An Honest Conversation for Senior Leaders I OWA CANCE R CONSORT I - - PowerPoint PPT Presentation

An Honest Conversation for Senior Leaders

BUIL DING AN ORGANIZAT IONAL CUL T URE T HAT E MBRACE S T HE PROMISE OF RACIAL E QUIT Y:

I OWA CANCE R CONSORT I UM

VI RT UAL SUMMI T OCT OBE R 28, 2020

Alyso n Simmo ns, E xe c utive Dire c to r Ce ntra l Io wa T ra uma Re c o ve ry Ce nte r

CE NT RAL I OWA T RAUMA RE COVE RY CE NT E R

DISCL OSURE ST AT E ME NT

I ha ve no fina nc ia l disc lo sure o r c o nflic ts o f inte re st with the ma te ria l to b e pre se nte d to da y. Alyso n Simmo ns E xe c utive Dire c to r Ce ntra l I

• wa T

ra uma Re c o ve ry Ce nte r

2 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

OUR L E ARNI NG OBJE CT I VE S

T

• e sta b lish a wo rking unde rsta nding o f the c o nne c tio n

b e twe e n ra c ia l e q uity a nd he a lth e q uity. T

• ha ve a n o pe n a nd ho ne st c o nve rsa tio n a b o ut the c ha lle ng e

to a nd the pro c e ss to wa rd the pro mise o f ra c ia l e q uity. I de ntify the va rio us po ints o f inte rse c tio n b e twe e n so c ia l justic e issue s a nd c a nc e r/ he a lth o utc o me s, pa rtic ula rly a mo ng c o mmunitie s o f c o lo r. Disc uss a c tio ns tha t e ve ryo ne c a n ta ke to impro ve a c c e ss to c a nc e r c a re a nd tre a tme nt fo r unde rse rve d po pula tio ns. De sc rib e the wa ys in whic h o rg a niza tio ns a nd individua ls in I

• wa a re a dvo c a ting fo r he a lth e q uity o n the lo c a l, sta te , a nd

na tio na l le ve l.

3 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

K E Y CONCE PT S F OR CONSI DE RAT I ON

Ado pting syste ms thinking – o rg a niza tio na l E sta b lish a wo rking de finitio n o f ke y issue s tha t yo u a ntic ipa te a ddre ssing …de ve lo p a c o mmo n la ng ua g e Why is it impo rta nt to fo c us o n ra c e whe n ta lking a b o ut he a lth e q uity Re vie w the histo ric a l implic a tio ns tha t c o ntinue to pla g ue us a s we try to mo ve fo rwa rd Build inno va tive stra te g ie s fo r c ha ng e L

• o k a t the ro le o f g o ve rnme nt, struc tura l a nd syste mic

pra c tic e s a nd po lic ie s Be inte ntio na l a b o ut the a c tio ns ta ke n to mo ve the ne e dle

CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

HE AL T H DI SPARI T I E S

T he Wo rld He a lth Org a niza tio n de fine s he a lth ine q uitie s a s “a vo ida b le diffe re nc e s in he a lth b e twe e n po pula tio n g ro ups c a use d b y diffe re nc e s suc h a s so c ia l a nd e c o no mic c o nditio ns.” He a lth dispa ritie s ha ve b e e n a sso c ia te d with fa c to rs suc h a s ra c e , e thnic ity, g e nde r a nd g e nde r ide ntity, se xua l

• rie nta tio n, disa b ility, a nd so c io e c o no mic sta tus.

5 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

Co stly in te rms o f q ua lity o f life a nd life e xpe c ta nc y

One study o n the impa c t o f he a lth dispa ritie s

sho we d tha t the re wa s a s muc h a s 30 ye a rs b e twe e n the ric he st a nd po o re st US c o untie s.

(Alvin Po we ll – T he Co st o f ine q uality: mo ne y=q uality he alth c are =lo ng e r life , 2016)

6 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

I MPACT OF HE AL T H DI SPARI T I E S

We c a n do b e tte r…to positive ly affe c t the human c ondition.

7 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

HE AL T H E QUI T Y I S AT T AI NABL E

HE AL T H E QUI T Y I S AT T AI NABL E

Be twe e n 2003 a nd 2006, the e limina tio n o f ra c ia l a nd e thnic he a lth dispa ritie s is e stima te d to ha ve sa ve d $230 b illio n in dire c t me dic a l e xpe nditure s a nd o ve r $1 trillio n in indire c t c o sts. (L

aVe ist T A, Gaskin D, Ric hard P. E stimating the e c o no mic b urde n o f rac ial he alth ine q ualitie s in the U.S.)

