Grant from W.M. Keck Foundation accelerates Data xChange

A grant from the W.M. Keck Foundation will expand The L.A. Trust Data xChange, connecting health and academic achievement data. 

A two-year, $300,000 grant from the W.M. Keck Foundation is supporting the full build-out of The L.A. Trust Data xChange, a first-in-the-nation data analytics platform that joins confidential and anonymized student health and academic data to advance wellness and success. 

The investment will help The Los Angeles Trust for Children’s Health identify health equity deficits and emerging public health concerns; leverage data to pioneer performance and quality improvement practices; direct local-control funding; and design prevention and education programs to meet student and community needs. 

“This generous grant helps us address two critical issues,” said Maryjane Puffer, executive director of The L.A. Trust. “The first is healthcare inequities. The second is the mental well-being of our students. Both of these issues are especially urgent as we recover from the pandemic.” 

Expanding scope  

During the next two years, The L.A. Trust will incorporate primary care and mental health records from additional providers as well as students’ academic, attendance and other health services data from Los Angeles Unified. Community and expert opinion will be integrated into the technological build-out, and communication protocols will be established.  

The grant will support the work of newly hired senior data and research analyst Alex Zepeda and continue the work of Data xChange business lead Patty Anton (principal at Anton Consulting) and her database architect team. 

The new funding will help the Data xChange incorporate clinical records from four newly opened Wellness Centers, community-based mental health providers serving school campuses, and care provided directly by Los Angeles Unified. The Data xChange will also work with specialists to help standardize data elements for mental health records and provide reports to decision-makers. 

“We are grateful to the W.M. Keck Foundation for taking The L.A. Trust Data xChange to the next level,” said Anna Baum, director of development and communications. “Their decision to invest in this important platform demonstrates real vision and commitment to the health of our students and communities.” 

Data xChange report shows growth of Wellness Centers

The L.A. Trust Data xChange has issued a new report showing the impact of L.A. Unified’s Wellness Centers since 2015.  

The Los Angeles Trust for Children’s Health has released a new Data xChange report demonstrating the widespread impact of L.A. Unified’s 16 full-service Wellness Centers on students, families and community members in the District’s highest-need areas. 

According to the Data xChange report, 11 school-based Wellness Centers reported more than 229,000 visits from 86,000 patients in the past five years. Visits grew 143% in the past half decade and patients averaged 2.7 visits per year, demonstrating “a strong bond between clinics and patients.”  

The statistics in the Wellness Center 5-Year Impact Report were produced by The L.A. Trust’s Data xChange, which is designed to measure the impact of Wellness Center investments, improve the allocation of health resources and connect the dots between student health and academic achievement. 

Vital services 

Quality healthcare is essential to student success, the report noted. The L.A. Trust supports these clinics by offering best practices, prevention education programs, learning collaboratives and other vital infrastructure. In addition, it has independently raised more than $1.5 million to create the Data xChange, which The L.A. Trust views as key to the future of school-based health in Los Angeles and throughout the nation. 

Common student services include Well Child Exams, contraceptive management, weight and obesity management, immunization and vaccines, sexually transmitted infection testing and management, and mental health and substance use services. 

Because students are only as healthy as the communities they live in, Wellness Centers treat family and community members, too. Community members are more likely to be treated for chronic conditions such as diabetes and hypertension. 

There are currently 16 LAUSD Wellness Center clinics with two more on the way. They bring high-quality medical services into traditionally underserved communities, provide culturally competent care and reduce transportation burdens by putting the clinics on school campuses. (Most of the clinics have a street-facing door to admit community members and a school-facing door to admit students.) 

COVID-19 response 

The coronavirus pandemic has hit Los Angeles hard, especially predominantly Black and Latinx communities served by the Wellness Centers, the report stated. Six Wellness Centers have remained open during the height of the school lockdown and received more than 12,000 visits between March and June of this year. 

“As many of our Wellness Centers pivot toward telehealth and incorporate more specific coding practices related to COVID-19, The L.A. Trust Data xChange will stay in step with them by working to create new reports and insights,” the impact report affirmed.  

