1. Stephanie Taylor, Director, Diversity & Inclusion
DIVERSITY & INCLUSION Annual Healthcare Leadership & Management Conference
Stephanie Taylor, Director, Diversity & Inclusion

2. Diversity & Inclusion Defined
Diversity refers to the richness of human differences
Socio-economic status
Employment (work) status/role Social status Economic status
Race
Ethnicity
Language
Nationality
Gender Identity
Sexual orientation
Religion
Appearance – height, size
Geography
Ability/disability & adaptive devices
Age
Individual aspects, such as
-personality, learning styles, and
life experiences
Inclusion is the active, intentional, ongoing engagement with diversity
- achieved through professional development, education, policy and practice

3. Why Embrace Diversity & Inclusion?
Our Purpose
Create an academic health care community where every member is respected and valued by leveraging differences in ways that allow people to understand and be understood and work together productively to change what’s possible.
MUSC is focusing on Diversity and Inclusion because
We believe in doing the right thing !
Diversity & Inclusion impacts patient safety
Diversity & Inclusion breeds innovation and innovation is key to better healthcare
Increase creativity, quality, teamwork
Attract and retain the best employees

4. Benefits of Diversity Enhance Customer Service
Meet (exceed) the Expectations of Customers
Gain market share – (new untapped markets)
Deliver a Financial Return Reflective of our Commitment
Reduce costs associated with discrimination, harassment and other lawsuits

5. MUSC Health - Organizational Values
Accountability
Integrity
Social & Fiscal Responsibility
Teamwork
Compassion
Trust
Respect
Diversity
Innovation

6. Strategic Plan Development
May Enterprise-wide effort to promote diversity and inclusion at MUSC
- Recruitment and pipeline development
- Education and training
- Engagement and inclusion
- Communication, community relations and outreach
- Performance outcomes and metrics
Accomplished the following:
Administrative Fellowship Program
Cultural/Gender/ Religious/Geographic/Generational Diversity
Chief People Officer

7. Who is the MUSC Community?
Patients and Families
Care Team Members
Providers
University & Health System Leaders/Students
Broader Community
Board Members
Government Officials
Vendors
Consumers, etc.

8. Feedback Mechanisms for Patients/Team Members /Community
Annual Patient Surveys (Press Ganey)
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS scores)
Letters
Care Team Members
Employee Engagement Surveys

9. Feedback Mechanisms for Patients/Team Members/ Community
Providers
Physician Engagement Surveys
Health Physician/Advanced Practice Provider Survey on Cross-Cultural Care and Service
Language Access Survey – MUSC hospitals/clinics
Community
Tri-County Health Forum
(MUSC/Roper St. Francis/Trident United Way)

10. TRI-COUNTY HEALTH FORUM Common Agenda for Health Improvement in South Carolina
Provide handout with metrics

11. COMMUNITY PROFILE
41 other states have better health than people in South Carolina.
…people who live in low-income neighborhoods or rural areas, and people of color have even worse outcomes.
…our children are the first generation projected to live shorter lives than their parents.
Hundreds of people and organizations in the Tri-County are doing great work,
..but we have not been as coordinated and aligned as we should be.
We have the ability and responsibility to change this.
To work on helping to create a healthy Tri-County through the development of a comprehensive Health Improvement Pan that each of us will implement with our best strengths and collective resources
To explore opportunities for collective efforts by planning for big picture strategic opportunities, and smaller, quick win strategies we can implement together. “Think Big, Start Small, Act Now” – and Act TOGETHER!

12. Comparisons: South Carolina & U.S.
Population
South Carolina
Charleston
U.S.
People of Color
36%
31%
37%
Foreign Born
4.8%
4.2%
12.9%
Foreign Language
at Home
(Age 5+)
6.8%
5.3%
20.7%
Notes: Source: U.S. Census Quick Facts. Racial statistics from Foreign born statistics from Language statistics from

13. Diversity at MUSC: Patient Population by Race

14. Top 15 Languages Spoken by Individuals with Limited English Proficiency for the 50 States, the District of Columbia, and the U.S. Territories.
1 SC Spanish ,878
2 SC Chinese ,355
3 SC Vietnamese ,766
4 SC Korean ,446
5 SC French ,187
6 SC Tagalog ,108
7 SC Russian ,945
8 SC German ,712
9 SC Gujarati ,575
10 SC Arabic ,531
11 SC Portuguese ,248
12 SC Japanese ,134
13 SC Ukrainian*
14 SC Hindi
15 SC Mon-Khmer, Cambodian
Department of Health & Human Services, Office of Civil Rights, 10/2016

