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Kirsten Firminger

@kfirminger.bsky.social
106 followers 140 following 35 posts

Social psychologist & health services researcher. Posts are mine and not my employer. Focused on how to do better research, measurement, and evaluation by centering people, community, & equity.

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Reposted by Kirsten Firminger
Kevin Griffith @assumenormality.bsky.social · 01/02/2025
🚨HRSA's Area Health Resources Files webpage is now down. Fortunately, I built an archive of data 2000-2023 for a previous project, which can be accessed without restriction here: data.mendeley.com/datasets/dwf...
data.mendeley.com
County-level data on U.S. opioid distributions, demographics, healthcare supply, and healthcare access
This repository includes data from the Health Resources & Services Administration's Area Health Resources Files (years 2000-2001, 2004-2022), CDC Wonder, National Conference of State Legislatures, and...
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Reposted by Kirsten Firminger
Deborah Pearlstein @debpearlstein.bsky.social · 28/01/2025
Is the "temporary pause" of disbursement of all federal grants/loans an unlawful impoundment? It almost certainly is. A brief 🧵
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Reposted by Kirsten Firminger
American Institutes for Research @airinforms.bsky.social · 23/01/2025
What are the benefits of cash transfers? How can Medicare improve outcomes for kidney patients? Why did AAPI individuals receive markedly different care than other groups during COVID-19? It's all in the latest AIR News → icont.ac/50WNV
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Reposted by Kirsten Firminger
Helen Bevan @helenbevan.bsky.social · 06/01/2025
Today, mitsmr.bsky.social published ten essential leadership tips for 2025 to "build your leadership skill set & solve tough challenges in the new year": sloanreview.mit.edu/article/10-e... Interesting how many of them are so called "soft skills". Perspectives of leadership are changing.
1) Articulate your leadership values & hold yourself accountable
2) Delegate better: consider the level of trust in the process
3) Get honest input: empower people to stop self-censoring
4) Tap the power of mid level managers to strengthen culture
5) Develop more continuous learners in your organisation
6) Set better boundaries with your team
7) Energise team meetings: Make everyone feel heard
8) Stop exalting busyness
9) Be a manager — not a mouthpiece for higher-ups
10) Communicate more effectively about change
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Kirsten Firminger @kfirminger.bsky.social · 18/12/2024
I have meetings at noon! My body is now programmed to eat lunch somewhere between 10:30 am and 11:30 am.
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Reposted by Kirsten Firminger
Johns Hopkins Berman Institute of Bioethics @bermaninstitute.bsky.social · 18/12/2024
Building a Culture of Quality and Safety in Health Care—The Importance of Respect for Patients -- Somnath Saha, Mary Catherine Beach | Health Policy | JAMA Network Open jamanetwork.com/journals/jam...
jamanetwork.com
Building a Culture of Quality and Safety in Health Care
Over the past several years, there has been increasing awareness that clinicians write language in medical records that stigmatizes patients,1 that the use of this language varies by patients’ race an...
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Reposted by Kirsten Firminger
Shematologist, MD @shematologist.medsky.social · 18/12/2024
We found that almost 40% of 12-21 year old females are iron deficient. jamanetwork.com/journals/jam... I’ve been asked how this is possible evolutionarily. I have a few thoughts. 🧵
jamanetwork.com
Prevalence of Iron Deficiency and Iron-Deficiency Anemia in US Females Aged 12-21 Years, 2003-2020
This study examines prevalence of iron deficiency among females aged 12 to 21 years to inform future screening strategies for iron deficiency and iron-deficiency anemia.
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Reposted by Kirsten Firminger
Shematologist, MD @shematologist.medsky.social · 13/12/2024
Motion to ban the term hysterical from ever being used in reference to female patients or the issues that affect them.
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Reposted by Kirsten Firminger
American Institutes for Research @airinforms.bsky.social · 12/12/2024
As 2024 comes to a close, we're reflecting on AIR projects and initiatives that exemplify the vital interplay between research and lived experience, www.air.org/air-2024-hig...
A group of people in blue shirts, embracing and standing in a circle in a sunny park, symbolizing teamwork and unity.
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Reposted by Kirsten Firminger
Patient-Led Research Collaborative @patientled.bsky.social · 11/12/2024
We're hiring 2 new roles! These are 6-month contracts with possible extension, and can be between 25-40 hrs/week. Deadline Dec 31! 1) Partnerships & Advocacy Coordinator 2) Fundraising & Operations Manager Please share widely! patientresearchcovid19.com/job-opportun... #LongCovid #neisvoid #pwme
patientresearchcovid19.com
Job Opportunities – Patient Led Research Collaborative
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Reposted by Kirsten Firminger
Kirsten Firminger @kfirminger.bsky.social · 11/12/2024
PCORI Project by Dr. Talal & team: Using Telehealth to Improve Access to Hepatitis C Virus Treatment for Patients with Opioid Use Disorder -- The TEAM-C Study 6/ #publichealth www.pcori.org/research-res...
What was the research about?
Opioid use disorder, or OUD, occurs when a pattern of using opioids, such as prescription medicines or heroin, leads to dependence or distress. People with OUD have a high risk for becoming infected with the hepatitis C virus, or HCV. Without treatment, HCV can lead to liver failure, liver cancer, or death.

