CPIMP211286
Project Grant
Overview
Grant Description
Health Equity and Literacy in OC (HEAL-OC) - Orange County (OC), California, is the sixth most populous county in the US, with Latinos and Asian Americans and Pacific Islanders (AAPIS) comprising 55% of the 3.2 million inhabitants.
In a geographic area composed of Santa Ana and other North OC cities reside 588,000 people in 92 census tracts who are considered of greatest need. Residents of these high-need areas face barriers to accessing COVID-19 resources and to meeting Healthy People 2030 (HP2030) objectives for health literacy. For instance, they make up 18% of OC's total population, but 41% of its confirmed COVID cases and 43% of COVID deaths. In health care settings, they face language and access barriers that impede understanding, communication, and shared decision-making. With COVID-19, inequities have grown as these communities face increased discrimination and violence, myths spread through ethnic media and social networks, and language and technical barriers with vaccine registration apps.
The goal of the Health Equity and Literacy in OC (HEAL-OC) initiative is to reduce COVID-19 inequities through four objectives:
1) Increase collaborative capacity of the City of Santa Ana and an established partnership, the Orange County Health Equity COVID-19 Community-Academic Partnership (OCHEC-CAP).
2) Develop a disparities impact statement (Outcome 1) as a framework for designing, implementing, and evaluating interventions.
3) Implement a sustainable health literacy plan incorporating national CLAS standards.
4) Engage with a Minority Serving Institution (University of California, Irvine) to conduct rigorous evaluation with periodic reporting and quality improvement recommendations to all partners.
The OCHEC-CAP will undertake two major strategies to achieve planned outcomes. With guidance from the Community Stewardship Board, the Population Health (PH) track will implement a population health literacy plan in community settings to improve access and use of COVID-19 health resources (Outcome 2) and reduce gaps in COVID-19 testing and vaccination (Outcome 3). The Community Health Center (CHC) track will target HP2030 health literacy objectives (Outcome 6) in health care settings in high-need areas. We will establish a health literacy working group consisting of four CHCs to develop and implement a health literacy surveillance and intervention plan (Outcomes 4 & 5).
Planned evaluation activities rely on multiple and mixed methods to assess process, reach, and outcomes. A technical advisory group includes academic and clinical experts in infectious disease, public health, community engagement, and primary care. For the PH track, data will track COVID-19 testing and vaccination rates and documentation (IID-D02) at the zip code or census tract level from state/county datasets weekly, and gap reductions between high and lower SVI areas will be assessed. For the CHC track, appropriate measures of HP2030 objectives HC/HIT-01, HC/HIT-02, and HC/HIT-03 will be identified and collected, and gap reductions between baseline and HP2030 target values for CHCs will be analyzed.
HEAL-OC will follow iterative, rapid cycle quality improvement strategies and will engage initiative stakeholders including community and clinic representatives, leaders, and county and elected officials to improve planned efforts, train and coordinate with other service providers, and inform broader health equity efforts to ultimately reduce inequities among our diverse and underserved populations.
Estimated number of people to be served as a result of the award of this grant: 90,000.
In a geographic area composed of Santa Ana and other North OC cities reside 588,000 people in 92 census tracts who are considered of greatest need. Residents of these high-need areas face barriers to accessing COVID-19 resources and to meeting Healthy People 2030 (HP2030) objectives for health literacy. For instance, they make up 18% of OC's total population, but 41% of its confirmed COVID cases and 43% of COVID deaths. In health care settings, they face language and access barriers that impede understanding, communication, and shared decision-making. With COVID-19, inequities have grown as these communities face increased discrimination and violence, myths spread through ethnic media and social networks, and language and technical barriers with vaccine registration apps.
The goal of the Health Equity and Literacy in OC (HEAL-OC) initiative is to reduce COVID-19 inequities through four objectives:
1) Increase collaborative capacity of the City of Santa Ana and an established partnership, the Orange County Health Equity COVID-19 Community-Academic Partnership (OCHEC-CAP).
2) Develop a disparities impact statement (Outcome 1) as a framework for designing, implementing, and evaluating interventions.
3) Implement a sustainable health literacy plan incorporating national CLAS standards.
4) Engage with a Minority Serving Institution (University of California, Irvine) to conduct rigorous evaluation with periodic reporting and quality improvement recommendations to all partners.
The OCHEC-CAP will undertake two major strategies to achieve planned outcomes. With guidance from the Community Stewardship Board, the Population Health (PH) track will implement a population health literacy plan in community settings to improve access and use of COVID-19 health resources (Outcome 2) and reduce gaps in COVID-19 testing and vaccination (Outcome 3). The Community Health Center (CHC) track will target HP2030 health literacy objectives (Outcome 6) in health care settings in high-need areas. We will establish a health literacy working group consisting of four CHCs to develop and implement a health literacy surveillance and intervention plan (Outcomes 4 & 5).
Planned evaluation activities rely on multiple and mixed methods to assess process, reach, and outcomes. A technical advisory group includes academic and clinical experts in infectious disease, public health, community engagement, and primary care. For the PH track, data will track COVID-19 testing and vaccination rates and documentation (IID-D02) at the zip code or census tract level from state/county datasets weekly, and gap reductions between high and lower SVI areas will be assessed. For the CHC track, appropriate measures of HP2030 objectives HC/HIT-01, HC/HIT-02, and HC/HIT-03 will be identified and collected, and gap reductions between baseline and HP2030 target values for CHCs will be analyzed.
HEAL-OC will follow iterative, rapid cycle quality improvement strategies and will engage initiative stakeholders including community and clinic representatives, leaders, and county and elected officials to improve planned efforts, train and coordinate with other service providers, and inform broader health equity efforts to ultimately reduce inequities among our diverse and underserved populations.
Estimated number of people to be served as a result of the award of this grant: 90,000.
Awardee
Funding Goals
NOT APPLICABLE
Grant Program (CFDA)
Awarding Agency
Funding Agency
Place of Performance
Santa Ana,
California
United States
Geographic Scope
City-Wide
Related Opportunity
Analysis Notes
Amendment Since initial award the End Date has been extended from 06/30/23 to 12/30/23 and the total obligations have decreased 23% from $4,000,000 to $3,067,214.
City Of Santa Ana was awarded
HEAL-OC: Health Equity & Literacy in OC Grant
Project Grant CPIMP211286
worth $3,067,214
from the Office of Minority Health in July 2021 with work to be completed primarily in Santa Ana California United States.
The grant
has a duration of 2 years 5 months and
was awarded through assistance program 93.137 Community Programs to Improve Minority Health Grant Program.
The Project Grant was awarded through grant opportunity Advancing Health Literacy to Enhance Equitable Community Responses to COVID-19.
Status
(Complete)
Last Modified 10/21/24
Period of Performance
7/1/21
Start Date
12/30/23
End Date
Funding Split
$3.1M
Federal Obligation
$0.0
Non-Federal Obligation
$3.1M
Total Obligated
Activity Timeline
Subgrant Awards
Disclosed subgrants for CPIMP211286
Transaction History
Modifications to CPIMP211286
Additional Detail
Award ID FAIN
CPIMP211286
SAI Number
CPIMP211286-1116747727
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
City Or Township Government
Awarding Office
750SHA OASH OFFICE OF GRANTS MANAGEMENT
Funding Office
75ACC0 OASH OFFICE OF MINORITY HEALTH
Awardee UEI
KZE9G2M4GRX9
Awardee CAGE
4H8L9
Performance District
CA-46
Senators
Dianne Feinstein
Alejandro Padilla
Alejandro Padilla
Modified: 10/21/24