1. HFHS Healthcare Equity Scholars Program
February 12, 2015
Denise White Perkins, MD, PhD
Director, Institute on Multicultural Health

3. Healthcare Equity at HFHS
How we got here
RCMAR Grant
MEDTEP Grants
1993
1997
1999
2001
2007,
2008,
2009
2014
Healthcare Equity Campaign
HDRC & Data Needs
Community Health, Equity & Wellness
HESP, etc.
AIM-HI
Institute on Multicultural Health

4. Find the report at: http://www.henryford.com/healthcareequitycampaign

5. Healthcare Equity at HFHS
Where we’re going:
Priority areas for eliminating hc disparities:
cultural competency
language access
health literacy
Supporting mechanisms: build expertise and internal capacity - community partnerships - communications and marketing - dissemination of findings - funding/grant opportunities
(1) Training & Education
(2) Evaluation & Demonstration Projects
(3) Partnerships & Technical Assistance for Organizational Change

6. Healthcare Equity Scholars Program (HESP), 2014-2015
AAMC Learning Health System Award
Launched in March 2014; graduation in July 2015
20 employees from each of our business units
Meet every month for half day
Homework between sessions

7. HESP Goals
Create internal experts in the field of healthcare equity who are skilled in creating organizational change to address disparities at the departmental and organizational level
Implement multiple quality improvement or research projects that address disparities across various areas of the health system
Integrate lessons learned from successful projects into System policies, processes, or infrastructure, and share findings more broadly through publications and presentations

8. HESP Tools RWJF, “Roadmap to Reduce Disparities”
Center for Health Professions, “Bringing Equity into QI: Practical Steps for Undertaking Improvement”
NCQA, “Multicultural Health Care: A Quality Improvement Guide”
HRET, “Leading Improvement Across the Continuum: Skills, Tools, and Teams for Success”

9. HESP Team Core: Senior Advisors: Faculty: Speakers:
Denise White Perkins, Marla Rowe Gorosh, & Megan Brady
Senior Advisors:
Dr. Wisdom, SVP Community Health and Equity & CWO
Dr. Schreiber, CQO
Faculty:
Barbara Bressack, Manager, Organizational & HR Development
Christine Joseph, Director, Health Disparities Research Collaborative
Sue Craft, Director, Care Coordination Initiatives
Speakers:
Kurt Metzger & Community Panel
TBD

10. Group Norms List of Norms ‘Ouch!’ and ‘Oops!’ Cards The HESP Routine:
Baggage Chek
In the News
Session Content
Baggage Claim
Session Evaluations

11. 1. Intro & Orientation

12. 2. Understanding the Cultural Context & Community-Related Factors

13. 3. Considering the Impact of Race, Ethnicity, and Unconscious Bias
Social Construction of Race
Real effects on care outcomes:
IAT (homework) & Privilege & Responsibility exercise

14. 4. Measuring Disparities: Research, Quality, and Performance Metrics
Internal guest speakers:
HFHS Public Health Sciences and Health Disparities Research
Performance Analytics and using our EMR to create data reports

15. 5. Using Organizational CLAS Standards and the Three-Legged Stool to Address Disparities

16. Effects of QI on Disparities
Disparity Increases
Disparity Maintained
Disparity Decreases
Quality of Care
Time
Quality Goal
White Americans
Minority Americans
From: Leveraging Quality Improvement to Achieve Equity in Health Care. The Joint Commission Journal on Quality and Patient Safety. 2010; 36(10).

17. Problem Statements Consider key equity questions:
Who is access/benefiting from our programs/services and who is not?
What are the barriers, differential impacts? What can we do to change that?
Why are some people at greater risk? How can we reach and engage them?
How are our actions relevant to specific populations?
How can we improve our surveillance system and build the ones that collect the data we need?
From: First Steps to Equity: Ideas and Strategies for Health Equity in Ontario

18. HESP Projects
How can we improve recruitment of minority patients into clinical trials at Henry Ford Hospital and decrease the number of minority patients who drop out of trials?
How do we decrease readmission rates for Detroit-based dialysis patients?
What methods/processes are effective for starting a conversation with African American patients about end-of-life care?

19. Or contact Megan Brady, Project Manager: mbrady2@hfhs.org
Questions & Thoughts?
“What's right about America is that although we have a mess of problems, we have great capacity, intellect and resources -- to do something about them.”
– Henry Ford
For more information, visit:
Or contact Megan Brady, Project Manager: