© 2015 American Hospital Association

M. Tomás León, MBAPresident and CEO, Institute for Diversity in Health Management

Email: tleon@aha.org / Phone: 312-422-2697

February 1, 2016

National Call to Action to Eliminate Health Care Disparities

Diversity is a Reality in the U.S.

The U.S. is rapidly becoming more diverse. However, racial and ethnic minorities bear a disproportionate burden of chronic illnesses (including mental health disorders), are more likely to be uninsured, face unequal access to quality health care services, and suffer the worst health care outcomes than the general population.

The Challenge & Opportunity

National Call to Action Partners

- Increase collection and use of race, ethnicity and language preference data - Increase cultural competency training - Increase diversity in leadership and governance

National Call to Action Goals

Diversity andDisparitiesA Benchmark Study of U.S. Hospitals in 2013

6

Benchmark Results and Projections

Milestonesby Year

Collection and Use of REaL Data

Cultural Competency

Training

Increasing Diversity

2011(Baseline)

18% 81% Governance 14% Leadership 11%

2013 (Progress Data)

19.4% 86.4% Governance 14% Leadership 12%

2015 Goal 25% 90% Governance 16% Leadership 13%

2017 Goal 50% 95% Governance 18% Leadership 15%

2020 Goal 75% 100% Governance 20% Leadership 17%

Summary FindingsCollection and use of data:• Hospitals actively collecting patient demographic data including race (97%); ethnicity

(94%); and primary language (95%)

• 22% of hospitals use data to identify disparities in treatment or outcome

Cultural competency training:• 86% of all hospitals educate all clinical staff during orientation; an increase from 81% in

2011

• 65% of hospitals require all employees to attend diversity training

Leadership:• Minorities represent 31% of patients nationally

• Minorities comprise:– 14% of hospital board members, unchanged from 2011

– 12% of executive leadership positions, unchanged from 2011

– 17% of first- and mid-level management positions; up from 15% in 2011

Past. Present. Future.

Do To Do For Do With

Shift from Sick Care to Well Care>>

Shift from Volume to Value>>

Experience of Care

Population Health

Per Capita Cost

The Goal: The Triple Aim

Health equity is the target.

The WHY: Population Health

Video: #123forEquity Campaign

https://www.youtube.com/watch?v=gLeBhKsEXKs&feature=youtu.be

#123forEquity Pledge to Act1. SIGN THE PLEDGE - Pledge to achieve the three areas of

the National Call to Action within the next 12 months. 2. TAKE ACTION – Implement strategies that are reflected

in your strategic plan and supported by your board and leadership. Provide updates on progress to the AHA and your board in order to track progress nationally.

3. TELL OTHERS – Achieve the goals and be recognized. Tell your story and share your learnings with others in conference calls and other educational venues, including social media to accelerate progress collectively.

Our Pledge to Act RequestAddress the following areas in the next 12 months. Below is a suggested timeline for addressing each area, but it can be modified based on your needs: • By the end of month one (from the date of your start), choose a quality

measure to stratify by race, ethnicity or language preference or other sociodemographic variables (such as income, disability status, veteran status, sexual orientation and gender, or other) that are important to your community's health. Quality measures to stratify could include readmissions or other core measures

• By the end of month three, determine if a health care disparity exists in this quality measure. If yes, design a plan to address this gap

• By the end of month six, provide cultural competency training for all staff or develop a plan to ensure your staff receives cultural competency training.

• By the end of month nine, have a dialogue with your board and leadership team on how you reflect the community you serve, and what actions can be taken to address any gaps if the board and leadership do not reflect the community you serve.

www.equityofcare.org

• Nearly 1,000 hospitals and health systems pledged

• 37 state and metropolitan hospital associations pledged.

• 24 local and national organizations endorsements

#123forEquity Pledge to Act Progress

Equity of Care Toolkit

This toolkit is a user-friendly “how-to” guide to help accelerate the elimination of health care disparities and ensure our leadership teams and board members reflect the communities we serve.

www.equityofcare.org