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of Admission Soma Stout, MD MS Executive Lead, 100 Million - - PowerPoint PPT Presentation

1 Making Equity the Price of Admission Soma Stout, MD MS Executive Lead, 100 Million Healthier Lives Institute for Healthcare Improvement www.100mlives.org Academy Health June 28, 2016 36% Reduction in Hospitalization Rate for


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Making Equity the “Price

  • f Admission”

Soma Stout, MD MS Executive Lead, 100 Million Healthier Lives Institute for Healthcare Improvement www.100mlives.org

June 28, 2016

Academy Health 1

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36% Reduction in Hospitalization Rate for Patients with Diabetes

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Using data and stories together

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Equity as a System Property

The life expectancy of Denmark and Zambia in the space of a few miles

10 - 25 year difference in life expectancy depending on where you are born.

Poverty is a huge factor in disparities.

Race widens the disparity gap inherent in poverty

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SLIDE 5

Adapted from McGuinnis et al.

Interaction Intervention possibility slim

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Identity: An unprecedented collaboration of change agents pursuing an unprecedented result: 100 million people living healthier lives by 2020 Vision: to fundamentally transform the way we think and act to improve health, wellbeing, and equity. Equity is the “price of admission.”

> 800 members, partners and communities globally who reach more than 100 million people in the US alone

100 Million Healthier Lives

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Interrelationship between the health, wellbeing and equity of people, communities and populations

Health, wellbei ng and equity People Society Places

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5 key shifts we need to make

From a “health care system” to a “health and wellbeing system”, where social and behavioral determinants are primary in our approach to creating health

From scarcity to abundance

From “doing good” to a recognition that we are interconnected and cannot afford the price of poverty and inequity in terms of health outcomes or health care cost

From pathology to vision – change is possible

From communities of poverty to communities of solution

  • release of trapped and untapped potential of people

and communities

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Addressing equity in 100 Million Healthier Lives

 Be inclusive in addressing equity  Ask generative questions:

  • Who isn’t thriving?
  • What would it take for that to change?

 Look for the bright spots

  • Who is thriving within the same population?
  • What can we learn from the individual or the

program that could be spread?  Commit to the system change that is needed.

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https://vimeo.com/83703623 https://www.utec-lowell.org/gallery/video UTEC St Ninian’s

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Addressing equity in 100 Million

Leading from within Leading together Leading for

  • utcomes
  • Checking our own bias
  • Reflective practice
  • Assessing where we are as

individuals and

  • rganizations
  • Partnering with people with

lived experience as co- producers and key to finding the solutions

  • Analyze your data to

understand who isn’t thriving

  • Map the system and

address structural factors

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Pathway for Action – Health Equity & Prosperity

Reflect

Create dialogue

  • Engage 5 million people in a conversation on health

equity and prosperity

  • Engage people with lived experience of inequity

Build our equity muscles

  • Awareness, understanding, empathy, relationship
  • Map the system, find the bright spots and opportunities

Act individually and collectively

  • Opportunities for action within our lives, our organizations

and our communities

  • Strategic opportunities for collective action nationally

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Measuring 100 Million Healthier Lives

“Whose lives are getting better because we are here?”

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Our Broad Measurement Framework

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Health & Well-being

PHYSICAL

HEALTH

MENTAL

HEALTH

SOCIAL

WELL-BEING

SPIRITUAL

WELL-BEING

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Measuring Equity

Differences in well-being and years of life gained Age Sex Race/Ethnicity Education Zip code

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Choosing Abundance

Abundance does not happen automatically. It is created when we have the sense to choose community, to come together to celebrate and share

  • ur common store. Whether the scarce resource is

money or love or power or words, the true law of life is that we generate more of whatever seems scarce by trusting its supply and passing it around. Authentic abundance does not lie in secured stockpiles of food

  • r cash or influence or affection but in belonging to a

community where we can give those goods to others who need them—and receive them from others when we are in need.

Parker Palmer, “Let Your Life Speak”

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Health Equity & Prosperity Assembly August 4th-5th at U. Maryland

www.100mlives.org

Soma Stout, MD MS @somastout, sstout@ihi.org

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