Transformational Medicine:A Health System

with Equity for All

Carmen R. Green, M.D.Associate Vice President and Associate Dean

for Health Equity and Inclusion

Professor of Anesthesiology, Obstetrics and Gynecology, and Health Management and Policy

U.S. Census Projections (millions)

Our Patients

Source: U.S. Census Bureau, 2004, “U.S. Interim Projections by Age, Sex, Race and Hispanic Origin,” <http://wwww.census.gov/ipc/www/usinterimproj/> Released March 18, 2004

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Our Patients

Source: U.S. Census Bureau, 2004, “U.S. Interim Projections by Age, Sex, Race and Hispanic Origin, <http://wwww.census.gov/ipc/www/usinterimproj/> Released March 18, 2004

Institute of Medicine

It’s more than a good idea … it’s the law!

UMHS Strategic Planningand 2020 Vision

• The national will look to UMHS for successfully addressing health care costs and inequities

• The educational experience offered will be unparalleled and sought after by the brightest scientists

• Develop policy and culture to ensure diversity, inclusion, and health equity as core values

UMHS Strategic Planningand 2020 Vision (continued)

• Promote diversity, cultural competency, and satisfaction among faculty, staff and learners

• UMHS must proactively ensure recruitment of a diverse community of faculty, staff, students, trainees, and leaders

• UMHS must create a culture and climate that promotes inclusion

• UMHS health equity and inclusion goals intersect with all goals and are consistent with excellence

What is Needed?Where are the Gaps?

Our head, heart, and hands are neededto leverage our competitive advantage

Leaders and Best

Quality Health Equity Excellence

UMHS Health Equity and Inclusion Vision: Excellence!

UMHS is a national exemplar for:•Creating a diverse, equitable, and inclusive environment by promoting equitable advancement, retention, graduation, and opportunities for all

•Patient and population centered and culturally sensitive care

UMHS Health Equity and Inclusion Vision: Excellence!

(continued)

• Inter-professional education and scholarship focusing on diversity, inclusion, and health equity in the health sciences, clinical, management, and policy arenas

• Being the provider, educator, and employer of choice

Five Over-riding Goals

1. To provide the highest quality patient and population centered care in a culturally sensitive manner

2. To recruit, educate, train, employ, and retain the best, brightest, and most diverse workforce to lead and participate in our programs

3. To ensure career development and advancement opportunities are transparent and available to all

Five Over-riding Goals(continued)

4. To be accountable for outcomes by translating knowledge into practice, disseminating best practices and new knowledge broadly, and driving policy

5. To be an exemplar for a learning health care system by national leadership in scholarship focusing on diversity, inclusion, and health equity

To Ensure Health Equity, we must:

• Develop new fields of inquiry relevant to large and growing populations

• Develop a diverse, equitable, and inclusive environment

• Promote excellence in relevant clinical care, education, research, and public service missions

• Create a roadmap and a culture that values transparency and quality while promoting access and success for all

• Promote healthy and diverse communities

Framework for Institutional Progress Toward Diversity,

Inclusion, & Health Equity at UMHS

Faculty, staff trainees, and

alums

UMHS Leadership EVPMA, Dean

and CEO Leadership AVP & AD

Institutional policies, culture,

practice, and mission alignment

(including department and program level) Short Term

< 3 Years Long Term 7-10 years

Patients and family

Monitor outcomes

Intermediate 3-7 years

Disseminate and translate

UMHS identified as the leader and best

Identify community

concerns, culture, and values

Agree on guiding

principles

Develop and implement

interventions, metrics, and measures

Environmental survey of all

programs