The “Equity Reporting Tool Kit”:Methods and tools for integrating equity into population health status reporting

Connie Clement, NCCDH

Hannah Moffatt, NCCDH

Margaret Haworth-Brockman, NCCID

Maureen Dobbins, NCCMT

CPHA | May 27, 2014

Workshop Outline (90 minutes)

1. Welcome and introduction to the topic and partners (10 minutes)

2. Activity – Impromptu networking & mixing (10 minutes)

3. Orientation to the “action framework” (15 minutes)

4. Small group – application of the framework to practice (25 minutes)

5. Large group – discussion & feedback (20 minutes)

6. Wrap up & evaluation (5 minutes)

• Health equity exists when all people can reach their full health potential and are not disadvantaged from attaining it because of their race, ethnicity, religion, gender, age, social class, socioeconomic status, sexual orientation or other socially determined circumstance.

Adapted from Dahlgren and Whitehead, 2006NCCDH. (2012) Let’s Talk: Health Equity

http://nccdh.ca/resources/entry/health-equity

Purposeful Reporting

• Purposeful reporting has been identified as a promising practice in public health to help address the social determinants of health and advance health equity.

Sudbury & District Health Unit. 10 promising practices to guide local public health practice to reduce social inequities (2009) http://nccdh.ca/resources/entry/10-promising-practices-guide

What did we do?

• NCCDH Learning Circle o Backgrounders o 5 health status assessment topicso Stories from the fieldo Learning Together Series & Videos

http://nccdh.ca/learn/reporting/

• Collaborative NCCPH Project o Creating a frameworko Building a toolkit

The Learning Circle told us …

• “A report that doesn’t get used won’t help us to advance health equity.”

Networking Activity

• How have you been involved in “population health status reporting?”

• How did the process incorporate equity?

Who’s in the room?

o Have you used a population health status report (PHSR)?

o Have you contributed to a PHSR?

o Are you responsible for a PHSR?o In your experience, how well has

health equity been integrated?o Has it resulted in action?

Health Indicator Framework The Canadian Institute for Health Information (2010)

NCCPH Collaborative Project

• Action to improve health equity is more likely to result from equity-integrated population health status reporting o Action frameworko Tool kit

NCCDH Learning Together Series: How and what we learned about equity integrated PHSR (2014)http://nccdh.ca/images/uploads/Equity_Integration_EN_Final_En.pdf

Equity-Integrated Action FrameworkSearch

Assess

Synthesize & Adapt

Report

Implement

Evaluate

Prepare

CollaborateCommunicate

Apply a Health-Equity-Values Lens

Community Partners

ResearchersPublic Health

Research, Health and Community Context

(local, regional, national)

WHERE WHO HOW WHAT

Equity-Integrated Action Framework

Research, Health and Community Context

(local, regional, national)

WHERE

Equity-Integrated Action Framework

Community Partners

ResearchersPublic Health

WHO

Equity-Integrated Action Framework

CollaborateCommunicate

Apply a Health-Equity-Values Lens

HOW

Equity-Integrated Action FrameworkSearch

Assess

Synthesize & Adapt

Report

Implement

Evaluate

Prepare

WHAT

Small group discussion (25 minutes)

• Based on your role as a public health practitioner or researcher, where do you/your role fit in the framework?

• In your opinion, which aspects of the framework are already being implemented well by public health organizations? What aspects need more attention?

• What kinds of supports/resources would make it more likely this framework could be used by you/your organization?

Large group sharing (20 minutes)

• What do you think of the framework? Is the framework helpful to support the integration of health equity into population health status reporting?

• What layer of the framework was most important for you during your discussion and why?

• What would be most important to include in a tool kit to support this framework?

Equity-Integrated Action FrameworkSearch

Assess

Synthesize & Adapt

Report

Implement

Evaluate

Prepare

CollaborateCommunicate

Apply a Health-Equity-Values Lens

Community Partners

ResearchersPublic Health

Research, Health and Community Context

(local, regional, national)

WHERE WHO HOW WHAT

Thank You• And thank you for completing the evaluation survey

that you can find on your table.