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The FQHC MovementMoral Distress
and the Struggle
for Equity and Justice
Daniel Miller, MDFebruary 11, 2020
Workforce
BURNOUTMoral Distress
“You know the right thing to do, but you’re not able to do it.”
Andrew Jameton
“Moral injury is damage to a person from experiencing something that
violates deeply our moral expectations”Dr. William Nash
Moral Distress and Moral Injury
Mission Values Roots
Moral Distress and Moral Injury
Documentation Visits Time
Struggle
When our actions conflict with what we hold most important to us
Directions Forward
The Health CenteTell Our Story
Justice
Access &
Quality
Equity Poverty
RacismMovement
The Struggle Continues
National Vital Statistics Reports, Vol. 66, No. 4, August 14, 2017
Changes in race- and ethnicity-adjusted life expectancy by income group, 2001 to 2014. JAMA. 2016 April 26; 315(16): 1750–1766. doi:10.1001/jama.2016.4226.
The Health Center
Social Drivers of HealthRacism and Poverty
✚ The National Association of Community
Justice
The Most Important Thing
“The opposite of poverty is not wealth; the opposite of poverty is justice.”
The Health CenteThank You
Daniel Miller, MDChief, Clinical Integration & GMEHudson River HealthCare, [email protected]
