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end+disparities Learning Exchange Part III: Calculating Disparity
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Quick Review This presentation is the third in a series of presentations intended to familiarize you with disparities calculation Part I: Disparity, a National Priority Part II: Subpopulations Part III: YOU ARE HERE! Part IV: Calculation Assumptions Part V: Selecting QI Projects
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“It takes no compromise to give people their rights
“It takes no compromise to give people their rights. It takes no money to respect the individual. It takes no political deal to give people freedom. It takes no survey to remove repression.” - Harvey Milk
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Learning Objectives Describe probability and impact analysis
Understand how to use the NQC Disparity Calculator
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What is a Health Disparity?
Supreme Court of the United States and Disparate Impact Disparate Impact examines Effect instead of Intent Applies to employment, housing, and other discrimination cases Statistical tests built on decades of precedents
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How do we assess EFFECT? We DO NOT use our instincts, gut, or passions
We use statistics to identify where true disparities lie in health outcomes (aka evidence-based) This presentation will help you understand how the math works so you can trust the results of the calculator tool
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NQC Disparity Calculation Tools
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Tabs in the Workbook Instructions Stats Basics Data Entry Summaries
Descriptions of each tab and instructions for how to enter data Stats Basics Refresher on statistics and terminology used in the calculator Data Entry The SINGLE place to enter data in the calculator Summaries Dashboard of final calculation results for quick sharing Analyses Background statistical values that inform the summary dashboard for sharing with leaders and decision makers
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Instructions
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Instructions
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Instructions
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Stats Basics
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Data Entry
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Analyses
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Analyses
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Analyses
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Summaries
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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!
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“The essence of global health equity is the idea that something so precious as health might be viewed as a right.” - Paul Farmer
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Determining Priorities for Disparities
FOCUS AVOID
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Intersecting Probability and Impact
We have limited time and resources and need to be focused in our activities Which group in our assessment had the greatest number of SIGNIFICANT results across probability methods? Which group in our assessment had the greatest number of lives that an be improved? Often times the most probable and the highest impact groups are not going to be the same. A decision is made whether the impact or the probability is more important. Using the graphic to the right, focus your energy where there is the deepest red. Avoid spending your energy where there is white in the graphic to the right. FOCUS AVOID
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Next Steps After Population Selection
Write an aim statement to charter your commitment to reduce disparities for your selected population Continue to track progress over time using this calculator to ensure that disparities are closing Share your progress in working with your selected population on to spread your work
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Question & Answer Additional disparities calculation and QI resources are available or
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Ending disparities will end the HIV epidemic.
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Next Steps This presentation is the third in a series of presentations intended to familiarize you with disparities calculation Part I: Disparity, a National Priority Part II: Subpopulations Part III: YOU ARE HERE! Part IV: Calculation Assumptions Part V: Selecting QI Projects
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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!
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NationalQualityCenter.org Michael@NationalQualityCenter.org
NationalQualityCenter.org 28
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