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AAMC Collaborative for Health Equity: Act, Research, Generate Evidence (CHARGE)

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About AAMC CHARGE

The AAMC Collaborative for Health Equity: Act, Research, Generate Evidence (CHARGE) brings together investigators, clinicians, and community partners so that they may learn, share, and improve upon the design, conduct, and implementation of research that aims to eliminate inequities in health and health care. More than 400 professionals from medical schools and teaching hospitals from across the country—plus medical school and teaching hospital multi-sector partners—participate in AAMC CHARGE.

AAMC CHARGE participants spark action by:

  • Collaborating on grant applications
  • Partnering to develop and publish commentaries and systematic reviews
  • Advancing AAMC’s and their institutions’ advocacy by contributing to comment letters 
     

Become a Member

You can join AAMC CHARGE by sending an email with your name, institution, title, and contact information. Participants will also receive our monthly newsletter, Health Equity Research Update.

Join AAMC CHARGE

Recording Available: AAMC CHARGE Welcome Webinar
 

CHARGE Orientation Webinar Video Recording

To welcome our new participants and reorient our returning ones, AAMC CHARGE held its first webinar as a new group on September 18. View the recording to see what upcoming health equity research, collaboration, and advocacy opportunities are available to CHARGE participants, including the impending launch of our brand new virtual community. Download the slides.

2019 Health Equity Call for Research Awardees

The AAMC has just concluded the first ever 2019 Health Equity Call for Research and would like to acknowledge and congratulate the following four awardees, who will receive access to data from the AAMC Consumer Survey of Health Care Access to answer cutting-edge research questions to facilitate solutions to health and health care disparities.

Fayetteville State University
Bola Ekezue, Su Dong, and Jennifer Bushelle-Edghill
Connectivity Access and Electronic Patient Engagement in Rural Communities
This study will examine whether connectivity access plays a role in how patients use electronic means to interact with providers and assess subgroups who have the double burden of connectivity access and chronic conditions.

North Carolina State University and Roanoke College
Vanessa Volpe and Kristen Schorpp
Examining State-Level Structural Racism and Sexism as Actionable Barriers to Equitable Health Care Access and Quality
This study will connect structural inequalities to individual experiences to examine if state-level structural discrimination is associated with gender and racial/ethnic disparities amongst those with recent health care needs. The role of access to care and other social contributors will also be assessed.

MedStar Health Research Institute
Derek DeLia, Jason Brown, and Daniel Wilhite
Health Equity Effects of Medicaid Expansion under the Affordable Care Act, 2014-2018
This study will identify the impact of Medicaid expansion on healthcare access, healthcare satisfaction, and perceived discrimination among vulnerable populations, and examine the Medicaid fee bump and ACA Health Insurance Exchanges as potential mediators of the Medicaid expansion effects.

University of Maryland School of Public Health
Jessica Fish, Rodman Turpin, and Bradley Boekeloo
Sexual Orientation and Gender Identity (SOGI) Disparities and Trends in Mental Health and Health Care Access and Experiences in the United States
This study will assess population-level disparities and trends in mental health/health care access and experiences across groups defined by SOGI, and whether these experiences vary across sociopolitical contexts, LGBT-specific state characteristics, and relevant sociodemographic factors.

Our Latest Policy and Advocacy Work

On October 25, 2019 the AAMC responded to a request for information from the National Center for Advancing Translational Sciences (NCATS) on improvements to the Clinical and Translational Science Awards (CTSA) Program: "The AAMC encourages NCATS to increase community engagement (CE)-focused funding to allow the CE cores to develop into “CE hubs” tasked, in part, with weaving together community- and patient-engaged efforts across the research, clinical, and training missions of their institutions."

On August 12, 2019 the AAMC submitted a comment letter to the HHS’ Office of Civil Rights that called for the withdrawal of its proposed changes to Section 1557 regulations because if the proposal is finalized it would eliminate all protections for transgender Americans as well as some for those with limited English proficiency. Section 1557 is intended to provide individuals with broad protections, ensuring that “an individual shall not . . . be excluded from participation in, be denied the benefits of, or be subject to discrimination under, any health care program or activity that is administered by an Executive Agency or any entity established under this title…”.

On August 6, 2019 the AAMC sent a letter to the Food and Drug Administration (PDF) on the agency’s request for information regarding the draft guidance Enhancing the Diversity of Clinical Trial Populations-Eligibility Criteria, Enrollment Practices, and Trial Designs. We offered comments regarding ways to broaden clinical trial eligibility requirements, improve clinical trial enrollment and retention, and use community engagement methods to increase patient participation.

On August 5, 2019 the AAMC sent a letter to the Office of Science and Technology Policy (OSTP) (PDF) to inform the development of the National Research Strategy for the President’s Roadmap to Empower Veterans and End the National Tragedy of Suicide.  AAMC offered recommendations to improve the ability to identify individual veterans and groups of veterans at greater risk of suicide and to develop public-private collaboration models to foster innovative and effective research.  

On May 9, 2019, the AAMC submitted comments to the ICD-10 Coordination and Maintenance Committee in support of the joint proposal from UnitedHealthcare and the American Medical Association to expand existing ICD-10-CM codes to better capture additional data on the social determinants of health (SDOH) to drive better care, patient engagement, and more equitable outcomes.

On November 29, 2018, the AAMC responded to a CMS Call for Public Comments regarding hospital outcome measurement for patients with social risk factors (SRF). The comments are intended to help inform CMS’ current work on developing and evaluating new methodologies to report readmission rates by patient SRF (e.g., race, dual eligibility status).

AAMC Data Resources and Future Opportunities Webinar Available

In December 2018, AAMC staff highlighted opportunities for AAMC CHARGE participants to access AAMC data sets for research. The presenters gave an overview of AAMC's data and analysis practices, including examples of currently administered surveys and recently published reports, as well as an introduction to the AAMC Consumer Access Survey which will be the focus of a future call for proposals open to AAMC CHARGE.

Access the webinar

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