1. end+disparities Learning Exchange Part I: Disparity, a National Priority

2. Quick Review
This presentation is the first in a series of presentations intended to familiarize you with disparities calculation
Part I: YOU ARE HERE!
Part II: Subpopulations
Part III: Calculating Disparity
Part IV: Calculation Assumptions
Part V: Selecting QI Projects

3. “Of all the forms of inequality, injustice in health care is the most shocking and inhumane.” - Martin Luther King, Jr.

4. Learning Objectives
Understand why disparity management is a national priority for HIV service systems
Define disparity in HIV service systems

5. What is a Health Disparity?
“Differences in health outcomes or health determinants observed between populations” – Center for Disease Control (CDC)

6. What is a Health Disparity?
“A population is a health disparity population if there is a significant disparity in the overall rate of disease incidence, prevalence, morbidity, mortality, or survival rates in the population as compared to the health status of the general population.” – Minority Health and Health Disparities Research and Education Act, United States Public Law (2000)

7. National HIV/AIDS Strategy - 2015
Office of National AIDS Policy, National HIV/AIDS Strategy. July 2015.

8. National HIV/AIDS Strategy - 2015
GOAL 1: REDUCING NEW HIV INFECTIONS
Intensify HIV prevention efforts in the communities where HIV is most heavily concentrated
Expand efforts to prevent HIV infection using a combination of effective evidence-based approaches
Educate all Americans with easily accessible, scientifically accurate information about HIV risks, prevention, and transmission
GOAL 2: INCREASING ACCESS TO CARE AND IMPROVING HEALTH OUTCOMES FOR PEOPLE LIVING WITH HIV
Establish seamless systems to link people to care immediately after diagnosis, and support retention in care to achieve viral suppression that can maximize the benefits of early treatment and reduce transmission risk
Take deliberate steps to increase the capacity of systems as well as the number and diversity of available providers of clinical care and related services for people living with HIV
Support comprehensive, coordinated, patient-centered care for people living with HIV, including addressing HIV-related co-occurring conditions and challenges meeting basic needs, such as housing
GOAL 3: REDUCING HIV-RELATED DISPARITIES AND HEALTH INEQUITIES
Reduce HIV-related disparities in communities at high risk for HIV infection
Adopt structural approaches to reduce HIV infections and improve health outcomes in high-risk communities
Reduce stigma and eliminate discrimination associated with HIV status
Office of National AIDS Policy, National HIV/AIDS Strategy. July 2015.

9. National HIV/AIDS Strategy - 2015
Step 3.A Reduce HIV-related disparities in communities at high risk for HIV infection
3.A.1 Expand services to reduce HIV-related disparities experienced by gay and bisexual men (especially young Black gay and bisexual men), Black women, and persons living in the Southern United States
3.A.2 Support engagement in care for groups with low levels of viral suppression, including youth and persons who inject drugs
Office of National AIDS Policy, National HIV/AIDS Strategy. July 2015.

10. National HIV/AIDS Strategy - 2015
Office of National AIDS Policy, National HIV/AIDS Strategy. July 2015.

11. National HIV/AIDS Strategy - 2015
Office of National AIDS Policy, National HIV/AIDS Strategy. July 2015.

12. “It is time to refocus, reinforce, and repeat the message that health disparities exist and that health equity benefits everyone.” - Kathleen Sebelius

13. HIV Disparities at a Glance
12% of the U.S. population is African-American
44% of new HIV diagnoses are among African-Americans
Blacks represent 14% of the U.S. population but account for almost half (46%) of all people living with HIV in the U.S
U.S. Population
New HIV Diagnoses

14. Black lives lost to HIV/AIDS in 2013…
…account for 54% of total deaths due to the disease.

15. HIV Disparities at a Glance
17% of the U.S. population is at the age of 13-24
26% of new HIV infections are among young persons
Young persons aged 15–29 accounted for 39% of all new HIV infections in the U.S. in 2009, while representing only 21% of the U.S. population in [4]
U.S. Population
New HIV Infections
Office of National AIDS Policy, National HIV/AIDS Strategy. July 2015

16. HIV Disparities at a Glance
1 in 880 white women will be diagnosed with HIV in her lifetime

17. HIV Disparities at a Glance
1 in 132 white men will be diagnosed with HIV in his lifetime

18. Ending disparities will end the HIV epidemic.

19. Next Steps Check out the NQC Disparities Calculator and NQC Guide!
Want to check out the NQC Disparities Calculator? Click this link and you’ll be taken there!
Want to learn more about the NQC Guide on this topic? Click this link and you’ll be taken there!

20. Next Steps
This presentation is the first in a series of presentations intended to familiarize you with disparities calculation
Part I: YOU ARE HERE!
Part II: Subpopulations
Part III: Calculating Disparity
Part IV: Calculation Assumptions
Part V: Selecting QI Projects

21. NationalQualityCenter.org Michael@NationalQualityCenter.org
NationalQualityCenter.org 21