Collaborations for Health: Demonstrations designed to address Health Disparities

1. Collaborations for Health:Demonstrations designed to address Health Disparities Doriane C. Miller, MD Senior Director for Quality Health Research and Educational Trust The American Hospital Association

2. Collaborations for Health:Demonstrations designed to address Health Disparities • Review of governmental rationale and context • Publicly funded initiatives • Privately funded initiatives • Funding strategies

3. Collaborations for Health:Demonstrations designed to address Health Disparities: Context-HHS • Component of President Clinton’s Initiative on Race • Linked to Healthy People 2010 • Public private funding partnership • HHS sets agenda

4. Collaborations for Health:Demonstrations designed to address Health Disparities: HHS Priority Areas • Cancer screening and management • Cardiovascular disease • Child and adult immunizations • Diabetes • HIV infection/AIDS • Infant Mortality

5. National Priority Communicating a vision Multi-factorial causes Diversity of needs Information and communication Community driven changes Data gaps Strategic partnerships Stable and sufficient funding Collaborations for Health:Demonstrations designed to address Health Disparities: HHS-GIH Recommendations for Action

6. Collaborations for Health:Demonstrations designed to address Health Disparities: Context-Institute of Medicine (IOM) • 1999 Congressional request • Controlled for access/financial issues • Sources of disparities • Recommendations for interventions

7. Collaborations for Health:Demonstrations designed to address Health Disparities: IOM Recommendations • Systemic strategies • Cross-Cultural Education for Health Professionals • Needed research

8. Collaborations for Health:Demonstrations designed to address Health Disparities: Needed Research • Processes and Structure • Stereotyping and Bias/Clinical Decision-Making • Patient Level Influences of Care • Systems Level Influences of Care • Non-physician health professionals • Data lacking for non African-Americans • Effectiveness of intervention strategies • Contribution of healthcare to the health gap

9. Collaborations for Health:Demonstrations designed to address Health Disparities: Publicly Funded Initiatives • HHS Awards 11/02: $85 million, $10.5 for community and state initiatives • CDC: REACH 2010 • AHRQ: EXCEED • HRSA/BPHC: Health Disparities Collaboratives

10. Public education Insurance coverage Access and quality Nonprofit hospitals/community benefit Data Collection Minority health professions education Minorities in clinical trials Non-traditional partners Technical assistance Corporate partnership Collaborations for Health:Demonstrations designed to address Health Disparities: Private Funder Strategies

11. Collaborations for Health:Demonstrations designed to address Health Disparities: Privately Funded Initiatives • The Commonwealth Fund • W.K. Kellogg Foundation • Kaiser Family Foundation

12. Collaborations for Health:Demonstrations designed to address Health Disparities: Funding Partnerships • The Robert Wood Johnson Foundation’s Local Initiative Funding Partners

13. Collaborations for Health:Demonstrations designed to address Health Disparities: University/Community Linkage • Rochester Childcare Telehealth Access Network

14. Collaborations for Health:Demonstrations designed to address Health Disparities: Regional Funding Partners • New York Regional Association of Grantmakers (NYC) • Rochester Grantmakers Forum • Western New York Grantmakers Association (Buffalo) • Give Tompkins (Ithaca) • Grantmakers Alliance for Northeastern New York (Albany)

15. Collaborations for Health:Demonstrations designed to address Health Disparities: Conclusion • Alignment with Federal/State Initiatives • Funding Priorities of National and Local Philanthropies • Seek Regional Partners