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PROPOSED APPROACH The Project Goal of HEAL-OC is to address inequities related to COVID-19 and overall health literacy by meeting four Objectives listed in Table 1. We propose 6 Outcomes in Table 2. Table 1. Project Objectives overview Objective 1: Community -based Partnerships. Increase collaborative capacity of the City of Santa Ana and an established partnership, the Orange County Health Equity COVID-19 Community-Academic Partnership (OCHEC-CAP), comprised of community- based organizations, community health centers and an MIS], to achieve health literacy objectives. Objective 2: Disparity Impact Statement (DIS). Develop a Disparity Impact Statement as a framework for designing, implementing and evaluating Interventions. Objective 3: Health Literacy Plan (HLP) Implementation & Sustainability. Implement a sustainable HLP, Incorporating National CLAS Standards, to promote health literacy with respect to COVID49 Information and resources, including Increasing the proportion of individuals with vaccination records in an information system (HP2030 objective IID-1)02), and in the healthcare delivery system to advance HP2030 objectives HC/HIT-01, HC/HIT-02 and HC/HIT03. active 4- Evaluation & Cg. Engage with the ierslty of California, Irvine (UCI, an MSI) to duct rigorous evaluation with periodic reporting quality improvement (OI) recommendations to partners for all objectives. Health Literacy Strategies Table 2. Proposed Outcomes Outcome 1: Capacity -1.11n the #at3 months co -develop with community partners and stakeholders a Disparity Impact Statement as a framework to guide the development, Implementation and evaluation of a Population Health Literacy Plan. Outcome 2: COVID 19 Education -2,11n the frrst6 months, develop and Implement a Population Health Literacy Plan to deliver linguistically and culturally appropriate COVID-19 education and resources to Latino and AAPI residents in the targeted communities.22 By the endof the protect perfect deliver education to residents in the targeted communities. Outcome 3: COVID-19 Services - 3.1 In the Brst 6 months, achieve a 25%gap reduction in COVID-19 testing and vaccination access for 4th quartile SVI areas, predominantly in Santa Ana and surrounding areas, compared to the rest of the County. 3.2 By the end of the protect period achievea SO%gap reduction, and achieve a 50% Increase In the proportion of residents with a confirmed vaccination in an information system (HP2030 measure IID-D02). outcoma4: Health Literacy Surveillance- 4.1 In theflrst4months establish a Health Litemcy Working Group including at least 4 community health centers and conduct baseline measurement of Healthy People 2030 health literacy objectives HC/HI7-01, HC/HIT-02, and HC/HIT-03. Continue surveillance and inter -organizational Information exchange and solution -building for these objectives throughout the project period, ____.__.._ ------ —________.______._.__.__.___________._________..____ Outcome S: Health Literacy Intervention - $1tt)_t(sflr99 months co -develop and implement a feasible, culturally competent intervention at two community health centers(CHCs). 5.2ft the endpf tbg oroJgI;tXff1Qd, Implement the intervention at two or more additional CHCs. Outcome 6: Health Literacy Outcome - 6.1 By month 18 of the project period. achieve HP2030 target values for health literacy objectives HC/HIT O3, HC/HIT-02, and HC/HIT03 or reduce the gap between the baseline value and the target value by at least 20%. Rapid start-up activities. OCHEC-CAP will use its established weekly meeting forum to develop a Disparities Impact Statement (DIS; Outcome 1) during months 0-3. The DIS will follow the CMS "Building an Organizational Response to Health Disparities" process and will become the framework for development, implementation, and evaluation of a Health Literacy Plan (HLP). A Community Stewardship Board (CSB) of local leaders and residents will guide the DIS and all HEAL-OC activities, engage broader communities in materials creation and testing, and advise on process improvements and outcome assessment.