searching for disparities solutions: “trying harder will not work” michael w. painter, jd, md...
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Searching for Disparities Solutions:Searching for Disparities Solutions:“Trying harder will not work”“Trying harder will not work”
Michael W. Painter, JD, MD
Senior Program Officer
Michael W. Painter, JD, MD
Senior Program Officer
![Page 2: Searching for Disparities Solutions: “Trying harder will not work” Michael W. Painter, JD, MD Senior Program Officer Michael W. Painter, JD, MD Senior](https://reader034.vdocument.in/reader034/viewer/2022051216/5697bf781a28abf838c81ebb/html5/thumbnails/2.jpg)
Our Disparities Strategic Objective
Reduce racial and ethnic disparities in the care of cardiovascular disease, diabetes mellitus and depression by 2008
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Most think the Federal Government Should Do More…
84%
91%
57%
65%
HispanicAmericans
AfricanAmericans
Whites
Total
Harvard School of Public Health/Robert Wood Johnson Foundation/ ICR, September 2005
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Health Care Costs-2004
• $1.9 trillion
• 16% GDP
• $6,280 per person
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“The First National Report Card on Quality of Health Care in America”, RAND 2004 (Funded by the Robert Wood Johnson Foundation)
Performance of the U.S. Health Care System
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0
2
4
6
8
10
12
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Past Disparities Strategies Are Not Working:August 18, 2005, NEJM
Year
CABG
Rat
e (p
er 1
000
enro
llees
) White men
Black menWhite women
Black women
Funded by the Robert Wood Johnson Foundation
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The Federal Environment
• Katrina
• Iraq war
• Judicial nominations
• Mounting Federal deficit
• Medicaid cuts
• Medicare Rx benefit
• Rising health care costs
• Rising numbers of uninsured
• Poor care quality and disparities
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Mrs. J Needed Quality Care That Was:
• Culturally appropriate
• Evidence based
• Patient centered
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QualityQualityCareCare
INNOVATE
Cost SavingsCost Savings
$$$$$$
$$$$$$
PlansPlans
ProvidersProviders
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Our Solutions Network Includes:
• Hablamos Juntos
• Legal Barriers Project
• Urban Indian Health Commission
• National Health Plan Collaborative
• Medicaid Plan Collaborative
• Expecting Success
• Finding Answers
• Leading Change
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RWJF Solutions Network
ExpectingExpecting
SuccessSuccessLeading Leading
ChangeChange
HablamosHablamos
JuntosJuntos
Plan Plan
CollaborativesCollaboratives
Legal Legal
Barriers Barriers
ProjectProject
Targeted Targeted
ResearchResearch
Finding Finding
AnswersAnswers
RWJFRWJF
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Focusing on Next Steps
• Developing a Solutions Network
• Leading the field—Disparities and Quality
• Refining the Research Agenda
• Implementing Effective Interventions
• Focusing on Special Populations
• Turning to Health Information Technology