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The Health Disparities Podcast is the world’s leading health equity discussion forum and is a program of Movement is Life. This podcast features thought leaders in the world of equitable health, and highlights health disparities, social determinants of health and community-led solutions.
The Health Disparities Podcast is the world’s leading health equity discussion forum and is a program of Movement is Life. This podcast features thought leaders in the world of equitable health, and highlights health disparities, social determinants of health and community-led solutions.
The underlying causes of health disparities are many, and sometimes healthcare providers can exacerbate disparities with how they operate. Health equity researchers have conducted "secret shopper" studies , revealing how healthcare providers limit appointments — and even treatment recommendations — to people with certain types of insurance. “Patients with Medicaid were significantly less likely to be offered appointments compared to those with Medicare or private insurance, and in many cases, clinics told us they weren't accepting any new Medicaid patients or that they didn't take Medicaid at all,” says Dr. Daniel Wiznia , Associate Professor of Orthopaedics & Rehabilitation at Yale and a former member of Movement Is Life’s Steering Committee. “But when we would call back with private insurance, suddenly they have plenty of appointments available for the private insurance patients,” he says. Wiznia and his colleagues also found that even when Medicaid patients were offered appointments, wait times were often much longer — delays which can have serious consequences. “So if a Medicaid patient has to wait six weeks or eight weeks for an appointment, while a private patient just waits maybe a week, that can really impact outcomes, especially for patients with chronic conditions or urgent needs,” he says. Wiznia joined Movement Is Life’s Dr. Mary O’Connor to discuss these findings in detail. He offers advice to patients who may find themselves in a situation where they’re denied care due to their insurance status and explains how raising reimbursement rates for Medicaid could help address the problem. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
What does it take to create healthy neighborhoods that include broad, deep, and permanent pathways to prosperity for low-income families? That question is the focus of today’s episode with Carol Redmond Naughton, CEO of Purpose Built Communities based in Atlanta. “I really have become an advocate for community development as a way to move the needle on health outcomes. And I'm not talking about simply putting a kidney dialysis center in the bottom floor of a senior high rise,” Naughton says. “I don't mean to say that that's not a good thing to do, but we've got to move upstream. We've got to be way upstream and be thinking about: How are we building communities and supporting children, so those children 60 years from now will not need kidney dialysis?” In a conversation that was first published in 2022 , Naughton speaks with Movement Is Life’s Dr. Tamara Huff about the difference between access to health care and health outcomes and the importance of addressing the social determinants of health. She also calls on all of us to reflect on the systems that have kept people trapped in poverty — especially Black and Brown communities — and consider what it takes to create communities that support a “cradle to college pipeline.” Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
The case for diversity in healthcare professions is strong. Research shows that a diverse healthcare workforce improves health outcomes , particularly for patients of color, and also increases people’s access to care and their perception of the care they receive. Physicians of color are more likely to build careers in underserved communities , which can contribute even more toward the goal of reducing healthcare disparities. So, what does it take to cultivate a strong and diverse health care workforce? On this week’s episode, we gain insights from two knowledgeable guests, who spoke with Dr. Hadiya Green at Movement Is Life’s annual summit: Dr. Cheryl Brewster , Senior Executive Dean for Access, Opportunity, and Collaboration and a Professor in the Department of Bioethics, Humanism, and Policy Roseman University College of Medicine Dr. Jarrod Lockhart , formerly an instructor at Morehouse School of Medicine, now Assistant Vice Provost, Education Outreach & Collaboration at Oregon Health & Science University Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Poverty is a key driver of health disparities. But numerous policies have been shown to help alleviate poverty and improve health equity, according to Dr. Rita Hamad , associate professor of social and behavioral sciences at the Harvard T.H. Chan School of Public Health. Hamad says policymakers need to look upstream and identify the root causes of health issues. “And really recognizing that poverty is one of the major root causes of those issues, and that if we don't address that… those health issues are just going to keep arising and not getting any better,” she says. On this episode of the Health Disparities podcast, Hamad speaks with Movement Is Life’s Dr. Charla Johnson about evidence-based policies for alleviating poverty — like the child tax credit, earned income tax credit — and explains how healthcare systems can get more involved in bolstering the social safety net. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
