of Admission Soma Stout, MD MS Executive Lead, 100 Million - PowerPoint PPT Presentation

1 Making Equity the “Price of Admission” Soma Stout, MD MS Executive Lead, 100 Million Healthier Lives Institute for Healthcare Improvement www.100mlives.org Academy Health June 28, 2016

36% Reduction in Hospitalization Rate for Patients with Diabetes

Using data and stories together 3

Equity as a System Property  The life expectancy of Denmark and Zambia in the space of a few miles  10 - 25 year difference in life expectancy depending on where you are born.  Poverty is a huge factor in disparities.  Race widens the disparity gap inherent in poverty

Interaction Intervention possibility slim Adapted from McGuinnis et al.

100 Million Healthier Lives Identity: An unprecedented collaboration of change agents pursuing an unprecedented result: 100 million people living healthier lives by 2020 Vision: to fundamentally transform the way we think and act to improve health, wellbeing, and equity. Equity is the “price of admission.” > 800 members, partners and communities globally who reach more than 100 million people in the US alone

Interrelationship between the health, wellbeing and equity of people, communities and populations People Health, wellbei ng and equity Places Society

5 key shifts we need to make 8 From a “health care system” to a “health and wellbeing  system”, where social and behavioral determinants are primary in our approach to creating health  From scarcity to abundance From “doing good” to a recognition that we are  interconnected and cannot afford the price of poverty and inequity in terms of health outcomes or health care cost From pathology to vision – change is possible   From communities of poverty to communities of solution - release of trapped and untapped potential of people and communities

Addressing equity in 100 Million 9 Healthier Lives  Be inclusive in addressing equity  Ask generative questions: • Who isn’t thriving? • What would it take for that to change?  Look for the bright spots • Who is thriving within the same population? • What can we learn from the individual or the program that could be spread?  Commit to the system change that is needed.

https://vimeo.com/83703623 UTEC St Ninian’s https://www.utec-lowell.org/gallery/video

Addressing equity in 100 Million 11 • Checking our own bias Leading • Reflective practice • Assessing where we are as from within individuals and organizations Leading • Partnering with people with lived experience as co- producers and key to together finding the solutions • Analyze your data to Leading for understand who isn’t thriving outcomes • Map the system and address structural factors

Pathway for Action – 12 Health Equity & Prosperity  Reflect  Create dialogue • Engage 5 million people in a conversation on health equity and prosperity • Engage people with lived experience of inequity  Build our equity muscles • Awareness, understanding, empathy, relationship • Map the system, find the bright spots and opportunities  Act individually and collectively • Opportunities for action within our lives, our organizations and our communities • Strategic opportunities for collective action nationally

Measuring 100 Million Healthier Lives “Whose lives are getting better because we are here ?”

Our Broad Measurement Framework

Health & Well-being PHYSICAL HEALTH MENTAL HEALTH SOCIAL WELL-BEING SPIRITUAL WELL-BEING

Measuring Equity Differences in well-being and years of life gained Age Sex Race/Ethnicity Education Zip code

Choosing Abundance 17 Abundance does not happen automatically. It is created when we have the sense to choose community, to come together to celebrate and share our common store. Whether the scarce resource is money or love or power or words, the true law of life is that we generate more of whatever seems scarce by trusting its supply and passing it around. Authentic abundance does not lie in secured stockpiles of food or cash or influence or affection but in belonging to a community where we can give those goods to others who need them — and receive them from others when Parker Palmer, “Let Your Life Speak” we are in need.

18 Health Equity & Prosperity Assembly August 4 th -5 th at U. Maryland www.100mlives.org Soma Stout, MD MS @somastout, sstout@ihi.org