15. High Reliability Principles
DO NO
HARM
Patients
Families
Visitors
Community

16. Institute of Medicine (IOM) Finds Racial & Ethnic Disparities Are Widespread in U.S.
People of Color receive lower-quality health care than whites do, even when insurance status, income, age and severity of conditions are comparable.
People of Color more likely to be treated with disrespect by the health care system and more likely to believe that they would receive better care if they were of a different race.
Major disparities found in many key diagnostic areas: cardiovascular disease, cancer, stroke, kidney dialysis, HIV/AIDS, asthma, diabetes, mental health, maternal and child health.
Source: Unequal Treatment, Institute of Medicine, 2002

17. Little Improvement Since 2002 IOM Report
It has now been thirteen years since the Institute of Medicine issued its clarion call for improving the quality of healthcare for the nation’s minorities.
A recent Agency for Healthcare Research and Quality (AHRQ) report noted that disparities in quality and outcomes by income and race and ethnicity are large and persistent, and were not, through 2012, improving substantially.
Source: National Disparities Report 2014, AHRQ

18. Racial Disparities Cost U.S. $57 Billion per Year
Racial health disparities in infant mortality, chronic disease and many other metrics cost the U.S. health system more than $57 billion a year, according to a report authored by researchers from Johns Hopkins University and the University of Maryland.
Source: Joint Center for Political and Economic Studies (a Washington, D.C. think-tank) September, 2009

19. Telehealth Program MUSC Health Maternal Fetal Telemedicine
Brings high risk pregnancy care closer to the women who need it (improve access to care and better manage risks during pregnancy).
Reduce the premature birth rate, the neonatal death rate and the maternal death rate
Virtual Tele Consultation (VTC)
Program was started in 2011
Utilize video conferencing software to bring specialty care into facilities across the state - expand and transform specialty health care services in South Carolina

20. Telehealth Program Inpatient and Emergency Teleconsultation Program
Provides community hospitals with subspecialty teleconsultation services that can improve the quality of care, reduce costs, and keep patients in their own communities. 
Pediatric Emergency and Critical Care
Pediatric Burn
Pediatric Gastroenterology
Neuroscience Telehealth Programs

21. Telehealth Program School-Based Telehealth Program
The program improves access to acute sick care, chronic disease management and mental health services by bringing the care to the children
Mental Health Service Locations
Adolescents with mental illnesses
Veterans with PTSD
Survivors of civilian trauma

22. Other D&I Initiatives at MUSC
Center for Global Health
Establish collaborative global partnerships in education, clinical care, and research.
SEVIEW - Southeastern Virtual Institute for Health Equity and Wellness
Programs designed to reduce the burden of health disparities that prevent enlistment in the U.S. Armed Services
Stroke and Stroke Risk Reduction Initiative
SC Tele-Support: Diabetes Management Initiative
Tele-Critical Care Program to Reduce Rural Health Disparities
Telemedicine in the Evaluation of Alzheimer’s Disease in a Rural, African American Population
Heart Health: Preventive Cardiology Research Center
CBPR to Improve Oral Health
Providing a Medical Home for Underserved Children in Williamsburg County via Telemedicine
STEER Away from Alcohol and Drugs

23. Ongoing Educational Opportunities
Caring Spirit Newsletter

24. Ongoing Educational Opportunities
Cultural Spotlight Newsletter

25. Ongoing Educational Opportunities

26. Ongoing Educational Opportunities
Lunch
-N-
Learn

27. Ongoing Educational Opportunities

28. Ongoing Educational Opportunities
(Webinars)

29. Ongoing Educational Opportunities
Learning Management System (MyQuest) – (self-paced, online, classroom and ongoing learning opportunities)
Ongoing Diversity Training
Employee Orientation (University/Hospital)
New Provider Orientation
On-Demand

30. Success Story
Team of 19 Medical Interpreters at MUSC
(1) Program Coordinator (ASL); (1) Volunteer
In-house medical interpretation coverage 24/7/365 for patients who speak Spanish
All medical interpreters – 40 hour medical interpretation training
Three (3) medical interpreters (Spanish) are
nationally certified
All (3) medical interpreters (American Sign Language) are nationally Certified

31. Stephanie Taylor, MPS Director, Diversity & Inclusion MUSC Health 169 Ashley Avenue, Charleston Phone: