1. Health Equity and the Social Determinants of Health Future of Public Health Work Group February 19, 2014

2. Essential functions of Public Health

3. Oregon: Increasingly Ethnically Diverse

4. Definitions Social determinants of Health are life-enhancing resources, such as food supply, housing, economic and social relationships, transportation, education, and health care, whose distribution across populations effectively determines length and quality of life.” Source: Promoting Health Equity : A Resource to Help Communities Address Social Determinants of Health Social determinants of Equity are the structures, policies, practices, norms, and values that create societal structures and systems of power that fairly distribute life-enhancing resources. The social determinants of equity include racial and social justice and shared power. Source: Dr. Carmara Jones, CDC; "Social Determinants of Equity and Social Determinants of Health""Social Determinants of Equity and Social Determinants of Health"

5. Social Determinants of Health Disparities Social Determinants of Health Disparities Camara Phyllis Jones, MD, MPH, PhD Social Determinants of Health Disparities

6. Source: May 22, 2009, Dr. Carmara Jones, CDC "Social Determinants of Equity and Social Determinants of Health"

7. Source: May 22, 2009, Dr. Carmara Jones, CDC "Social Determinants of Equity and Social Determinants of Health"

8. Social Determinants of Health Equity in Oregon

9. Health Wealth Education Incarceration The Four Great Contributors to Racial Inequities

11. Latino Health in Oregon Latino Health in Oregon

13. Oregon’s “Non-Traditional” Health Care Workers Community Health Workers Peer Wellness Specialists Doulas Personal Health Navigators

14. The future of public health should mean advancing health equity by advocating for: Community engagement –In policy development –In program development –In hiring processes –In contract and grant review processes Social determinants of equity: –Public Safety/Prison system reform –Education reforms (i.e. strengthening Health Care Workforce pipelines) Workforce Diversity –Loan repayment/ loan forgiveness –Certified and Qualified Health Care Interpreters –Diversity – leadership, THWs, allied health Continuous Quality Improvement –Use disaggregated need, access, service delivery and outcomes data

15. Excellence is an art won by training and habituation. We do not act rightly because we have virtue or excellence, but we rather have those because we have acted rightly. We are what we repeatedly do. Excellence, then, is not an act, but a habit. Aristotle

16. Questions? Tricia Tillman Director Office of Equity and Inclusion Oregon Health Authority Phone: 971-673-1285 Tricia.tillman@state.or.us http://www.oregon.gov/OHA/oei/