Equity is incorporated into all of the strategic organizational pillars. Targets and goals in place in strategic plan related to implementation of policies and strategies to reduce health inequity leadership to support reducing health inequities in the organization 3. Secured sustainable funding for programs and services that promote health equity Examples: Non-Insured Walk-In Clinic Financial Literacy Program Dental suites IHI White Paper- ”Secure Sustainable Funding Through New Payment Models” 4. Continuous advocacy and community capacity building (empowerment) around health equity Examples: Participate in planning /policy tables and advocate for reduction of health inequity Engaged in political and social change strategies Health Equity 2020 Toolkit – Continuous advocacy for health inequalities MAKE HEALTH EQUITY A STRATEGIC PRIORITY. Are there attributes that are missing in this domain? DEVELOP STRUCTURES AND PRACTICES TO SUPPORT 1. “Establish[ed] a Governance Committee to oversee and manage equity work across the organization” Examples: IHI White Paper (pg. 12)
5. “Dedicate[d] Resources in the Budget to Support Equity Work” Examples: Annual equity budget which is expected to be used to engage in health equity activities Robert Wood Johnson University Hospital has seven Business Resource Groups composed of staff across divisions. Each has an annual equity budget and is expected to use these funds to engage in health equity activities that impact the workforce, patients, and the community. IHI White Paper – (pg. 12) DEVELOP STRUCTURES AND PRACTICES TO SUPPORT HEALTH EQUITY WORK. Are there attributes that are missing in this domain? TAKE SPECIFIC ACTIONS TO ADDRESS THE MULTIPLE DETERMINANTS OF HEALTH ON THE ORGANIZATION CAN HAVE A DIRECT IMPACT 1. Routine collection and use of a disaggregated intersectional data analysis approach to identify factors that affect health equity as well as where disparities exist (i.e. linking demographic data to health outcomes) Examples: North Lambton CHC cancer screening project WHIWH Chronic disease management, HIV and Diabetes IHI White Paper – “Collect and analyze data to understand where disparities exist.” 2. “Tailor[ed] quality improvement efforts to meet the needs of marginalized populations.” Example: “Health services routinely designed and implemented to take account of different factors affecting social groups (e.g. vulnerable populations, those at risk of poverty, minorities/racialized groups)” IHI Paper (pg. 15) Health Equity 2020 Toolkit (pg. 12)
3. “Provide economic and development opportunities for staff at all levels.” Examples: Health care organizations should recruit, retain, and develop all staff, particularly front-line support staff, to help ensure meaningful contributions at all levels toward health equity. Competitive compensation, professional development opportunities IHI Paper (pg. 17) 4. “Procure supplies and services from women- and minority-owned businesses.” Examples: Businesses and suppliers who have certification from the Women’s Business Enterprise Canada, Canadian Aboriginal & Minority Supplier Council, etc. IHI White Paper (pg. 18) 5 TAKE SPECIFIC ACTIONS TO ADDRESS THE MULTIPLE DETERMINANTS OF HEALTH ON THE ORGANIZATION CAN HAVE A DIRECT IMPACT. Are there attributes that are missing in this domain? DECREASE ALL FORMS OF ORGANIZATIONAL DISCRIMINATION & OPPRESSION 1. Physical accessibility: buildings and design that are welcoming to all. Examples: Accessibility via public transportation Signs that convey clients are trusted and welcome, reflective of neighbourhood served (languages) Affordable parking Building itself easy to navigate, elevators, etc. Who is being served in newer facilities vs. older IHI Paper - Physical Space: Buildings and Design