1. Available Data on African American Health Disparities In this section we will: Define what is a health disparity, a health inequality and health equity Briefly explore San Francisco Data with respect to population and mortality Look at what are some of the causes of disparities Examples of health disparities in San Francisco The Case for the African American Health Disparity Project

2. San Francisco & California Ethnic populations, Jan 1, 2006 Source: California Department of Finance Demographic Research Unit

3. As important as it is, most experts agree that health care contributes only about 10-15% to health outcomes and life span. Where you live is probably a bigger determinant of your health than whether you have health insurance. People who live in Bayview/Hunters Point can expect to live on average 14 years less than their counterparts on Russian Hill Source: http://www.barhii.org/press/download/barhii_report08.pdf Where You Live Can Impact Your Life

4. SF Leading causes of premature death among men, 2003-2004 Violence/assault, all mechanisms Drug overdose, unintentional Human immunodeficiency virus (HIV/AIDS) Self-inflicted injuries, all mechanisms Alcohol use disorders Among the top ten leading causes of death by expected years of life lost (YLLs), which deaths were the most premature? (i.e., had the highest average years of life lost) http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf

5. Burden of premature death, San Francisco, 2003-2004 http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf

6. Afr. Amer. = O Latino = ∆ Asian/PI = X White = + Leading Causes of Death Among Men Using Age-adjusted YLLs, San Francisco, 2003-2004 http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf

7. Afr. Amer. = O Latino = ∆ Asian/PI = X White = + Leading Causes of Death Among Women Using Age-adjusted YLLs, San Francisco, 2003-2004 http://www.sfdph.org/dph/files/reports/StudiesData/CHE_Rpt07242007C.pdf

11. Former Surgeon General David Satcher and his colleagues calculated that during 1991- 2000, nearly 177,000 deaths were averted because of advances in medical technology, but if we were to eliminate the disparity between African Americans and whites, we would have avoided over 886,000 deaths. Source: http://www.barhii.org/press/download/barhii_report08.pdf

12. African American Health Disparity Project : Past Programs What Have We Done for you Lately: Prostate Health Initiative Project has provided Education and information to 4408 men about the benefits of early detection and available treatment for prostate cancer by our member hospitals for African American men in San Francisco. Project has provided 423 PSA /DRE screening tests to African American men.

13. African American Health Disparity Project : Past Programs What Have We Done for you Lately: Prostate Health Initiative “The San Francisco hospitals have committed 1 million dollars to provide prostate cancer treatment to ensure that no African American man is denied medical care based on his ability to pay”

14. African American Health Disparity Project : Past Programs What Have We Done for you Lately: Advertorials The Program has produced 79 targeted informational articles for, by, and about African Americans educating the community about their health and the resources provided by our member hospitals in San Francisco.

15. African American Health Disparity Project : Past Programs What Have We Done for you Lately: Ambassador / Navigator Program The Program has helped African Americans address issues and concerns that arise from their negative experiences at our member hospitals

16. African American Health Disparity Project So now what? A Look at the Strategic Plan for January 2009 to December 31 st 2009

17. African American Health Disparity Project : Objectives 2009 The Project will align its efforts with the community health efforts put forward by the San Francisco Department of Public Health. The Project will focus its programs and outreach efforts in the areas of: Access Communicable Disease Chronic Disease Violence

18. African American Health Disparity Project : Objectives 2009 The Project will focus and align its objectives to support existing community projects. The Project will increase the visibility of the Hospital Council serving as the coordinating body for all community outreach and health education efforts for the African American communities of San Francisco.

19. African American Health Disparity Project : Objectives 2009 The Project will focus and align its objectives to support existing community projects. The Project will increase the visibility of the Hospital Council serving as the coordinating body for all community outreach and health education efforts for the African American communities of San Francisco.

20. African American Health Disparity Project : Programs 2009 The Project will seek to partner with SFDPH and our member hospitals to provide education and outreach to the African American communities with respect to the Healthy San Francisco Initiative Currently 9% of eligible enrollees are African American In 2009, the Project will seek to increase this number by 10% or up to 500 new enrollees.

21. African American Health Disparity Project : Programs 2009 The Project will use social marketing strategies to increase awareness and leverage community based resources to address Diabetes as a chronic disease in the African American communities in San Francisco. The Project will leverage existing hospital resources with respect to diabetes education and treatment to address issues in the African American Communities with respect to diabetes.

22. African American Health Disparity Project August 1, 2008 to December 31, 2009 - 17 month budget Expenses Remarks Budget Personnel Project Director125,000 $88,235 annual Benefits (Standard Hospital Council Policy)42,500 Total Personnel$167,500 Administrative / Overhead RentIn-Kind $1209/month ($14,508/year), CPMC provided In-Kind Service UtilitiesIn Kind In-Kind Service Included in the rent Office Supplies (printing, copying, etc.)7,500 Communications (Telephone, internet, etc.)9,000 Travel ( Mileage, etc.)5,000 Conference/Meetings (Room rentals, food, etc.)6,000 Training (Conference registration, etc.)2,000 Insurance (Property, vehicle, etc.)1,500 Capital (Furniture)2,000 Equipment Maintenance, Software Update3,000 Administrative / Overhead Total$36,000 Program Costs Cultural Sensitivity Project5,000 Chronic Disease Project29,500 Community Based Events13,000 Program Costs Total $47,500 Total Costs Total budget 2008 - 2009 $251,000 Previously funded $35,000 $35K Paid by Hospital Council for period 8/08 to 12/08 Remaining total 2008 - 2009 cost of program $216,000