F ro m 1990 to 2000,10 c o untie s in the U.S. susta ine d

• r “mo ve d the ne e dle ” to wa rd e q uita b le b re a st

c a nc e r mo rta lity ra te s b e twe e n Afric a n Ame ric a n a nd White Wo me n(Rust G, Z

hang S. Malho tra K, e t al. Paths to He alth E q uity)

8 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

T ra nsitio n fro m the o ry to pra c tic e ….inte g ra te he a lth e q uity within the fra me wo rk o f yo ur

• rg a niza tio n

9 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

HE AL T H E QUI T Y I S AT T AI NABL E

10 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

A ke y a spe c t o f b uilding to wa rd he a lth e q uity is to fully e mb ra c e syste ms thinking . I t is wo rth the time inve stme nt to c la rify its sig nific a nc e a nd ma ke sure the who le te a m is o n

• ne a c c o rd.

A syste m is a hig hly inte g ra te d c o lle c tio n o f pa rts wo rking to g e the r to a c c o mplish a spe c ific e nd o r missio n. Ho w e ffic ie nt a nd e ffe c tive ly it func tio ns de pe nds o n the e xisting infra struc ture . Unde rsta nding the re la tio na l na ture o f ho w the se sub syste ms within yo ur o rg a niza tio n sho uld func tio n to g e the r is e sse ntia l.

ADOPT I NG SYST E MS T HI NK I NG

SYST E MS T HI NK I NG – I

MPACT ON ACHI E VI NG HE AL T H E QUI T Y

PRE JUDI CE + POWE R = SYST E M OF ADVANT AGE

Syste m: c o nne c te d pa rts fo rming a c o mple x who le Powe r: a c c e ss to so c ia l, c ultura l a nd e c o no mic re so urc e s a nd de c isio n

ma king . Po we r is g uide d a nd susta ine d thro ug h dominant nar

r ative s

11 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

Ho w we ll do e s yo ur

• rg a niza tio n ra te in e ffo rt

to imple me nt a fra me wo rk to a ddre ss he a lth e q uity? (1 to 5)

12 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

I T I S I MPORT ANT T O UT I L I ZE A RACI AL E QUI T Y L E NS WHE N ADDRE SSI NG HE AL T H E QUI T Y

Ra c e a nd the issue s dire c tly linke d to syste mic ra c ism a nd ine q uity c an be hidde n if no t a t the fo re fro nt.

Analyze data and infor mation a b o ut ra c e a nd

e thnic ity…he lps to unde r

stand dispar itie s a nd why the y

e xist. F

• c us o n pr
• ble ms a nd the ir r
• ot c ause s fro m a

struc tura l sta ndpo int

She ds light on r ac ial dynamic s tha t sha pe so c ia l,

e c o no mic a nd po litic a l struc ture s. It also points to

inte r se c tionality – ra c e , c la ss, g e nde r, se xua l

• rie nta tio n – ke y to ide ntifying a ny unde rlying issue s

tha t ma y b e a t pla y.

13 06/ 05/ 2020 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

E sta b lish a c o mmo n la ng ua g e a nd fo ste r unde rsta nding within yo ur

• rg a niza tio n.

CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

COMMON L ANGUAGE F OST E RS UNDE RST ANDI NG

16 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

I NT E RSE CT I ONAL I T Y

T he re is sig nific a nt re se a rc h tha t suppo rts a nd re c o g nize s tha t he a lth dispa ritie s a re drive n b y c o mple x, o ve rla pping fa c to rs. “I nte rse c tio na lity is a the o re tic a l fra me wo rk tha t sug g e sts tha t multiple so c ia l c a te g o rie s (e .g ., ra c e , e thnic ity, g e nde r, se xua l o rie nta tio n, so c io e c o no mic sta tus) inte rse c t a t the mic ro le ve l o f individua l e xpe rie nc e to re fle c t multiple inte rlo c king syste ms o f privile g e a nd o ppre ssio n a t the ma c ro , so c ia l-struc tura l le ve l (e .g ., ra c ism, se xism, he te ro se xism).” (BOWL

E G, 2012)

17 06/ 05/ 2020 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

18 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

AL L T HAT ’ S HAPPE NE D I N 2020!

