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The following resources provide additional information that supports health equity measurement and evaluation, guides health care organizations to advance their health equity work and helps health care organizations to address health disparities.

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Title Source Description
Addressing Health Equity in Evaluation Efforts [PDF – 600 KB] Centers for Disease Control and Prevention Resource to provide guidance and case studies on incorporating health equity into evaluation efforts. This resource is a chapter in A Practitioner’s Guide for Advancing Health Equity: Community Strategies for Preventing Chronic Disease.
A Practitioner’s Guide for Advancing Health Equity: Community Strategies for Preventing Chronic Disease [PDF – 42.2 MB] Centers for Disease Control and Prevention Guide to help incorporate health equity into organizational capacity, partnerships, community engagement, identifying health inequities, and evaluation.  This resource also offers lessons on how to maximize the effects of several policy, systems, and environmental improvement strategies with a goal to reduce health inequities and advance health equity.
A Review of Instruments that Measure LGBTQ Affirmation and Discrimination Constructs in Adults Journal of LGBT Issues in Counseling Journal article to review measures of adult LGBTQ affirmation and discrimination constructs in five categories: counselor competency, attitudes toward LGBTQ, experiences of discrimination, internalized attitudes, and sexual identity. The purpose was not to conduct a systematic review but rather to provide readers with a sampling of available tools.
BIPOC Health Equity Library Community Commons Online library that seeks to advance equitable health outcomes for BIPOC by sharing relevant resources that represent diverse groups, communities, demographics, identities, statuses, and people with lived experiences. Focused on building capacity for changemakers to advance equity in priority populations, it lets users explore 300+ newly curated resources and stories focused on BIPOC health equity.
Community-Clinical Linkages Health Equity Lens Centers for Disease Control and Prevention Guide to help practitioners incorporate health equity when organizing a CCL’s structure and supporting its operations, called an operational structure. This guide is for professionals in the public health, community, and clinical sectors.
Compendium of Federal Datasets Addressing Health Disparities U.S. Department of Health and Human Services Office of Minority Health Compendium of information on health equity data related to socioeconomic factors and SDOH. This resource includes data sets and data-related resources developed, maintained, or funded by federal agencies.
Designing Survey Demographic Questions with Equity in Mind EvaluATE Presentation to teach 10 best practices for writing demographic survey questions.
Eliminating Disparities to Advance Health Equity and Improve Quality Michigan Health & Hospital Association Guide to assist health care organizations in addressing health disparities to achieve equitable care by providing key strategies, recommendations for action, implementation levels, and resources to support progress.
King County Equity Impact Review Tool King County Process and tool to identify, evaluate, and communicate the potential impact of a policy or program on equity.
Equity of Care: A Toolkit for Eliminating Health Care Disparities American Hospital Association “How-to” guide to help accelerate the elimination of health care disparities and ensure that leadership teams and board members reflect the communities they serve. A framework of next steps and resources to guide work.
Finding Answers: Disparities Research for Change: A Roadmap to Reduce Racial and Ethnic Disparities in Health Care Robert Wood Johnson Foundation Guide to assist health care organizations in integrating disparities reduction into all health care quality improvement efforts and implementing equity-focused quality improvement programs.
Guiding Questions for Supporting Culturally Responsive Evaluation Practices and an Equity-Based Perspective MDRC Guiding questions to apply an equity-based perspective across project phases in evaluation.
Health Equity Guiding Principles for Inclusive Communication Centers for Disease Control and Prevention Guiding principles intended to help public health professionals ensure their communication work, including communication of public health science, meets the specific needs and priorities of the populations they serve and addresses all people inclusively, accurately, and respectfully.
Health Equity Organizational Assessment Health Quality Innovation Network Assessment tool to understand health care organizations’ levels on various strategies to implement and determine next steps for improving health equity
Health Literacy Measurement: An Inventory and Descriptive Summary of 51 Instruments Journal of Health Communication Journal article to provide a descriptive review of the psychometric properties and conceptual dimensions of published health literacy measurement tools.
Improving Measures of Housing Insecurity: A Path Forward Urban Institute Report to discuss the benefits of developing a standard set of measures or a standard scale of housing insecurity. This resource reviews the current literature on how housing insecurity is measured in population surveys, longitudinal surveys, and longitudinal administrative data. Table 1 summarizes the available data for measuring different forms of housing insecurity.
