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Racism and Health Disparities
 

Addressing Systemic Racism and Health Disparities

We cannot stand by in declaring an unwavering commitment to human experience if we cannot ensure that all humans are seen in that light, as people who deserve the same rights, opportunities, freedoms and respect regardless of race, ethnicity, socio-economic status, gender, gender identity or beliefs. It is incumbent on each of us as individuals to gauge our own stand, dig in to understand our privilege, uncover our biases and then work diligently to honor the essence of what humanity calls from all of us. For we are only as strong as a community in the strength of respect we give to and show for one another.  Read our full Statement on an Unwavering Commitment to Human Experience. 

We have worked to curate content on systemic racism and health disparities as part of our library of resources provided below. We also acknowledge we can and must do much more as an organization, and as a community, to drive change in healthcare and beyond. We will continue to add to these resources and commit to sustaining conversations and leading action through which these critical issues can be addressed.

Community Briefings and Conversations

We invite you to join our Community Briefing and Conversations where we share key headlines and reflections from our community and engage participants in 2-3 core questions using the chat feature. Please register in advance to receive log-in details. Registration is open to all. 

Next Community Conversation: October 2, 11 - 11:45 AM


Reflections on the latest issue of PX Pulse

Host: Jason A. Wolf, Ph.D., CPXP, President & CEO, The Beryl Institute


Taking Action on Health Disparities. A Community Conversation

Host: Jason A. Wolf, Ph.D., CPXP, President & CEO, The Beryl Institute


Addressing Health Disparities in a Time of Crisis and Beyond

Special Guest: Marsha Sinanan-Vasishta, MSN, MBA, RN NEA-BC, CPXP, Deputy Chief Nursing Officer, Mount Sinai Morningside

Anti-Racism and Cultural Humility: A Conversation with Dr. Ron Wyatt

The time has come to be brave and have the painful conversations. Dr. Ron Wyatt is an African American physician who grew up in the Black Belt of Alabama. Today, he is an unapologetic voice in the effort to bring awareness to the reality of systemic racism in healthcare.  Dr. Wyatt's expertise and no-nonsense approach to racism in healthcare pushes us to evaluate ourselves and our organizations. The time has come to be brave and have the painful conversations. Dr. Wyatt helps us do just that.


"We have these conversations in our living rooms"

Nikki Montgomery is a certified patient advocate, patient and mother to a son with complex medical challenges. She is also a Black woman who understands the necessity for culturally competent care. How does a patient find a culturally competent provider? Nikki gives us her hard-won strategies on that and pushes us to address systemic racism through measurement.  This podcast brings the conversations usually "had in our living rooms" to the public domain. 


A Conversation with James Hildreth, Ph.D, M.D., President and Chief Executive Officer, Meharry Medical College

A true pioneer in medicine and a renowned immunologist, Dr. Hildreth shares the life experiences that have led him to his career and calling as well as his mission to improve equity in healthcare. He wrestles with the realities of discrimination and whether we truly value all lives in the same way. This question is more important than ever before and highlighted by the disparities in patient outcomes during the Coronavirus pandemic. 


A Conversation with Marsha Sinanan-Vasishta, Deputy Chief Nursing Officer, Mount Sinai Morningside

Adapted from our recent community briefing and conversation addressing health disparities in a time of crisis and beyond. Marsha Sinanan-Vasishta sheds light on how the COVID-19 crisis has amplified systemic racism and specfically the difficult realities of disparities in healthcare. Listen for a conversation on how we can improve going forward and the action steps that are necessary for everyone to have equal access in healthcare, regardless of race. 


A Conversation with Shantanu Agrawal, MD, MPhil, President and CEO, National Quality Forum

In our conversation with Dr. Agrawal we explore his thoughts for the future and the new reality we will face collectively after this crisis. While acknowledging the heroism we are seeing everywhere at this time, he also raises the significant shortcomings in our current healthcare system revealed by the crisis, including health disparities driven by socioeconomic status, race, and geographic location. Listen as he shares how we must move beyond just clinical quality to the need to address health itself as we move through this crisis.


Talk About the Stuff That's Killing Us - Bias in Healthcare Part 3

Dr. Ron Wyatt finishes this three-part podcast series with an eye-opening conversation concerning what really needs to take place if we commit to changing healthcare for everyone. Joining Dr. Wyatt is Cheslie Johnson, sickle cell patient, who helps illustrate Dr. Wyatt's points through her story. She was labeled a "drug seeker," despite narcotics being the standard of care for managing her disease.


