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Collection of Race, Ethnicity, and Language Preference Data in a Complex Healthcare Organization

Collection of Race, Ethnicity, and Language Preference Data in a Complex Healthcare Organization. Brian Currie, MD, MPH Montefiore Medical Center Bronx, NY. Goals: Focus on the “nuts and bolts” of improving the collection of race, ethnicity, and preferred language data

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Collection of Race, Ethnicity, and Language Preference Data in a Complex Healthcare Organization

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  1. Collection of Race, Ethnicity, and Language Preference Data in a Complex Healthcare Organization Brian Currie, MD, MPH Montefiore Medical Center Bronx, NY

  2. Goals: Focus on the “nuts and bolts” of improving the collection of race, ethnicity, and preferred language data Identify and address potential obstacles in implementing initiatives to capture better data gleaned from the Montefiore experience Begin to outline the institutional “cultural” change that resulted from access to accurate and actionable race, ethnicity, and preferred language data This information is provided under Section 2805-m of the New York State Public Health Law

  3. The Montefiore Delivery System • Acute Care: 100,000 discharges / 260,000 ED visits • Ambulatory and Home Care: 2.5 million visits / 500,000 home care visits This information is provided under Section 2805-m of the New York State Public Health Law

  4. The Bronx, New York

  5. Robert Wood Johnson Foundation Expecting Success: Excellence in Cardiac Care National Program Objectives • Improve cardiovascular (acute myocardial infarction and congestive heart failure) care for African Americans and Latinos • Develop improvement strategies and models for inpatient and outpatient settings • Share lessons with health care providers and policymakers nationwide A QI Collaborative www.expectingsuccess.org This information is provided under Section 2805-m of the New York State Public Health Law

  6. The Montefiore Project

  7. SOUTH BRONX CHILDRENS HEALTH MEDICAL ARTS PAVILION EDI to Outside Entities HARTSDALE BAINBRIDGE NURSING HOME CASTLE HILL LARCHMONT WEST FARMS World Wide Web CO-OP CITY WHITE PLAINS BURKE AVE MARAN PLACE AIDS MENTAL HEALTH NORWOOD 2005 JEROME BUHRE AVE CMO UNIVERSITY 3550 JEROME PARKCHESTER BARNES AVE ASTOR HENRY HUDSON PKWY MOSES DIVISION MAMARONECK CROSS COUNTY • Monte Net • >150 Registration Areas • >1500 Registrars WAKEFIELD WEILER DIVISION YONKERS DATA CENTER CHCC MARBLE HILL CFCC 4514 BAINBRIDGE ST. LAWRENCE JOHNSON AVE. WILLIAMSBRIDGE DOBBS FERRY HOSPITAL FORDHAM PLAZA LEGEND JEROME AVE FAMILY PRACTICE MONTEFIORE MEDICAL PARK SONET HIGH SPEED SERVICE MARBLE HILL FRAME RELAY 56K SERVICE BOSTON POST RD HARRISON FRAME RELAY T1 SERVICE KINGSBRIDGE 1982/1894 EASTCHESTER PROSPECT BULLARD AVE FORDHAM HEALTH CENTER MMC FIBER EXTENSION AGING IN AMERICA METHADONE WEST FORDHAM ROAD FAMILY HEALTH CENTER FORDHAM FAMILY The Registration Community This information is provided under Section 2805-m of the New York State Public Health Law

  8. Process Required fields Ethnicity first Patients self identify status Ethnicity Hispanic or Latino Not Hispanic or Latino Declined Patient unavailable Preferred language [Numerous] Declined Other Patient unavailable Race American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Multiracial: Asian/Black-African American Multiracial: Asian/White Multiracial: Black-African American/White Multiracial: Other combination Declined Patient unavailable Fields and Categories This information is provided under Section 2805-m of the New York State Public Health Law

  9. Management Registration Quality Unit Expertise Content: HRET, NPO Process Health information management Customer services EHIT Performance improvement Data use Optimal categories Recoding old data to new Interfaces Monitoring Workflow Field order Number of categories Specific issues “Other” Patient not present Patient refusal Hard vs. soft stops Different care settings Education Staff training Questions from patients and families Implementation Factors This information is provided under Section 2805-m of the New York State Public Health Law

  10. Registration Results This information is provided under Section 2805-m of the New York State Public Health Law

  11. All Recommended AMI and CHF Care This information is provided under Section 2805-m of the New York State Public Health Law

  12. AMI Care by Demographic Group Race Ethnicity Preferred Language This information is provided under Section 2805-m of the New York State Public Health Law

  13. Today Tomorrow? Analyzing OutcomesCardiovascular Disease This information is provided under Section 2805-m of the New York State Public Health Law

  14. Healthcare Management Implications

  15. Some Resources • Expecting Success: Excellence in Cardiac Care • http://www.expectingsuccess.org • Health Research and Educational Trust • http://www.hretdisparities.org • Massachusetts General Hospital Disparities Solutions Center • http://www2.massgeneral.org/disparitiessolutions This information is provided under Section 2805-m of the New York State Public Health Law

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