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Health Equity Agenda steering committee presents progress report; board requests coordination with Valley Homeless Health Care Program

2111525 · January 14, 2025
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Summary

The Health Equity Agenda steering committee delivered a progress report Jan. 14 outlining proposed interventions and disaggregated measures to reduce health disparities and won board acceptance with direction to coordinate on homelessness, behavioral health workforce expansion and diabetes work.

Founding partners of the Health Equity Agenda (HEA) — including Santa Clara Family Health Plan, Community Health Partnership, Working Partnerships and the Health Trust — delivered a progress report Jan. 14 to the Board of Supervisors and asked for continued collaboration on a set of pilot interventions and disaggregated metrics.

The steering group said the HEA grew from COVID‑era efforts to address disparate impacts and has focused on both upstream and downstream interventions. Their initial work included interviews and stakeholder meetings (258 community members across 16 stakeholder groups), development of a set of candidate metrics and several proposed interventions: a community health worker/promotora coordinating council; homelessness prevention measures (including evaluation of right‑to‑counsel options pending San Jose analyses); and a diabetes initiative tied to prevention and community supports.

Nut graf: The board voted to receive the report and asked the HEA to coordinate with the county’s Valley Homeless Health Care Program (VHHP) on three overlapping priorities — expanding behavioral health workforce, homelessness reduction strategies and diabetes interventions — and to return with next steps. Several supervisors emphasized data disaggregation (AAPI subgroups and other subpopulations) and recommended partnerships (including the American Diabetes Association) and clearer reporting on operating costs for the HEA initiatives.

Presenters said they will refine metrics, build a website to publish disaggregated indicators and seek scalable funding for the priority interventions; the reports will include disaggregated data when federal/state reporting allows. Board members asked for cost/administrative estimates for proposed initiatives and urged HEA to work with existing county programs and partners to avoid duplication.

Ending: The board accepted the report and asked for follow‑up work involving VHHP and additional cost and implementation details; the HEA steering committee said it will revise metrics and return with updates and outreach plans.