Ending Health Disparities: Health, Environmental, and Social Justice in the Caribbean and Beyond

1. Ending Health Disparities: Health, Environmental, and Social Justice in the Caribbean and Beyond Panel discussion on Health and Social Justice from the Hospital Perspective Christine deJongh-Lewis, MPH, DHA Candidate Associate Administrator of Operations Schneider Regional Medical Center cdlewis@srmedicalcenter.org

2. Schneider Regional Medical Center • Safety net provider • St. Thomas – St. John District • Territorial Health System • Three facilities: • Roy Lester Schneider Hospital • Charlotte Kimelman Cancer Institute • Myrah Keating Smith Community Health Center

3. Focus of Care • Mission – To provide comprehensive, quality healthcare to the residents and visitors of the VI in order to improve health and wellness. • Vision – To be the health care provider of choice to the residents of the VI and the Caribbean.

4. Social JusticeHealth Disparities

5. Social Justice, Health Disparities & SRMC • We care for all, regardless of ability to pay • Critically ill patients • Chronically ill patients • Maternal / child health care patients • We train care providers • Nursing students • Clinical & experiential learning • Brain drain considerations

6. Issues Impacting Social Justice in VI Healthcare • Budget reductions • Reimbursement reductions • Increased fixed costs • Increased staffing costs • Impact in scope of services • Impact to care and treatment • Social inequity in healthcare

7. Stakeholder Support • Organizational opportunities exist • Financial support required • Collaboration required • Innovative solutions required

8. Commitment to Equity • Board • Leadership • Front line staff • Committed to the continued provision of care and treatment to all • Committed to improvement

9. Panel Discussion