Building An Organizational Response To Health Care Disparities

Transcription

1 NYSPFP HIIN Health Care Disparities Webinar Building An Organizational Response To Health Care Disparities 1 October 11 th, :00pm-3:00pm

2 Agenda Topic Welcome and Introductions NYSPFP Health Care Disparities Survey Overview and Results NYSPFP Health Care Disparities Webinar Speaker NYSPFP Staff NYSPFP Staff David Engler, PhD, Senior Vice President of Leadership and Innovation & Brian Roberson, MPA, Senior Research Analyst America s Essential Hospitals Hospital Questions and Discussion Hospital Participants David Engler and Brian Roberson Facilitated by NYSPFP Staff Building An Organizational Response to Disparities: Next Steps Disparities Action Statement Overview Tools and Resources 2 NYSPFP Staff

3 NYSPFP Health Care Disparities Survey Overview and Results

4 Goal: NYSPFP Health Care Disparities Initiative Goal and Approach To assist hospitals in identifying potential disparities in care delivery through standardized capture of data and information. To better address these disparities and reduce harm. Approach: NYSPFP will provide hospitals with tools, education and training opportunities on: Best practices to improve the capture of standard Race, Ethnicity and Language (REaL) data, Use of this data to inform patient-centered care, and Targeted interventions to reduce disparities. 4

5 Hospital Survey Overview In order to better understand existing practices for collecting REaL data, NYSPFP sent out a hospital Health Care Disparities Survey. The survey covered the following topics: Processes and systems for collecting data, Uses of existing data, Education and training programs for staff, and How NYSPFP can best support hospitals in improving their ability to collect REaL data. The survey also assessed hospitals collection of sexual orientation and gender identity (SOGI) data and disability status. Hospitals completed the survey between April and June NYSPFP received 46 survey responses. 5

6 Survey Results: Demographic Data Collected What patient demographic elements does your hospital collect? Please select all that apply. All respondents (n=46) Item % Race 100% Ethnicity 98% Preferred language for health care information 87% Primary language spoken 80% Disability status 72% Gender identity 65% English proficiency 37% Sexual orientation 24% Other 24% 6 October 6, 2017

7 Survey Results: Documenting Decline to Provide When a patient declines to provide the demographic data that your hospital collects, how is it documented in the patient s chart? All respondents (n=46) Item Declined to provide (or something similar) is written into a free text field % 39% Field exists to check when patient declines to provide information 33% Individual fields are left blank 7% Staff fills in patient information to the best of their knowledge 4% Other 17% 7 October 6, 2017

8 Survey Results: Improving Data Completeness Please think about the demographic data elements that your hospital collects. How has your hospital tried to improve the collection of this demographic data? All respondents (n=44) Item % Provide feedback to staff on the level of completeness of the data they collect 73% Audit patient records with missing data 64% Follow up with patients with missing data 36% Review how frequently decline to answer is selected for patient demographic data Compare aggregate data to other data sources (e.g., census data) 5% 20% Other 16% No specific activities to improve the collection of the patient demographic data that is collected by my hospital 9% 8 October 6, 2017

9 Survey Results: Looking at Outcomes Which of the following does your hospital use to look at differences in outcomes? All respondents (n=44) Item % Race 36% Ethnicity 34% Language 30% Gender identity 14% Disability status 14% Geography/zip code (written-in) 11% Not sure (written-in) 9% Sexual orientation 7% Other 7% My hospital does not look at outcomes broken out by different patient demographic data 45% 9 October 6, 2017

10 Survey Results: Staff Trained to Collect Data Which staff receive any kind of training on how to collect demographic data? Staff has received training (n=38) Item % Admitting Registration Staff 100% Emergency Department Registration Staff 95% Case Manager 47% Nursing (RN, LPN) 45% Social Worker 45% Clinician (MD, NP, PA) 32% Nursing Assistant 18% Ancillary/other registration/scheduling staff (written-in) 16% Other 3% 10 October 6, 2017

11 NYSPFP Health Care Disparities Webinar David Engler, PhD, Senior Vice President of Leadership and Innovation Brian Roberson, MPA, Senior Research Analyst America s Essential Hospitals 11

12 Hospital Questions and Discussion David Engler and Brian Roberson NYSPFP Staff Hospital Participants 12

13 Building an Organizational Response to Health Care Disparities: Next Steps

14 Hospital Disparities Action Statement Identify, prioritize and take action on disparities by championing a Disparities Action Statement in your organization! STEP 1: IDENTIFY VULNERABLE POPULATION(S) STEP 2: SET SMART AIMS STEP 3: DEVELOP AN ACTION PLAN STEP 4: MONITOR, IMPROVE, DISEMINATE 14

15 NYSPFP Website: Tools and Resources Building An Organizational Response to Health Disparities Guide Data Collection Data Analysis Culture of Equity Quality Improvement Interventions CMS Disparities Action Statement Tool Other Best Practice Toolkits, Guides and Resources 15

16 NYSPFP Race, Ethnicity and Language (REaL) Data Report The REaL Data Report: o o o o Provides information on race and ethnicity reporting at your hospital. Compares your reported data with other NYSPFP participating hospitals. Compares race and ethnicity data that your hospital has reported via claims with census data from within the geographical area where patients treated at your hospital live. Provides potential areas for improvement in data quality, and information on the communities your hospital draws from. Data Sources: o o 2015 Statewide Planning and Research Cooperative System (SPARCS) American Community Survey (census) Five Year Estimate 16

17 How To Access Your REaL Data Report o Log in to the NYSPFP Data Portal at: o o Navigate to the Data page: o o The report and accompanying description are located in the Building Culture and Leadership section of the website: 17

18 Next Steps o Contact your Project Manager to discuss: o NYSPFP Health Care Disparities Survey Results and REaL Data Report o Develop a Hospital Disparities Action Statement o Review tools and resources to support your quality improvement efforts to reduce health care disparities and improve overall quality of care o Watch for NYS Partnership for Patients health care disparities initiative announcements and upcoming events in your inbox

19 Thank you for joining us for today s New York State Partnership for Patients Program! 19