A g lo b a l pa nde mic tha t ha s ta ke n the live s o f hundre ds o f tho usa nds o f pe o ple …pro viding he a lth c a re unde r c ha lle ng ing c irc umsta nc e s An e c o no mic re c e ssio n tha t ha s re sulte d in hig h une mplo yme nt Ra c ia l a nd so c ia l unre st…push fo r justic e , pro te sts I nc re a se d a nxie ty, de pre ssio n, te nsio n, iso la tio n While a ll o f us ha ve b e e n a ffe c te d b y wha t’ s tra nspire d o ve r the pa st ye a r, me dic a lly unde rse rve d po pula tio ns, pa rtic ula rly, ra c ia l a nd e thnic mino ritie s, b e a r a dispro po rtio na te b urde n o f the impa c t.

19 06/ 05/ 2020 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

AN HONE ST L OOK AT 2020 I N AME RI CA

Rac e is fr

• nt and c e nte r….a ll o f the c rise s we ’ re

e xpe rie nc ing to da y ha s o nc e a g a in highlighte d the multiple

ine quitie s tha t c o ntinue to pla g ue us a s a so c ie ty.

Muc h ha s b e e n a c c o mplishe d, ho we ve r, we still ha ve quite

a ways to go in o rde r to re a lize the pro mise o f ra c ia l e q uity

in this c o untry.

T he good ne ws is that we ar e unique ly positione d for c hange. T

he re a l q ue stio n….do we individua lly, a nd c o lle c tive ly within o ur o rg a niza tio ns ha ve the will to mo ve in the dire c tio n o f po sitive c ha ng e ? I s yo ur “will” a nd “yo ur wa nt” to g re a te r tha n yo ur “ha ve to ”?

20 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

WHY WE SHOUL D L OOK AT HI ST ORY AND CUL T URAL DOMI NANCE

F e de ra l po lic ie s a nd pra c tic e s c re a te d a nd susta ine d ine q uitie s whic h a ffe c te d a c c e ss to c ritic a l se rvic e s suc h a s he a lthc a re – F ro m Jim Cro w la ws, re dlining within distric ts, to sundo wn to wns…(implic it thre ats o f vio le nc e

fac e d b y rac ial and e thnic mino ritie s.)

…o h ye s, the re we re sundo wn to wns in I

• wa .

21 06/ 05/ 2020 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

PE RSPE CT I VE S T O CONSI DE R

Why the e mpha sis on ra c e whe n disc ussing he a lth e quity?

Histo ric a lly, ra c e ha s b e e n a princ ipa l fo rc e in b uilding , susta ining a nd shifting so c ia l a nd po litic a l struc ture s Ra c e is fro nt a nd c e nte r, whe the r e xplic itly o r implic itly, in o ur de c isio n ma king so c ia lly, in te rms o f whe re we live , who o ur c hildre n’ s frie nds a re a nd o ur o wn. Unfo rtuna te ly, o ur unde rsta nding o f ra c e ha s b e e n inc o mple te a nd disto rte d. A tra nsfo rma tive c o nve rsa tio n o n ra c e c a n shine lig ht o n the struc tura l dyna mic s o f so c ia l, e c o no mic , a nd he a lth dispa ritie s – the c ro ssro a ds o f inte rse c tio na lity. Whe n we sta rt with ra c e , we sta rt fro m the b o tto m o f so c ia l dispa rity – so in e sse nc e we a re building he a lth e quity for a ll whe n

we work on ra c ia l e quity.

22 06/ 05/ 2020 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

Yo ur wo rk in trying to re duc e he a lth dispa ritie s will like ly no t ha ve the impa c t witho ut c re a ting a

c ulture of e quity within your org a niza tion. L ink e fforts to a ddre ss e quity to qua lity a ssura nc e

pla ns. Do n’ t sta rt a ne w pro je c t tha t c o uld po te ntia lly b e c o me a no the r silo . Mo dify q ua lity a ssura nc e pla nning to inc lude wa ys to a ddre ss he a lth dispa ritie s a nd b uild e q uity.