The Data xChange is guided by an Expert Advisory Council that includes: Manal Aboelata, The Prevention Institute; Mayra Alvarez, The Children’s Health Partnership; Grace Kim Crofton, L.A. Care Health Plan; Rebecca Dudovitz, UCLA; Pia Escudero, LAUSD Student Health and Human Services; Mehrnaz Davoudi, Kaiser Permanente; Art Garcia, First 5 Los Angeles; Will Grice, Kaiser Permanente and board president of The L.A. Trust; Lyndee Knox, PatientToc; Hayley Love; James Kyle, L.A. Care Health Plan; Anitha Mullangi, St. John’s Well Child and Family Health Center; Kevon Tucker-Seeley, LAUSD Office of Data and Accountability; Mollie Rudnick, LAUSD Chief Strategy Office; Nina Vaccaro, Community Clinic Association of Los Angeles County; Ron Tanimura, LAUSD Student Medical Services; Kimberly Uyeda; and Lynn Yonekura, L.A. Best Babies Network

The impact of racism on children’s health cannot be ignored

The murder of George Floyd has shined a spotlight on racism, which affects every aspect of American life, including the health of children and adolescents. Photo by Gabe Pierce on Unsplash.

The murder of George Floyd has brought the issue of racism to the forefront once again. But racism does not affect just the justice system — it is the major determinant in the healthcare outcomes of children and adolescents. 

Last August the American Academy of Pediatrics put out its first policy statement on how racism affects the development and health of adolescents and children. “Policy statements like these are welcome — and long overdue,” said Maryjane Puffer, executive director of The Los Angeles Trust for Children’s Health. 

According to the AAP, racism has a profound impact on the health and status of children, adolescents, emerging adults and their families. The continued negative impact of racism on health and well-being through implicit and explicit biases, institutional structures and interpersonal relationships is clear. 

Racism is a disease 

“Those of us who have been doing this work are not surprised by findings like these,” Puffer said. The AAP states that racism, experienced directly or just witnessed, can lead to high levels of stress, depression and even inflammatory reactions. Race is also a factor in low birth weight, maternal mortality, heart disease and hypertension. 

“If you saw these symptoms in a clinical setting you would diagnose racism as a chronic illness – one that is passed down from generation to generation,” Puffer said. 

In addition to the direct physical effects of racism, there are the health effects of institutional racism and implicit bias built into every aspect of American life, including jobs, housing, policing, incarceration and our education and healthcare systems. All of these factors impact the health outcomes of Black and Brown students and families. Any one of these factors can kill. 

COVID-19 is a textbook case. African Americans have the highest death rate for the disease in Los Angeles County: 13 deaths per 100,000 people versus 9.5 for Latinx, 7.5 for Asians and 5.5 for whites. The factors are myriad (poor healthcare, housing and greater co-factors like diabetes, asthma and heart disease), but underlying all these is racism. 

Two–front battle 

“We need to advance on two fronts,” Puffer said. “We must address structural racism by investing in healthcare and preventative programs in our underserved communities.” Our communities — and the kids who live in them — are not getting the primary, oral and mental healthcare services they need and deserve.  

Funding is needed, funding that is threatened by the budget cuts being actively considered in Sacramento and Washington. Community clinics, oral health providers and hospitals have been hit hard by COVID-19. “We must fight for government funding and reject false economies during this economic crisis,” Puffer said. 

“We also need to look at racism and bias within our healthcare system itself,” she said. As many institutions have acknowledged, there is a long legacy of inequal treatment of Black, Brown and Indigenous peoples in the healthcare system. People of color, especially African Americans, are less likely to be heard, diagnosed and successfully treated than whites. “We need more Black and Brown healthcare providers. We must eliminate unconscious bias and serve patients in a cultural context. We’re making progress, but not enough. 

“The healthcare providers I see working in our underserved communities are doing heroic work,” Puffer said. “They know their patients and they know their communities. But there are not enough of them and they do not have the resources they need,” Puffer said. “We must expand, not cut, healthcare in our communities. 

“We must seize this moment and redirect our priorities to invest in the healthcare of our students and communities,” she added. “We can’t end racism overnight, but we can start dismantling healthcare disparities piece by piece, patient by patient. We must ensure the current revolution leads us to a long-term evolution of our healthcare system.”