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DIALOGUE on DIVERSITY Removing Barriers to Care from a Hospital System Perspective PowerPoint Presentation
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DIALOGUE on DIVERSITY Removing Barriers to Care from a Hospital System Perspective

DIALOGUE on DIVERSITY Removing Barriers to Care from a Hospital System Perspective

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DIALOGUE on DIVERSITY Removing Barriers to Care from a Hospital System Perspective

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  1. DIALOGUE on DIVERSITYRemoving Barriers to Care from a Hospital System Perspective May 15, 2013 Marcos Pesquera, RPh, MPH Executive Director

  2. Improving the Health of Our Communities Training & Education Healthcare Services Research Institute Center on Health Disparities at Adventist HealthCare • Faith-based • Non-profit health system • Mission to promote health equity within our facilities and in the community • Bridge partnerships to eliminate health disparities • Promote the health of our community

  3. What are Health Disparities? Health disparities are population-specific differences in the presence of disease, health outcomes, or access to health care. The Health Resources and Services Administration

  4. Examples of National Health Disparities National healthcare disparities report. (2010). (AHRQ Publication No. 10-0004)

  5. Health Disparities in Maryland White Source: Maryland Vital Statistics Annual Reports 2004 to 2008 (Data Sets 1 & 4); Maryland Behavioral Risk Factor Surveillance System Data, 2004 to 2008 (Data Sets 2 & 3)

  6. Health Disparities at a Local Level: Montgomery County, Maryland *Rate per 1,000 live births Source: National Cancer Institute (2005 – 2009); Maryland DHHS, 2011

  7. Changing Demographics in Maryland: Census 2010 Findings 2010 Census data, Baltimore, Montgomery, & Prince George’s Counties’ Population Statistics: Race/Ethnicity, Language, & Foreign Born Status

  8. Language Access

  9. Removing Barriers CLAS Principle Standard: Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs. Engagement, Continuous Improvement, & Accountability (9-15) • Leadership Diversity, including the Board of Directors • Staff representative of patient population served • Diversity Training & Recruitment • Culturally Competent Care Training and Education for physicians, nurses, and support staff, and Foreign Trained Health Care Providers Governance, Leadership, & Workforce (2-4) Communication & Language Assistance (5-8)

  10. Removing Barriers CLAS Principle Standard: Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs. Engagement, Continuous Improvement, & Accountability (9-15) • Translation of Consent Forms, Health Education Materials • Training bilingual employees with proper interpreting skills • Monitoring Language Diversity • Provide sufficient mechanisms to promote effective communication (i.e., language line, ASL interpreting, and face-to-face interpreters) Governance, Leadership, & Workforce (2-4) Communication & Language Assistance (5-8)

  11. Removing Barriers CLAS Principle Standard: Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs. Engagement, Continuous Improvement, & Accountability (9-15) • Collection of race, ethnicity, country of origin and language preference data • Community Health Needs Assessments • Partnerships and collaborations to care for our vulnerable populations • Raise awareness of health disparities among workforce and community • Develop continuing strategies to eliminate disparities • Mentor promote and expose minority youth to the health care professions Governance, Leadership, & Workforce (2-4) Communication & Language Assistance (5-8)

  12. Increasing Awareness: Conferences Hold annual conferences that contribute the following: • Address issues of disparities • Promote best practices and solutions for achieving health equity • Provide a forum for networking and partnering to address local community issues

  13. Increasing Awareness: Research Center on Health Disparities 2012 Health Equity Progress Report • Snapshot of Diversity: Patient population demographics • Hospital Settings: Where we see our patients • Cancer Diagnoses by Race/Ethnicity, Age, and Type • Inpatient Clinical Quality Indicators • Hospital Readmission Rates • Patient Experience

  14. The Role of Government Federal Government • Government grant dollars to organizations to hire health promoters to help choose health plans • Community Health Needs Assessment Maryland Government • Maryland Health Care Cost and Quality Council • Health Enterprise Zones • Renewal of Medical Professional Licenses with mandatory Culturally Competent Care Training requirement

  15. Thank You