An Honest Conversation for Senior Leaders I OWA CANCE R CONSORT I - PowerPoint PPT Presentation

BUIL DING AN ORGANIZAT IONAL CUL T URE T HAT E MBRACE S T HE PROMISE OF RACIAL E QUIT Y: An Honest Conversation for Senior Leaders I OWA CANCE R CONSORT I UM VI RT UAL SUMMI T OCT OBE R 28, 2020 Alyso n Simmo ns, E xe c utive Dire c to r Ce ntra l Io wa T ra uma Re c o ve ry Ce nte r

CE NT RAL I OWA T RAUMA RE COVE RY CE NT E R DISCL OSURE ST AT E ME NT I ha ve no fina nc ia l disc lo sure o r c o nflic ts o f inte re st with the ma te ria l to b e pre se nte d to da y. Alyso n Simmo ns E xe c utive Dire c to r Ce ntra l I o wa T ra uma Re c o ve ry Ce nte r 2 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

OUR L E ARNI NG OBJE CT I VE S T o e sta b lish a wo rking unde rsta nding o f the c o nne c tio n b e twe e n ra c ia l e q uity a nd he a lth e q uity. T o ha ve a n o pe n a nd ho ne st c o nve rsa tio n a b o ut the c ha lle ng e to a nd the pro c e ss to wa rd the pro mise o f ra c ia l e q uity. I de ntify the va rio us po ints o f inte rse c tio n b e twe e n so c ia l justic e issue s a nd c a nc e r/ he a lth o utc o me s, pa rtic ula rly a mo ng c o mmunitie s o f c o lo r. Disc uss a c tio ns tha t e ve ryo ne c a n ta ke to impro ve a c c e ss to c a nc e r c a re a nd tre a tme nt fo r unde rse rve d po pula tio ns. De sc rib e the wa ys in whic h o rg a niza tio ns a nd individua ls in I o wa a re a dvo c a ting fo r he a lth e q uity o n the lo c a l, sta te , a nd na tio na l le ve l. 3 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

K E Y CONCE PT S F OR CONSI DE RAT I ON Ado pting syste ms thinking – o rg a niza tio na l E sta b lish a wo rking de finitio n o f ke y issue s tha t yo u a ntic ipa te a ddre ssing …de ve lo p a c o mmo n la ng ua g e Why is it impo rta nt to fo c us o n ra c e whe n ta lking a b o ut he a lth e q uity Re vie w the histo ric a l implic a tio ns tha t c o ntinue to pla g ue us a s we try to mo ve fo rwa rd Build inno va tive stra te g ie s fo r c ha ng e L o o k a t the ro le o f g o ve rnme nt, struc tura l a nd syste mic pra c tic e s a nd po lic ie s Be inte ntio na l a b o ut the a c tio ns ta ke n to mo ve the ne e dle CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

HE AL T H DI SPARI T I E S T he Wo rld He a lth Org a niza tio n de fine s he a lth ine q uitie s a s “a vo ida b le diffe re nc e s in he a lth b e twe e n po pula tio n g ro ups c a use d b y diffe re nc e s suc h a s so c ia l a nd e c o no mic c o nditio ns.” He a lth dispa ritie s ha ve b e e n a sso c ia te d with fa c to rs suc h a s ra c e , e thnic ity, g e nde r a nd g e nde r ide ntity, se xua l o rie nta tio n, disa b ility, a nd so c io e c o no mic sta tus. 5 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

I MPACT OF HE AL T H DI SPARI T I E S Co stly in te rms o f q ua lity o f life a nd life e xpe c ta nc y  One study o n the impa c t o f he a lth dispa ritie s sho we d tha t the re wa s a s muc h a s 30 ye a rs b e twe e n the ric he st a nd po o re st US c o untie s. (Alvin Po we ll – T he Co st o f ine q uality: mo ne y=q uality he alth c are =lo ng e r life , 2016) 6 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

HE AL T H E QUI T Y I S AT T AI NABL E We c a n do b e tte r… to positive ly affe c t the human c ondition. 7 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

HE AL T H E QUI T Y I S AT T AI NABL E Be twe e n 2003 a nd 2006, the e limina tio n o f ra c ia l a nd e thnic he a lth dispa ritie s is e stima te d to ha ve sa ve d $230 b illio n in dire c t me dic a l e xpe nditure s a nd o ve r $1 trillio n in indire c t c o sts. (L aVe ist T A, Gaskin D, Ric hard P. E stimating the e c o no mic b urde n o f rac ial he alth ine q ualitie s in the U.S.) F ro m 1990 to 2000,10 c o untie s in the U.S. susta ine d o r “mo ve d the ne e dle ” to wa rd e q uita b le b re a st c a nc e r mo rta lity ra te s b e twe e n Afric a n Ame ric a n a nd White Wo me n (Rust G, Z hang S. Malho tra K, e t al. Paths to He alth E q uity) 8 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

HE AL T H E QUI T Y I S AT T AI NABL E T ra nsitio n fro m the o ry to pra c tic e ….inte g ra te he a lth e q uity within the fra me wo rk o f yo ur o rg a niza tio n 9 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

