Systematic Review of Interventions to Reduce Racial ….pptx

How Cultural Competency, Language Access, and Health Literacy Are Integrated Into Programs and Interventions Aimed At Reducing DisparitiesMarshall H. Chin, MD, MPHRichard Parrillo Family ProfessorDirector, RWJF Reducing Health Care Disparities Through Payment and Delivery System ReformUniversity of ChicagoDisclosures / FundingAHRQ T32 HS00084, K12 HS023007, U18 HS023050The Commonwealth FundHRSAJohn A. Hartford FoundationMerck FoundationNIDDK K24 DK071933, R18 DK083946-01A1, P30 DK092949 Robert Wood Johnson Foundation National Quality Forum committeesPresident, Society of General Internal MedicineCMS Innovation Center – technical assistanceA Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Disparities in Health CareChin MH, et al. JGIM 2012; 27(8):992-1000 Roadmap for Reducing Racial and Ethnic Disparities in Care1) Recognize disparities and commit2) Implement QI infrastructure and process3) Make equity an integral part of quality4) Design intervention(s)5) Implement, evaluate, and adjust intervention(s)6) Sustain intervention(s) Chin MH et al. JGIM 2012; 27:992-1000Roadmap for Reducing Racial and Ethnic Disparities in Care#1 Recognize disparities and commit to reducing themChin MH. Ann Intern Med 2008; 149:206-208.Examine Your Performance Data Stratified by Race, Ethnicity, Language, and SESIndividual and organizational readiness to changeMake Sure Your Disparities Training is State of the ArtSGIM Goals for Health Disparities Courses Existence of disparities, etiologies, solutionsMistrust, subconscious bias, stereotypingCommunication, trust buildingCommitment to reduce disparitiesSmith WR et al. Ann Intern Med 2007; 147:654-665Univ. of Chicago CourseSelf-insight exercisesField trips Chicago historyGroup disparities projectReflective essays and discussionIndividual patient care (e.g. interpreters) and policy (e.g. Medicare)Advocacy Vela et al. JGIM 2008; Vela et al. JGIM 2010. Stratified Data and Cultural Competency Training Alone Do Not I