Making a Difference: Partnering to Achieve Health Equity · Making a Difference: Partnering to Achieve Health Equity. Giselle Corbie -Smith, MD, MSc. Professor, Social Medicine and

Making a Difference: Partnering to Achieve Health Equity

Giselle Corbie-Smith, MD, MScProfessor, Social Medicine and Medicine; Director, Center for Health Equity ResearchUniversity of North Carolina at Chapel Hill

@gcsmd

Al Richmond, MSWExecutive DirectorCommunity-Campus Partnerships for Health

@ccphED

Making a Difference:Partnering to Achieve Health Equity

Giselle Corbie-Smith, MD, MSc | @gcsmd | @uncCHER

Al Richmond, MSW | @CCPH_news

#PCORI2019

Disclosures

Giselle Corbie- SmithHas nothing to disclose.

Al RichmondHas nothing to disclose.

Fish, Lakes and Groundwater

Fish, Lakes and Groundwater

Racial Disparity Persists in Every System Across the Country, Without Exception

System:Health

Child Welfare

Education (Achievement)

Juvenile Justice

Education (Special Ed.)

Economic Development

Term:Health Disparity

Disproportionality

Achievement Gap

Disproportionate Minority Contact (DMC)

Disproportionate Representation

Historically Underutilized Businesses

Racial Disparity Persists in Every System Across the Country, Without Exception

System:Health

Child Welfare

Education (Achievement)

Juvenile Justice

Education (Special Ed.)

Economic Development

Term:Health Disparity

Disproportionality

Achievement Gap

Disproportionate Minority Contact (DMC)

Disproportionate Representation

Historically Underutilized Businesses

What is Health Equity?

Source: Robert Wood Johnson Foundation

Social Determinants of Health

“…people are born, grow, work, live, and age, and the wider set of forces and systems shape the conditions of daily life.. including economic policies and systems, development agendas, social norms, social policies and political systems.”

Childhood experiences

Housing Education Social support

Family income Our communities Employment Access to healthcare

Source: who.int/social_determinants

Source: Let’s Get Healthy California

Creating Opportunities so Everyone Has a Chance to Live Their Healthiest Life

• Reframing with strengths basedapproach to health equity

• “Centering the Margins”• Prioritizes needs and wants of those at

"margins"- patients and communities we hope to serve

• Democratized process to include direct participation by the stakeholders, giving a meaningful voice

• Design and evaluation of impact of research according to stakeholder outcomes

• Underlying current emphasize on patient and community engagement

History of Collaborating

UNC School of Medicine

Carolina Community Network

Cecil G. Sheps Center Program on Health Disparities

NC TraCS CARES

UNC Center for Health Equity Research

2005

2019

NC Institute for Minority Economic Development

National Community Based Organization Network

CTSA Key Function Committee

NC TraCS CARES CommunityAdvisory Board

Community Bridges toCancer Clinical Trials

Community-Campus Partnerships for Health

Facilitating Patient and Stakeholder Engagement through Partnerships

✔ Patients want Trust,✔ Patients require evidence of

Trustworthiness,✔ Patients want Transparency, and✔ Patients want to be Partners.

CCPH Model for Authentic Partnerships

The master’s tools will never

dismantle the master’s house.

– Audre Lorde

Arc of Our Partnership

Individual:• Community Bridges to Cancer Clinical Trials

Partnerships/Institutional:• Understanding Trust in Research

Partnership• Clinical & Translational Science Award• Research Ethics for Engaged

Scholarship

Structural:• Engagement in Rural Communities• Clinical Scholars (a program of RWJF)

National Leadership Program

Clinical Scholars Core Competencies

25 Competencies and 4 Domains:❖ Personal❖ Interpersonal❖ Internal

Organizational Leadership

❖ Organizational and Community Impact

Dismantling Structural Inequalities:Infusing Art in Our Work

What Are Anchor Institutions?

Source: Healthcare Anchor Network

Bon Secours Health System

Source: Healthcare Anchor Network

One of the most vital ways we sustain ourselves is by building communities of resistance, places where we know we are not alone. – bell hooks

Thank You!

pcori.org | [email protected] | #PCORI2019

Al Richmond, MSW

Community-Campus Partnerships for Health

@ccph_newsccphealth.org

Giselle Corbie-Smith, MD, MSc

UNC Chapel Hill School of Medicine

@gcsmd @uncCHER @CSPfellows cher.unc.edu