Instruments Measuring Perceived Racism/Racial Discrimination: Review and Critique of Factor Analytic Techniques International Journal of Health Services Journal article to review instruments that measure perceived racism and/or discrimination. This study evaluates the exploratory factor analyses done on psychometrically sound instruments measuring perceived racism, using guidelines from experts in psychometric theory.
ICD-10-CM Coding for Social Determinants of Health American Hospital Association Resource to provide guidance for using Z codes, including additional tools and resources to improve health equity.
Interactive Atlas of Heart Disease and Stroke Centers for Disease Control and Prevention An online mapping tool that allows users to create and customize county-level maps of heart disease and stroke by race and ethnicity, gender, age group, and more.
Local Trends in Heart Disease and Stroke Mortality Dashboard Centers for Disease Control and Prevention Dashboard with maps and graphs showing where heart disease and stroke death rates are increasing, decreasing, or remaining stable.
Measuring What Works to Achieve Health Equity: Metrics for the Determinants of Health Prevention Institute Report to provide a framework for understanding how disparities in health outcomes are produced and how health equity can be measured. The report also provides a set of metrics that can reflect progress toward achieving health equity and delineates measurement guidance and resources.
PLACES: Local Data for Better Health Centers for Disease Control and Prevention Resource directory to list PLACES data and other public data sets that include SDOH. PLACES provides model-based, population-level analysis and community estimates of health measures at the county-, place-, census tract-, or ZIP Code Tabulation Area (ZCTA)-level.
PhenX Toolkit National Institute of Health Measurement toolkit to provide recommended standard data collection protocols for conducting biomedical research. This resource has a collection of high-quality standard measures on SDOH.
Practical Strategies for Culturally Competent Evaluation [PDF – 706 KB] Centers for Disease Control and Prevention Resource to promote cultural competence in the evaluation of public health programs and initiatives.
Public Health Reports Volume 126, Issue 3: Data Systems and Social Determinants of Health Public Health Reports Journal issue to focus on how data can increase our understanding of SDOH. These articles describe ways to link national and state-level surveillance data with data on labor, housing, and policy.
Race Equity and Inclusion Action Guide Anne E. Casey Foundation Guide to provide steps to advance and embed race equity and inclusion within organizations and assess the impact of policies and other actions on racial and ethnic groups.
Racial Equity Impact Assessment Race Forward: The Center for Racial Justice Innovation Set of questions to systematically examine how different racial and ethnic groups will likely be affected by a proposed action or decision.
Racial Equity Data Road Map Massachusetts Department of Public Health Tool for eliminating structural racism. This resource is a collection of guiding questions, tools, and resources to assist programs in taking concrete steps to better identify, understand, and act to address racial inequities.
Racial Equity Toolkit: An Opportunity to Operationalize Equity Government Alliance on Race & Equity Toolkit to help develop strategies and actions that reduce racial inequities and improve success for all groups by integrating explicit consideration of racial equity in decisions, including policies, practices, programs, and budgets.
Racial Equity Toolkit: Implementing Greenlining’s Racial Equity Framework The Greenlining Institute Step-by-step thinking tool designed to help policymakers consider the needs of all communities. This resource provides a framework for creating equitable outcomes for all communities and strategies for reducing barriers to social and economic mobility.
REJI Organizational Race Equity Toolkit Washington Race Equity & Justice Initiative Toolkit designed to support organizations to understand and incorporate race equity into their work. This resource includes an Organization Assessment, Organization Plan Worksheet, and Race Equity Impact Assessment.
Screening for Social Determinants of Health in Populations with Complex Needs: Implementation Considerations Center for Health Care Strategies, Inc. Resource to examine how organizations are assessing and addressing SDOH for populations with complex needs and reviews key considerations for organizations seeking to use SDOH data to improve patient care.
Social Needs Screening Toolkit Health Leads Blueprint for health systems seeking to identify and screen patients for adverse social determinants of health. This resource shares the latest research on how to screen patients for social needs.
Surveillance and Evaluation Data Resource Guide Centers for Disease Control and Prevention Compilation of data sources useful for heart disease and stroke prevention programs conducting policy or data surveillance and/or evaluation.
Unite Us Unite Us Technology platform that provides users with an end-to-end solution from identifying and predicting social care needs in communities, connecting individuals to services, and leveraging outcome data and analytics to further drive community investment.
Using Z Codes: The Social Determinants of Health (SDOH) Data Journey to Better Outcomes Center for Medicare & Medicaid Services Health Equity Technical Assistance Program Infographic to provide steps on how to use SDOH Z code data.
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