1. Disparities and Quality Anne Beal, MD, MPH Assistant Vice President The Commonwealth Fund Alliance for Health Reform/The Commonwealth Fund Briefing May 12, 2008

2. What Are the Causes of Health Disparities?

3. Health Outcomes Life Expectancy Health Status Asthma Rates Diabetes Rates Non-Medical Health Behaviors Living and Working Conditions Income Stress Healthcare Access Effectiveness Safety Financing Acceptability Which Health Disparities?

4. Source: Arah OA, Westert GP. Correlates of health and healthcare performance: applying the Canadian Health Indicators Framework at the provincial-territorial level. BMC Health Services Research. 5:76. Health Outcomes Life Expectancy Health Status Asthma Rates Diabetes Rates Non-Medical Health Behaviors Living and Working Conditions Income Stress Healthcare Access Effectiveness Safety Financing Acceptability 40%-67% 44%-57% Which Health Disparities?

5. What Causes Asthma Disparities? Co-Morbid Conditions Access To Care/Coverage Quality of Healthcare Patient Adherence Genetic Predisposition Community Factors Environmental Factors Cultural Factors Economic Factors Physiologic Response to Meds Ease of Lifestyle Changes

6. What Causes Health Disparities? Genetic Predisposition Environmental Factors Economic Factors Cultural Factors Community Factors Access To Care/Coverage Quality of Healthcare Co-Morbid Conditions Patient Adherence Ease of Lifestyle Changes Physiologic Response to Meds  --------Disparities-------- 

7. Today’s Speakers Bruce Siegel, MD, MPH –Research Professor in the Department of Health Policy, GWU Brian Smedley, PhD –Research Director, Opportunity Agenda Becky Shipp –Minority Staff, Senate Finance Committee Caya Lewis –Majority Staff, Senate HELP Committee