Microaggression & Allyism - Bias in Healthcare Part 2

Explore the meaning of microaggression with D'Anna Holmes, the mother of a medically complex child. Learn how we can begin to change the healthcare landscape with a frank look at allyism with Dr. Ron Wyatt.


A Peculiar Indifference - Bias in Healthcare Part 1

Explore what we mean by inequity in healthcare from Dr. Ron Wyatt. Hear what it feels like from patient, Cathy Arsenault.  Dr. Ron Wyatt has long been unapologetic about exposing inequalities in healthcare for those of a certain race, zip code, or size.                               


I was fine with my body. I just didn't like that it was mine.  

What must it be like to be a young teen struggling with a sense of being in the wrong body? Learn from Oliver's story and consider how healthcare can better support experiences like his.
Learn from Oliver as he describes "coming into himself," while he discovers his identity as a transgender teen. Alongside Oliver is Jenny, Oliver's mom and fierce advocate, who blazes a path to ensure the best medical and emotional support for her son. Through these stories, discover where healthcare systems and professionals have the opportunity to fill knowledge gaps, improve communication, and create agile systems that may just mean the difference between life and death.


We Can't Copy and Paste Improvement

Explore the Kenyan health system and why it makes us ask important questions about framing the PX conversation. Nairobi, Kenya is home to a kind people with a public and private healthcare delivery systems. When there is great disparity within a developing country impacting the ability to provide safe care, where does patient experience fit into the landscape? This and more from Tom Simba at Nairobi Hospital.


What we sow, shall we reap.

Two PX Leaders from Pakistan explore how a nation's culture impacts the patient experience. Aga Khan University in Pakistan is driven to improve the patient experience. What if this drive came more from a spiritual belief system rather than regulation? How does the healthcare culture leverage this to ensure the best PX possible? This and more from two powerful PX Leaders.



Understanding, Equity, Inclusion and Cultural Differences: Enhancing the Patient Experience

The presentation addresses: 1) Raising awareness of cultural factors and beliefs that impact cultural competence in terms of how we provide care to patients; 2) Focusing on the capacity to function effectively as individuals or an organization within the context of cultural beliefs and behaviors of diverse communities; 3) Identifying tools to enhance communication with patients; and 4) Practicing inclusivity to achieve equity.


How a NYC Health System Served Their Most Vulnerable Patients During the Pandemic

The Mount Sinai Health System in New York City serves a very culturally and linguistically diverse patient population.  Delivering safe, compassionate, and patient-centered care to the most vulnerable patients during the COVID19 crisis is only possible when an organization aligns its core values and staff commits to serving a higher purpose.  Listen as presenters discuss how the health system strengthened communication with patients and families by working together to serve limited English proficient (LEP), as well as Deaf and Hard of Hearing patients during the crisis. 


Unconscious Bias: The Nexus between Awareness and Accountability

Unconscious bias, also known as implicit social cognition, refers to the attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious manner. The implicit associations we harbor in our subconscious cause us to have feelings that manifest our behavior toward patients and colleagues based on race, ethnicity, culture, age, sexual orientation, religion, disability, socio-economic status and appearance. Attendees of this webinar will gain relevant understanding on how personal and system level awareness and accountability for biases can improve organization-wide performance and ultimately, the patient experience.


Beyond Our Walls: An Essential Health System's Approach to Social Determinants of Health

This webinar will introduce participants to the MetroHealth Institute for H.O.P.E.TM, serving northeast Ohio. The Institute for H.O.P.E.TM (Health, Opportunity, Partnership, and Empowerment) is focused on fixing the root causes of health problems, by removing obstacles and engaging community partners so more people can access what they need to help them grow, succeed and be healthier. The Institute provides leadership in addressing the social determinants of health, through screening and intervention, education and training, research and evaluation. This webinar will focus on food insecurity – the scope and impact, and how MetroHealth is responding. Specific programs and partnerships will be highlighted, including stories that demonstrate the impact on patients.


Access for All: Equality in Healthcare Services Within Your Organization

This webinar covers what it means to prohibit discrimination based on race, age, sex, national origin and disability within healthcare. It focuses specifically on language access for LEP patients and guests, incorporating processes and policies for transgender patients, how to deal with service animals and emotional support animals and support for patients with disabilities. Practical approaches that can be implemented within any hospital or practice to ensure you're providing equal access to healthcare services for everyone. This includes policies to consider, aids and devices to have available, your language access plan and partnerships across the system that are important to success.


