 Council Overview  Past Priorities and Recommendations  Current Priorities ◦ Promoting Equity in State Policies and Programs ◦ Adverse Birth Outcomes  State Partnership Grant 1

 Established in 2006  Interagency in structure – 17 members  Advisory in nature  Develops recommendations to eliminate health disparities by race/ethnicity and gender 2 Council Overview

 Convenes advisory committees to develop recommendations  Promotes health equity across state government  Facilitates communication and collaboration to reduce disparities  Partners with the State Board of Health on Health Impact Reviews 3 Council Overview

Chair – Represents the Governor Consumer Representatives (2) – Appointed by the Governor Commission on African American Affairs Commission on Asian Pacific American Affairs Commission on Hispanic Affairs American Indian Health Commission Department of Agriculture Department of Commerce Department of Early Learning Department of Ecology Department of Health Department of Social and Health Services Health Care Authority Office of Superintendent of Public Instruction Washington State Board of Health Workforce Training and Education Coordinating Board 4 Council Overview

Education Healthcare Workforce Diversity Health Insurance Coverage ObesityDiabetes Environmental Exposures Behavioral Health Poverty Language Access 5

Equity in State Policies & Programs Adverse Birth Outcomes 6

7 TIMELINE STAKEHOLDERS RESEARCH Promoting Equity in Policies & Programs

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9 Sample Language Frameworks and Strategies Promoting Equity in Policies & Programs

EQUITY 10 Promoting Equity in Policies & Programs

Purpose: To create proposed recommendations to eliminate disparities in adverse birth outcomes 6 meetings15 members & additional contributors Adverse Birth Outcomes 11

Discussions Data, Data, Data Briefings on Current Activities Reviewed Literature Findings 12

13 Adverse Birth Outcomes

 DOH should conduct a preliminary analysis to identify local communities at high risk.  The Legislature should provide funding to support local communities.  Support should include funding for project implementation, technical assistance, and evaluation.  Support should be prioritized for innovative, culturally-connected projects led by community- based organizations that are trusted among those they serve. 14 Adverse Birth Outcomes

 The Legislature should increase funding for the First Steps program in order to:  Increase the number of allowable MSS units  Allocate additional units for the postpartum period  Enhance reimbursement for childbirth education  Reinstate additional payments to address performance measures  HCA should seek input from MSS providers, community groups, and maternal and infant health experts in determining the number of units and reimbursement rate. 15 Adverse Birth Outcomes

 The Council should create a list of cultural competency trainings and equity impact tools.  State agencies should require employees receive training and incorporate the use of equity tools in decision making.  The Legislature should provide funding to increase capacity for health impact reviews. 16 Adverse Birth Outcomes

More Committee Meetings Additional Recommendations Council Consideration December 2015 Report 17 Adverse Birth Outcomes

 07-13: Community Outreach  13-15: CLAS Standards 18