Governor’s Interagency Council on Health

Disparities

Christy Hoff and Sierra RotakhinaState Board of Health

August 12,2015

Council Overview

Past Priorities and Recommendations

Current Priorities◦ Promoting Equity in State Policies and Programs◦ Adverse Birth Outcomes

State Partnership Grant

Presentation Overview

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Established in 2006

Interagency in structure – 17 members

Advisory in nature

Develops recommendations to eliminate health disparities by race/ethnicity and gender

Health Disparities Council

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Council Overview

Convenes advisory committees to develop recommendations

Promotes health equity across state government

Facilitates communication and collaboration to reduce disparities

Partners with the State Board of Health on Health Impact Reviews

Health Disparities Council

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Council Overview

Council MembershipChair – Represents the Governor

Consumer Representatives (2) – Appointed by the Governor

Commission on African American Affairs

Commission on Asian Pacific American Affairs

Commission on Hispanic Affairs

American Indian Health Commission

Department of Agriculture

Department of Commerce

Department of Early Learning

Department of Ecology

Department of Health

Department of Social and Health Services

Health Care Authority

Office of Superintendent of Public Instruction

Washington State Board of Health

Workforce Training and Education Coordinating Board

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Council Overview

EducationHealthcare Workforce Diversity

Health Insurance Coverage

Obesity Diabetes Environmental Exposures

Behavioral Health Poverty Language

Access

Past Priorities

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Equity in State Policies & Programs

Adverse Birth Outcomes

Current Priorities

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Equity in State Government

TIMELINE

STAKEHOLDERS

RESEARCH

Promoting Equity in Policies & Programs

Equity Promoting Language

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Promoting Equity in Policies & Programs

Document Content

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Sample Language

Frameworks and Strategies

Promoting Equity in Policies & Programs

EQUITYEquity Work

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Promoting Equity in Policies & Programs

Purpose: To create proposed recommendations to eliminate disparities in adverse birth outcomes

6 meetings

15 members & additional contributors

Adverse Birth Outcomes Committee

Adverse Birth Outcomes

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Discussions

Data, Data, Data

Briefings on Current Activities

Reviewed Literature Findings

Committee Deliberations

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Prioritization

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Adverse Birth Outcomes

DOH should conduct a preliminary analysis to identify local communities at high risk.

The Legislature should provide funding to support local communities.

Support should include funding for project implementation, technical assistance, and evaluation.

Support should be prioritized for innovative, culturally-connected projects led by community-based organizations that are trusted among those they serve.

Rec 1: Support Community

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Adverse Birth Outcomes

The Legislature should increase funding for the First Steps program in order to:

Increase the number of allowable MSS units

Allocate additional units for the postpartum period

Enhance reimbursement for childbirth education

Reinstate additional payments to address performance measures

HCA should seek input from MSS providers, community groups, and maternal and infant health experts in determining the number of units and reimbursement rate.

Rec 2: Enhance First Steps

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Adverse Birth Outcomes

The Council should create a list of cultural competency trainings and equity impact tools.

State agencies should require employees receive training and incorporate the use of equity tools in decision making.

The Legislature should provide funding to increase capacity for health impact reviews.

Rec 3: Equity in State Gov’t

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Adverse Birth Outcomes

More Committee Meetings

Additional Recommendations

Council Consideration

December 2015 Report

Current Work

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Adverse Birth Outcomes

07-13: Community Outreach

13-15: CLAS Standards

State Partnership Grant

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