Aligning Systems for Health
Data Walk

This data walk provides an overview of generalized findings from the Aligning Systems for Health project conducted by the Population Health Innovation Lab in collaboration with the Georgia Health Policy Center and Robert Wood Johnson Foundation.

PublicHealth HealthCare SocialServices Local Context Alignment Effectiveness PERCEPTIONS OF LONG-TERMOUTCOMES PROJECT BACKGROUND RESEARCH METHODS SHORT-TERM OUTCOMES Changes in:• Mindsets• Practice• Policy Shared progress toward:• Communities' goals and needs• Health Equity• Racial Equity |

Adaptive Factors

Community Voices

“Active community engagement ensures that community members are heard and integrated at the beginning of the design process (e.g., cocreation). Elevation of community voices in the design of and decision-making for aligning efforts is deeply entwined with building trust and shifting power dynamics.”
– Georgia Health Policy Center

Key Findings

Incorporating community voices into aligning efforts helps ensure community goals and needs are being met through aligning.
Equitable processes and outcomes can be improved by including community voices as active participants in aligning who share decision making power.
Community voices should be representative of the diversity of people and groups served by the aligning initiative (e.g., race, ethnicity, income, lived experience, sector, tribal nation, neighborhood, etc.).
ACH participants had mixed opinions about how well their ACH was integrating community voices into aligning efforts.
Perceived progress toward integrating community voices was most strongly influenced by data, collective action, financing, power dynamics, and diverse local representation in the ACH. For every unit increase in these indicators, perceptions of community voices also increased.
“I question frequently the representation of the community when it comes to various ways of connecting. Frankly, on most of them l can say without a shadow of a doubt, probably 90-95%, of whatever I attend is predominantly white. The BIPOC population I don't see represented at all.”
– Social Services Representative
50%
of question respondents said their ACH is doing a lot to engage residents who represent the community to inform its work (n=133).
48%
of question respondents said their ACH is doing a lot to explicitly involve Medicaid consumers and/or community residents in decision-making (n=120).
59%
of question respondents said their ACH is doing a lot to offer support & resources to encourage Indigenous communities, communities of color, & other historically marginalized groups who disproportionately experience health disparities to be active in the ACH (n=157).
58%
of question respondents said their ACH is doing a lot to make events or meetings accessible to everyone (e.g. providing interpretation services, scheduling meetings outside work hours, offering options to join by web or phone, etc.) (n=153).

Community voices is influenced by...

Data
(ß = 0.31***)

Collective Action
(ß = 0.28***)

Financing
(ß = 0.26***)

Power dynamics
(ß = 0.25***)

Diverse local representation
(ß = 0.22**)

Alignment
(ß = 0.19**)

Equity
(ß = 0.12**)

Community voices influences...

Data
(ß = 0.31***)

Collective Action
(ß = 0.28***)

Financing
(ß = 0.26***)

Power dynamics
(ß = 0.25***)

Diverse local representation
(ß = 0.22**)

Alignment
(ß = 0.19**)

Equity
(ß = 0.12**)