The Systems Alignment Innovation Hub (SAIH) team manages a nationwide project launched in November 2022 to help medical, social service, and public health providers in low-income and Black, Brown, and Indigenous communities dismantle inequities and improve health and well-being for all. SAIH is a...

This study tests the feasibility of a multi-sector tribally-operated data system and dashboard for documenting health and social service needs and service referrals among youth members of the Coeur d-Alene tribe. The integrated data system is designed to achieve data sovereignty and improve timeliness and coordination in the delivery of health and social services for the tribal youth population, thereby dismantling forms of structural racism and inequity created by reliance on fragmented non-tribal service delivery and financing systems.

This study investigates whether a novel type of social bond can pool resources across multiple competing health plans and create stable, long-term financing for interventions that address social determinants of health. The bond's design would allow multiple health plans participating in Minnesota’s Medicaid program to invest collectively in a fund that finances community-based interventions targeting social issues such as food insecurity, housing instability, transportation, and structural racism.

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, will pilot test a school-embedded Point-of-Service (POS) coordination system designed to align medical care, public health, and social service systems for children and families in the historically Black Homewood neighborhood of Pittsburgh. The intervention seeks to dismantle systemic racism that manifests as fragmented systems with administrative burdens that routinely delay or deny care for Black families.

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, pilot tests a novel community-embedded, technology-supported overdose response intervention that aligns medical care, public health, and social service systems to improve outcomes for persons following the experience of an overdose among people living in the Skid Row area of Los Angeles, CA. The intervention proposes to dismantle the structural racism that channels marginalized communities into overburdened low-resource medical systems with limited capacity to address underlying health and social needs, and that excludes these communities from having a voice in how these systems operate.

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, tests a holistic admissions approach in health sciences education at Salt Lake Community College and its impact on the BIPOC healthcare workforce. Higher education admissions have always been fraught with systematic racism, given the equity gaps existing within the standardized tests relied upon in the process. The holistic admissions model involves including representatives from the medical system in the admissions interviews and taking into account a students lived experiences with adversity.

This study, funded as part of the Robert Wood Johnson Foundation’s Systems for Action research program, assesses effective strategies to eliminate disparities in access to COVID-19 vaccination by race and ethnicity by building on an existing nationwide initiative of the Aging and Disability Vaccination Collaborative (ADVC). The ADVC, administered by USAging with funding from the U.S. Administration for Community Living, supports community-based organizations (CBOs) to facilitate seasonal vaccinations by aligning social services, public health and health care.