Queer Eye for the QI
Does your practice know how many trans clients it serves? What are your client's preferred pronouns, and where does that information live in the chart? How do you query care quality items that depend on knowing a client's sexual orientation?As health care providers strive to become more culturally competent in serving the LGBTQ+ community, they may face challenges in assessing and closing gaps in care. Quality Improvement staff, Health IT professionals, and administrators will benefit from this discussion of strategies in identifying and monitoring quality measures and reaching out to LGBTQ+ clients in a culturally competent and safe way.
Building Empathic Respectful Care for Mothers
Disrespect and abuse of women during childbirth is a widespread problem that is particularly severe in marginalized populations. In this session for caregivers, administrators, and community advocates, a young mother will share her personal experience and her vision of quality care, and presenters will describe a curriculum in empathic communication that improved care in Ethiopia. We will provide a practical approach to improving care and reducing disparities through trainings in empathic communication.
Radical Equality: Becoming Rooted for Health Equity
Attempts to address inequity in the health care system have been rapidly gaining momentum. But though much effort has been expended in the process, the philosophical origins of this work are infrequently considered. In this session, we will explore the roots of health equity; the historical precedent of paternalism that has shaped current relational inequity; and the postures and practices of patient and family engagement, effective communication, and shared decision-making that address the relational equity as experienced in a national oral health collaborative and through organizational adoption of the Bridges Out of Poverty program.
Pursuing Equity: Moving from Information to Action
In 2001, the Institute of Medicine put forth six domains of health care quality. This includes equitable as the sixth pillar, defined as "care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status." This session will feature the experience of two Institute for Healthcare Improvement (IHI) Pursuing Equity collaborators who have used the IHI five-component equity framework to improve health equity in their organizations: 1) Make equity a strategic priority 2) Build infrastructure to support health equity 3) Address the multiple determinants of health 4) Eliminate racism and other forms for oppression 5) Partner with the community to improve health equity.
Developing a Dashboard to Measure Health Equity
Identifying disparities requires stratifying quality data by race, ethnicity, language, and other social determinants of health. This session will discuss strategies for developing a disparities dashboard to support population health efforts of health plans, hospitals, and health centers. Ten years ago, Massachusetts General Hospital created its first disparities dashboard, which has evolved into the Annual Report on Equity in Healthcare Quality. Participants will learn core components, key pitfalls, and ways to interpret data for action.
Moving Beyond Diversity: Two Organizations Improving Workplace Equity
|Many organizations are working to improve staff diversity, inclusion, and equity. To do this effectively, organizations should develop a staff representative of the communities where they work and improve their systems and processes so all employees may thrive. The Institute for Healthcare Improvement (IHI) and the University of Arkansas for Medical Sciences (UAMS) are two organizations advancing equity for their staff. IHI's Internal Equity Improvement Team will share what they've learned in the last seven years about the promises and limitations of incorporating QI methods into equity work sharing their updated driver diagram, describing their evaluation methods, and offering suggestions for starting and sustaining work that is fundamental for psychological safety and joy in work.|
Improving Quality of Care through Health Equity
Health disparities and their root causes are the most glaring, unresolved problem in American health care. Navicent Health and Atrium Health, two large health systems, have each been recognized for their health equity work, Navicent as a 2018 American Hospital Association Equity of Care award winner and Atrium as an Honoree. In this session, they will share examples of the various processes implemented to identify disparities, prioritize what to address, develop interventions, and measure impact for target populations. Each health system engaged multi-disciplinary internal partners to develop data dashboards, and, more importantly, each health system engaged multi-sector partners in the community to address the root causes of disparities. The importance of leadership support and alignment to system-level strategy to develop the infrastructure and process to support the work will be discussed.
What Matters Most: "Listening First" for Building Health Equity
|Using an interactive panel format, this session will showcase two recent projects focused on building health equity in clinical and community settings. One, led by a team at Massachusetts General Hospital, aimed to address racial and language disparities in patient's experiences of the transition from hospital to the community. The other, co-led by Kaiser Permanente and the American Heart Association, sought to address disparities in blood pressure control among African Americans in a nationally supported, locally-led effort, with pilots in San Diego and Atlanta.|