1. Headwaters Health Care Centre Health Equity Plan 2014 – 2017 Our Journey Exceptional Experience Every Time 1

2. Challenges at the Beginning

3. Why are we talking about equity when we aren’t ethno culturally diverse?

4. HHCC Patient Census January to June 2014

5. Teaching Opportunities

6. Presentation to Senior Management March 2012 “Health Equity is already part of the vision at Headwaters. We must begin to use the equity lens to see what we are already doing well and what we can do to improve.”

7. We took every opportunity to emphasize that Health Equity aims to reduce barriers to good health and access to care. Health Outcomes Impacted Health Outcomes Impacted

8. We taught that HHCC needed to identify the barriers and recognize that it was more than those related to ethno cultural diversity. 8Exceptional Experience Every Time Populations Social Determinants of Health

9. Two Learning Moments

10. The journey to Health Equity begins when we ask why?

11. Relating Equity to Everyday Life

12. Step by Step

13. March 2011 Health Equity hours 2011 Introduction of Equity Lens June 2011 Diversity and Equity Policy March 2012 Equity lens applied (patient safety/complaints) September 2012 Health Equity Scan March 2013 HEIA April 2013 Health Equity Week August 2013 Document approval process August 2013 Organizational chart, September 2013 Accessibility Committee expanded. January 2014 Cultural Competence eLearning February 2014 Contracts for Interpretation and Translation

14. 2014 Ready to Develop Health Equity Plan

15. Incorporated Learning from the Last Three Years Used the findings of the Health Equity Scan of 2012 Honestly acknowledged barriers that individuals encounter at Headwaters. We built on the Momentum

16. Aligned with our Strategic Plan Headwaters’ Strategic Plan 2013-2016 states that we will “….embed a health equity lens in our care delivery model.” Our strategic directions provide us with focus for the next few years in order to achieve our vision of “Exceptional Experience Every Time”. How did we frame the plan?

17. Harmonized with the Aims of Quality Headwaters identified that the aims of Health Equity were also embedded in the Quality dimensions and objectives. High quality, integrated care for all will, by its nature, address equity. How did we frame the plan?

18. 1.Embed Equity 2.Develop Cultural Competence 3.Respond to Health Literacy 4.Access for Seniors Our Four Goals

19. a) Continue to utilize the Health Equity Impact Assessment (HEIA) Tool. b) Develop further understanding of the Social Determinants of Health. c) Support the role of the Equity Program. Indicators # of hours dedicated to Equity % of staff completing eLearning modules Relevant Quality Indicators #1 Embed Equity

20. a) Ongoing commitment to learning. b) Enhance Translation and Interpretation Services Indicators # of Translation/Interpretations Services Requests % of staff who have completed Cultural Competence Education Relevant Quality Indicators #2 Develop Cultural Competence

21. a) Resource Development b) Staff Education c) Review Patient Information Indicators # of staff involved in eLearning. Relevant Quality Indicators #3 Respond to Health Literacy

22. Intentionally bring the Equity lens resources and support to the following. Senior’s Friendly Hospital Community Care Partners Health Links Review the data from our Geriatric Assessment #4 Access for Seniors

23. Final Plan: Relevant & Realistic

24. Questions?