Unconscious Bias, Microagressions, and Class

This webinar discusses the impact of unconscious bias, and its effects on behaviors, interactions, and decisions across socioeconomic classes. Participants will 1) Define unconscious bias, and become more aware of its influencing factors. 2) Understand how unconscious biases affect one’s attitudes, behaviors, and decisions towards individuals and groups. 3) Discover and identify ways to mitigate biases.


Communication to Reduce Healthcare Disparities

Many population groups are at disproportionate risk of being uninsured, lacking access to care, and experiencing worse health outcomes, including people of color, low-income individuals and immigrant populations. While many factors impact healthcare disparities, one factor that each of us has the power to address is variations in the cultural and communication competence of health care providers, staff and patient/ family advisors. In this webinar, patient experience thought leader Wendy Leebov identifies evidence of differential treatment and implicit bias in medical encounters that affects the experience and outcomes with diverse patients. She sets forth a concrete improvement agenda for engaging providers and staff in awareness-raising and communication skill-building that reduces disparities and ensures culturally competent and equitable behavior in staff-patient relationships. Finally, she describes tactics for engaging staff in embracing the goal of reducing inequity and building the skills they can use to make a positive difference in their everyday interactions.


LGBT Cultural Competence in Healthcare - Creating a Welcoming Environment

This webinar focuses on patient-centered ways to ensure your health center is sensitive to the needs of your lesbian, gay, bisexual, and transgender (LGBT) patients, visitors and staff. As we begin to understand the complex health needs of the LGB and especially T community it is important to ensure we are competent in LGBT health. This webinar will describe LGBT terminology, explain the unique healthcare needs of this community and give you concrete ways to improve your health center’s LGBT cultural competency. In addition providers and patient advisors will hear effective best practices on how to implement these competencies on a large scale, from an organization recently designated as a leader in LGBTQ healthcare equality by the Human Rights Campaign Foundation.


Peer Navigation in Transgender Care: A Case Study in CoDesigning Care

This webinar outlines how Kaiser Permanente, in an effort to provide their transgender community expanded and holistic care, utilized a human centered CoDesign methodology to create a large scale, multi-region peer navigation program. While peer navigation is already being used at Kaiser Permanente in a number of care settings, this was an opportunity to take program design to the next level. This webinar will provide an overview of patient-identified need surfacing; ethnographic interviews; observation and shadowing; group brainstorming; rapid prototyping; field testing; and spread. It will showcase the impacts and enhanced cultural relevance for the transgender community.


NotasAbiertas Para Todos - OpenNotes Patient Navigation Program

Join this webinar to learn about Mount Sinai Health System's Spanish-Language Preferred OpenNotes Patient Navigation Program. Presenters will share patient anecdotes from the navigation sessions and key findings from three formal rounds of program evaluations as well as lessons learned to help others recreate the success. Patients loved this program and felt empowered to engage with their health information in their English-language patient portal accounts.



Social Responsibility and Community Engagement as part of Human Experience

Marcelo Alvarenga, MD, MSc, CPXP, Chief Experience Officer at Hospital Sírio-Libanês, Brazil, shares his thoughts on the work they are doing related to Public Health and Community Engagement and how they view their relationship to the concept of Patient & Human Experience in a global perspective.


Mitigating Unconscious Bias to Improve Patient Experience

Unconscious bias is the mechanism of our brain that allows us to make shortcuts to quickly interpret and respond.  For this very reason, awareness training is key and Barbara Warren, Director, LGBT Programs and Policies with Mount Sinai Health System provides four tips to address unconscious bias. 

                             
PX Connect is an online community designed to improve communication among peers, offer a forum for exchanging ideas and allow members to benefit from the experience, knowledge and wisdom of others. For specific discussions on racism and health disparity, view the health disparity tag. Please note that you must be logged in to view conversations. 

Measuring, Assessing and Meeting the Needs of Primarily Spanish-Speaking Patients in the Hospital Setting

This study assessed the language needs of a patient population to determine if there was a need for patient surveys in languages other than English. Data and trends from surveys of non-English speaking patients were studied to judge efficacy and equality of services. Changes were implemented based on the data analysis. This report is based on research conducted at Tallahassee Memorial HealthCare in Tallahassee, Florida.


Broadening Cultural Sensitivity at the End-of-life: An Interprofessional Education Program Incorporating Critical Reflection

While hospitals are often places of healing and recovery, the fact of the matter is that thousands of people die inside hospitals every year. Sometimes a patient cannot be saved, and end-of-life care is extremely important. Improving their final moments is the final step of the patient experience and defines human interaction. Researchers investigated this topic with culturally sensitive education programs. This report is based on research conducted at Salem Hospital in Salem, Oregon.


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