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Impact of the COVID-19 Pandemic on Safety Net Performance, Disparities, and Vulnerable Children

Award Number: R01HD109327
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/15/2022
PERIOD OF PERFORMANCE END DATE: 05/31/2027

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Impact of the COVID-19 Pandemic on Safety Net Performance, Disparities, and Vulnerable Children - Project Summary/Abstract The COVID-19 pandemic has been a major test of the health care delivery system, disrupting primary and mental health care to vulnerable children and threatening the financial stability of providers. In doing so, the pandemic created an opportunity to examine where the delivery system is robust and where improvements and alternative policy approaches should be considered. For children with pre-existing vulnerabilities these disruptions, in the face of increased risks from social isolation and economic stressors, are particularly concerning. How health systems recover and respond to the needs of the most vulnerable speaks to the structure of safety net systems and the policies that support them. The proposed study examines multiple vulnerable and at-risk child populations in safety net systems – children with emotional disorders, children who experienced prior abuse, children in foster care, homeless children, children who identify as LGBTQ+, and those who are make Black, Indigenous and people of color (BIPOC). The proposed study uses electronic health record data from the ADVANCE clinical data research network which represents more than 500,000 children treated annually at safety net, community health centers. This unique clinic network cares for largely uninsured and publicly insured children in 30 states. In addition, the study also uses Medicaid data in 3 of the largest study states to examine additional primary and mental health care outcomes. The aims of the study are to examine changes in primary and mental health care to vulnerable children through the pandemic, transition and recovery periods, to examine health inequities in care over time, and to uncover clinic, community, and payment policy drivers in safety net performance, in order to inform a multi-pronged, corrective policy response to redress gaps.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Child Health and Human Development Extramural Research	000	4	3/16/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $544,702 )
2025	2025	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Child Health and Human Development Extramural Research	000	4	8/1/2025	NON-COMPETING CONTINUATION	$544,702
														Subtotal = $544,702

Issue Date FY: 2024 ( Subtotal = $523,525 )
2024	2024	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Child Health and Human Development Extramural Research	000	3	7/3/2024	NON-COMPETING CONTINUATION	$523,525
														Subtotal = $523,525

Issue Date FY: 2023 ( Subtotal = $541,274 )
2023	2023	NATIONAL BUREAU OF ECONOMIC RESEARCH INC	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Child Health and Human Development Extramural Research	000	2	6/9/2023	NON-COMPETING CONTINUATION	$541,274
														Subtotal = $541,274

Issue Date FY: 2022 ( Subtotal = $550,604 )
2022	2022	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Child Health and Human Development Extramural Research	001	1	9/21/2022	NEW	-$4,829
2022	2022	NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.	1050 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	MIDDLESEX	USA	Child Health and Human Development Extramural Research	000	1	9/15/2022	NEW	$555,433
														Subtotal = $550,604

Grand Total All Awards = $2,160,105

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Impact of the COVID-19 Pandemic on Safety Net Performance, Disparities, and Vulnerable Children

Award Number: R01HD109327

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/15/2022

PERIOD OF PERFORMANCE END DATE: 05/31/2027

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