ReimaginingHealth Through an Equity Lens Northern California
Grantmakers Bay Area Health Funders Group Health Equity: Achieving
Quality Health For All People April 17, 2015 George R. Flores MD,
MPH
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Who We Are 2 Largest statewide health foundation in CA Mission
is to expand access to affordable, quality health care for
underserved individuals and communities, and to promote fundamental
improvements in the health status of all Californians. 10-year, $1
billion Building Healthy Communities (BHC) initiative to advance
statewide policy, change the narrative, and transform 14 of
Californias communities most devastated by health inequities into
places where all people have an opportunity to thrive. How?
Strategic grantmaking, campaigns, and partnerships
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The Program Structure 3 Healthy California (Statewide)- Three
basic teams: Prevention, Schools, and Neighborhoods. Healthy
Communities (Local)- Initiative: Building Healthy Communities. 14
sites. Sub-Campaigns: -Health Happens Here -Asegurate/Get Covered
-#HealthandJustice4All -#Do the Math -#Schools not Prisons -#Raise
the Wage -Junk Drinks -#Agua4All -#SonsandBrothers
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Our health largely depends on conditions where we live, learn,
work and play - and not just on the medical treatment we
receive.
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Inequitable Conditions Link to Poor Outcomes
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Historical Narrative POLICIES: Redlining, racially restrictive
covenants, land ownership rights, Medicaid, Social Security,
affordable housing PRACTICES: Racial segregation- inner cities,
barrios, reservations, Chinatowns PRESENT: Predatory lending,
immigration, incarceration, school push out, gay marriage Common
Denominator: EXCLUSION
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Simply put, in the absence of a radical shift towards
prevention and public health, we will not be successful in
containing medical costs or improving the health of the American
people. - President Obama
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Unprecedented Resources to Prevent Illness & Keep People
Healthy Expanded Insurance Coverage Prevention Services Innovation
Models Health Equity Provisions Health Workforce Incentives Health
Homes Better Care Lower Cost Better Health Equity Equity
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Equity Improves the Bottom Line Despite our wealth, the U.S. is
unhealthier across the board than our peers. There is evidence that
flattening the social gradient improves the health of all.
Transferring some of the medical care overspend to equitable social
and infrastructure investments can both stabilize the nations
fiscal health, and improve well-being. Focused upstream
interventions (policy, system, and environmental changes) offer
promise.
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Advancing Health Equity Must explicitly address and understand
how we got here. (What is the history?) Must give voice to those
most impacted by the inequitable conditions.
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Collaboration for Change Health Equity Priority Bridge Care and
Community Health Impact Assessment Health in All Policies 100%
Coverage & Access Health Homes Community Outreach Empowered
Patients Build Capacity Advocate Partnerships Stewardship Youth
Involvement Individual Medical Care Public Health Community
Health
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Family &Culture
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Building Healthy Communities 17 Del Norte and ATL South
Sacramento Richmond East Oakland Southwest/East Merced County East
Salinas Central/West Fresno South Kern Boyle Heights Central Long
Beach South Los Angeles Central Santa Ana Eastern Coachella Valley
City Heights
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Healthy Communities Build Resident Capacity Leverage
Partnerships Change the Narrative Youth Leadership Health &
Equity Advocacy POWER POLICY COMMUNICATIONS
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Transformative Policies School Climate School Wellness
Comprehensive Supports Food Environment and Food Systems Land-Use
Planning and Anti-Displacement Community and Economic Development
Environmental Health and Justice Systems that Restore and Heal
Healthy Youth Opportunities Public Health Coverage, Care and
Community Prevention Health Care Services
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Big Wins at the Half-way Point Cutting the numbers of uninsured
Californians in half. Igniting a statewide policy debate about
health coverage for undocumented Californians. Reducing epidemic
numbers of school suspensions by nearly a third. Catalyzing
nationwide and statewide strategies on improving wellness in young
men of color. Influencing regional planning with health and
prevention approaches.
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Community is the Cure, Health Equity the aim. We all have a
role. We all stand to gain.
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Thank you! George R. Flores MD, MPH Program Manager, Healthy
California Email: [email protected] Phone: 510.271.4345 Website:
www.Calendow.org