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The Morehouse School of Medicine's Community Health Course (CHC) trains first-year medical students to work with people of racial and ethnic minorities and economically and medically disadvantaged communities. This service-learning course includes the diagnosis/assessment of the health of a community and the development, implementation, and evaluation of a plan to improve some aspect of the community's health. The CHC teaches about the impact of racism on the health of communities through lectures, educational games, and videos focused on social determinants of health, cultural competence, and effective community engagement. Students complete small group assessments, interventions, and service activities at assigned sites. This pedagogical approach integrates the Association of Medical Colleges' Diversity, Equity, and Inclusion competencies and engages many community partners. The course's strengths include a multidisciplinary faculty, a culturally and educationally diverse student body, and community partners with varied backgrounds and resources. Opportunities exist for collaborations with other degree programs to sustain and increase the impact of community interventions and link this community-based educational activity to clinical training years. Course evaluations, exams, and short essays assess students' awareness of racism and the extent to which unconscious bias affects students' completion and interpretation of community assessment data and their engagement with community partners.

A clinical dashboard is a data-driven clinical decision support tool visualizing multiple key performance indicators in a single report while minimizing time and effort for data gathering. Studies have shown that including patient-reported outcome measures (PROMs) in clinical dashboards supports the clinician's understanding of how treatments impact patients' health status, helps identify changes in health-related quality of life at an early stage, and strengthens patient-physician communication. This study aims to determine design components for clinical dashboards incorporating PROMs to inform software producers and users (ie, physicians). We conducted interviews with software producers and users to test preselected design components. Furthermore, the interviews allowed us to derive additional components that are not outlined in existing literature. Finally, we used inductive and deductive coding to derive a guide on which design components need to be considered when building a clinical dashboard incorporating PROMs. A total of 25 design components were identified, of which 16 were already surfaced during the literature search. Furthermore, 9 additional components were derived inductively during our interviews. The design components are clustered in a generic dashboard, PROM-related, adjacent information, and requirements for adoption components. Both software producers and users agreed on the primary purpose of a clinical dashboard incorporating PROMs to enhance patient communication in outpatient settings. Dashboard benefits include enhanced data visualization and improved workflow efficiency, while interoperability and data collection were named as adoption challenges. Consistency in dashboard design components is preferred across different episodes of care, with adaptations only for disease-specific PROMs. Clinical dashboards have the potential to facilitate informed treatment decisions if certain design components are followed. This study establishes a comprehensive framework of design components to guide the development of effective clinical dashboards incorporating PROMs in health care practice.

Following these papers, there are two contributions from the Legacy projects that describe their efforts to reduce rates of breast and cervical cancer at the community level, one reflecting the efforts of a faith-based health initiative at Samaritan Clinic that provide screening services and increases community awareness in a southern Georgia county (Fortson et al.) and a description of a partnership between Crossworks a communitybased organization in North Carolina and the UNC-CH Lineberger Comprehensive Cancer Center that trains lay health advisors to promote breast cancer screening (Teal, Moore et al.).

Since the beginning of his presidency, Joe Biden has been steadfast in his efforts to tackle climate and environmental inequalities faced by vulnerable and historically marginalized communities. How the United States Defines Environmental Justice FromExecutive Order 14096: “Environmental justice\" means the just treatment and meaningful involvement of all people, regardless of income, race, color, national origin, Tribal affiliation, or disability, in agency decision-making and other Federal activities that affect human health and the environment so that people: (i) are fully protected from disproportionate and adverse human health and environmental effects (including risks) and hazards, including those related to climate change, the cumulative impacts of environmental and other burdens, and the legacy of racism or other structural or systemic barriers; and (ii) have equitable access to a healthy, sustainable, and resilient environment in which to live, play, work, learn, grow, worship, and engage in cultural and subsistence practices. The National Climate Resilience Framework will provide a clear direction to guide and align climate resilience investments and activities. 4) Funding Local Groups to Tackle Environmental Injustices The EPA's Office of Environmental Justice and External Civil Rights established the Environmental and Climate Justice Community Change Grants to provide funding directly to disadvantaged communities to develop their own strategies for pollution reduction and clean energy investment. According to the EPA, this is the “single largest investment in environmental justice going directly to communities in history.”

