© 2013 Kaiser Foundation Health Plan, Inc. For internal use only. CMCP and Kaiser Permanente CLE Marathon, January 17, 2013 Implicit Bias & In-Group Privilege – Understanding and Counteracting Their Impact on Diversity & Inclusion 1

Unconscious Bias Deborrah Jackson, RN, MPH January 17, 2013 Examining Our Unconscious Thoughts Or Is Your Freudian Slip Showing?

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only.3 Definitions  Unconscious Lacking awareness  Bias A preference or inclination that inhibits impartiality

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only. Adapted from Marilyn Loden and Judy Rosner, WorkforceAmerica! And from Diverse Teams at Work, Gardenswartz and Rowe (Irwin, 1995), p. 33. Diversity Wheel MY WORK ENVIRONMENT Management Status Union Affiliation Work Location Seniority Division/ Department/ Unit/Group Work Content Function Level/Classification WHO I CHOOSE TO BE Income Civic/ Community Activities Recreational Habits/ Hobbies Religion/ Spiritual Practices Educational Background Work Skills/ Abilities Attire Work Experiences Marital Status/ Partnerships Geographic Location WHO I AM Age Race Ethnicity Physical Ability Sexual Orientation Gender Identity PERSONALITY 4

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only.5 Perception  We tend to categorize people using limited pieces of information and then act on this information, even though most of our inferences have not been confirmed.  This process is called making perceptual inferences since we are required to diagnose our situation and make rapid inferences about it from scanty clues.

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only.6 Perception 6

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only.7 Perception Average height of men in the US is 5 feet 9 inches LEADER  15% = 6’  58% = CEO’s 6’  4% = 6’2”  30% = CEOs 6’2”

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only.8 About Hidden Bias  Scientific research has demonstrated that biases thought to be absent or extinguished remains as “mental residue” in most of us. Studies show people can be consciously committed to egalitarianism, and deliberately work to behave without prejudice, yet still possess hidden negative prejudices or stereotypes.  So even though we believe we see and treat people as equals, hidden biases may still influence our perceptions and actions. Source: Tolerance.Org

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only.9 Eliminating Bias Once we become aware we have biases and “own” them, we have the power to change our mind.

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only.10 Affirmative Introspection  Awareness of yourself  Understanding your values, passions, preferences and world views  Acknowledging the biases and assumptions you have that influence your attitudes Source: Gardenswartz and Rowe EIDI

© 2013 Kaiser Foundation Health Plan, Inc. For internal use only.11 Thank you “How far you go in life depends on your being tender with the young, compassionate with the aged, sympathetic with the striving, and tolerant of the weak and the strong. Because some day in your life you will have been all of these.” –George Washington Carver