A diverse healthcare workforce is critical to improving outcomes for our diverse nation. In order to achieve this, there needs to be both a pipeline and a pathway, says Dr. Valerie Montgomery Rice , President and CEO of Morehouse School of Medicine. “We need students to believe what’s possible in first grade and then chart a path,” she says. Montgomery Rice says her own love and science and people led her to chart her career pathway that led her into academic medicine. “What if everybody was given that opportunity. What if everybody was told you can be whatever you want to be?” “Every one of my roles has been about how to develop people to bring their best self to work,” she says. Although health equity work can be polarized and be perceived as political, Montgomery Rice says Morehouse School of Medicine is committed to leading the creation and advancement of health equity — both through new solutions and through complementing existing ones. The heart of her message on health equity: It’s about “giving people what they need, when they need it, to achieve optimal level of health.” Montgomery Rice spoke with Movement Is Life’s Dr. Carla Harwell for this episode, which was recorded at Movement Is Life’s annual health equity summit. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Participating in religious activities appears to benefit cardiovascular health among Black Americans. It’s something we explored in an episode on this podcast a few years back. Health systems, professional societies and researchers are increasingly recognizing that “faith-based organizations are trusted institutions within underserved communities and that people not only seek spiritual refuge and salvation in these places of worship, but they are also wonderful, trusted vessels to distribute reliable health information,” says Dr. LaPrincess Brewer, a faculty member in the division of Preventive Cardiology, department of Cardiovascular Medicine at Mayo Clinic. “Participating in religious activities from church services to private prayer, as well as holding deep spiritual beliefs are linked to better cardiovascular health among Black Americans," according to researchers of a 2022 study published in the Journal of the American Heart Association. The researchers go on to suggest that recognition by health professionals and researchers of the centrality and influence of religiosity and spirituality in the lives of African American adults may serve as a means to address cardiovascular health disparities. In an episode that was first published in 2023 , Movement Is Life’s Dr. Mary O’Connor spoke with Dr. Brewer, whose primary research focus is reducing cardiovascular disease health disparities in racial and ethnic minority populations and in underserved communities, and Clarence Jones, a community engagement specialist and former director of community engagement at a federally qualified health center in Minneapolis who has extensive experience in collaborating with community and faith-based partners in promoting community wellness and access to health services. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
In today’s episode, we explore some big questions about community health — and how hospitals and health care workers can help promote equitable health outcomes in their communities. The Community Health Needs Assessment, or CHNA, is a powerful tool for promoting health equity, says Leslie Marshburn, Vice President of Strategy & Population Health at Grady Health System . “We want to be hearing directly from the individuals that we serve — what they believe their community health needs are,” Marshburn says. The information is coupled with public data, “ideally at the most granular level, like the census track or zip code. And so those national data sets can help inform what the needs are, and then layering that with the community voice through your primary data collection and synthesizing all of that helps you identify your priorities.” When it comes to improving health outcomes in communities, it’s also critical that health care providers understand health disparities, says Dr. Maura George, an associate professor in the Department of Medicine and an internist at Grady Memorial Hospital in Atlanta, where she also serves as Medical Director of Ethics. “I think clinicians who don't know how to recognize disparities are going to perpetuate them, and we can all do that unintentionally,” George says. “I think knowing our own internalized bias, implicit bias is important, because you have to realize how that can interact in the patient care space.” Marshburn and George joined Movement Is Life’s summit as workshop panelists, and spoke with steering committee member Dr. Zachary Lum for this podcast episode. