Hepatitis CAdvanced Liver Disease Disparities Dashboard News Release VA Launches Hepatitis CAdvanced Liver Disease Disparities Dashboard Tool will enhance VA efforts to treat all Veterans with Hepatitis C and advanced liver ID: 748678
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Office of Health Equity
Hepatitis C–Advanced Liver Disease Disparities DashboardSlide2
News Release
VA Launches Hepatitis C–Advanced Liver Disease Disparities Dashboard
Tool will enhance VA efforts to treat all Veterans with Hepatitis C and advanced liver disease…Link here….
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Hepatitis C-Advanced Liver
Disparities Disease DashboardThe
purpose of the HCV-ALD Dashboard is promote equitable diagnosis and treatment of underserved Veterans with hepatitis C and advanced liver disease.
The
Hepatitis C-ALD Dashboard
utilizes a set of criteria - age, gender, geography, service era, race/ethnicity
- to characterize Veteran groups with ALD due to hepatitis C who may require targeted intervention to improve their health.
The
dashboard advances the vision for quality care and improved access to care as identified in the VHA Blueprint for Excellence.
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Office of Health Equity
VA Core Values:
Integrity+
C
ommitment+
A
dvocacy+
R
espect+Excellence =*I CARE* Slide5
Program Office Scope
Role of Program – Office of Health Equity (OHE)
OHE champions the advancement of health equity and reduction of health disparities through 5 key focal areas*:Leadership
Awareness
Health Outcomes
Diversity and Cultural Competency of the Workforce
Data,
Research, and Evaluation
Strategic AlignmentsVHA Strategic Plan Objective 1(e)—Quality & Equity: Veterans will receive timely, high quality, personalized, safe, effective and equitable health care, irrespective of geography, gender, race, age, culture or sexual orientationBlueprint for Excellence strategies 2.2a, 3.2a and 7.2b
*VHA Health Equity Action Plan
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Vulnerable
PopulationsRacial or Ethnic GroupGender
AgeGeographic LocationReligionSocio-Economic Status
Sexual
Orientation
Military
Era
Disability – Cognitive, Sensory, Physical
Other characteristics historically linked to discrimination or exclusion6Slide7
Applying an Equity Lens
The lens through which you view conditions, circumstances, and processes to understand who experiences the benefits and burdens of a program, policy, or practice.
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Hepatitis C–Advanced Liver Disease
Disparities DashboardDashboard Screen shots National DataSlide9
Dashboard Screen - Example
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Hepatitis C-Advanced Liver Disease Dashboard
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Hepatitis C-Advanced Liver Disease Dashboard
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Hepatitis C-Advanced Liver Disease Dashboard
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Hepatitis C-Advanced Liver Disease Dashboard
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Hepatitis C-Advanced Liver Disease Dashboard
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Dashboard Data
OHE H
epatitis C - Advance Liver Disease Dashboard depicts:VISNFacility
Overall/National
Facilities by VISN tables
The
data is
compared to FY14 VHA unique outpatient encounters to provide context as the demographics of the regions vary
No Personal Health Information (PHI) on the Dashboard
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Dashboard
–Disparities ExerciseThe predominance of Veterans at the VA who have
Hepatitis C and Advanced Liver Disease based on this data - refer Overall data on the Dashboard
=
Born
between 1945 and 1965 (
89.1%)
+ male
( 97.8%) + white ( 50.4%) + Urban(73.9%)BUT when you look at those percentages in comparison with the VA demographics as of FY 2014 (noted
as Unique FY14)
the top disparities are as follows:
Born
between 1945 and 1965 (
89.1 %
Vs
45.6%
=
43.5%
difference
)
= mostly Vietnam
Era
Veterans
Black
(
33.5%
Vs
14.7%
=
18.3%
difference
)
At the VISN and facilities with higher population of racial/ethnic minorities the relative differences and therefore disparities
may become
more pronounced
These numbers are not the same for every VISN/Facility which is why
OHE depicts the
other sections on the Dashboard. A similar exercise in each
section helps identify the differences and/
or
disparities.
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What’s next?
