As healthcare organizations work to address structural and community inequities

 

‘RAISING THE BAR’ FRAMEWORK HELPS HEALTHCARE ORGANIZATIONS IMPROVE EQUITY AND WELL-BEING

 

A comprehensive, vetted approach helps healthcare orgs coordinate equity strategy

 

Princeton, NJ—Bold recommendations developed by experts from many sectors provide comprehensive, actionable framework for healthcare organizations to advance equity in care delivery.

 

Convened by the Robert Wood Johnson Foundation to identify how healthcare can approach their oft-stated goal to increase equity, Raising the Bar crafted specific principles, roles and actions that healthcare organizations can use to begin, or advance, their health equity work. Advisors led by the National Alliance to impact the Social Determinants of Health (NASDOH) crafted a framework outlining the wide-reaching and essential roles healthcare providers, payers and institutions must play in improving equity and well-being within their own organizations and the communities they serve.

 

“Healthcare leaders have made a significant shift in how they view the importance of equity, but operationalizing the commitment requires a very bold and comprehensive approach. Ultimately, it requires taking actions to improve the community, patient care, workforce policy and other areas,” said Donald Schwarz, MD, MPH, MBA, senior vice president at the Robert Wood Johnson Foundation. “Achieving equity in healthcare is multi-pronged and must ultimately be integrated throughout all operations. This new framework outlines how healthcare can approach its work differently to achieve much-needed change.”

 

Raising the Bar’s core principles apply to everyone who pays for or delivers care and represent the aspirations of individuals, families and communities as they engage with the healthcare system. The five overarching principles for healthcare to raise the bar include:

  • MISSION— Commit to a mission of improving health and wellbeing.
  • EQUITY— Systematically pursue health equity and racial justice.
  • COMMUNITY— Authentically partner with community.
  • POWER— Share resources, voice and power.
  • TRUST— Earn and sustain trusting relationships.

 

In addition to the principles, Raising the Bar defines four roles healthcare organizations play that must be leveraged for sector leaders to deliver on the promise of equity: provider, employer, partner and advocate.

 

The report details many associated actions for each role, as well as case examples of healthcare organizations leading transformation by putting the principles into practice. The report also provides resources for those looking to start or accelerate work.

 

Specific case examples include:

  • Intermountain Healthcare in Utah designated more than $50 million to address housing instability and financial wellness of low-moderate income communities since 2020.
  • The Cleveland Clinic reached out to local faith leaders in their efforts to engage people of color in their health research initiatives. The partnership generated trust in the community and increased the diversity of their research pool.
  • CareSouth Carolina, a federally qualitied health center, collects social determinants of health data, enabling providers to identify and address such health-related issues such as food insecurity, housing needs, transportation barriers and access.

 

“Long-standing structural and systemic challenges within healthcare are well-known, but the pandemic underscored the imperative to confront root causes of health inequities,” said Karen DeSalvo, MD, Raising the Bar Stewardship Council co-convener, co-founder NASDOH. “Raising the Bar solicited input from all sectors and everyone who shares concerns about the current healthcare system, and they all see the need for bold action, but direction on concrete steps to take has been lacking. Now there is a clear framework to guide the work.”

 

Raising the Bar’s recommendations were developed through an intentionally and deeply co-creative process grounded in the realities and opportunities identified by healthcare leaders, as well as the perspectives of people with lived experience of inequities. The Raising the Bar principles coalition included experts from the Funders Forum on Accountable Health, Health Care Transformation Task Force, National Association of Community Health Centers, the National Partnership for Women & Families, RESOLVE, Social Intervention Research & Evaluation Network, Trust for America’s Health and Well-Being and Equity (WE) in the World.

 

In coming months, the National Partnership for Women & Families, working with the Alliance of Community Health Plans, National Birth Equity Collaborative and Health Care Transformation Task Force, will release a detailed use case of how the principles, roles and actions can be applied in practice, using the urgent issue of improving maternal and infant health, especially among Black and Brown populations.

 

Learn more at RTBhealthcare.org.

 

 

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About the Robert Wood Johnson Foundation

The Robert Wood Johnson Foundation (RWJF) is committed to improving health and health equity in the United States. In partnership with others, we are working to develop a Culture of Health rooted in equity, that provides every individual with a fair and just opportunity to thrive, no matter who they are, where they live, or how much they have. For more information, visit www.rwjf.org. Follow the Foundation on Twitter at www.rwjf.org/twitter or on Facebook at www.rwjf.org/facebook.

 

About the National Alliance to impact the Social Determinants of Health

The National Alliance to impact the Social Determinants of Health (NASDOH) seeks to make a material improvement in the health of individuals and communities and, through multi-sector partnerships within the national system of health, advance holistic, value-based, person-centered health care that can successfully impact the social determinants of health.

 

About the National Partnership for Women & Families

The National Partnership for Women & Families is a nonprofit, nonpartisan advocacy group dedicated to promoting fairness in the workplace, reproductive health and rights, access to quality, affordable health care, and policies that help all people meet the dual demands of work and family.

 

 

 

 

Additional Quotes:

 

 

Raising the Bar’s comprehensive and vetted recommendations on practices and behaviors that build trust are incredibly valuable as we strive to promote and build trust in the healthcare system.”

Richard J. Baron, MD, MACP, president and CEO—American Board of Internal Medicine and the ABIM Foundation

 

“The healthcare system and all those who participate in it—from hospitals to clinicians to patients—need those who pay for healthcare to achieve their health equity goals, making accessing and receiving care more equitable. Raising the Bar offers a practical framework needed to accomplish this, which is exciting and something we should all commit to doing.”

Bruce Broussard, president and CEO—Humana Inc.

 

“Everything we do is driven by conversations with partners in the community. These principles and actions were co-created with representatives from many different backgrounds and will help address health inequities.”

Renee Cammarata Hamilton, MSW, MPA director, Health Improvement Team, & clinical instructor—Cambridge Health Alliance

 

“Adopting the Raising the Bar framework and committing to the concrete action outlined provides healthcare a path forward. We urge healthcare leaders to join this important effort to improve health and well-being for people and communities and truly raise the bar for equity and excellence.”

Karen DeSalvo, MD, Raising the Bar Stewardship Council co-convener, co-founder—National Alliance to impact the Social Determinants of Health

 

“We can support a brighter future for birthing people and their babies by committing to transformative change. Healthcare institutions can take a giant step toward reducing maternal health inequities by enacting Raising the Bar’s recommendations.”

Jocelyn Frye, president—National Partnership for Women & Families

 

Raising the Bar provides a strategic and practical framework to help healthcare stakeholders to deploy the resources and power necessary to improve health equity in the U.S.”

Rick Gilfillan, MD, independent consultant and former CEO—Trinity Health

 

“The health center movement, rooted in equity, community, and delivering comprehensive care to all, provided inspiration for Raising the Bar. This framework gives us all an opportunity to reflect and take bold steps forward in making our aspirations for the healthcare system, and the communities we serve, a reality.”

Rachel A. Gonzales-Hanson, interim president and CEO—National Association of Community Health Centers

 

“The Raising the Bar framework is an excellent resource to help healthcare systems, public health and community organizations work together to advance health equity and foster optimal health in every community.”

  1. Nadine Gracia, MD, MSCE, president and CEO—Trust for America’s Health

 

 

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