Equity

​​​​​​​​​​​​​IHIWebPageHeaderImageEquity.png​​​​​

See how your peers surpassed challenges using improvement methods. Choose from 175+ sessions to attend, organized through 10 topics that are vital to the improvement of care.

​The Equity topic track is dedicated to improving access and outcomes with communities that have been systematically marginalized​.

​​​​

Pick Your Sessions Today!

Sessions at the IHI National Forum can fill to capacity. Register and select your sessions today to avoid disappointment.
 
​​

Conference Sessions
Dece​m​ber 10–11​

Queer Eye for the QI

A02, B02
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
 
A07, B07​​
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
A22, B22
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
 
A29, B29
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
 
C02
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
 
C28
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
 
D13, E13
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
 
D33, E33​​
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.
 

​​Pre-Conference Workshops & Excursions
Dece​m​ber 8–9​

Sunday Half-Day Workshop
Strategic Application of QI for Population Health: Four Key Tools to Address Health Equity
 
SH15
The Spreading Community Accelerators through Learning and Evaluation (SCALE)  initiative uses Improvement Science (IS) tools, methods, and approaches to improve well-being in communities  in order to strengthen collaboration with stakeholders; commence innovative improvement projects and develop sustainable systems that focus on equity. The aim of this session is to share knowledge gained from the evaluation of SCALE and demonstrate how best to adapt IS tools tools in community settings.  Participants will leave with concrete tools and approaches to collaborate with stakeholders in their community to improve health, well-being, and equity.

 
Monday Excursion
Second Harvest Food Bank of Central Florida

 
X07​
The nonprofit Second Harvest Food Bank of Central Florida collects, stores, and distributes donated food to more than 550 feeding partners in six counties. After a 2004 hurricane, the Food Bank improved its disaster preparedness and response, enabling it to provide more than 1 million meals and serve as the staging ground for other food banks during a 2018 hurricane.
 
Excursion participants will engage in dynamic discussion with executive management to learn about the strategic planning, management, and daily operations of a community-based organization that addresses social determinants of health through food security. Participants will also volunteer for two hours at the Food Bank, an experiential learning opportunity that provides time to ask questions of frontline workers.
 
Monday Full-Day Workshop
Creating Healthcare Justice: Understanding and Eliminating Racism in Health Systems

 
MF08​
This workshop will move from the history of racism in the US and racialized medicine to building and operationalizing two frameworks for working towards healthcare justice.

Through incorporating didactic, experiential and interactive methods, and integrating the concepts of building will, ideas and execution, this session will explore how health systems are perpetuating disparities and ways to move forward.

​​ 
 
 ​