ACTIVATE

ACTIVATE Pilot Initiative

The CITRIS and University of California ACTIVATE pilot will enhance community health and serve as a roadmap for telehealth reforms.

Rural, low-income agricultural workers, many of whom are undocumented, are especially vulnerable to COVID-19. In California’s rural Central Valley, poverty rates can hit 40% in certain areas – the majority-Latinx farmworkers who live in this region are typically left out of traditional systems of health care.

Mission


The mission of ACTIVATE is to improve the health and well-being of rural, agricultural communities by empowering community health centers and health care providers to support patients through telehealth technology. We aim to demonstrate an effective, cost-efficient program for reaching vulnerable populations with essential telehealth services that can be scaled and adopted to improve health systems in communities statewide and nationally.

About

ACTIVATE is a public-private pilot initiative to support rural, low-income agricultural workers by providing access to internet and telehealth services. These communities are especially vulnerable to COVID-19, and they are typically left out of traditional systems of health care. Led by CITRIS and Livingston Community Health in California’s Central Valley, ACTIVATE aims to improve health and well-being by connecting rural residents with telehealth technology and the skills and tools they need to receive quality care. In partnership with the University of California CITRIS network, community-based organizations, and government agencies, ACTIVATE will pilot the program at Livingston Community Health with the goal of demonstrating an effective, cost-efficient program that can be scaled and adopted to improve health systems in communities state-wide and nationally.

Partners

The California Initiative for Health Equity & Action (Cal-IHEA) supports the translation of research evidence generated by University of California faculty into state health policy and public health practice to improve health equity. Cal-IHEA links faculty with state and local policymakers through competitive grants to conduct implementation research and to translate research evidence into health policy, supporting UC faculty consultations to legislative committees and caucuses, and disseminating concise and actionable guidance to support evidence-based policymaking to improve health equity across California.

The Center for Connected Health Policy (CCHP) is the federally designated National Telehealth Policy Resource Center and a recognized authority of national and state telehealth policy. CCHP was founded in 2008 as a California telehealth policy organization as a program under the Public Health Institute (PHI) and still maintains deep ties and projects related specifically to California issues. CCHP is dedicated to integrating telehealth virtual technologies into the health care system through advancing sound policy based on objective research and informed practices. CCHP has developed some of the most recognized and utilized telehealth resources in the country, including include a bi-annually updated 50 State compendium of telehealth Medicaid policies, laws, and regulations, a Medicare telehealth billing guide, fact sheets, analyses and research papers, that are relied upon by federal and state lawmakers, researchers, health systems, providers, national organizations and many others.

Decimal.health creates and implements strategy for digital health companies to launch and grow their business and maximize their impact on helping people live their healthiest lives. Decimal.health strongly advocates for its end users, and believes in radical innovations within the constraints of the healthcare delivery system. Dr. Jethwani led digital innovation for a large integrated provider network in Massachusetts before launching Decimal.Health in early 2020. The team brings several decades of experience in digital health product design and launch, as well as deep clinical research and regulatory experience.

Livingston Community Health’s mission is to provide comprehensive primary and preventive health care services to all patients regardless of their ability to pay. For more information, visit https://www.visitlch.org/

The Medical Education program at UC Merced is focused on training the next generation of transdisciplinary health science professionals who will have a deep understanding of health issues in California’s San Joaquin Valley and create pragmatic, innovative and sustainable solutions to alleviate the disproportionate burden of disease. The program continues to build a rich network of academic-community partnerships with UCSF and UCSF-Fresno, the SJV PRIME program, regional Federally Qualified Health Centers, hospitals and community-based organizations. Collectively, they provide transdisciplinary, education, research and training opportunities that focus on the unique aspects of rural health, health care delivery and health systems and will foster innovative health care solutions for rural communities.

The goal of UC Berkeley’s Digital Health Equity and Access Lab (dHEAL) is to develop and disseminate innovative technologies to improve health and mental health in low-income and underserved communities. We focus on the development, evaluation, and implementation of digital health interventions (e-health, m-health, and technology-assisted interventions) to improve the reach of evidence-based interventions.

UC Davis Center for Healthcare Policy and Research is dedicated to the conduct, synthesis, and dissemination of interdisciplinary research to improve health outcomes and services, and provide evidence to inform healthcare policies. For more than 20 years, CHPR has facilitated research, educated future researchers, and informed local, state, and national policy about health and healthcare. More specifically, our faculty members conduct innovative research and educate trainees in comparative effectiveness, public deliberation, health economic analyses, health policy, and quality of care in subjects spanning substance use, mental health, patient safety, health disparities, provider workforce issues, healthy aging, and cancer care.

The mission of the UC Davis Center for Reducing Health Disparities is to promote the health and well-being of diverse communities by pursuing research, training, continuing education, technical assistance, information dissemination within a prevention, early intervention, and treatment framework that recognizes the unique cultural and linguistic contexts of these populations. The UC Davis Center for Reducing Health Disparities (CRHD) takes a multidisciplinary, collaborative approach to the inequities in health access and quality of care. This includes a comprehensive program for research, education and teaching, and community outreach and information dissemination. The center builds on UC Davis’ long history of reaching out to the most vulnerable, underserved populations in the region.

The Digital Health Resource Center (DHRC) at UC Davis Health leverages resources across the UC Davis School of Medicine, Public Health Sciences, Health Informatics, School of Nursing, Engineering and Computer Science, and the CITRIS network to develop, implement, test and validate digital innovations that improve health care and population health — with a particular emphasis on remote monitoring and patient and stakeholder engagement. We provide both a physical and digital environment for health and technology companies, entrepreneurs, and community organizations to receive input, guidance and mentorship from experts in health care delivery and population health.

UC Davis Health is improving lives and transforming health care by providing excellent patient care, conducting groundbreaking research, fostering innovative, interprofessional education, and creating dynamic, productive partnerships with the community. For more information, visit health.ucdavis.edu.

The UC Merced Health Sciences Research Institute (HSRI) is an organized research unit that facilitates multidisciplinary collaborations to understand the complex health issues affecting underserved and marginalized communities in California’s San Joaquin Valley (SJV), and to translate findings back to the community to promote equity. Through our Translational Research Center, we work closely with community partners and promotoras to bridge the gap between researchers and rural Latino communities, facilitating the engagement of “hard to reach” populations who reside in isolated geographic regions in the SJV.

ACTIVATE is co-led by Dr. David Lindeman, Director of CITRIS Health, and Dr. Katherine Kim, Associate Professor at the Betty Irene Moore School of Nursing and the School of Medicine at the University of California, Davis.