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Office of Health Equity - PPT Presentation

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

gov health dashboard equity health gov equity dashboard hepatitis ohe disparities vaww liver vha research http advanced hsrd disease video cfm www

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Slide1

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….

2Slide3

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.

3Slide4

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

5Slide6

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.

7Slide8

Hepatitis C–Advanced Liver Disease

Disparities DashboardDashboard Screen shots National DataSlide9

Dashboard Screen - Example

9Slide10

Hepatitis C-Advanced Liver Disease Dashboard

10Slide11

Hepatitis C-Advanced Liver Disease Dashboard

11Slide12

Hepatitis C-Advanced Liver Disease Dashboard

12Slide13

Hepatitis C-Advanced Liver Disease Dashboard

13Slide14

Hepatitis C-Advanced Liver Disease Dashboard

14Slide15

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

15Slide16

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.

16Slide17

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

17Slide18

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

18Slide19

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

19Slide20

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

20Slide21

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

21Slide22

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

/

22Slide23

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

23Slide24

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

24Slide25

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

25Slide26

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!

26