BPHC Office of Health Equity Update M A R G A R E T R E I D , D I R E C T O R O F T H E O F F I C E O F H E A L T H E Q U I T Y T R I N I E S E P O L K , D I R E C T O R O F C O M M U N I T Y E N G A G E M E N T , O F F I C E O F H E A L T H E Q U I T Y K E N D R A L I B U R D , M E M B E R O F T H E H E A L T H E Q U I T Y A D V I S O R Y C O M M I T T E E B O S T O N B O A R D O F H E A L T H 7 / 1 8 / 2 0 1 8 1
Boston Public Health Commission ● MISSION To protect, preserve, and promote the health and well-being of Boston residents, particularly the most vulnerable. ● VISION A thriving Boston where all residents live healthy, fulfilling lives free of racism, poverty, violence, and other systems of oppression. All residents will have equitable opportunities and resources, leading to optimal health and well-being. 2
CityHealth Gold Medalist 3
But Also Tops Other Lists But Als lso Tops Other Lis ists #1 in income inequality (and the gap is growing!) #3 in highest average rent #9 on the list of most segregated cities #10 on the list of poorest cities 4
Health Equity Strategic Plan (2 (2017-2018) Goals Implemented Strategies • Communications webinar (NACCHO) • Expand the understanding and 3 Health Equity Videos highlighting great equity work of BPHC staff • dialogue of what creates health Health Equity in All Policies task force launched 1 • and what creates inequities Health Equity Advisory Committee created • Community Health Improvement Plan (CHIP) Council created • Launched 5 community meetings in 2017 on affordable housing (expanded nontraditional partnerships); • Launched first 2018 community meeting focused on mental health among youth. Support comprehensive place- • 2 Developed stakeholder database to increase equity in BPHC’s engagement and partnerships (on based strategies to improve intranet) health • Members of multiple hospital Community Advisory Boards for CB and DoN investments • 3 brown bags to introduce staff to equitable approaches to community engagement • Budget questions, RJHE assessment toolkit, Hiring, Promotion, and Retention work group – examples of ways we are applying equity lens in decision-making and development of policies Strengthen workforce and programs across BPHC. 3 development opportunities for • Offer quarterly Listening Circles facilitated by EAP across campuses; Workforce Resiliency Plan – all staff to integrate equity into examples of supporting emotional and overall staff wellbeing through racial justice and trauma practice informed approaches. • Hosted Office of Health Equity re-launch with over 50 staff participating. 5
6
7
ELPH: • Develop the leadership skills of a local public health director and a colleague • Undertake transformational change within a local health department BPHC: • Reorganize activities to more effectively address SDoH. • Engage other City Departments. • Implement BPHC Community Engagement Strategy. • Share health and SDoH data to support advocacy and equitable decision making. • Update communication standards and practices 8
Key Elements of Health in All Policies Promote health, Support inter- equity, and sectoral sustainability collaboration Convene multi sector partners to link health and Integrating into policies, other issue and policy areas, programs, and processes break down silos, build new partnerships and increase government efficiency Embedding into government decision-making processes Rudolph, L., Caplan, J., Ben-Moshe, K., & Dillon, L. (2013). Health in All Policies: A Guide for State and Local Governments. Washington, DC and Oakland, CA: American Public Health Association and Public Health Institute. 9
Key Elements of Health in All Policies (cont.) Create structural Benefit multiple Engage or procedural partners stakeholders change Community members, Permanent changes in policy experts, how agencies relate “Co - benefits” and advocates, private to each other and “win - wins.” sector, funders, how decisions are government made Rudolph, L., Caplan, J., Ben-Moshe, K., & Dillon, L. (2013). Health in All Policies: A Guide for State and Local Governments. Washington, DC and Oakland, CA: American Public Health Association and Public Health Institute. 10
11
Process and Strategies Leadership Early Adopters Highlight Stories HEiAP Task Force Survey and Survey Results TA/Trainings: evaluation & community engagement Business Practices, Programs, Policies 12