Opioid treatment programs, or OTPs, can help people with OUD using medicine and behavioral therapy. However, many OTPs don’t provide on-site treatment for HCV.

In this study, the research team compared two ways to provide HCV care to patients in OTPs:

Usual care. OTPs provided care for patients’ OUD. For HCV care, patients received a referral to an off-site HCV specialist.
Supported telehealth. OTPs provided care for patients’ OUD. For HCV care, a case manager helped patients connect with an off-site HCV specialist in a telehealth appointment. Telehealth is a way to provide care to patients remotely using video and audio. Patients then received HCV medicine in person from a nurse at the OTP.
The research team wanted to learn if the supported telehealth approach increased the number of people whose HCV was cured compared with usual care.

What were the results?
Three months after completing treatment, 90 percent of patients with HCV who received treatment through supported telehealth had their HCV cured compared with 39 percent of patients who received usual care.

The two approaches didn’t differ in patient-reported satisfaction with care.
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Kirsten Firminger @kfirminger.bsky.social · 11/12/2024
PCORI Project by Dr. Talal & team: Using Telehealth to Improve Access to Hepatitis C Virus Treatment for Patients with Opioid Use Disorder -- The TEAM-C Study 6/ #publichealth www.pcori.org/research-res...
What was the research about?
Opioid use disorder, or OUD, occurs when a pattern of using opioids, such as prescription medicines or heroin, leads to dependence or distress. People with OUD have a high risk for becoming infected with the hepatitis C virus, or HCV. Without treatment, HCV can lead to liver failure, liver cancer, or death.

Opioid treatment programs, or OTPs, can help people with OUD using medicine and behavioral therapy. However, many OTPs don’t provide on-site treatment for HCV.

In this study, the research team compared two ways to provide HCV care to patients in OTPs:

Usual care. OTPs provided care for patients’ OUD. For HCV care, patients received a referral to an off-site HCV specialist.
Supported telehealth. OTPs provided care for patients’ OUD. For HCV care, a case manager helped patients connect with an off-site HCV specialist in a telehealth appointment. Telehealth is a way to provide care to patients remotely using video and audio. Patients then received HCV medicine in person from a nurse at the OTP.
The research team wanted to learn if the supported telehealth approach increased the number of people whose HCV was cured compared with usual care.

What were the results?
Three months after completing treatment, 90 percent of patients with HCV who received treatment through supported telehealth had their HCV cured compared with 39 percent of patients who received usual care.

