, and anti-racism stood out as top priorities!

Health Equity Solutions engaged 204 Connecticut residents in 47 towns in conversations about health equity. We partnered with 5 community organizations and 6 libraries to reach more people than in prior years and deepen our understanding of what Connecticut residents see as the highest priorities for advancing health equity.

Over 50 organizations signed on in support of Connecticut's Path to Equity and the policies it outlines in the following pages. Collectively, we will work to dismantle racism and construct health equity in Connecticut. We invite you to join us.

Each year Health Equity Solutions hosts listening sessions to learn what health equity issues are most important to people in Connecticut. This year we are flipping the script.  Let’s talk about it! We want to learn the health equity issues that are most important to you AND how you want to be involved in health equity work whether that means informing the Commission on Racial Equity in Public Health, pushing change at the state legislature, or educating our state about the impacts of racism on health, among lots of other options. Come & join us!

One of the greatest barriers to achieving health equity is the historical and contemporary relationship between racism and health. Declaring Racism a Public Health Crisis offers a clear path to intentionally acknowledging and addressing disparities and inequities in our state.

We need your help! Earlier this year, we published Connecticut’s Path to Equity – a draft framework of state-level policy changes to promote health equity in Connecticut. While this draft included feedback from partners and a survey, HES wants to be sure the next version reflects even more Connecticut residents’ priorities for achieving health equity.

Health Equity Week: April 3-9, 2022! (#HealthEquityWeek & #HEW22) There are lots of opportunities to get involved! You can raise awareness, join events (listed below), join the conversation on social media, and contribute to the evolving framework: Connecticut’s Path to Equity. Join us for Health Equity Week!

Affordability means people can access health care while still covering routine expenses. Approximately 18% of Connecticut households with working adults had health care costs that exceeded their ability to afford basic needs. Black, Latino, and low-income adults are disproportionately affected by higher health care costs and face more hurdles to meet basic needs. Across the United States, Black and Latino/a households are more likely to experience medical debt and avoid health care due to cost. As Connecticut’s health insurance programs grow more complex, confusion about costs and coverage will likely exacerbate this trend.

Opportunities to be healthy are the conditions and circumstances that enable us to prevent illness and injury and maintain the best possible quality of life when disease or accidents occur. These are the daily context in which people live, work, play, pray, and age and that affect their health.

Anti-racist structures acknowledge that all people and institutions exhibit racism at some point or some way and are committed to dismantling racism through policies and practices that advance racial justice and promote equity. In 2021, Connecticut passed Public Act 21-35, which declared racism a public health crisis, created a Commission on Racial Equity in Public Health, defined “structural racism,” and took other steps to promote health equity in CT. The state’s 2021 budget also created an infrastructure for racial and ethnic impact assessments on proposed legislation, which was authorized in 2018.

Access is the ability to receive high-quality health care that meets each person’s needs. This means care that is culturally and linguistically appropriate, having the technology to monitor health or participate in telehealth, a workforce large and diverse enough to address each person’s needs, and community-based supports that help people get and stay as healthy as possible. Community-based supports are a vital tool in promoting equitable access to health. In particular, lay health workers—including community health workers, doulas, and peer support workers—connect people with the health care services they need and the resources to navigate health and social service systems.

Inclusion describes systems, processes, and circumstances that are open to and respectful of the needs of diverse people. Achieving health equity requires us to be intentional in creating meaningful exchanges of ideas among our health systems, policymakers, and the people most affected by inequities at every stage of policymaking—from identifying problems to evaluating the effects of policies and adapting to new information.

The path to equity is woven through every aspect of our policies, structures, and processes. At the same time, the steps Connecticut can take to dismantle structural racism and achieve health equity are concrete, feasible, and within our reach.

Race, ethnicity, and language (REL) measurement means collecting, analyzing, and using data to identify and address health disparities. Quality REL data is self-reported using detailed, standardized categories and selecting multiple categories. While Connecticut’s overall health performance ranks above the national average, Black residents continue to experience a disproportionate share of poor health outcomes. To evaluate whether policies and practices promote equity, make informed decisions, and detect inequities where we may not expect them, we must have high-quality and detailed race, ethnicity, and language (REL) data.

Health Equity Solutions recently submitted a public comment on the Office of Health Strategy’s Roadmap for Strengthening and Sustaining Primary Care. This Roadmap is intended to inform the development of the state’s primary care infrastructure through health reforms that expand the team of providers caring for patients, align how they coordinate, and improve the system’s capacity to address social drivers of health by expanding payment options beyond a fee-for-service model. Read more here.

