Strengthening Community-Driven Safety-Net Interventions to Improve Health and Economic Equity

该项目提出了一个可持续健康投资伙伴关系（SHIP），一个新的雇主- 参与上游干预计划，通过增加经济收入来减少健康差距 通过一个统一和一体化的全县范围内的就业不足和低工资工人的稳定 安全网计划收入为联邦贫困线135-350%的家庭通常很少有机会 由于公共福利（如医疗补助）的损失，工资增加，净收入没有增加， 在健康和经济流动性方面受到许多障碍的限制。该船将被设计成 由跨部门的社区合作伙伴，以支持工人在整个连续体从贫困， 通过（1）调整和扩大三项基于当地雇主的创新来实现财务安全： 健康（健康覆盖和SDoH影响），三人共享托儿（托儿）和车轮上班 （交通）2）与针对少数民族和农村地区的地方影响中心合作 3）提供个性化的、基于信任的上游SDOH支持， 弱势工人获得公共，私人和社区资源，以解决自我优先的健康问题 和就业需求。船舶将作为一个健康计划，以允许收集 与工人健康、社会需求、就业指标、收入水平和 福利资格，以帮助创造扩大低收入安全网的价值主张 家庭，与雇主和居民的前瞻性研究将有助于了解相关资产， 因果循环和经济变量，以有效地针对政府和组织的政策 我们的临床，安全网和雇主部门的变化。该项目将改善健康状况， 低收入家庭的经济稳定，并吸引更多的人进入当地 劳动力

This project proposes a Sustainable Health Investment Partnership (SHIP), a new employer- engaged upstream intervention program to reduce health disparities by increasing economic stability for underemployed and low wage workers through an aligned and integrated countywide safety-net program. Families earning 135-350% of federal poverty level often experience little to no gain in net income as wages increase due to loss of public benefits such as Medicaid and are constrained by numerous barriers to health and economic mobility. The SHIP will be designed by cross-sector community partners to support workers throughout the continuum from poverty to financial security by (1) aligning and expanding three local employer-based innovations: Access Health (health coverage and SDoH impact), Tri-Share Childcare (childcare), and Wheels to Work (transportation) 2) collaborating with place-based Impact Hubs that target minority and rural populations 3) providing individualized, trust-based upstream SDOH support, connecting vulnerable workers to public, private, and community resources to address self-prioritized health and employment needs. The SHIP will be structured as a wellness plan to allow the collection of longitudinal data related to workers’ health, social needs, employment metrics, income level, and benefits eligibility to help create a value proposition for expanding the safety net for low income families, Participatory research with employers and residents will help understand relevant assets, causal loops and economic variables to effectively target governmental and organizational policy changes within our clinical, safety-net, and employer sectors. This project will improve health and economic stability in low-income households and draw additional individuals into the local workforce.