MODULE 6 –

Learning and Adapting

This module explores how data can serve as a catalyst for community-centered health initiatives through meaningful measurement practices and empowering diverse stakeholders to improve well-being and resilience.

USING DATA AS A CATALYST

CHC leaders identify meaningful measurement as a high priority for improving and advancing community-centered work that establishes the vital conditions for all community members to thrive. In the medium-to-longer term, this means agreeing on, accessing, and effectively applying measures that help illuminate well-being and the vital conditions. Using data as a true catalyst for change will require seeing the art and science of measurement.

The “art” of measurement includes strategies for engaging underheard voices, valuing narratives, and reaching agreement on meaning and priorities with diverse stakeholder perspectives. The “science” of measurement includes new frameworks (e.g., the vital conditions) and measures of well-being (e.g., self-report data on thriving), with more localized data to augment these frameworks. CHCs see real value in using the vital conditions and urgent services together—and real possibilities for actionable indicators.

LEARNING AND ADAPTING

There is a strong interest in and appetite for using data more transformatively. However, some barriers need to be addressed. Moving from a data environment primarily focused on clinical and individual patient data to one that includes meaningful, community-based, upstream vital conditions will take time and intentionality. While CHCs have lengthy expertise in engaging with their patient population, in many cases those relationships can reinforce a paternalistic approach that removes communities from the opportunity to step into their power.

New ways to engage with patients, residents, grassroots leaders, and CHWs are needed. These ways should involve power-sharing practices built around metrics that are meaningful for these communities.

Explore nationwide data

IN PRACTICE

Creating a more robust approach to catalytic data–including more upstream community-focused data–will require data, organizational will, and capacity building for staff. The vital conditions framework and evolving set of common indicators offer CHCs an opportunity to meet the current challenges and begin to realize a more catalytic approach.

Shifting from Business as Usual to a New Desired State

From

Getting lost in the weeds with data indicators, priorities, and relevance without an anchor of shared vision/goals

Lack of shared definitions and understanding around community health and well-being indicators across partners and funding sources

Convoluted data processes and indicators due to differing community assessments and lack of alignment between partner organizations

Relying primarily on quantitative data to understand community challenges and opportunties around health and well-being

To

Revisiting, reimagining, and clarifying CHCs’ and community partners’ vision/goals for community health and well-being, then identifying the role of data

Establishing shared definitions and understanding of community health and well-being indicators (such as the vital conditions)

Aligning community assessments with other assessment efforts (e.g., Community Health Assessments, Community Health Improvement Plans)-consider alignment in timeframes, survey questions, and engagement/meaning-making processes

Using data from well-being surveys, dialogues, and other processes that bring out qualitative narratives

Opportunities to shift toward using data as a catalyst include

Advance a collaborative data initiative with interested CHCs and HRSA, a partner in the Federal Interagency Group, using the vital conditions as an organizing framework for equitable long-term well-being and resilience. This could include exploring indicators that support the crosswalk with downstream clinical data and align with reporting requirements. Pilot community health needs assessment processes—data definitions, collection, and prioritization—using vital conditions and well-being assessment data. This would include building the capacity of CHCs to use data effectively, engaging with a broad set of stakeholders in the meaning-making and prioritization process, and ensuring community members with lived experience are part of co-creating solutions.

Pilot community health needs assessment processes—data definitions, collection, and prioritization—using vital conditions and well-being assessment data. This would include building the capacity of CHCs to use data effectively, engaging with a broad set of stakeholders in the meaning-making and prioritization process, and ensuring community members with lived experience are part of co-creating solutions.

Create new tools and spaces for CHC leaders to share examples of data breakthroughs (using vital conditions data to drive change) and work through common challenges. This could be a community of practice.

Make shared measures more accessible, digestible, and usable—explore shared data technologies and platforms that integrate well with a CHC’s current infrastructure.

Leverage communities’ trust in CHCs and create structures that allow patient leaders and CHWs to participate in data planning, gathering, and analysis. Incorporate cultural humility and trauma-informed training for staff to reinforce respectful engagement and proper implementation of Culturally and Linguistically Appropriate Services (CLAS).

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