THE URGENCY IS NOW: CREATING A CULTURE OF HEALTH EQUAITY. Shirley Evers-Manly, PhD, MSN, RN, FAAN. Chief Nursing Officer and VP of Patient Services

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1 THE URGENCY IS NOW: CREATING A CULTURE OF HEALTH EQUAITY Shirley Evers-Manly, PhD, MSN, RN, FAAN Chief Nursing Officer and VP of Patient Services Howard University Hospital Senior Management Director, Clinical Development Paladin Healthcare Management

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5 An Equity Profile of the Nine-County San Francisco Bay Area Region Equity indicatorsframework The indicators in this profile are presented in five sections. The first section describes the region s demographics. The next three sections present indicators of the region s economic vitality, readiness, and connectedness. The final section explores the economic benefits of equity. Below are the questions answered within each of the five sections. Demographics: Who lives in the region, and how is this changing? Is the population growing? Which groups are driving growth? How diverse is the population? How does the racial composition vary by age? Economic vitality: How is the region doing on measures of economic growth and well-being? Is the region producing good jobs? Can all residents access good jobs? Is growth widely shared? Do all residents have enough income to sustain their families? Are race/ethnicity and nativity barriers to economic success? What are the strongest industries and occupations? Readiness: How prepared are the region s residents for the 21 st century economy? Does the workforce have the skills for the jobs of the future? Are all youth ready to enter the workforce? Are residents healthy? Do they live in health-promoting environments? Are health disparities decreasing? Are racial gaps in education decreasing? Connectedness: Are the region s residents and neighborhoods connected to one another and to the region s assets and opportunities? Do residents have transportation choices? Can residents access jobs and opportunities located throughout the region? Can all residents access affordable, quality, convenient housing? Do neighborhoods reflect the region s diversity? Is segregation decreasing? Economic benefits: What are the benefits of racial economic inclusion to the broader economy? What are the projected economic gains of racial equity? Do these gains come from closing racial wage or employmentgaps?

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7 Many Medicare beneficiaries and other patients rely on hospitals for their care, especially teaching hospitals that serve large lowincome populations. These hospitals often face substantial financial pressure: they may provide significant amounts of care to the poor and lack the surplus revenue needed to underwrite the costs associated with the provision of services.

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9 On August 7th, the DC Health Department ordered United Medical Center s Labor and Delivery unit to shut down for 90 days with no warning to the public or the impacted women. This leaves no Labor and Delivery facility with open doors in Southeast Washington, DC. Medstar Washington Hospital Center is making drastic cuts to maternity services. Medstar no longer accepts two of three Medicaid Managed Care Organizations (MCOs). Providence Hospital is the only operating labor and delivery hospital in Northeast Washington, DC. Many of its patients have a low health literacy, and a significant number do not speak English or are uninsured. The closure will force patients to seek prenatal care further from their communities Defining Health Equity: Access to Care

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11 A Global Call to Action UN High-level Meeting on Prevention & Control of Non- Communicable Diseases (NCDs) September 19-20, 2011 Millennium Development Goals expired 2015 NCDs cancer, cardiac, respiratory, diabetes a major challenge to health and development in 21st century NCDs a priority for UN Goal of 25% reduction in preventable deaths due to NCDs by 2025

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13 Global NCD Targets for 2025

14 Global NCD Targets for 2025

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17 Current educational attainment and projected state/national-level job education requirements by race/ethnicity and nativity: District of Columbia, AA degree or higher, 2014 Jobs in 2020 White Born USA White Immigrant Black Born in USA Black Immigrant Latino Born in USA Latino Immigrant API API Immigrant Mix Race/Other

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20 Building "a culturally competent workforce able to create a safe, respectful, friendly environment and to overcome mistrust in African American communities toward the traditional health care system."

21 All individuals, families, and communities must shape a Culture of Health. When everyone treats health as a priority in public policy and personal decision-making, we ll see a comprehensive cultural shift in America.

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23 1.Obesity Initiative 2.Million Hearts 3.Joining Forces 4.RSV in Premature Infants 5.Cardio Vascular Health in Women Under Forty 6.Diabetes 7.Coca Cola Initiative 8.Helpful Answers 9.Founders Leadership Institute 10.Diversity Institute 11.Summer Youth Institute 12.Institute of Excellence

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