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HFHS Healthcare Equity Scholars Program

February 12, 2015Denise White Perkins, MD, PhD

Director, Institute on Multicultural Health

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Healthcare Equity at HFHS

How we got here

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Find the report at: http://www.henryford.com/healthcareequitycampaign

Healthcare Equity at HFHS

Where we’re going:

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Priority areas for eliminating hc disparities:

•cultural competency•language access•health literacy

(1) Training & Education

(2) Evaluation & Demonstration

Projects

(3) Partnerships & Technical

Assistance for Organizational

Change

Healthcare Equity Scholars Program (HESP), 2014-2015

AAMC Learning Health System Award Launched in March 2014; graduation in July

2015 20 employees from each of our business units Meet every month for half day Homework between sessions

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HESP Goals

1. Create internal experts in the field of healthcare equity who are skilled in creating organizational change to address disparities at the departmental and organizational level

2. Implement multiple quality improvement or research projects that address disparities across various areas of the health system

3. Integrate lessons learned from successful projects into System policies, processes, or infrastructure, and share findings more broadly through publications and presentations

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HESP Tools

1. RWJF, “Roadmap to Reduce Disparities”2. Center for Health Professions, “Bringing Equity

into QI: Practical Steps for Undertaking Improvement”

3. NCQA, “Multicultural Health Care: A Quality Improvement Guide”

4. HRET, “Leading Improvement Across the Continuum: Skills, Tools, and Teams for Success”

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HESP Team

Core: Denise White Perkins, Marla Rowe Gorosh, & Megan Brady

Senior Advisors: Dr. Wisdom, SVP Community Health and Equity & CWO Dr. Schreiber, CQO

Faculty: Barbara Bressack, Manager, Organizational & HR Development Christine Joseph, Director, Health Disparities Research

Collaborative Sue Craft, Director, Care Coordination Initiatives

Speakers: Kurt Metzger & Community Panel TBD

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Group Norms

List of Norms ‘Ouch!’ and ‘Oops!’ Cards The HESP Routine:

1. Baggage Chek

2. In the News

3. Session Content

4. Baggage Claim

5. Session Evaluations

1. Intro & Orientation

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2. Understanding the Cultural Context & Community-Related Factors

http://vimeo.com/68299974 12

3. Considering the Impact of Race, Ethnicity, and Unconscious Bias

Social Construction of Race Real effects on care outcomes:

IAT (homework) & Privilege & Responsibility exercise

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4. Measuring Disparities: Research, Quality, and Performance Metrics

Internal guest speakers:HFHS Public Health Sciences and Health Disparities ResearchPerformance Analytics and using our EMR to create data reports

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5. Using Organizational CLAS Standards and the Three-Legged Stool to Address Disparities

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Effects of QI on DisparitiesQ

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Disparity Increases Disparity Maintained Disparity Decreases

From: Leveraging Quality Improvement to Achieve Equity in Health Care. The Joint Commission Journal on Quality and Patient Safety. 2010; 36(10).

Quality Goal

White Americans

Minority Americans

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Problem Statements

Consider key equity questions: Who is access/benefiting from our programs/services

and who is not? What are the barriers, differential impacts? What can

we do to change that? Why are some people at greater risk? How can we

reach and engage them? How are our actions relevant to specific populations? How can we improve our surveillance system and

build the ones that collect the data we need?

From: First Steps to Equity: Ideas and Strategies for Health Equity in Ontario 2008-2010

HESP ProjectsHow can we improve recruitment of minority patients into clinical trials at Henry Ford Hospital and decrease the number of minority patients who drop out of trials?

What methods/processes are effective for starting a conversation with African American patients about end-of-life care?

How do we decrease readmission rates for Detroit-based dialysis patients?

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Questions & Thoughts?“What's right about America is that although we have a mess of problems, we have great capacity, intellect and resources -- to do something about them.”

– Henry Ford

For more information, visit: www.henryford.com/healthcareequitycampaign https://www.aamc.org/initiatives/rocc/363080/

challengeawardwinners.html https://www.mededportal.org/icollaborative/resource/215

Or contact Megan Brady, Project Manager: mbrady2@hfhs.org

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