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Across the globe and in the U.S., environmental crises loom large and threaten our most vulnerable populations. “There's a lot of dying that's happening now, and it's primarily among poor, Black and Brown people,” says Dr. Cheryl Holder, who’s on a personal mission to inspire clinicians to act on climate change. Holder explains that a person’s health and well-being is directly impacted by the environment they’re surrounded by. “In celebrating and recognizing the environment, we recognize that this is how we define humanity, and how we create the environment for us to grow and thrive,” she says. In honor of Earth Day, which is coming up this month, we’re dipping into our archives to bring you a conversation with Dr. Cheryl Holder. She’s now retired, but at the time this conversation was recorded and produced for the Health Disparities podcast in 2021, Dr. Holder was serving as the Interim Associate Dean for Diversity, Equity and Inclusivity and Community Initiatives, and associate professor at the Herbert Wertheim College of Medicine, Florida International University. This episode was originally published in 2021 with host Elise Tolbert. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
What motivates Joel Bervell, a.k.a. the Medical Mythbuster, to create social media content addressing racial disparities, the hidden history of medicine, and biases in healthcare? He’s seen how it can literally save lives. A year after Bervell posted a video about disparities in pulse oximeters for Black patients, a man reached out to share that during the pandemic, he had reported to the hospital with shortness of breath, a fever and COVID symptoms. The pulse oximeter reported 100% oxygen saturation, so he was told to go home. “But he felt horrible, and he had recently seen my video” showing pulse oximeters can report falsely high oxygen readings in Black patients, Bevell says. “And so he told the doctors.. I want to stay here at the hospital. Is that okay?” The doctors let him stay, and the man ended up crashing the night, ending up in the ICU with intubation. He’s grateful he survived, and later reached out to Bervell to say, “because of your video, I felt confident being able to say, ‘I don't know if this is accurate for me, I don't feel well. I want to stay.’” Bervell says this is why he creates videos like these, to help people understand medical issues “so they can feel confident to let their needs be known” to health care providers. Hear more on this story and the latest adventures of the Medical Mythbuster Joel Bervell , who joined Movement Is Life’s summit as a closing plenary speaker, and spoke with Board member Dr. Erick Santos for this podcast episode. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Weight bias is pervasive and is one of the most common forms of bias in the U.S. When it comes to obesity medicine, patients can be their worst critics, says Dr. Fatima Cody Stanford, an obesity medicine physician scientist, educator, and policy maker at Massachusetts General Hospital and Harvard Medical School. “They’re their worst critics because what they’ve heard from their doctors, their family members, their peers is that they have failed,” Dr. Stanford says. “My goal is to help them realize that they’re not, indeed, a failure. There are options. We can treat this disease. We do have treatments available.” Dr. Stanford is a national and international sought-after expert in obesity medicine who bridges the intersection of medicine, public health, policy, and disparities. She joins the Health Disparities podcast to discuss weight bias, how that bias causes stress, and the role of stress in obesity. This episode was originally published in 2019 with host Dr. Bonnie Mason Simpson. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
It takes a village to find and implement strategies that promote positive health outcomes in communities across the U.S. — and the nation’s public health agency is working to promote these innovations. “The best innovations that we've had for humankind have come from these types of collective strategies,” says Dr. Karen Hacker , director of the CDC National Center for Chronic Disease Prevention and Health Promotion. This week on the Health Disparities Podcast, we're joined by Dr. Hacker, who shares her insights on healthcare collaboration and bridging community-clinical services to help address social determinants of health, which are linked to chronic diseases that affect 6 in 10 Americans. “The number one focus of our efforts is: How do we support the public health system to really think about strategies that are evidence-based to help their constituents across the nation make the healthiest choices that they can make?” she says. Dr. Hacker joined Movement Is Life’s summit and spoke with steering committee member Sarah Hohman for this podcast episode. