{
  "abstract": "Description Achieving equity is a complex challenge. Despite decades of recognition of inequity and disparity among racially and ethnically minoritized groups, disproportionate harm and barriers to achieving one’s full life potential persist. Developed during the Spreading Community Accelerators through Learning and Evaluation (SCALE) initiative, the Community of Solutions (COS) proposes such an approach by which community coalitions can improve equity. An evaluation of SCALE strategies ( figure 1), methods, and tools, including the COS (figure 2), to improve equity among coalitions that participated in the SCALE initiative has been completed. The purpose of this study was to understand how coalitions that engaged in the SCALE initiative currently use SCALE concepts, including the COS, to address equity in order to identify what elements of the framework have been sustained since the effort concluded in 2020. This thorough, current state assessment of the enduring strengths of the SCALE effort may provide insights to coalitions, funders, and policymakers as to how to maximize the impact of their work on equity. A thorough assessment of the current state and enduring strengths of this work in 2025 provide needed insight to other coalitions and funders as to how they can maximize the impact of their work on equity. Moreover, this study adds to the existing body of literature that articulates the leadership practices embedded in SCALE concepts, including the COS, that advance coalition efforts to improve equity.Abstract 9 Figure 1SCALE interactive systems frameworkAbstract 9 Figure 2Community of solutions framework",
  "authors": [
    {
      "affiliations": [
        "Northwestern Medicine"
      ],
      "name": "Brigette DeMarzo"
    },
    {
      "affiliations": [
        "Institute for Healthcare Improvement"
      ],
      "name": "Paul Howard"
    }
  ],
  "title": "9 Achieving equity through the community of solutions",
  "uid": "4493e4c5-2798-58a3-b1d4-9373ef541706"
}