Tools for Measuring and Monitoring Equity in Quality: The Hospital Perspective This web seminar will begin This web seminar will begin momentarily. momentarily. Thursday, January 27, 2010 3:00-4:30pm EST 2:00-3:30pm CST 1:00-2:30pm MST 12:00-1:30pm PST
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Tools for Measuring and Monitoring Equity in Quality: The Hospital Perspective
Tools for Measuring and Monitoring Equity in Quality: The Hospital Perspective. Thursday, January 27, 2010 3:00-4:30pm EST 2:00-3:30pm CST 1:00-2:30pm MST 12:00-1:30pm PST. This web seminar will begin momentarily. - PowerPoint PPT Presentation
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Tools for Measuring and Monitoring Equity in Quality: The Hospital
Perspective
This web seminar will begin momentarily.This web seminar will begin momentarily.
Thursday, January 27, 20103:00-4:30pm EST2:00-3:30pm CST1:00-2:30pm MST 12:00-1:30pm PST
– 24 owned, leased, affiliated and short-stay hospitals – 120+ primary care, specialty care, and senior health centers – 17 ambulatory surgery centers– 450+ employed physicians in the BHCS
• Office of Health Equity (OHE) developed in 2006• To reduce variation in health care access, care
delivery and health outcomes due to:• Race and ethnicity• Income and education (i.e., socioeconomic status) • Age• Gender• Other personal characteristics (e.g., primary
• Design and implement an annual “BHCS Health Equity Performance Analysis” (HEPA) & Report: Quality of Care measures (Core Measures) Experience of Care measures (Satisfaction) Outcome measures (Mortality & Readmission)
• Utilize Health Equity Performance Report as a tool to focus resources and efforts to reduce inequalities and improve quality
UNM Hospitals• Only public and only teaching hospital of note in New Mexico
– One of only 30 hospitals nationwide who are both public safety net and teaching/academic
• Only Level I Trauma Center in the region• Only emergency adult psychiatric services• 619 beds: 5 hospitals, 48 clinics (22 offsite)• Employees: ~6,000• Providers: 579 faculty, 116 midlevels• Outpatient visits: 492,000• Inpatient days: 180,000• Budget: $705 million
New Mexico• Population: nearly 2 million• State with fourth highest percentage of “frontier
lands”• One of only two states in the U.S. that have always
been “majority-minority”• The only majority Hispanic state in the U.S. at 45.6%
(California and Texas follow behind at 37%)• State with second highest percentage of Native
Americans (fifth highest total number)• The state with the second highest percentage of
residents that speak a language other than English at home, at 36.5%
Source: Census Bureau
Diversity, Equity & Inclusion
• Interpretation – since 2003• 18 full time interpreters (14 Spanish, 3 Vietnamese,
1 Navajo), 1 educator, 2 admin support staff• Only in-house interpreter dept. in state
• 130 dual role interpreters in 9 languages• Video interpreting• Pacific Interpreters 24-hour phone line
• Participation in the Disparities Solutions Center Disparities Leadership Program, third cohort 2009-2010
• Office of DEI created October 2010
What is DEI?The UNMH Office of Diversity, Equity & Inclusion leads the effort to make sure that every UNMH patient receives the safest, most effective, most
sensitive medical care possible, regardless of the patient’s race, ethnicity, or any other group identity.
We do this through data collection and analysis; community collaboration; cultural “competence”
training, education and consulting; and process improvement.
How does DEI do these things?
Diversity is a driver of Diversity is a driver of qualityquality
QU
ALITY D
ISPA
RIT
IESCOMPLIANCE
COMMUNITY
COMPETENCE
CARE
2010: “REALS” data
RaceEthnicityAgeLanguage (primary oral)Sex
Collection and use of REALS
• 100% electronic medical record (EMR)• Outpatient
• Self-reported on a form at registration and data entered into EMR by staff
• Inpatient• Same self-reporting process at all points of
entry (ED, admitting)• Included in unit/department “Operational
Plans” effective July 2010
1. Please select the language you would like to receive services in.
Most Common at UNM Hospitals: English Spanish/Español Vietnamese Sign Language/ASL Keresan Navajo Tiwa, Tewa or Towa (circle)
Other Languages: Arabic Chinese (Mandarin) Dutch/Nederland Farsi French/Français German/Deutsch Italian/Italiano
American Indian or Alaskan Native Tribal Affiliation____________________________________________________________________________
Asian, Vietnamese, or _______________________________________________________________ Native Hawaiian/Pacific Islander, or ___________________________________________________ Black or African American or ________________________________________________________ Hispanic or Latino or _______________________________________________________________ White or Anglo____________________________________________________________________ Other ____________________________________________________________________________ Decline to answer.
4. Patient signature: ____________________________________________________________ Date: ____________________ Thank you for your assistance! If you have any questions, please ask one of our staff.
2. If you would like an interpreter, we can provide one free of charge, either in-person or by phone. Do you want UNM Hospitals to provide an interpreter for your visit today? (please circle) Yes No
3. Select from the following choices to provide us with your race/ethnicity information. If you are multiracial, please select the race/ethnicity with which you primarily identify yourself.
Japanese Portugese/Portugais Russian Swahili Turkish Zuni Other ___________________
Please place patient’s registration sticker here.
You have a right to an interpreter. UNM Hospitals will provide one free of charge – just ask us!
UNM Hospitals is dedicated to providing the highest quality care regardless of a patient’s race/ethnicity. Your response to the questions below will help us to monitor care and ensure our patients receive the best care possible. Your information will remain private and access to this information will be highly restricted.
Hospital staff: Please enter response into Cerner and then forward this info through campus mail to Interpreter Services, 1-South
2011: “SOREAL” data!
Sex Orientation (sexual orientation/transgender)RaceEthnicityAgeLanguage (primary oral and written)
Initial data indicatorsClinical:
• Mortality• Length of stay (LOS)• Readmission rates• HgA1C levels • Outpatient pneumovax vaccines• Inpatient core measures for pneumonia• Childhood immunizations or asthma• Colorectal cancer screening
Non-clinical:• Employee race, ethnicity, age, sex and (a) job position and (b)
Next steps• Modifications to data fields and collection form
• Separation of race & ethnicity• Changes to tribal and religion categories• Exploring options for multiracial category• Addition of written language• Adding LGBT information
• Analysis of initial equity dashboard findings• Strategic plan and recommendations to
Competence and Care task forces• Rollout of unit-specific and organization-wide
training, system and process changes, and other interventions
What questions do you have?
Susana Rinderle, M.A.Manager, Diversity, Equity & Inclusion (DEI) Chair, Health Literacy Task ForceUNM Hospitals933 Bradbury Drive SE, Suite 3057Albuquerque, NM 87106
tel (505) 272-1698pager (505) 951-3927fax (505) 272-5477http://hospitals.unm.edu/dei/index.shtml
Question and Answer PeriodQuestion and Answer Period