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Public Health Coverage for Immigrants in California
This report offers a summary of recent and upcoming changes in public policy that impacts how immigrant communities access health coverage in California. We provide a summary of several major policies that have been enacted or expected to be enacted in the coming years. The report also offers user-friendly recommendations for each policy that health coverage educators, enrollers or advocates can use to expeditiously assist community members. (June 2016)
Let’s Talk Nutrition!
Using Community-Based Participatory Action Research (CBPAR) to Build Leadership Capacity. This report documents the process on how to implement a Community-Based Participatory Action Research (CBPAR) project with a consumer group on an issue impacting their South Los Angeles community’s health. The report details the CBPAR process for developing and refining the research question, creating and implementing the assessment tool, dissemination of information and lessons learned. The CBPAR process proved to be an effective approach to study the nutrition literacy of South Los Angeles adults around reading nutrition facts labels.
Farmers Market Case Study
Community Health Councils’ market study of select South LA farmers’ markets shows potential for greater local patronage and investment attraction. While the demand for fresh food has risen in the last few years, South LA farmers’ markets struggle to retain regular attendance. This affects operational stability. The analysis shows that perceptions about product variety and price are the primary factors keeping consumers away and it also highlights how farmers and market managers are addressing these concerns.
Street Vendor Legalization and Student Nutrition in South Los Angeles: Health Impact Assessment
This HIA considered how legalized sidewalk vending could change vendor activity near schools and the nutrition behaviors of students in South LA. The assessment compared schools in similar socioeconomic environments, but in jurisdictions with contrasting sidewalk vending regulations, to determine differences in street vendor presence near schools and student nutrition behaviors. It also considers whether the presence of street food vendors correlates with differences in pedestrian and bicycle safety near schools. Results begin to quantify the role of street vendors within the wider food resource environment, and highlight the enforcement challenges of vendor prohibitions on a citywide scale. Recommendations in this assessment include limiting unhealthy food near schools through regulation and enforcement, in combination with regulatory and programmatic support for healthy food vendors.
Healthy Kids Zone (HKZ)Policy Report
The Healthy Kids Zone (HKZ) concept takes advantage of schools’ enormous potential as centers of wellness in limited resource communities. Schools are focal points of neighborhoods, with diverse communities, resources, and opportunities revolving around them. The HKZ concept harnesses these assets and opportunities to create a space conducive to supporting the health and well-being of students and residents alike. The concept elevates community design and enforcement standards to address the social determinants that impact health outcomes in low-income communities and communities of color, placing schools as the center of health-promoting neighborhood efforts. The school and surrounding community become a hub of wellness with an HKZ designation, defined by policies that protect and promote the health of the neighborhood. Taking a community-driven, systems approach to reducing health disparities, the concept encompasses five Health Improvement Categories that have a comprehensive impact on a safe and healthy school community: nutrition, physical activity, environmental health, safety and health services. The concept was born out of a project funded by the Center for Disease Control and Prevention’s Racial and Ethnic Approaches to Community Health (REACH) grant program. The purpose of the Healthy Kids Zone Policy Report is to outline the HKZ concept, methodology and pilot application in Los Angeles as well as begin discussions of how it can be applied to other school communities of need.
Knocking on Medi-Cal's Door: The First Year of Medicaid Expansion in California
This report assesses California's efforts to widen the doorway to Medicaid coverage by reaching out to, enrolling and retaining low-income people of color and Limited English Proficient communities in the Medi-Cal program. Through the use of key informant interviews and secondary sources the authors were able to identify policy decisions, implementation strategies and outcomes that were notable successes or barriers in the Medi-Cal expansion and offer recommendations to improve the efficiency and reach of the program. The recommendations focus on areas where DHCS can make improvements in the Medi-Cal infrastructure and are designed to address multiple barriers. This report was published with the support of The California Endowment.