23 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

OPE RAT I ONAL ST E PS T O BUI L D T OWARD HE AL T H E QUI T Y WI T HI N YOUR ORGANI ZAT I ON

I MPORT ANCE OF UNDE RST ANDI NG I MPL I CI T BI AS AND ST RUCT URAL RACI SM T O CRE AT E CHANGE

Re c o g nizing a nd unde rsta nding the ro le o f implic it bias Unde rsta nding the r

• le of gove r

nme nt (po lic ie s a nd

pro c e dure s) in sha ping struc tura l ra c ism

F

• c using on impac t ra the r tha n inte nt

Re vie wing a nd re sha ping struc ture s thro ug h a r

ac ial e quity le ns

Re sha pe the infr

astr uc tur e of your

• r

ganization to a ddre ss

e q uity. Pro viding tr

aining and e duc ation inte rna lly a nd e xte rna lly

in yo ur re spe c tive c o mmunitie s…do n’ t sto p the re !

De ve loping me aningful tools and str ate gie s to c re a te a nd

susta in dive rsity, e q uity a nd inc lusio n

24 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

OPE RAT I ONAL ST E PS T O BUI L D T OWARD HE AL T H E QUI T Y WI T HI N YOUR ORGANI ZAT I ON

ADMI NST RAT I ON PROGRAMS & SE RVI CE S PUBL I C E NGAGE ME NT F I NANCI AL MANAGE ME NT

25 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

26 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

ACHIE VING IMPACT

• E

sta b lish c le a r a c c o unta b ility

• Pe rio dic re vie w o f pro g re ss

to e nsure tha t yo u’ re o n tra c k.

• T

a ke c o rre c tive a c tio n if a re a s ne e d to b e a djuste d.

PL ANNING

• De te rmine the b e st c o urse
• f a c tio n
• Who ’ s is g o ing to do , whe n

a re the y g o ing to do a nd the time fra me fo r c o mple tio n.

• Ho w will it b e e va lua te d.

SE T T ING T HE GOAL

• Sha re d unde rsta nding o f

the pre se nting issue a nd prio ritie s

OPE RAT I ONAL ST E PS T O BUI L D T OWARD HE AL T H E QUI T Y WI T HI N YOUR ORGANI ZAT I ON

PRACT I CAL ST E PS T O RE DUCE HE AL T H DI SPARI T I E S*

PRE VE NT I ON AND E ARL Y DE T E CT I ON CANCE R I NF ORMAT I ON PROGRAMS AND SE RVI CE S L ODGI NG DURI NG T RE AT ME NT HE L P NAVI GAT I NG T HE HE AL T H CARE SYST E M SUPPORT F OR QUI T T I NG T OBACCO BRE AST CANCE R SUPPORT ADVOCACY F I NDI NG HOPE AND I NSPI RAT I ON

So , ho w do inte g ra te pra c tic a l me a sure s into a ll a spe c ts o f o ur o rg a niza tio n to furthe r he a lth e q uity?

*American Cancer Society

27 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

WHAT DOE S I MPL E ME NT I NG A CUL T URE OF E QUI T Y L OOK L I K E ?

De sig na te spe c ific le a de rs fo r dispa ritie s re duc tio n a c tivitie s - mo re tha n o ne ! (ADMINIST

RAT ION)

I de ntify a nd re c o g nize e q uity c ha mpio ns (ADMINIST

RAT ION, SE RVICE S, AND PUBL IC E NGAGE ME NT )

Re c ruit a dive rse wo rkfo rc e tha t re fle c ts the po pula tio ns yo u se rve . (ADMINIST

RAT ION)

E sta b lish q ua lity a ssura nc e g o a ls a nd pe rfo rma nc e b e nc hma rks to inc lude dispa ritie s re duc tio n.

(ADMINIST RAT ION)

E sta b lish a n a dviso ry c o unc il tha t inc lude s individua l fro m the c o mmunitie s yo u se rve . (PUBL

IC E NGAGE ME NT )

Se c ure spe c ia l initia tive funding to suppo rt e q uity e ffo rts.

(F INANCIAL MANAGE ME NT )

28 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

I s tha t yo u ma ke it pe rso na l! T ha t yo ur will a nd yo ur wa nt to is g re a te r tha n yo ur ha ve to !

29 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

SO, MY HOPE ….

30 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

"What is the use of living, if it be not to strive for noble causes and to make this muddled world a better place for those who will live in it after we are gone? I avow my faith that we are marching towards better days. Humanity will not be cast down. We are going on swinging bravely forward along the grand high road and already behind the distant mountains is the promise of the sun.“ Winston Churchill

Alyso n Simmo ns, E xe c utive Dire c to r a lyso n@ c e ntra lio wa trc .c o m

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