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INSPIRING “HOPE” and Action Toward Achieving Racial and Health Equity in Our Lifetime Wednesday, March 31, 2021 10:00 AM – 11:30 AM CST HOPE Partners • Funded by Robert Wood Johnson Foundation • Lead Investigators: • Gail Christopher, DN, National Collaborative for Health Equity (PI) • Dennis Andrulis, PhD, MPH, Texas Health Institute (Co-PI) • Derek Chapman, PhD, VCU Center on Society & Health (Co-PI) • Founder: • Brian Smedley, PhD, American Psychological Association (Former PI) • National Advisory Committee: • Led by David Williams, PhD, MPH, Harvard T.H Chan School of Public Health Welcome Gail Christopher, DN, Executive Director National Collaborative for Health Equity Principal Investigator, HOPE Initiative National Collaborative for Health Equity Our Mission: The mission of the National Collaborative for Health Equity is to promote health equity by harnessing data, developing leaders, and catalyzing partnerships across the many different sectors that share responsibility for creating a more equitable and just society Three Pillars of Our Work Leadership for Health Equity Racial Healing & Racial Equity Research and DataDriven Policy, and Practices National Collaborative for Health Equity Culture of Health Leaders Culture of Health Leaders (COHL) is a leadership development opportunity for people working in fields as diverse as business, technology, architecture, education, urban farming, the arts and many others who want to use their influence to advance health and equity The HOPE Initiative HOPE provides a new opportunity approach and actionable data to help our nation and states move beyond measuring disparities to spurring action toward health equity Building the Capacity of Public Health to Advance Equity Building Public Health Capacity to Advance Equity explores governmental public health’s role in advancing health equity with racial equity as a major priority and community engagement as a central strategy Collaboratives for Health Equity Launched in 2006, Collaboratives for Health Equity (CHE) is a national initiative designed to empower leaders and communities to identify and address social, economic, and environmental conditions that shape health and life opportunities Healing through Policy: Creating Pathways to Racial Justice An initiative of the de Beaumont Foundation, the American Public Health Association, and the National Collaborative for Health Equity that is designed to provide local leaders with a pragmatic and achievable, yet aspirational and innovative set of policies and practices that align with priorities and can be implemented at the local level to promote racial healing and address social inequity Truth Racial Healing and Transformation (TRHT) Framework Keynote Brian Smedley, PhD Chief of Psychology in the Public Interest Acting Chief Diversity Officer American Psychological Association Health Opportunity and Equity: New Approaches to Measurement and Action Brian D Smedley, Ph.D American Psychological Association Residential Segregation is an example of a Social Policy that continues to have pervasive adverse effects on health How Can HOPE’s Data Inform Federal & State Action for Health Equity? HOPE provides a new way to frame & communicate equity priorities for bipartisan advocacy and policy change • Shifts the narrative from deficits and disparities • Focuses on building opportunities for all to thrive • Shows what’s possible for achieving equity in society HOPE demonstrates that states that invest in social & economic, community & safety, and health care factors yield better health outcomes What Does HOPE’s State Domain Score Ranking Tell Us? A state’s combined performance on: • Distance to Goal :: How far a state has to go to achieve HOPE goals • Racial Inequity :: How much variation there is across racial and ethnic groups Higher scores correspond with better performance in terms of outcomes and equity Source: 2020 Health Opportunity and Equity (HOPE) Initiative Data available at www.hopeinitiative.org #HOPEData HOPE identifies common and distinct challenges faced by racial and ethnic groups to inform policy solutions Equity Gaps State Examples from HOPE’s Data Levels of Action NARROW GAPS: all people faring generally well • Continued monitoring of equity impact + program enhancements • Health insurance coverage and access to care measures in Massachusetts and Hawaii Food security in New Jersey and Pennsylvania Food Security in New Jersey Source: 2020 Health Opportunity and Equity (HOPE) Initiative Data available at www.hopeinitiative.org #HOPEData HOPE identifies common and distinct challenges faced by racial and ethnic groups to inform policy solutions Equity Gaps State Examples from HOPE’s Data Levels of Action NARROW GAPS: all people faring generally well • Health insurance coverage and access to care measures in Massachusetts and Hawaii Food security in New Jersey and Pennsylvania Continued monitoring of equity impact + program enhancements NARROW GAPS: all people faring poorly • Health insurance coverage and access to care measures in Southern states, predominantly those without Medicaid expansion (e.g., Texas, Mississippi, Georgia, Alabama, and others) Need for broad, systemic policies and programs that benefit all people • Health Insurance Coverage in Texas by Race and Ethnicity Source: 2020 Health Opportunity and Equity (HOPE) Initiative Data available at www.hopeinitiative.org #HOPEData HOPE identifies common and distinct challenges faced by racial and ethnic groups to inform policy solutions Equity Gaps State Examples from HOPE’s Data Levels of Action NARROW GAPS: all people faring generally well • Health insurance coverage and access to care measures in Massachusetts and Hawaii Food security in New Jersey and Pennsylvania Continued monitoring of equity impact + program enhancements NARROW GAPS: all people faring poorly • Health insurance coverage and access to care measures in Southern states, predominantly those without Medicaid expansion (e.g., Texas, Mississippi, Georgia, Alabama, and others) Need for broad, systemic policies and programs that benefit all people WIDE GAPS: some people faring well, and some faring poorly • Homeownership can vary fold nationally between groups, with 81% of Whites in Delaware vs 10% of Blacks in North Dakota owning their own homes Livable income can vary fold nationally between groups, with 80% of Asians/PIs in New Jersey vs 22% of Native Americans in South Dakota having a livable income Living in low poverty concentration can vary fold between groups, with 98% of Whites in Alaska vs 25% of Native Americans in Mississippi living in low poverty concentration Broad, systemic policies • • • + Tailored, populationspecific programs according to needs Low Birth Weight in Mississippi by Race and Ethnicity Source: 2020 Health Opportunity and Equity (HOPE) Initiative Data available at www.hopeinitiative.org #HOPEData HOPE provides a framework to help set a data-informed path to equity and accountability • Identify racial and health equity gaps • Set evidence-informed equity goals (i.e., HOPE Goals) • Measure distance to go for achieving equity • Chart a path for equity action building on “bright spots” Drive Equity Action Identify Equity Gaps Measure Distance to Goals Set Equity Goals HOPE helps chart a path for “building back” more equitably as we emerge from the pandemic HOPE data point to an inextricable link between COVID19 and the broader opportunity to thrive —suggesting that immediate and long-term community response and recovery will require more than a robust medical system It will require engaging and investing in disenfranchised communities, enacting policies that reverse historical injustices, and building systems that provide everyone a fair and just opportunity to thrive in the places where they live, learn, work, and play - Siddiqui NJ, Andrulis DP, Chapman DA, Wilson K, Jacob B, Christopher GC, and Croal NW, Health Affairs Blog, June 24, 2020 Source: https://www.healthaffairs.org/do/10.1377/hb log20200624.928351/full/ Q&A HOPE Team National Collaborative for Health Equity • • • Gail C Christopher, DN, Principal Investigator Naima Wong Croal, PhD, MPH, Consulting Director Michael Frisby, Communications Consultant Texas Health Institute • • • • • Dennis P Andrulis, PhD, Co-Principal Investigator Nadia Siddiqui, MPH, Data Director Kim Wilson, DrPH, Lead Data Consultant Afrida Faria, MPH, Data Analyst Kimberly Cooper, Health Equity Intern VCU Center on Society and Health • • • Derek A Chapman, PhD, Co-Principal Investigator Sarah Blackburn, MS, Communications Latoya Hill, MPH, Data Analyst Special Acknowledgments • • • • • • Brian Smedley, PhD, American Psychological Association Steven Woolf, MD, MPH, Virginia Commonwealth University Tracy Orleans, PhD, Robert Wood Johnson Foundation (retired) Dwayne Proctor, PhD, Robert Wood Johnson Foundation Elaine Arkin, special adviser to Robert Wood Johnson Foundation Maryam Khojasteh, PhD, Robert Wood Johnson Foundation THI Convenings Team • • • Stephanie Ondrias, Chief of Convenings & Education Katie Bradley, MPH, Convenings & Education Coordinator Meghan Cocking, MSSW, Communications Coordinator HOPE National Advisory Committee David R Williams, PhD, MPH Harvard University, Committee Chair Tom Eckstein, MBA Arundel Metrics Dolores Acevedo Garcia, PhD, MPA-URP Brandeis University Ed Ehlinger, MD, MSPH HHS Secretary’s Advisory Committee on Infant Mortality Jeanne Ayers, MPH Wisconsin Department of Health (formerly) Glenn Flores, MD Connecticut Children’s Medical Center Rajiv Bhatia, MD, MPH US Department of Veterans Affairs Marjory Givens, PhD University of Wisconsin, Population Health Institute Paula Braveman, MD, MPH University of California - San Francisco Doug Jutte, MD, PhD University of California - Berkeley & Build Healthy Places Network Renee Canady, PhD, MPA Michigan Public Health Institute Ernest Moy, MD, MPH CDC, National Center for Health Statistics Janet Corrigan, PhD, MBA Consultant Ana Penman-Aguilar, PhD, MPH CDC, Office of Minority Health and Health Equity Rachel Davis, MSW Prevention Institute Malia Villegas, EdD Afognak Native Corporation Stay in touch with Us Nadia Siddiqui, MPH Chief Health Equity Officer Texas Health Institute nsiddiqui@texashealthinstitute.org @TXHealthInst www.texashealthinstitute.org