© 2015 American Hospital Association
M. Tomás León, MBAPresident and CEO, Institute for Diversity in Health Management
Email: [email protected] / Phone: 312-422-2697
February 1, 2016
National Call to Action to Eliminate Health Care Disparities
The U.S. is rapidly becoming more diverse. However, racial and ethnic minorities bear a disproportionate burden of chronic illnesses (including mental health disorders), are more likely to be uninsured, face unequal access to quality health care services, and suffer the worst health care outcomes than the general population.
The Challenge & Opportunity
- Increase collection and use of race, ethnicity and language preference data - Increase cultural competency training - Increase diversity in leadership and governance
National Call to Action Goals
Benchmark Results and Projections
Milestonesby Year
Collection and Use of REaL Data
Cultural Competency
Training
Increasing Diversity
2011(Baseline)
18% 81% Governance 14% Leadership 11%
2013 (Progress Data)
19.4% 86.4% Governance 14% Leadership 12%
2015 Goal 25% 90% Governance 16% Leadership 13%
2017 Goal 50% 95% Governance 18% Leadership 15%
2020 Goal 75% 100% Governance 20% Leadership 17%
Summary FindingsCollection and use of data:• Hospitals actively collecting patient demographic data including race (97%); ethnicity
(94%); and primary language (95%)
• 22% of hospitals use data to identify disparities in treatment or outcome
Cultural competency training:• 86% of all hospitals educate all clinical staff during orientation; an increase from 81% in
2011
• 65% of hospitals require all employees to attend diversity training
Leadership:• Minorities represent 31% of patients nationally
• Minorities comprise:– 14% of hospital board members, unchanged from 2011
– 12% of executive leadership positions, unchanged from 2011
– 17% of first- and mid-level management positions; up from 15% in 2011
Past. Present. Future.
Do To Do For Do With
Shift from Sick Care to Well Care>>
Shift from Volume to Value>>
Experience of Care
Population Health
Per Capita Cost
The Goal: The Triple Aim
Health equity is the target.
Video: #123forEquity Campaign
https://www.youtube.com/watch?v=gLeBhKsEXKs&feature=youtu.be
#123forEquity Pledge to Act1. SIGN THE PLEDGE - Pledge to achieve the three areas of
the National Call to Action within the next 12 months. 2. TAKE ACTION – Implement strategies that are reflected
in your strategic plan and supported by your board and leadership. Provide updates on progress to the AHA and your board in order to track progress nationally.
3. TELL OTHERS – Achieve the goals and be recognized. Tell your story and share your learnings with others in conference calls and other educational venues, including social media to accelerate progress collectively.
Our Pledge to Act RequestAddress the following areas in the next 12 months. Below is a suggested timeline for addressing each area, but it can be modified based on your needs: • By the end of month one (from the date of your start), choose a quality
measure to stratify by race, ethnicity or language preference or other sociodemographic variables (such as income, disability status, veteran status, sexual orientation and gender, or other) that are important to your community's health. Quality measures to stratify could include readmissions or other core measures
• By the end of month three, determine if a health care disparity exists in this quality measure. If yes, design a plan to address this gap
• By the end of month six, provide cultural competency training for all staff or develop a plan to ensure your staff receives cultural competency training.
• By the end of month nine, have a dialogue with your board and leadership team on how you reflect the community you serve, and what actions can be taken to address any gaps if the board and leadership do not reflect the community you serve.
• Nearly 1,000 hospitals and health systems pledged
• 37 state and metropolitan hospital associations pledged.
• 24 local and national organizations endorsements
#123forEquity Pledge to Act Progress
Equity of Care Toolkit
This toolkit is a user-friendly “how-to” guide to help accelerate the elimination of health care disparities and ensure our leadership teams and board members reflect the communities we serve.
www.equityofcare.org