WHEJAC brings together an esteemed group of environmental justice leaders, elders, researchers, and experts with lived experience from frontline communities across the country. Since its formation in March of 2021, WHEJAC has held virtual and hybrid public meetings to gather and report feedback to the CEQ and the White House that highlights cross-cutting agency recommendations on public engagement, grants and funding, proposed infrastructure projects, accountability, and incentive structures, as well as specific guidance for individual agencies. Update HUD's environmental review policies to include climate hazards and environmental justice. The cadre of 200 regional staff will provide direct technical assistance for and oversee distribution of investments such as the $3 billion climate and environmental justice block grant program created by the Inflation Reduction Act. A Status Check on Community Awareness After the Bipartisan Infrastructure Law — which includes historic investments to address legacy pollution — and the Inflation Reduction Act — which has an estimated $60 billion directed to advance environmental justice — passed, the administration in collaboration with environmental justice organizations, held public outreach sessions through webinars and conferences to help inform communities about the pipeline of investments.

Since President Joe Biden launched the Justice40 Initiative in January 2021, over $600 billion has been designated for more than 500 programs across 19 federal agencies. The community-based organization spearheading this program also educates residents on climate change and offers technical assistance in accessing rebates, securing tax credits, locating job opportunities and installing upgraded appliances and devices. [...]the organization declined the technical assistance and instead partnered with a local grant writer who was familiar with the community. The Accelerator empowers community-based organizations by providing essential resources, workshops and technical expertise, enabling them to navigate federal grant opportunities and, ultimately, submit successful applications.

Alongside difficulties with features such as ramps and wheelchair tie-downs, many students deal with stimulation sensitivities from the diesel engine's noise, vibrations and smell. [...]interviewees across the board described how transportation access issues are more acute in low-income and communities of color due to historic disinvestment. In a recent Executive Order, the Biden Administration expanded the definition of \"environmental justice\" to include race, income, Tribal affiliation, national origin and, importantly, disability status. Under the federal Justice40 Initiative, \"environmental justice\" groups are eligible to receive priority funding from climate investments such as the Clean School Bus Program. ESB Funding Programs that Offer Additional Funds for ADA-Compliant Lift State Agency Funding Program Additional Funds Year Additional Funds Made Available Federal Environmental Protection Agency (EPA) CSBP Applicants are able to request up to $20,000 per bus in additional funds for ADA-compliant replacement buses equipped with wheelchair lifts 2023 Federal EPA Clean Heavy-Duty Vehicles Program ADA-compliant school buses are eligible for an additional $20,000 per-vehicle funding cap (i.e., a total per-vehicle funding cap of $300,000) 2024 California CALSTART (on behalf of the California Air Resources Board (CARB)) Hybrid and Zero Emission Truck and Bus Voucher Incentive Project Maximum Voucher Amounts Type A: $285,000 (w/o lift); $310,000 (w/ lift) Type C: $350,000 (w/o lift); $375,000 (w/ lift) Type D: $370,000 (w/o lift); $395,000 (w/ lift) 2023 California CARB Zero-Emission School Bus and Infrastructure Grant ZESBI recipients may receive an additional $15,000 plus-up for the purchase of an eligible school bus equipped with a wheelchair lift 2024 Michigan Michigan Department of Education Clean Bus Energy Grant School districts are eligible to receive an additional 5% of funding for the procurement of an ADA accessible bus 2024 New York New York State Energy Research and Development Authority School Bus Incentive Program Complementary School Bus Voucher Wheelchair Add-On Amount across new ESB types is $8,000 2023 Source: WRI What Will It Take to Ensure Electric Buses Are Accessible for All Students?

[...]those repeatedly-affirmed voter protections were jeopardized on July 1, when the U.S. Supreme Court upheld Arizona’s ban on third-party ballot collections and the counting of ballots cast in the wrong precinct. The “John Lewis Voting Rights Advancement Act” would restore the effectiveness of the Voting Rights Act in response to Supreme Court decisions that have undermined it. In Flint, Michigan, it was mostly Black children who consumed lead-laced water when local officials tried to save money by switching its water source.

[...]intentionally directing the expected economic, public health and quality of life benefits of clean energy toward those who disproportionately carry the costs of a dirty energy system can begin to address inequity. Data Quality and Availability: Clean energy spending can be targeted equitably through the implementation of effective, data-driven, results-focused programming on energy equity driven by cultivating metrics, reporting requirements, qualitative and quantitative data sources, and analysis that is grounded in the experience and input of target households and communities. Labor and Procurement Policies: Federal actors can ensure clean energy spending creates pathways to high-quality jobs for a diverse workforce by requiring jobs created through federal spending to meet wage standards, protecting the right to organize, enforcing anti-harassment and antidiscrimination protections, encouraging local hiring and engaging minority-owned and women-owned businesses, and training and equipping currently underrepresented members of the clean energy workforce to capitalize on new opportunities in the sector.