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Improving Health Equity: Guidance for Health Care Organizations
The eight teams participating in the Pursuing Equity initiative share their lessons, tactics, and practical tips for improving equity in their health system so that others may learn from their experiences.
WIHI: Aim High for Equity in the Health Care Workforce
July 18, 2019 | How can health systems take action to improve workforce equity?
Advancing Equity in Health Systems by Addressing Racial Justice
This article describes lessons from IHI’s work with health systems in three settings (the United States, Brazil, and Ethiopia) to advance racial equity.
Making Health Equity a Strategic Priority
This article describes lessons learned from health systems participating in the Pursuing Equity initiative that are testing changes to make health equity a strategic priority — the first pillar in the IHI Framework for Achieving Health Equity.
WIHI: Pursuing Health Equity in North Carolina
April 19, 2018 | Eight health systems, including one in North Carolina, are working with IHI to elevate health equity to a strategic priority, confront institutional racism, and improve the livelihood and health of their patients, employees, and surrounding communities.
Liberation in the Exam Room: Racial Justice and Equity in Health Care
This tool is intended to be used as a starting guideline for individuals in the health care delivery context as they work to identify key areas of focus on racial justice and health equity, serving as a resource to begin conversations with teams within the organization toward developing a deeper understanding of structural racism and its impact on achieving health equity.
10 IHI Innovations to Improve Health and Health Care
This curated publication highlights 10 ideas that have emerged from IHI's systematic 90-day innovation approach, including reflections on the Triple Aim, the concept of a health care Campaign, the Breakthrough Series Collaborative model, and other frameworks and fresh thinking that have been replicated around the world.
WIHI: Pursuing Health Equity with Curiosity: Notes from New Initiatives
August 24, 2017 | You may have data on outcomes disparities in your health system by race, ethnicity, and other factors. But in what ways is health equity a strategic priority in your organization, and what does health equity look like in your community?
Health Equity Must Be a Strategic Priority
This article presents five concrete actions health care leaders can take to make health equity a core strategy at their organizations.
WIHI: How Health Care Can Accelerate Health Equity
September 15, 2016 | What might be possible if health care organizations across the US made a commitment to work to achieve health equity in their communities in dramatically new ways?
Achieving Health Equity: A Guide for Health Care Organizations
This white paper presents a framework for health care organizations to improve health equity in the communities they serve, guidance for measuring health equity, a case study of one organization that has strategically integrated health equity throughout its system, and a self-assessment tool for organizations to gauge their current focus on and efforts to improve health equity.
A Framework for Improving Health Equity
This article presents an overview of a framework developed by IHI to help guide leaders in improving health equity by making it a system-level priority for their organizations.
WIHI: How Health Care Organizations Can Create Equity in the Community
October 29, 2015 | Health and health care improvement communities in the US are focusing on equity and racial disparities in some important new ways.
WIHI: Relationships Count: Community Health Workers and Team-Based Care
October 15, 2015 | Community health workers (CHWs) are increasingly being utilized to bridge gaps for patients between health care, home, and the community. This WIHI explores the growing interest in CHWs that is sparking some important discussions and the development of innovative programs.
WIHI: Working Toward Health Equity
February 20, 2014 | This WIHI reviews the progress that’s being made to reduce health disparities in ways that everyone can learn from, and looks ahead to the next steps to create solutions-focused care that is anchored by cultural competency in word and deed.
Improving Care and Health for Low-Income Populations
This article summarizes key findings from the latest research on health disparities, a joint effort between IHI and the Commonwealth Fund, and provides two examples of how innovation in the delivery of care is reducing these disparities.
Scorecard on State Health System Performance for Low-Income Populations
Analyzing 30 indicators of access, prevention and quality, potentially avoidable hospital use, and health outcomes, the scorecard documents sharp health care disparities among states.
Mobile Clinic in Massachusetts Associated with Cost Savings from Lowering Blood Pressure and Emergency Department Use
A study of 10,509 patient visits to the Family Van, an urban mobile health clinic in Massachusetts, found that screenings and counseling resulted in significant reductions in high blood pressure from 2010 to 2012. The researchers argue that mobile health clinics are an effective delivery model for underserved communities with poor health status and frequent use of emergency departments.
Meaningful disparities reduction through research and translation programs
The authors describe an approach for making equity an integral component and explicit requirement of governmental and private funding announcements aimed at improving quality of care and outcomes.
Netting Better Results
In 2003, in an effort to address many of the circumstances in connection with poverty in their community, a coalition of Rochester, New York, civic and health care leaders launched an extensive and ambitious program to help link poorer residents with needed health care and social support services from any point of entry.
A Unique Coalition is Reducing Disparities in Care in Rochester, New York
A public and private coalition in northeast Rochester, New York, where the median household income is less than $22,000, is working to reduce disparities in care. Reweaving the Safety Net, an ambitious project begun in 2003, is aimed at linking poorer residents with needed health care and social support services.
Across the Chasm Aim 6: Health Care Must Be Equitable
The seventh article in a series about the six “Aims for Improvement” in the Crossing the Quality Chasm report.
Health Disparities Collaboratives: Improving Diabetes Care in 3,400 Health Center Sites
In 1998 the Bureau of Primary Health Care (BPHC), a division of the US Department of Health and Human Services, teamed up with the Institute for Healthcare Improvement to form the Health Disparities Collaboratives to improve diabetes care for patients. The BPHC oversees programs that offer care to twelve million people who are underserved by the United States health care system — the underinsured and the uninsured.
Cross-Cultural Challenges: Improving the Quality of Care for Diverse Populations
Dr. Robert Like, the director of a medical school center cultural diversity training center, explains why cultural competence is important to improve access to care and reduce disparities – and how health care providers can work toward it.
Cultural Competency Bibliography
Truly patient-centered care requires overcoming health disparities due to cultural, racial, or ethnic differences between provider and patient. Materials listed in this bibliography include journal articles, books and chapters, videos, websites, and assessments and surveys.