Oil Drilling in Los Angeles: A Story of Unequal Protections
Community Health Councils found low-income communities of color in the City of Los Angeles have fewer protections from the risks from local oil drilling operations than more affluent, whiter neighborhoods. This includes allowing drilling activities hundreds of feet closer to residences, fewer protective features like air monitoring or enclosed operations, and oil operations that have received many more regulatory violations and community complaints. (January 2015)
On the Path to Enrollment
Millions of Californians will be newly eligible for health insurance coverage under the Affordable Care Act starting January 1, 2014. Many will need help understanding, accessing, and using these benefits. This report provides information about the outreach, enrollment, and assistance programs required under the ACA, and about efforts to implement this continuum of consumer support in California. Published with the California HealthCare Foundation.
South LA's Guide to LA2B
Los Angeles is updating its transportation plan (aka Mobility Element) this year. Residents can vote on programs and policies to improve our streets, sidewalks, traffic, walking, bicycling, and public transit. The city prioritizes programs with the most points, and key decision-makers take your comments seriously. From over a hundred programs represented in the Mobility Element, CHC selected six priority areas that help improve the health and quality of life for our community. Read the Guide to learn more about these programs and vote before the September 30th deadline.
South Los Angeles Fast Food Health Impact Assessment
Read the draft Executive Summary of CHC's in-depth analysis of South LA's current and pending land-use policies towards fast food restaurant development. The final report will be available soon.
Community Advisory Group (CAG) Profiles
There are currently 19 South LA area residents who are actively serving on the CAG. They are an ethnically, aged and geographically diverse group of people, from all walks of life. Though they come from different backgrounds and experiences, they are all united by their love of the South LA community, and their desire to help create a better place for their families, neighbors and friends to live and thrive.
Health Professional Shortage Areas: A History & Guide to Proposed Revisions
To prepare stakeholders for upcoming changes to the Health Professional Shortage Area (HPSA) designation, this report reviews the program, the benefits of HPSA designation, the designation process, and efforts to revise existing methodology. It offers preliminary recommendations to consider when responding to proposals to review the federal rule.
Dialogues with South Los Angeles Safety Net Users on Health Reform
This report analyzes data on South Los Angeles' safety net users' knowledge of health reform, what they are worried about when it comes to healthcare, and their likelihood to change providers in 2012. The report used qualitative and quantitative approaches to gather information from consumers about their experiences and opinions of the safety net healthcare system in South LA and highlights common themes.
Bridging the Health Divide: Designing the Navigator System in California
This report details over a dozen recommendations for building a robust and consumer-friendly Navigator program in California. It provides an overview of the enrollment demands the state will face in 2014 and explores effective strategies for ensuring that as many individuals and businesses as possible can successfully enroll into coverage.
Fast Food Restaurant Report: Promoting Healthy Dining in South Los Angeles
This policy report looks at the evidence linking the proximity and density of fast food restaurants and greater fast food consumption. It argues for regulating density as part of a strategy to combat the obesity crisis in South Los Angeles and recommends changes the City and County can make to limit the density of fast food restaurants while encouraging the development of new healthy restaurants of all types.
Transforming the Urban Food Desert from the Grassroots Up: A Model for Change
Confronted by continuing health disparities in vulnerable communities, CHC worked with research partners to develop a community change model to address the root causes of health disparities. This article from Family & Community Health discusses how CHC's model led to public policy interventions in a food desert.
Food Desert to Food Oasis: Promoting Grocery Store Development in South Los Angeles
Ready access to healthy foods is taken for granted in most neighborhoods. But that is not the case for the residents of South Los Angeles. This report examines how policymakers, the grocery industry and community members can change the South LA retail food environment.
Bridging the Health Divide: LA Access Case Study
The LA Access to Health Coverage Coalition was established in 2002 to increase access to quality, affordable health insurance programs for low-income individuals in Los Angeles County. This report examines how Coalition agencies have adopted Outreach, Enrollment, Retention and Utilization strategies to enroll children into public insurance programs. It focuses on the unique approaches Coalition members have adopted to reach uninsured, eligible children and families.