Health Equity in All Policies Task Force ▪ Launched June 8, 2018 ▪ 22 participants/11 participating depts. 13
Baseline Survey: who completed? • Auditing Department • Election Department • Boston Centers of Youth & Families • Immigrant Advancement • Boston Fire Department • Inspectional Services Department • Boston Housing Authority • Mayor's Office of Arts and Culture • Boston Parks and recreation • Mayor's Office of Resilience and Racial Equity • Boston Police Department • Mayor's Office of Women's Advancement • Boston Public Health Commission • Neighborhood Development • Boston Public Library • Office of Fair Housing & Equity • Boston Public Schools • Office of Small Business Development • City Hall to Go • Office of Workforce Development • Commission on Affairs of the Elderly • Public Works & Transportation Department(s) • Department of Innovation and Technology • Tourism, Sports & Entertainment • Disabilities Commission • Veterans' Services 14
HEiAP Awareness Among Boston Agencies (N (N=26) Strongly Agree Somewhat Agree Neither Agree/Disagree Disagree "It would benefit my department to show the 73% 19% community health benefits our work." "It is important to articulate the health impact of 58% 39% my department’s work." "I am aware of an existing health condition or 42% 35% 19% health inequity that is of significant concern to… "I typically consider the health equity 27% 42% 12% 19% implications of my department’s work." "I typically measure the health equity impacts of 8% 19% 35% 38% my department’s work." 15
Interest in In in Proposed Training Topics (N=26) Very Interested Somewhat Interested Slightly Interested Addressing racial justice 96% 4% 0% Community engagement 92% 4% Promoting health equity 73% 23% 4% Exploring opportunities to intentionally 73% 19% 8% collaborate across departments 16
BPHC HEALTH EQUITY COMMUNITY ADVISORY COMMITTEE MEETINGS Community Engagement Plan PARTNERSHIP CUSTOMER DATABASE SATISFACTION SURVEY 17
Health Equity Advisory Committee ▪ 2 year term, up to 8 meetings a year ▪ 9 members representing 6 Boston neighborhoods Board of Health Meeting, October 2017 18
HEAC shaping BPHC’s Communications FLU POSTERS BEFORE FLU POSTERS AFTER 19
HEAC worked with IGR on Patient Confidentiality PATCH BROCHURE PATCH FAQ AFTER BEFORE 20
HEAC advises on how to create inclusive environment for Boston's LGBTQ Homeless Population 21
2017 COMMUNITY MEETINGS • CO-HOSTED IN FIVE (5) NEIGHBORHOODS WE REACHED 211 RESIDENTS IN TOTAL 22
2018 Community Meetings CO-HOSTED IN SIX (6) NEIGHBORHOODS Madison Park Development Corporation youth on July 5, 2018 23
Racial Justice and Health Equity Assessment Toolkit ▪ 4 feedback sessions (May – June 2018) with: ▪ Health Equity Advisory Committee ▪ Anti Racism Advisory Committee, and ▪ 2 internal staff sessions ▪ Pilot tool August 2018 24
Technical Assistance Request Examples • Review a one pager, fact sheet to assure language, terminology, and framing of racial Short term support: Staff seeking immediate support, e.g. one day, one justice and health equity are appropriate; • Review a document, presentation to maintain consistency of racial justice and health meeting, totals up to 2 weeks equity messaging; • Support brainstorming within a process • OHE participate/present at a workshop, conference, or review a proposal for equity Mid-level support: Staff seeking intermediate support, up to 3 months of considerations. • OHE participate on a committee or project to assist in the design and implementation of planning, review, and/or implementation activities to meet their goals and objectives, such as the Healthy Start Systems or Ryan White medical case managers training • OHE/Equity Change Project Team will work with up to 3 chosen projects at a time to: Equity Change Projects: • Apply equity considerations within a specific area such as community engagement, Staff seeking long-term and sustainable solutions to equity concerns through short or long-term projects, up to 3 communications. • Support through a full 6 step racial justice and health equity assessment project. months (up to 15 hours) • Engage in deeper dive into one of the 6 steps. 25
Moving Equity Forward Together https://youtu.be/XfAY6UgjAbc 26
Thank You & Q&A 27
Recommend
More recommend
