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2015 AHA Equity of Care Leadership Summit Stephen K. Jones, FACHE President and CEO Ryan P. Parker AVP and Chief Diversity Officer Robert Wood Johnson Health System

Our Time Today • What is the RWJ Health System • RWJ’s Approach to Thriving in The New Environment • Executing The Diversity & Inclusion Strategy • Looking Ahead Diversity is innovation.

RWJ HEALTH SYSTEM

Robert Wood Johnson University Hospital • 965-bed Academic Medical Center located in New Brunswick, NJ • Principal Teaching Hospital of Rutgers Robert Wood Johnson Medical School • Flagship Hospital of multi-hospital system • Centers of Excellence: Cardiovascular; Cancer; Women’s & Children’s; Level 1 Trauma Center • Located mid-way between New York and Philadelphia, serving six county population of approximately 1.4 M • Owner of Physician-Led Accountable Care Organization Diversity is innovation.

The Power of Collaboration Our remarkable campus is comprised of: • RWJUH • Rutgers Robert Wood Johnson Medical School – Child Health Institute – Cardiovascular Institute – Eric B. Chandler Health Center • Rutgers Cancer Institute of New Jersey • Bristol- Myers Squibb Children’s Hospital • PSE&G Children’s Specialized Hospital Diversity is innovation.

RWJ Health System • $1.6 Billion in Annual Revenues • 10,300 Employees • 3,250 Medical Staff • 1,733 Beds Diversity is innovation.

National Recognitions for Excellence Diversity is innovation.

National Recognitions for Excellence In 2014, RWJ was named “Best in Class” for Diversity Management and Strengthening the Workforce. Diversity is innovation.

National Recognitions for Excellence • RWJ was chosen as No. 19 in Diversity MBA Magazine’s 2015 rankings for 50 Out Front Companies for Diversity Leadership: Best Places for Women & Diverse Managers to Work • Top 10 Best in Class for: Succession Planning and Accountability Diversity is innovation.

National Recognitions for Excellence Diversity is innovation.

RWJ’S RESPONSE TO THE CHANGING HEALTHCARE ENVIRONMENT AND GROWING DIVERSE POPULATIONS

Triple Aim  Population Health Diversity is innovation.

The New Healthcare Paradigm “Market Justice” “Social Justice” Diversity is innovation.

RWJ Diversity and Inclusion Timeline • Although RWJ had a rich, 25+ year history of educating health professionals and advancing the health of diverse communities, no formal Program for diversity and inclusion had been created. • In 2010, RWJUH Board of Directors asked hospital leaders to create a diversity and inclusion plan for RWJUH. • In 2014, RWJ completed its first three-year diversity and inclusion plan, and the Board approved another three year plan. • In 2015 RWJ received national recognitions for its diversity and inclusion program • Upon completion of its first three-year plan 2014, RWJ CEO submitted a plan to expand diversity and inclusion efforts throughout the RWJ Health System. Diversity is innovation.

Diversity and Inclusion Impact 2012-2015  22% of Board is comprised of racial and ethnic minorities  Diversity is 15% of organizational goals  34% increase in executive leadership diversity  Embedded annual mandatory diversity training for leadership team  Embedded mandatory diversity and cultural competency training for every new employee Diversity is innovation.

Diversity and Inclusion Impact 2012-2015  Embedded mandatory culturally competency training for all nursing staff  Reduced readmissions of low-income patients through DSRIP program by 50%  Served nearly 50,000 individuals through our targeted education and disease management programs for diverse populations  Increased utilization of minority and women- owned businesses by more than 5 million dollars Diversity is innovation.

Diversity and Inclusion Impact 2012-2015  Host site for Institute for Diversity Summer Enrichment Program for three consecutive years.  Host site for a high school health careers program for more than 15 years. More than 40 past participants of the program are employed at RWJ  Engaged a LEAN Six Sigma Project to improve collection of race, ethnicity, language  Expanding diversity programming throughout the RWJ Health System Diversity is innovation.

AHA’s Equity of Care Goals • Increase the collection and use of race, ethnicity and language preference data (REaL) • Increase cultural competency training, and • Increase diversity in governance and leadership. Diversity is innovation.

RWJUH: INTEGRATING DIVERSITY AND INCLUSION

The Strategy Crosscuts RWJ’s Operational Pillars Diversity and inclusion are drivers for operational excellence. This plan integrates diversity and inclusion as a crosscut of RWJ’s operational pillars. Diversity will provide the innovation we need as we develop innovative strategies for executing the Triple Aim. Diversity is innovation. Diversity is innovation.

Equity Of Care Focus: INCREASING DIVERSITY IN GOVERNANCE AND LEADERSHIP Diversity is innovation.

Diversity: A Determinant for achieving Health Equity  A diverse workforce could help remedy the poor quality of healthcare that minorities receive  A more diverse nursing workforce will help lead to better communication, interaction and treatment for patients of all backgrounds (IOM, 2004)  “ The lack of minority health professionals is compounding the nation’s persistent racial and ethnic health disparities” (Sullivan Commission, 2004) Diversity is innovation.

Employee-led Business Resource Groups Promoting Respect, Outreach, Understanding & Dignity Diversity is innovation.

Health Professions Scholars Program  Partnership with New Brunswick Health Sciences Technology High School for 15 years.  Provide internships for all students 9-12.  Program Participants have pursued Allied Healthcare Career education or are employed as Allied Healthcare Professionals.  2 med school  3 occupational/Physical therapy school  6 Pharmacy school — two currently employed as pharmacists  1 in physician assistant school  5 pre-med  3 healthcare administration track  1 registered dietician  40 Students currently employed at RWJ. Diversity is innovation.

AHA Institute for Diversity Administrative Internships Andrea Peine-Ardila, MHA Manager of Operations RWJUH Foundation Stephen K. Jones, RWJ President & CEO Co-Chair of SALUD BRG 2014 IFD Administrative Interns IFD Intern 2013 Diversity is innovation.

Undergraduate Administrative Internships Diversity is innovation.

Pathways to Professional Nursing RWJUH and Rutgers University School of Nursing partner to build a diverse nursing pipeline. Program Components:  personal academic advisement  academic tutoring, tuition grants  book stipends and childcare  stipends to reach their goals to enter nursing school. Diversity is innovation.

Equity Of Care Focus: INCREASE THE COLLECTION AND USE OF RACE, ETHNICITY AND LANGUAGE PREFERENCE DATA Diversity is innovation.

89 percent of hospitals report collecting race and ethnicity data, and 79 percent report collecting data on primary language (AHA, 2008). Diversity is innovation.

U.S. Hospital Utilization of REaL Data Regenstein and Sickler, 2006 Diversity is innovation.