NTTAP NCC Sample FY 2023 Progress Update Form

We expect to train 150 health centers on identifying and addressing disparities and inequities in care delivery settings to improve health outcomes by the end of the period of performance. The training will focus on the clinical quality measures used for health centers to earn the Health Disparities Reducer CHQR Badge: low birth weight, controlling high blood pressure, and uncontrolled diabetes. 

We expect that this training will contribute to an increase in the number of health centers that meet the clinical quality benchmarks and to be awarded the Health Disparities Reducer CHQR Badge. 

As of December 31, 2023, we have trained 57 health centers that have not yet earned the Health Disparities Reducer CHQR Badge. The trainings focused on identifying and addressing disparities and inequities in care delivery and health outcomes. The trainings focused on the following clinical quality measures: low birth weight, controlling high blood pressure, and uncontrolled diabetes. 

We developed and delivered a virtual training on establishing health center leadership committees that oversee health centers’ efforts to advance health equity to improve health outcomes. XYZ NTTAP has been working with the health centers and has reported 20 are in the process of developing a health equity committee. 

Additionally, we engaged 30 staff from 12 health centers in 2 learning collaborative sessions to assist them in developing and implementing a health equity evaluation plan. 

We held a total of 4 training sessions as of December 31, 2023. We had two engagements from Activity 1, with our virtual training session counting as one session and the best practices publication counting as another. For activity 2, we held 2 of the 4 learning collaborative sessions.  

We have not encountered any challenges with reaching our engagement target, and we are on track to meet our T/TA engagement target and document lessons learned from the T/TA learning series by the end of the period of performance. 

For activity A1: Virtual training and summary publication for health center leadership on advancing health equity to improve health outcomes, we had approximately 88 individuals attend the live training sessions and 25 unique views of the recorded webinar. There has been a lot of interest, and despite having 5 health centers (with a total of 10 health center representatives) cancel their registration due to being awarded the Health Disparities Reducer CQHR Badge. We expect to meet our download targets (total of 100) by June 30, 2024.  

For activity 2, we have 30 participants from 12 health centers participating in the learning collaborative. There has been a lot of enthusiasm for the learning collaborative that we may offer it again next year to with a focus on low-birth weight.

There has been a lot of interest in our TA activities for this objective, and we expect to easily reach our goal of 450 T/TA participants by the end of the performance period.

Participants from virtual training session (activity A1) reported they are satisfied with the session and identified actions they intended to implement in their organizations with the support of their PCA.

To better understand the aspects of satisfaction, our survey also asks about quality, content, and accessibility, as it impacts if the participant finds the content of our sessions useful. We will continue to gather feedback, and refine our T/TA content and format to meet our projected average participant rating of T/TA usefulness target score of 4.5.

XYZ State PCA and XYZ HCCN will support Activity A1: Virtual training and summary document publication for health center leadership on advancing health equity to improve health outcomes.

XYZ NTTAP will support Activity A2: Learning collaborative on advancing health equity.

We will develop and deliver virtual training for health centers on establishing health center leadership committees that oversee health centers’ efforts to advance health equity to improve health outcomes. Training will be based on a review of best practices from health centers that have met the clinical benchmarks in low birth weight, controlling high blood pressure, and/or uncontrolled diabetes for the CDHR Health Disparities badge. 

The training will be recorded and archived on the organization’s website for viewing within 2 weeks of its completion. A short publication will include a link to the recorded webinar session and share summaries of the best practices and key takeaways highlighted during the training. The publication will be distributed to attendees 2-3 weeks after the session and posted on our online archive as well. In addition, we will ensure both resources are shared via the Public Health Digest and posted on the National Resource Center for Training and Technical Assistance. 

We will provide the content for the training and publication. XYZ PCA will recruit health centers to participate in the virtual training and follow up with participants on applying the content discussed in the webinar during the peer groups it hosts. The XYZ HCCN will collaborate directly with the XYZ PCA by providing data to determine the training needs to be addressed during the webinar. 

This activity supports the following Advancing Health Center Excellence performance domain(s): Governance and Management; Quality Patient Care, and Safety; and Population Health and Social Determinants of Health. 

We promoted the T/TA learning series to all health centers whose clinical quality benchmarks for low birth weight, controlling high blood pressure, and uncontrolled diabetes did not meet the benchmarks to earn the Health Disparities Reducer CHQR Badge. We developed and delivered a virtual training to 45 health centers on establishing health center leadership committees that oversee health centers’ efforts to advance health equity to improve health outcomes. XYZ PCA has been working with the health centers and has reported that 20 health centers are  in the process of developing a health equity committee. We held the training in late September, two weeks after the session we developed and cleared the presentation, and the following week submitted to the clearinghouse to post. We noticed since posting to the clearinghouse, the number of downloads jumped from 2 to 25 within 3 weeks.

There have been 40 downloads of the associated summary/one pager as of December 31, 2023.  

We will develop and lead a Learning Collaborative on utilizing race, ethnicity, and language data to examine correlations with care delivery and health outcomes in health center communities, with special attention on understanding the unique data collection barriers health centers may face. 

For each budget period, we will develop 4 learning sessions for at least 12 health centers in order to assist them in developing and implementing a health equity evaluation plan. Spread throughout the sessions will be planning periods, action periods, coaching, scaled implementation of models, and evaluation.

The first session will begin with an introduction to the concept of using data to examine equity-related correlations with care delivery and health outcomes at the health center as well to the components of an evaluation plan to undertake such a project. XYZ NTTAP will support the 1st learning session by providing a presentation on HIT techniques for collecting data. In later sessions, each participant will be coached through the process of developing and implementing evaluation plans in their own health center, utilizing a toolkit shared by XYZ NTTAP. Between each learning session, ABC, Inc. will hold office hours to provide additional coaching and feedback to learning collaborative participants.