The two approaches didn’t differ in patient-reported satisfaction with care.
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Kirsten Firminger @kfirminger.bsky.social · 11/12/2024
Through my work, I see all the PCORI research summaries that are posted, so I thought it would be fun to highlight some that come through that catch my eye and/or when I remember to post something up! (also explore all here: www.pcori.org/explore-our-...) 5/
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Kirsten Firminger @kfirminger.bsky.social · 11/12/2024
The work of writing these research summaries is done by the PCOR Translation Center (PCOR TC) which is managed by AIR. I lead the team who does this work (and also serve as the deputy project director for PCOR TC overall). 4/
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Kirsten Firminger @kfirminger.bsky.social · 11/12/2024
The summaries of PCORI research findings are available in different forms. One version is written in plain language at a 6th to 8th grade reading level. There is also a version written for a more technical audience. The findings are translated into Spanish and also an audio version is provided. 3/
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Kirsten Firminger @kfirminger.bsky.social · 11/12/2024
PCORI is groundbreaking in being transparent about the results of their funded research. All the research projects funded by PCORI are required to have the results of their project posted on PCORI's website within 90 days of a research project being complete. 2/
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Kirsten Firminger @kfirminger.bsky.social · 11/12/2024
The Patient-Centered Outcomes Research Institute (PCORI) funds clinical research that compares two or more medical treatments, services, or health practices to help patients and others make better-informed decisions. Since 2010, they have funded $4.5 billion to more than 2,400 research projects 1/
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Reposted by Kirsten Firminger
Dr. Glaucomflecken @glaucomflecken.bsky.social · 04/12/2024
A real, actual thing BCBS is doing youtube.com/shorts/vWA2a...
youtube.com
No More General Anesthesia
YouTube video by Dr. Glaucomflecken
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Kirsten Firminger @kfirminger.bsky.social · 05/12/2024
As a hockey fan and a health researcher, I find these results very scary. The NHL needs to address this ASAP.
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Kirsten Firminger @kfirminger.bsky.social · 05/12/2024
Definitely the blanket snuggler!
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Reposted by Kirsten Firminger
American Institutes for Research @airinforms.bsky.social · 03/12/2024
Get to know the people and places that shape AIR's global #giving community, and learn how our staff are taking action for #climate resilience this #GivingTuesday:
air.org
American Institutes for Research Staff Direct $25,000 in Charitable Support to Organizations Growing Climate Resilience | American Institutes for Research
Colleagues across AIR took part in the organization’s fourth-annual Giving Tuesday community project, choosing five charities to receive a total of $25,000 in support from AIR. The selected recipients...
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Kirsten Firminger @kfirminger.bsky.social · 05/12/2024
This important work to center people and communities when working across systems is built upon our initial RWJF funded work to align systems to improve equity using shared measurement.
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Reposted by Kirsten Firminger
Celeste Ng @pronounced-ing.bsky.social · 25/11/2024
As with improv, social medial works a lot better when you have a “yes, and…” mentality. Twitter trained a lot of people into “no, but…” and that is just going to catch you a lot of blocks here. 💁🏻‍♀️
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Kirsten Firminger @kfirminger.bsky.social · 25/11/2024
AIR Health Division is hiring for a Principal Researcher to lead projects and business development about Healthcare Quality Improvement and Learning Systems! Come work with me at AIR! jobs-airdc.icims.com/jobs/13223/p...
jobs-airdc.icims.com
Build a Career at AIR
AIR’s mission is to generate and use rigorous evidence that contributes to a better, more equitable world. AIR offers an innovative, collaborative environment where people can build successful careers...
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Kirsten Firminger @kfirminger.bsky.social · 25/11/2024
PCORI had a great session on Achieving Patient-Centeredness in Artificial Intelligence(AI) at their annual meeting. I continue to refer back to it. Available online (freel here www.pcori.org/events/2024/... #healthservices #healthcare
Patient-centered Al
Patient-centered Al engages patients as partners throughout the entire Al
life cycle, from problem formulation, to design and implementation of Al
services that enable patients to make informed healthcare decisions and
contribute to improvements in healthcare delivery and outcomes
Achieving this aim requires that Al solutions are designed, used, and
optimized in a way that:
Is fair, secure, transparent, and reliable;
Demonstrates responsiveness to real-world needs of engaged
patients and communities;
Is aligned with patient values and preferences.Artificial Intelligence
(AI)

