- Why are you passionate about this type of work?
Disparities in health and health care not only affect the groups facing disparities, but also limit the Triple Aim. Health disparities can prevent overall improvements in quality of care and health for the broader population, result in unnecessary costs and prevent access. As an organization such as Nemours takes on risk and transitions to value based care, we need to understand how health disparities can be major barriers to achieving value.
- What was your “aha” moment while working on equity-related efforts at your organization?
My “aha” moment was realizing that select risk factor domains such as communications/language barriers can cause readmission disparities. As Nemours focuses on reducing readmissions, we need to dig a level deeper to understand health disparities of our patients so we do not inadvertently contribute to readmissions. Once we look into these risk factor domains like communications/language barriers, we can then create countermeasures. In this example, one countermeasure could be in-house translation services for discharge instructions/teach-back with interpreter present.
- What part of the Disparities Leadership Program has been the most useful in moving your work forward?
The Disparities Leadership Program (DLP) has been most useful in coalescing ideas and people together since many of our organizations are undergoing the same processes and strive for the same goals and outcomes. I have personally learned so much from leveraging others from different organizations (e.g., payors) as sounding boards and best practices. The DLP network is always open to sharing knowledge, tools, frameworks, lessons learned and more. We enable each other’s success.
- What is one piece of advice you would give anyone working on disparities/equity related efforts?
It is hard work ahead; be patient and persevere. Nemours is just starting on this journey and we know there will be hard work to come. The point is that we can make a change in addressing health disparities, one patient at a time.