Searching for Disparities Solutions: “Trying harder will not work” Michael W. Painter, JD, MD Senior Program Officer Michael W. Painter, JD, MD Senior.

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Presentation transcript:

Searching for Disparities Solutions: “Trying harder will not work” Michael W. Painter, JD, MD Senior Program Officer Michael W. Painter, JD, MD Senior Program Officer

Our Disparities Strategic Objective Reduce racial and ethnic disparities in the care of cardiovascular disease, diabetes mellitus and depression by 2008

Most think the Federal Government Should Do More… Harvard School of Public Health/Robert Wood Johnson Foundation/ ICR, September 2005

Health Care Costs-2004 $1.9 trillion 16% GDP $6,280 per person

“The First National Report Card on Quality of Health Care in America”, RAND 2004 (Funded by the Robert Wood Johnson Foundation) Performance of the U.S. Health Care System

Past Disparities Strategies Are Not Working: August 18, 2005, NEJM Year CABG Rate (per 1000 enrollees) White men Black men White women Black women Funded by the Robert Wood Johnson Foundation

The Federal Environment Katrina Iraq war Judicial nominations Mounting Federal deficit Medicaid cuts Medicare Rx benefit Rising health care costs Rising numbers of uninsured Poor care quality and disparities

Mrs. J Needed Quality Care That Was: Culturally appropriate Evidence based Patient centered

QualityCare INNOVATE Cost Savings $$$$$$ Plans Providers

Our Solutions Network Includes: Hablamos Juntos Legal Barriers Project Urban Indian Health Commission National Health Plan Collaborative Medicaid Plan Collaborative Expecting Success Finding Answers Leading Change

RWJF Solutions NetworkRWJF ExpectingSuccess LeadingChange HablamosJuntos PlanCollaborativesLegalBarriersProject TargetedResearch FindingAnswers

Focusing on Next Steps Developing a Solutions Network Leading the field—Disparities and Quality Refining the Research Agenda Implementing Effective Interventions Focusing on Special Populations Turning to Health Information Technology

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