Human-Centered Al
Health Informatics
Digital HealthAlgorithmic Life Cycle
Phase 1- Problem formulation
Phase 2 - Data selection, assessment and management
Phase 3 - Algorithm development, training and validation
Phase 4 - Deployment and integration of algorithms in
intended settings
Phase 5 - Algorithm monitoring, maintenance, updating
or de-implementation
Need for authentic engagement of patients and
communities in each phase!
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Kirsten Firminger @kfirminger.bsky.social · 22/11/2024
Tressie McMillan Cottom's new column with post-election analysis - How an Empty Internet Gave Us Tradwives and Trump www.nytimes.com/2024/11/21/o...
There is no better indicator of how
important the wellness left-right
configuration mattered to this election
than Trump's pick of Robert F. Kennedy
Jr. to head the Department of Health
and Human Services. Kennedy
embodies incoherent ideas of a social-
media-driven iteration of white
nationalist ideas about health, such as
touting raw milk and junk science
about Covid-19 vaccines
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Reposted by Kirsten Firminger
Iva Cheung @ivacheung.com · 21/11/2024
HeartLife Foundation, Transform HF, and Canadian Heart Function Alliance are hosting a free webinar on compensation for patient partners in research on Thursday, November 28, 9–10 am Pacific. #PatientEngagement & #POR folks—please share with your networks! www.eventbrite.ca/e/patient-pa...
eventbrite.ca
Patient Partner Compensation Webinar for Researchers
Join us to learn everything you need to know about compensating your patient partners for their participation in your research.
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Reposted by Kirsten Firminger
Caroline Dew @caro-icu.bsky.social · 22/11/2024
“Learning CPR on manikins without breasts puts women’s lives at risk, study finds” Dr Rebecca Szabo et al @inquisitivegyn.bsky.social Research 🔗: academic.oup.com/heapro/artic... #ResusSky
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Timothy McBride @mcbridetd.bsky.social · 22/11/2024
Georgia Dismissed All Members of Maternal Mortality Committee After ProPublica Obtained Internal Details of Two Deaths State’s public health commissioner said action was taken because “confidential information..was inappropriately shared with outside individuals.” www.propublica.org/article/geor...
propublica.org
Georgia Dismissed All Members of Maternal Mortality Committee After ProPublica Obtained Internal Details of Two Deaths
In a letter, the state’s public health commissioner said the action was taken because “confidential information provided to the Maternal Mortality Review Committee was inappropriately shared with outs...
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Reposted by Kirsten Firminger
Robin Rudowitz @robinr.bsky.social · 22/11/2024
Medicaid work requirements are expected to be back on the agenda - our new brief recaps the landscape of work requirement approvals and pending requests at the end of President Trump’s first term and examines recent state activity. www.kff.org/medicaid/iss...
kff.org
Medicaid Work Requirements: Current Waiver and Legislative Activity | KFF
With Donald Trump returning to the presidency and Republican control of the Senate and House, work requirements are likely to be back on the agenda—through federal legislation or Medicaid waivers. Thi...
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Black In Neuro @blackinneuro.bsky.social · 21/11/2024
Our organizers have been in Vox, Nature, and Science the past couple days! Check it out 👇🏽 @kssphd.bsky.social in Vox: www.vox.com/future-perfe... @clionamurray.com in Nature: www.nature.com/articles/d41... @shaine.bsky.social in Science: www.science.org/content/arti... #BlackSky #Neuroscience 🧪
vox.com
Only 1 percent of neuroscience faculty is Black. Kaela Singleton hopes to change that.
Whatever you do, don’t call the Black in Neuro founder “resilient.”
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Reposted by Kirsten Firminger
Michael Hobbes @michaelhobbes.bsky.social · 20/11/2024
"Yes RFK Jr believes a lot of unhinged things but did you know that he also believes some slightly less unhinged things?"
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Kirsten Firminger @kfirminger.bsky.social · 21/11/2024
Oh this makes me very glad they don't have my contact information
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Kirsten Firminger @kfirminger.bsky.social · 21/11/2024
More on the proposed cuts to Federal workforce under Trump open.substack.com/pub/heatherc...
open.substack.com
November 20, 2024
Remember how American voters so hated Project 2025, the playbook for a second Trump term written by the Heritage Foundation and other right-wing institutions, that Trump said he had nothing to do with...
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Reposted by Kirsten Firminger
American Institutes for Research @airinforms.bsky.social · 20/11/2024
