1. Assessing Our Nation’s Health Equity Efforts
Leadership and Social Justice:
the Health Administrator’s Role
Please remove shadow effects on all slides.
Change title to be consistent with the abstract (I don’t have the abstract in front of me
APHA Annual Meeting
Gail Brandt, MPH, Ed D
November, 2010
Health Equity Council

2. Presenter Disclosures
Presenter: Gail Brandt
No Relationship to Disclose

3. Welcome “To advance the capacity of states and territories to prevent
and control chronic diseases…”
CDC funded project
Health Equity Council

4. You will learn
Methods used to assess health equity skills needed by public health professionals
Assessment results of importance to public health leaders
Recommendations to use the results for staff education & training

5. Objectives of Assessment
Pilot a skills assessment
Identify areas of low proficiency
Recommend training areas based on pilot
Use the same objectives as appears in the abstract.

6. The Challenge: Determine skills needed by public health professionals to impact health equity and the social determinants of health
Rework to read “Identify skills needed by PH professionals to achieve health equity”. (Avoid using all caps as it is hard to read.)

7. Methodology Examine competencies relevant to health equity
Conduct key informant interviews
Design assessment instrument (30 statements in 6 categories)
Identify pilot sites for testing
Focus groups for survey tool feedback
Analyze results for areas of training need
Revise survey tool based on feedback
In your notes – tell the audience what the initials mean

8. Pilot Sites: Alaska, Arizona, Hawaii, Iowa, Kentucky, Michigan, New York, Ohio, Oklahoma, Rhode Island, South Carolina, Washington & Wyoming… Puerto Rico and NASOMH also participated as pilot sites

9. Results Those with less experience rated lower proficiency:
Communication about health equity & SDOH
How to apply knowledge of cultural competency to practice
Adapting public health programs to population differences
Using data to identify health disparities
Engaging communities to work on SDOH

10. Results All participants rated low proficiency for: Using CBPR
Developing community leaders
Advocating for community investments
Promoting promising practices
Identifying policies & systems of institutional racism and institutional discrimination
Developing policies to affect SDOH and converting policies into programs

11. Next Steps Report – review elements with the CDC
Disseminate report widely
Determine if full assessment is needed
Develop action steps to identify/develop training opportunities for public health staff using a three tiered approach:
Tier 1. Less experienced
Tier 2. Advanced
Tier 3. Train-the-trainer

12. The Lessons Learned
Staff members are VERY interested in acting on results
Be clear about purpose of assessment
Use “Plain Talk”
Establish a common language
Don’t make assumptions that people understand the terms
Know when something is "good enough”

13. The end Questions? Comments? More information?
How can we work together?
Gail Brandt, HEC Consultant:
Louise Square, HEC Chair:
Kati Moseley, SDOH Workgroup Lead:
Change red as too hard to read. Put Gail’s name last and include NACDD logo
Health Equity Council