Health Equity Solutions (HES), in partnership with the Community Health Worker Association of Connecticut (CHWACT), organized three virtual community health worker (CHW) forums from August - September of 2021. The purpose of these forums was to hold space for CHWs to gather and share their thoughts, priorities, and concerns for the CHW workforce in the state of Connecticut.

The events of the past two years raised the visibility of racial inequities and catalyzed change. Now we must build on those early steps to move Connecticut further along the path to health equity. Join us in 2022 as we push for anti-racist policymaking that is guided by community voices.

To inform our 2022 policy agenda, Health Equity Solutions conducted 9 listening sessions (8 virtual & 1 in person) and an online survey across Connecticut, with a total of 128 participants from 37 towns/cities. Participants discussed the issues they saw as most important when thinking of health equity and health care and how, if at all, the pandemic has changed their thoughts about what is most needed to achieve health equity in Connecticut.

Health Equity Solutions recently sent a letter to Dr. Marcella Nunez-Smith and members of the COVID-19 Health Equity Task Force outlining recommendations for federal guidance and regulations to tackle existing barriers to race, ethnicity, primary language, and (REL) data collection.

Come & join the Health Equity for the People by the People (HEPxP) coalition that includes CT Students for a Dream, Health Equity Solutions, Ministerial Health Fellowship, & Make the Road CT for multiple trainings! Learn more about how to advocate for affordable healthcare leading up to the 2022 legislative session!

Health Equity Solutions, in partnership with State Health and Value Strategies, created a 3-part Health Equity Language Guide for State Officials. The Guide includes definitions and explanations of words and phrases, how to think about their usage, and examples of how they might be applied.

Health Equity Solutions in partnership with the CHW Association of Connecticut invites you to join a virtual community health worker (CHW) forum! These forums will be approximately an hour and a half long. We hope to learn your thoughts, priorities, and concerns on what is needed to continue to advance the CHW workforce in the state of CT.

Health Equity Solutions invites you to join one of our 2021 Listening Sessions! Each year, Health Equity Solutions hosts listening sessions to learn what health equity issues are most important to people in Connecticut. The sessions will be approximately an hour and a half long and are open to community members and partner organizations. Each session will have a maximum of 25 people. Please join us!

Health Equity Solutions recently sent a letter to the Commissioner of the Department of Social (DSS) Services outlining opportunities for DSS to leverage the ongoing policies and practices undertaken by Connecticut’s Department of Children and Families to address systemic racism. Read HES' recommendations & letter here!

As the state continues to work together to come to an agreement on proposals for allocating funding from the American Rescue Plan Act, we ask leadership to center health equity as the goal of this funding package. The proposal for American Rescue Plan Act funding, which passed out of the Appropriations Committee this week, reduces or removes several provisions of the initial proposal that would advance health equity.

As we begin to gradually emerge from this pandemic, Health Equity Solutions aims to ensure that we learn from this past year and address the inequities it has so starkly highlighted. On Monday, Governor Lamont released a proposal for allocating federal funding from the American Rescue Plan Act with provisions that show promise for moving Connecticut towards health equity in the coming years, including 1) Funding 100 community health workers (CHWs) to support families with newborns as they navigate the health and social services systems; 2) Streamlining access to health and human services through an online portal for state-run services; 3) Improving access to broadband internet services in homes and public spaces; and 4) Expanding the Office of Health Equity in the Department of Public Health.

Newly increased focus on health equity and racial justice have led to the enthusiasm and also sometimes a sense that equity is too big and unwieldy of a goal. To launch Health Equity Week 2021, Health Equity Solutions created this “path to health equity” as a way to show that while this journey will be long and challenging, it is also feasible and clearly laid out for us. The video depicts the policy “steps” we can take to advance health equity in Connecticut. This initial version of the path is based on conversations with partners, community members, and policymakers.

This past summer, we saw uprisings across the state calling for long-overdue racial justice. At that time, Health Equity Solutions began a petition demanding an intentional anti-racist focus in policymaking in the state of Connecticut. With signatures from residents from over 130 towns, we knew there was a passion to do more, and we knew that we were not alone. HES began engaging with local residents to declare racism a public health crisis in local municipalities. With the help of local residents and grassroots organizations, so far 21 towns and cities and the Mashantucket Pequot Tribal Nation have made the declaration. Our 21 municipalities are part of over 180 entities across the country who have taken this first step and we can and should become the 6th State to lead the nation in the march towards health equity for all.