"Women and girls disproportionately bear the brunt of the #climate crisis." In a new Q&A, AIR's Jessie Pinchoff shares insights and research revelations from her work examining the intersections of #ClimateChange and #gender: www.air.org/resource/qa/...
air.org
Exploring the Intersections of Climate Change, Health, and Gender | American Institutes for Research
AIR Senior Researcher Jessie Pinchoff is an internationally recognized expert in climate change, global health, and gender. In this Q&A, she shares insights about how climate change affects women, gir...
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Kirsten Firminger @kfirminger.bsky.social · 21/11/2024
PBS news hour segment on how federal workers are bracing for the incoming Trump administration www.tiktok.com/t/ZTY2A7pxc/
tiktok.com
Federal workers brace for Trump's plan to potentially replace them with loyalists President-elect Trump has vowed to make wide-scale changes to the federal workforce by cutting jobs, replacing career ...
TikTok video by pbsnews
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Reposted by Kirsten Firminger
Yas MA, MPH @xyzzl.bsky.social · 21/11/2024
North Carolina is home to the oldest state Office of Rural Health (ORH). ORH was established in 1973. #PublicHealthSky
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
9/ Our new Health Services Research article - Leaders across systems & communities can use these shared measurement principles to reimagine & transform how systems create equitable health by centering the needs and priorities of the communities they serve. Free access here: t.co/6M3yJ3hXR3
t.co
https://onlinelibrary.wiley.com/doi/10.1111/1475-6773.14031
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
8/ We did a Health Hats podcast with @healthhats.bsky.social Communities take action to improve. Shared measurement lights the way. Simple, routine, effective. Lessons learned from the field with Tania Dutta & Uma Kotagal health-hats.com/pod137/
health-hats.com
Communities Advancing Equity through Shared Measurement
Communities take action to improve. Shared measurement lights the way. Simple, routine, effective. Lessons learned from the field with Tania Dutta & Uma Kotagal
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
7/ We did webinar with Community-Campus Partnerships for Health that was our first presentation that captures this work from start to finish - how we did it, responding to COVID, & what we learned about shifting power to communities t.co/mqfWnqBnWm
t.co
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
6/ We have a companion guide to put the principles into action, including a set of reflection questions to encourage conversations between partners and promising practices that reflect lessons learned from talking to existing programs & communities www.air.org/sites/defaul...
air.org
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
5/ We also have a video overview of the project Aligning Systems with Communities to Advance Equity through Shared Measurement t.co/bpt0xt9dMt
t.co
https://www.youtube.com/watch?v=M2O7NtqBG9U&feature=youtu.be
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
4b/Knowing It When I See It: Listening to Community Members About What It Means for Systems to Align for Their Health and Well-Being www.air.org/sites/defaul...
air.org
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
4a/To center communities’ perspectives, our team listened to community members share how they would like to see systems work together. These briefs highlight what they want to see improved, what having an equal role in initiatives looks like, and what accountability means to them
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
3f/ Use Case: Community Schools Initiative used measurement to encourage different systems across the U.S. to align around student success by improving student learning, supporting families, and creating healthier communities www.air.org/sites/defaul...
air.org
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
3e/ Use Case: Vermont Health in All Policies used measurement to encourage different systems within Vermont to align around health equity www.air.org/sites/defaul...
air.org
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
3d/Use Case: SA2020 used measurement to encourage different systems within San Antonio to align around San Antonians' vision for the future of their city and track progress toward those goals www.air.org/sites/defaul...
air.org
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
3c/ Use Case: The Los Angeles Homeless Initiative used measurement to encourage different systems within LA County to work together to reduce homelessness www.air.org/sites/defaul...
air.org
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Kirsten Firminger @kfirminger.bsky.social · 20/11/2024
3b/ Use Case: Connect SoCal (SB-375) used measurement to encourage different systems within six counties in Southern California to work together to reduce greenhouse gas emissions www.air.org/sites/defaul...
air.org
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