HFHS Healthcare Equity Scholars Program

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Presentation transcript:

HFHS Healthcare Equity Scholars Program February 12, 2015 Denise White Perkins, MD, PhD Director, Institute on Multicultural Health

Healthcare Equity at HFHS How we got here RCMAR Grant MEDTEP Grants 1993 1997 1999 2001 2007, 2008, 2009 2014 Healthcare Equity Campaign HDRC & Data Needs Community Health, Equity & Wellness HESP, etc. AIM-HI Institute on Multicultural Health

Find the report at: http://www.henryford.com/healthcareequitycampaign

Healthcare Equity at HFHS Where we’re going: Priority areas for eliminating hc disparities: cultural competency language access health literacy Supporting mechanisms: build expertise and internal capacity - community partnerships - communications and marketing - dissemination of findings - funding/grant opportunities (1) Training & Education (2) Evaluation & Demonstration Projects (3) Partnerships & Technical Assistance for Organizational Change

Healthcare Equity Scholars Program (HESP), 2014-2015 AAMC Learning Health System Award Launched in March 2014; graduation in July 2015 20 employees from each of our business units Meet every month for half day Homework between sessions

HESP Goals Create internal experts in the field of healthcare equity who are skilled in creating organizational change to address disparities at the departmental and organizational level Implement multiple quality improvement or research projects that address disparities across various areas of the health system Integrate lessons learned from successful projects into System policies, processes, or infrastructure, and share findings more broadly through publications and presentations

HESP Tools RWJF, “Roadmap to Reduce Disparities” Center for Health Professions, “Bringing Equity into QI: Practical Steps for Undertaking Improvement” NCQA, “Multicultural Health Care: A Quality Improvement Guide” HRET, “Leading Improvement Across the Continuum: Skills, Tools, and Teams for Success”

HESP Team Core: Senior Advisors: Faculty: Speakers: Denise White Perkins, Marla Rowe Gorosh, & Megan Brady Senior Advisors: Dr. Wisdom, SVP Community Health and Equity & CWO Dr. Schreiber, CQO Faculty: Barbara Bressack, Manager, Organizational & HR Development Christine Joseph, Director, Health Disparities Research Collaborative Sue Craft, Director, Care Coordination Initiatives Speakers: Kurt Metzger & Community Panel TBD

Group Norms List of Norms ‘Ouch!’ and ‘Oops!’ Cards The HESP Routine: Baggage Chek In the News Session Content Baggage Claim Session Evaluations

1. Intro & Orientation

2. Understanding the Cultural Context & Community-Related Factors http://vimeo.com/68299974

3. Considering the Impact of Race, Ethnicity, and Unconscious Bias Social Construction of Race Real effects on care outcomes: IAT (homework) & Privilege & Responsibility exercise

4. Measuring Disparities: Research, Quality, and Performance Metrics Internal guest speakers: HFHS Public Health Sciences and Health Disparities Research Performance Analytics and using our EMR to create data reports

5. Using Organizational CLAS Standards and the Three-Legged Stool to Address Disparities

Effects of QI on Disparities Disparity Increases Disparity Maintained Disparity Decreases Quality of Care Time Quality Goal White Americans Minority Americans From: Leveraging Quality Improvement to Achieve Equity in Health Care. The Joint Commission Journal on Quality and Patient Safety. 2010; 36(10).

Problem Statements Consider key equity questions: Who is access/benefiting from our programs/services and who is not? What are the barriers, differential impacts? What can we do to change that? Why are some people at greater risk? How can we reach and engage them? How are our actions relevant to specific populations? How can we improve our surveillance system and build the ones that collect the data we need? From: First Steps to Equity: Ideas and Strategies for Health Equity in Ontario 2008-2010

HESP Projects How can we improve recruitment of minority patients into clinical trials at Henry Ford Hospital and decrease the number of minority patients who drop out of trials? How do we decrease readmission rates for Detroit-based dialysis patients? What methods/processes are effective for starting a conversation with African American patients about end-of-life care?

Or contact Megan Brady, Project Manager: mbrady2@hfhs.org Questions & Thoughts? “What's right about America is that although we have a mess of problems, we have great capacity, intellect and resources -- to do something about them.” – Henry Ford For more information, visit: www.henryford.com/healthcareequitycampaign https://www.aamc.org/initiatives/rocc/363080/challengeawardwinners.html https://www.mededportal.org/icollaborative/resource/215 Or contact Megan Brady, Project Manager: mbrady2@hfhs.org