Exploring Diversity, Equity,
Inclusion, and Health
Equity Commitments and
Approaches by Health
Organization C-Suites

_____

Joe Alper, Ronique Taffe, and
Rose Marie Martinez, Rapporteurs

Roundtable on the Promotion of
Health Equity

Board on Population Health and
Public Health Practice

Health and Medicine Division

Proceedings of a Workshop

NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and Aetna/CVS, American Medical Association, Blue Shield of California Foundation, Department of Veterans Affairs, Kresge Foundation, Merck, Takeda, and The California Endowment. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-71504-1
International Standard Book Number-10: 0-309-71504-0
Digital Object Identifier: https://doi.org/10.17226/27458

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2024. Exploring diversity, equity, inclusion, and health equity commitments and approaches by health organization C-suites: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/27458.

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PLANNING COMMITTEE FOR A WORKSHOP ON EXPLORING DIVERSITY, EQUITY, INCLUSION, AND HEALTH EQUITY COMMITMENTS AND APPROACHES BY HEALTH ORGANIZATION C-SUITES

WINSTON F. WONG (Chair), Scholar-in-Residence, UCLA Kaiser Permanente Center for Health Equity

YVETTE CALDERON, Dean and Vice President for Equity in Clinical Care and Professor of Emergency Medicine, Icahn School of Medicine at Mount Sinai and Mount Sinai Health System

MARIO R. DE LA ROSA, Distinguished and Endowed Health Equity University Professor, Professor of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University

ANA JACKSON, Chief Evaluation and Data Strategy Director, Blue Shield of California Foundation

SARAH J. JAVIER, Core Investigator, Center for Innovation to Implementation (Ci2i), VA Palo Alto Healthcare System and Stanford University School of Medicine, Stanford, CA

K. ALETHA MAYBANK, Chief Health Equity Officer and Senior Vice President, American Medical Association

REGINALD D. TUCKER-SEELEY, Vice President of Health Equity, ZERO Prostate Cancer

Staff

RONIQUE TAFFE, Program Officer

ROSE MARIE MARTINEZ, Senior Board Director

Y. CRYSTI PARK, Program Coordinator

Consultant

JOE ALPER, Writer

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ROUNDTABLE ON THE PROMOTION OF HEALTH EQUITY¹

WINSTON F. WONG (Chair), Scholar-in-Residence, UCLA Kaiser Permanente Center for Health Equity, Los Angeles, CA

YVETTE CALDERON, Dean and Vice President for Equity in Clinical Care and Professor of Emergency Medicine, Icahn School of Medicine at Mount Sinai and Mount Sinai Health System, New York, NY

BRUCE (NED) CALONGE, Associate Dean for Public Health Practice, Associate Professor of Epidemiology, Colorado School of Public Health, and Associate Professor of Family Medicine, University of Colorado, Aurora, CO

CARLA CARTWRIGHT, Senior Director, Global Digital and Regulatory Policy, Johnson & Johnson, Washington, DC

LUTHER T. CLARK, Deputy Chief Patient Officer, Global Director, Scientific, Medical and Patient Perspective, Office of the Chief Patient Officer, Merck & Co., Inc., Rahway, NJ

MARIO R. DE LA ROSA, Distinguished and Endowed Health Equity University Professor, Professor of Social Work, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL

ANA JACKSON, Chief Evaluation and Data Strategy Director, Blue Shield of California Foundation, Oakland, CA

SHREYA KANGOVI, Executive Director, Penn Center for Community Health Workers, University of Pennsylvania, Philadelphia, PA

K. ALETHA MAYBANK, Chief Health Equity Officer and Senior Vice President, American Medical Association, Chicago, IL

ERNEST MOY, Executive Director, Office of Health Equity, U.S. Department of Veterans Affairs, Washington, DC

CHRIS REDDICK, Vice President, Head of U.S. Health Equity, U.S. Public Affairs, Takeda Pharmaceuticals Company Limited, Washington, DC

MELISSA A. SIMON, Vice Chair of Clinical Research, Department of Obstetrics and Gynecology, George H. Gardner Professor of Clinical Gynecology, Professor of Obstetrics and Gynecology, Preventive Medicine and Medical Social Sciences, and Director, Chicago Cancer Health Equity Collaborative, Northwestern University, Feinberg School of Medicine, Chicago, IL

TESHIA G. ARAMBULA SOLOMON, Associate Professor/Distinguished Outreach Faculty, University of Arizona, Tucson, AZ

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¹ The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.

REGINALD D. TUCKER-SEELEY, Vice President of Health Equity, ZERO Prostate Cancer, Los Angeles, CA

Veterans Health Administration Health Equity Roundtable Fellows

ALICIA J. COHEN, Core Investigator, Center of Innovation in Long Term Services & Supports, VA Providence Healthcare System; Assistant Professor of Family Medicine, Alpert Medical School of Brown University; Assistant Professor of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI

SARAH J. JAVIER, Core Investigator, Center for Innovation to Implementation (Ci2i), VA Palo Alto Healthcare System (152-MPD), Menlo Park, CA, and Stanford University School of Medicine, Stanford, CA

Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by ELAINE E. BATCHLOR, Martin Luther King, Jr. Community Hospital. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.

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Contents

ACRONYMS AND ABBREVIATIONS

1 INTRODUCTION

2 THE HISTORY, EVOLUTION, AND IMPACT OF DIVERSITY, EQUITY, AND INCLUSION AND HEALTH EQUITY IN HEALTH ORGANIZATIONS AND SYSTEMS, PUBLIC HEALTH, AND GOVERNMENT

The Evolution of Equity in Health Care: Unequal Treatment at 20

Building Power for Racial and Health Equity in California

Discussion

3 DIVERSITY, EQUITY, AND INCLUSION AND HEALTH EQUITY COMMITMENTS AT THE C-SUITE AND INSTITUTIONAL LEVEL

Health Equity Efforts at Three Health Care Organizations

Discussion

4 DIVERSITY, EQUITY, AND INCLUSION AND HEALTH EQUITY IMPLEMENTATION AND MEASURING SUCCESS AT THE C-SUITE AND INSTITUTIONAL LEVEL

The Equity Officers National Study: An Early Look at What Equity Officers Are Doing to Address Health Care Equity in U.S. Hospitals

The Institute for Healthcare Improvement’s Health Equity Leadership Framework

Experiences from the Field

5 WORKING TOWARD CHANGE IN COMMUNITIES

Moving into the Community to Advance and Accelerate DEI and Justice

Moving to a Next-Generation Health Plan

Standing Up and Speaking Out to Support DEI and Health Equity

Indigenous Engagement with DEI

Discussion

Closing Remarks

REFERENCES

APPENDIXES

A WORKSHOP AGENDA

B BIOGRAPHICAL SKETCHES OF THE SPEAKERS

Acronyms and Abbreviations

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