The OHE will provide patient specific data directly to facility POCs for any of the vulnerable
Veteran groups represented The OHE will work directly and collaborate with VA offices, programs , medical centers and other
stakeholders
to
address any identified disparities and refine the current
dashboard
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Related Collaboration in Progress
The Office of Health Equity-QUERI Partnered Evaluation Initiative,
Principal Investigator Donna L. Washington, MDA population health approach to examine the distribution of diagnosed health conditions, mortality, and healthcare quality across the entire VA healthcare system, as defined by Veterans’ membership, or not, in vulnerable population groups
E
valuate
whether characteristics of the healthcare delivery settings (e.g., geography, treatment setting) and of the types of care that individuals use, including new models of care such as Telehealth, influence the quality of care that Veterans
receive
The OHE plans to fund FY16
VISN- wide QI Project on Hepatitis C and liver disease led by the BRIDGE QUERI Partnership with other VA program offices to explore additional steps in tackling Hepatitis C disparities among vulnerable Veterans
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Collaboration
- OutreachOutreach efforts are underway–to those who work with vulnerable Veteran populations disparately impacted
If your organization works with vulnerable Veterans as defined by age, gender, geography, service era, race/ethnicity and is willing to support this project, please contact the VA Office of Health Equity: VHA 10A6ACTION@VA.GOV
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What can you do?
Learn the facts –Fact sheet & VHA siteshttp://vaww.hepatitis.va.gov/
Share the factsOutreach to increase engagement- ScreeningTreatment linkage
Support to achieve treatment completion
Empower to take action
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More Information…
Interactive Dashboard Available via VA intranethttps
://vaww.vha.vaco.portal.va.gov/sites/OHE/Pages/ALD-VISN%20Dashboard.aspxOffice of Health Equity (OHE)
Intranet
->
http://vaww.pdush.med.va.gov/programs/ohe/oheDefault.aspx
SharePoint
-> https://vaww.vha.vaco.portal.va.gov/sites/OHE/Pages/Default.aspx Internet –> Coming Soon To learn more about VA Health Equity Efforts -
Visit the Links on the Appendix Slides ->>NEXT
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Appendix 1
Health Equity Action Plan (HEAP)https://
vaww.vha.vaco.portal.va.gov/sites/OHE/Pages/HEAP.aspxhttp://www.hsrd.research.va.gov/news/video/heap.cfm ( Video)
Healthcare Equality Index (HEI
)
https://
vaww.vha.vaco.portal.va.gov/sites/OHE/CCC/SitePages/HEI.aspx
Hepatitis C – Advanced Liver Disparities Dashboard 2015https://vaww.vha.vaco.portal.va.gov/sites/OHE/Pages/ALD-VISN%20Dashboard.aspx
Health Equity Environmental Scan 2015https://
vaww.vha.vaco.portal.va.gov/sites/OHE/Pages/HEScan.aspx
VAntage
Blog
http
://www.blogs.va.gov/VAntage/23168/23168
/
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Appendix 2
American Journal of Public Health (AJPH) Supplemental Issue 2014
http://ajph.aphapublications.org/toc/ajph/104/S4https://vaww.vha.vaco.portal.va.gov/sites/OHE/Pages/VA_AJPH.aspx
AJPH
Veterans Health Equity Collection Page 2015
http://ajph.aphapublications.org/topic/vaheathequity
Health Equity Coalition
http://vaww.pdush.med.va.gov/programs/ohe/oheCoalition.aspx
Clinical Look at Unconscious Biases (CLUB) https://vaww.vha.vaco.portal.va.gov/sites/OHE/Pages/UB.aspx
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Appendix 3
Health Disparities Evidence-based Synthesis Reviews
Evidence Brief: Update on Prevalence of and Interventions to Reduce Racial and Ethnic Disparities within the VAhttp://www.hsrd.research.va.gov/publications/esp/HealthDisparities.cfmhttp
://vaww.hsrd.research.va.gov/publications/esp/HealthDisparities.cfm
Health Disparities in Quality Indicators of Healthcare Among Adults with Mental
Illness
http
://www.hsrd.research.va.gov/publications/esp/health_disparities.cfmhttp://www.ncbi.nlm.nih.gov/books/NBK299084/ Health Equity Presentation – Special Feature - National Rural Health Association Reilly Address 2015
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1748-0361
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Appendix 4
Health Equity
Cyberseminars – Internet & Intranet:Disparities in Healthcare Quality Indicators among Adults with Mental Illness: A systematic review:
http://
www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=965
http://
vaww.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=965
Partnership in Pursuit of Health Equity: Focus on Minority
Veteranshttp://www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=889http://vaww.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=889
ACA-Health
Equity/Disparities
Connection
http
://
www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=807
http://vaww.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=807
VHA
Office of Health Equity- What is it all
about?
http://www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=769
http
://
vaww.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=769
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Get involved!
The pursuit of Health Equity should be everyone’s business.It is a journey that takes time and sustained effort
.What can you do today in your area of influence to improve health equity?At a minimum - in all your actions - do not increase the disparity.
Thank you!
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