This year, we are launching Connecticut's 3rd annual Health Equity Week from April 4-10. Health Equity Week is a week-long annual campaign created to raise awareness and start conversations about advancing health equity throughout the state of Connecticut. Join us for Health Equity Week!

Governor Lamont recently announced that Connecticut will continue the age-based approach to COVID-19 vaccine eligibility with a focus on equity. Health Equity Solutions continues to be dedicated to ensuring that all people, regardless of socioeconomic status, race, and ethnicity have equitable access to health and to assert that race, gender, geography, and risk should be considered in defining priority groups for COVID-19 vaccination. If your faith-based or education-focused organization is interested in hosting an outreach event, please email info@hesct.org for more information.

The senseless deaths and violence against people of color at the hands of police and the effect of the COVID-19 pandemic on people of color in Connecticut have laid bare the systemic and ever-present impact of racism. It’s time we recognize racism as the public health crisis it is. Health Equity Solutions (HES) calls on our leaders in the cities and towns throughout Connecticut to declare racism a public health crisis/emergency. Declaring racism to be a public health crisis or emergency offers a clear path to intentionally acknowledging and addressing disparities and inequities. Adopting a resolution can catalyze and authorize data analysis, and policy analysis to prevent unintentional injustices.

Health Equity Solutions' 2021 policy priorities are steps toward health equity in Connecticut. The inequities in our state are not new and it’s time that we implement proven pathways to addressing them. The pandemic’s disproportionate toll on people of color and the outcry to dismantle racism in Connecticut and across our nation highlight the need to act now. These priorities were informed by 8 listening sessions across Connecticut, with a total of 92 participants from 37 towns/cities.

To inform our 2021 legislative agenda, Health Equity Solutions conducted 8 listening sessions across Connecticut, with a total of 92 participants from 37 towns/cities. After a brief introduction, participants were assigned to break out rooms to discuss the issues they saw as most important when thinking of health equity and health care. Participants then presented a summary to the whole group and took a poll to mark their top three priorities among all topics discussed.

We have compiled articles, podcasts, and tools highlighting racism is a public health crisis in Connecticut. Please reach out to Samantha Lew, slew@hesct.org to add to this list!

On March 21, 2020 the Department of Public Health produced publicly available data on COVID-19 in Connecticut. Daily reports can be found here, and include data on testing, hospitalizations, and deaths due to COVID-19.

Connecticut’s federally funded effort to introduce primary care innovations (through the State Innovation Model or SIM grant) is entering its final years of implementation. In the coming months, the state will present and finalize its proposals (to review and comment on proposals as they are released, see here). Right now is an opportune time to ensure these proposals can transform Connecticut’s health system to promote equity by investing in prevention and addressing social and economic factors that make some in our state far less healthy than others. This blog first appeared on Community Catalyst's Health Policy Hub written by Eva Maria Stahl, with contributing guest bloggers Tekisha Dwan Everette of Health Equity Solutions and Karen Siegel of Connecticut Voices for Children. It may also be found at https://www.communitycatalyst.org/blog/connecticut-strives-for-primacy-of-health-equity-in-primary-care#.W5FM3_ZFy3B

Health Equity Solutions is working with partners across the state to promote policies that expand the uniform collection of race, ethnicity and language data to inform health system change and improve health equity.

Our vision at Health Equity Solutions is for every Connecticut resident to obtain optimal health regardless of race, ethnicity, or socioeconomic status. However, one of the challenges in ensuring health equity is identifying those whose lives are impacted by inequity and health disparities.

Did you know there is legislation to statutorily define community health workers in Connecticut? SB 126, introduced by Senator Terry Gerratana, is critical legislation that would support and expand the use of community health workers in cities and towns across Connecticut.

In 2016, we started our campaign to advocate for an end to health inequities in Connecticut, but our fight has just begun. According to the America's County Health Rankings, Connecticut ranks 42nd in health disparities. We can do better than that. The election results in November also exhibited the challenges ahead. With the Affordable Care Act in jeopardy and Medicaid cuts on the horizon, we have to double our efforts. We can’t stand by while hundreds of thousands of Connecticut families lose their access to the health care that is keeping them alive. We can’t afford to go backward when there is so much at stake...

Last week, Connecticut residents had a tremendous emotional reaction to the change that is coming in government. Whether it was joy or sadness, the resounding feeling was that something big had happened. Over the course of this week, I pondered what it will mean for our mission at Health Equity Solutions. In short, I cannot think of a more important time to bring awareness of health inequities and offer innovative solutions to address them. Here’s why:...