Bridging the Health Divide: California's Certified Application Assistants
More than 20,000 individuals in California are trained as “Certified Application Assistants” to help families enroll in and maintain their public healthcare coverage. While the profession has grown and evolved through the years, very little is known about this dynamic workforce that bridges children and families to healthcare coverage and services. To assess the potential to advance the CAA profession, Community Health Councils conducted a survey of CAAs in Los Angeles County. Read the resulting report, Bridging the Health Divide: California’s Certified Application Assistants.
South Los Angeles Health Equity Scorecard
The South Los Angeles Health Equity Scorecard documents the inequities in South LA's healthcare and physical resource environments and challenges city and county officials to take action on policy recommendations for a healthy community. The study calculated scores for 50 socioeconomic and environmental factors that influence health behaviors and outcomes, comparing South Los Angeles to West LA and LA County as a whole. The Scorecard is intended to guide the policy agenda for South LA and provides key recommendations along with the agencies responsible for their implementation.
Does Race Define What's in the Shopping Cart?
While cultural factors are most often cited in other studies as reasons for poor health in communities of color, this study shows the extent to which cultural factors are overshadowed by food choices in African American communities.
OERU Toolkit: Strategies for Healthcare Coverage
The Toolkit is a companion piece to the Policy Framework for Outreach, Enrollment, Retention, & Utilization. The Framework provided the outline for California and its counties to structure and define OERU policies. The Toolkit is an additional resource that presents specific strategies to strengthen and build OERU.
Policy Framework for Outreach, Enrollment, Retention & Utilization for Healthcare Coverage in California
This report describes the experiences and successes of local programs, such as Children's Health Initiatives, in providing health coverage to all children and families throughout California.
Assessing Resource Environments to Target Prevention Interventions in Community Chronic Disease Control
This paper, published in the Journal of Health Care for the Poor and Underserved, reports on the examination of resource environments within a CDC-funded project directed by CHC in partnership with USC and UCLA researchers. The project developed a methodology for assessing environments that integrates measures of location, quality and cost in evaluating a community's access to nutritious foods and physical activity options.
Path to Accessing Health Coverage: Outreach, Enrollment, Retention & Utilization
California still faces the reality of more than 800,000 uninsured children. This policy brief identifies future challenges and opportunities and puts forward principles to strengthen outreach, enrollment, retention and utilization in California.
African Americans' Access to Healthy Food Options in South Los Angeles Restaurants
This report, published in the American Journal of Public Health and conducted by UCLA and USC researchers in partnership with CHC, examined the availability of restaurants and food options within these restaurants in more and less affluent areas of Los Angeles to compared residents' access to healthy meals prepared and purchased away from home. The study concluded that support for the healthy lifestyle associated with lower risks for disease is difficult in poorer communities with a higher proportion of African American residents.
Improving the Nutritional Resource Environment for Healthy Living Through Community-based Participatory Research
This study, published in the Journal of General Internal Medicine, assessed the nutritional resource environment in targeted African American areas of LA County to contrast the findings with a predominantly white area. The results showed that the targeted area was significantly less likely to have important items for a healthier life.
Alignment & Coordination: A Link to Quality Improvement
The fourth brief in a series focusing on quality improvement strategies for Medi-Cal manged care and other public coverage programs. This brief reviews quality assurance systems for all children's health coverage programs and identifies opportunities to improve monitoring, oversight, and quality of care.
Consumer Education: A Link to Quality Improvement
This brief explores different approaches and strategies used by California, other states, and other educational strategies to prepare consumers to navigate healthcare services.
Utilizing Data: A Link to Quality Improvement
This brief explores how California and other states utilize data to identify problems and help plans improve the care they provide to consumers.
Informing Consumers: A Link to Quality Improvement
This brief highlights how states have produced consumer report cards for Medicaid managed care as part of their quality assurance system.