ADOPT I NG SYST E MS T HI NK I NG A ke y a spe c t o f b uilding to wa rd he a lth e q uity is to fully e mb ra c e syste ms thinking . I t is wo rth the time inve stme nt to c la rify its sig nific a nc e a nd ma ke sure the who le te a m is o n o ne a c c o rd. A syste m is a hig hly inte g ra te d c o lle c tio n o f pa rts wo rking to g e the r to a c c o mplish a spe c ific e nd o r missio n. Ho w e ffic ie nt a nd e ffe c tive ly it func tio ns de pe nds o n the e xisting infra struc ture . Unde rsta nding the re la tio na l na ture o f ho w the se sub syste ms within yo ur o rg a niza tio n sho uld func tio n to g e the r is e sse ntia l. 10 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

SYST E MS T HI NK I NG – I MPACT ON ACHI E VI NG HE AL T H E QUI T Y PRE JUDI CE + POWE R = SYST E M OF ADVANT AGE Syste m : c o nne c te d pa rts fo rming a c o mple x who le Powe r : a c c e ss to so c ia l, c ultura l a nd e c o no mic re so urc e s a nd de c isio n ma king . Po we r is g uide d a nd susta ine d thro ug h dominant nar r ative s 11 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

Ho w we ll do e s yo ur o rg a niza tio n ra te in e ffo rt to imple me nt a fra me wo rk to a ddre ss he a lth e q uity? (1 to 5) 12 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

I T I S I MPORT ANT T O UT I L I ZE A RACI AL E QUI T Y L E NS WHE N ADDRE SSI NG HE AL T H E QUI T Y Ra c e a nd the issue s dire c tly linke d to syste mic ra c ism a nd ine q uity c an be hidde n if no t a t the fo re fro nt. mation a b o ut ra c e a nd Analyze data and infor e thnic ity…he lps to unde r itie s a nd why the y stand dispar e xist. F o c us o n pr oble ms a nd the ir r oot c ause s fro m a struc tura l sta ndpo int ac ial dynamic s tha t sha pe so c ia l, She ds light on r e c o no mic a nd po litic a l struc ture s. It also points to se c tionality – ra c e , c la ss, g e nde r, se xua l inte r o rie nta tio n – ke y to ide ntifying a ny unde rlying issue s tha t ma y b e a t pla y . 13 06/ 05/ 2020 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

E sta b lish a c o mmo n la ng ua g e a nd fo ste r unde rsta nding within yo ur o rg a niza tio n.

CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

COMMON L ANGUAGE F OST E RS UNDE RST ANDI NG 16 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

I NT E RSE CT I ONAL I T Y T he re is sig nific a nt re se a rc h tha t suppo rts a nd re c o g nize s tha t he a lth dispa ritie s a re drive n b y c o mple x, o ve rla pping fa c to rs. “I nte rse c tio na lity is a the o re tic a l fra me wo rk tha t sug g e sts tha t multiple so c ia l c a te g o rie s (e .g ., ra c e , e thnic ity, g e nde r, se xua l o rie nta tio n, so c io e c o no mic sta tus) inte rse c t a t the mic ro le ve l o f individua l e xpe rie nc e to re fle c t multiple inte rlo c king syste ms o f privile g e a nd o ppre ssio n a t the ma c ro , so c ia l-struc tura l le ve l (e .g ., ra c ism, se xism, he te ro se xism).” (BOWL E G, 2012) 17 06/ 05/ 2020 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

18 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

AL L T HAT ’ S HAPPE NE D I N 2020! A g lo b a l pa nde mic tha t ha s ta ke n the live s o f hundre ds o f tho usa nds o f pe o ple …pro viding he a lth c a re unde r c ha lle ng ing c irc umsta nc e s An e c o no mic re c e ssio n tha t ha s re sulte d in hig h une mplo yme nt Ra c ia l a nd so c ia l unre st…push fo r justic e , pro te sts I nc re a se d a nxie ty, de pre ssio n, te nsio n, iso la tio n While a ll o f us ha ve b e e n a ffe c te d b y wha t’ s tra nspire d o ve r the pa st ye a r, me dic a lly unde rse rve d po pula tio ns, pa rtic ula rly, ra c ia l a nd e thnic mino ritie s, b e a r a dispro po rtio na te b urde n o f the impa c t. 19 06/ 05/ 2020 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R

AN HONE ST L OOK AT 2020 I N AME RI CA ont and c e nte r ….a ll o f the c rise s we ’ re Rac e is fr e xpe rie nc ing to da y ha s o nc e a g a in highlighte d the multiple ine quitie s tha t c o ntinue to pla g ue us a s a so c ie ty. Muc h ha s b e e n a c c o mplishe d, ho we ve r, we still ha ve quite a ways to go in o rde r to re a lize the pro mise o f ra c ia l e q uity in this c o untry. T he good ne ws is that we ar e unique ly positione d for c hange . T he re a l q ue stio n….do we individua lly, a nd c o lle c tive ly within o ur o rg a niza tio ns ha ve the will to mo ve in the dire c tio n o f po sitive c ha ng e ? I s yo ur “will” a nd “yo ur wa nt” to g re a te r tha n yo ur “ha ve to ”? 20 CE NT RAL IOWA T RAUMA RE COVE RY CE NT E R