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Collaboration is the cure: Dr. Vivian Pinn calls for renewed efforts to bring about health equity Speaking at the university where she was the only female and only African American student in her class, and in the auditorium named for her, “Healing Hate” conference keynote speaker Dr. Vivian Pinn reflects on progressing her career during eras of segregation, discrimination, and civil rights. Pinn says it’s important to address the erroneous historical racial stereotypes that have informed contemporary unconscious bias. In working toward health equity, she says interdisciplinary collaboration is critical. “You’ve got to work together,” Pinn says. “No one person, no one group is responsible for it all. That synergy of collaboration, you can't beat.” She also describes her work at NIH, where she was the inaugural Director of the Office of Research on Women’s Health, and explains why it’s so important that everyone get involved at the socio-political level. This episode was originally published in 2020 with host Dr. Randall Morgan. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Chronic stress from life in an unjust society can have measurable negative impacts on the health of people from marginalized backgrounds. The concept is known as weathering, and it’s the focus of the aptly named book by Arline Geronimus , a member of the National Academy of Medicine and a professor in the school of public health at the University of Michigan’s Institute for Social Research. Weathering is exacerbated by racism, sexism and other forms of discrimination, and can contribute to health disparities, leading to earlier onset of diseases like cardiovascular and metabolic diseases. Geronimus compares modern-day stressors to the literal predators of the past and urges listeners to come together to explore systemic solutions that can help mitigate the effects of weathering. “We all have to commit to seeing each other, to understanding the differences in our lived experience,” she says, “to seeing that different people have different ‘lions’ and ‘tigers’ …and figuring out what it is we have to do to change that.” Geronimus joined Movement Is Life’s summit and spoke with Board Member Christin Zollicoffer for this podcast episode. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Professor Augustus “Gus” White III didn’t just pioneer the understanding of unconscious bias through research methodology during his illustrious career as an orthopedic surgeon. The Harvard Medical School professor and author of “Overcoming” & “Seeing Patients” has also spent a lifetime fostering a culture of diversity and inclusion wherever he has worked, often by emphasizing our common humanity; his use of the term “fellow humans” to start speeches has become legendary. “I think diversity and inclusion is a very important reality ideal to address,” White says. “It has numerous values for institutions, for people who are involved and for making progress in the direction of beginning to eliminate and adjust and correct for and protect our humanity, as well as our ethnic citizenship, if you will.” This episode was originally published in 2019 with host Dr. Bonnie Simpson Mason.…
Respectful, patient-centered communication can play a huge role in improving health outcomes and helping eliminate health disparities. In today’s episode hosted by Movement Is Life’s Conchita Burpee, we explore the critical elements of effective, patient-centered communication. Our guests: Dr. Mauvareen Beverley , an executive-level physician with 20 years of experience advocating for improving patient engagement and cultural competency and the author of the book, “Nine Simple Solutions to Achieve Health Equity: A Guide for Healthcare Professionals and Patients” Dr. Janet Austin , the founder of JSA Chronic Disease Foundation, a national nonprofit aimed at providing resources and support to help people who experience pain due to chronic diseases have a better life. Beverley says effective doctor-patient communication starts with heightened human value for each patient, regardless of their background or circumstances: “Everybody talks about being respectful and this and that, but if you don't value me, you think respect is going to come into your mind or your brain?” Austin shares her personal experience as a lifelong chronic disease patient in explaining how small acts of kindness from healthcare providers can go a long way. “I was having a really rough time just a few months ago, and of course, I'm there to talk with [my internal medicine doctor], and I'm crying,” Austin says. “She actually said, ‘Janet, I'm going to go ahead and book you to come back to see me in three months, I'm just going to make time for me to listen.’ And I just… I left so optimistic because someone said that they wanted to listen.” Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Mental health is an important part of our overall health, but many people confront barriers that keep them from accessing the mental health care they need. A program in Boston aims to address mental health disparities by disrupting traditional health care models. The Boston Emergency Services Team, or BEST , is led by Dr. David Henderson , chief of psychiatry at Boston Medical Center. BEST brings together mental health providers, community resources, law enforcement, and the judicial system to deliver care to people in need of mental health services. Henderson says bringing mental health providers alongside police responding to calls for service for mental health needs has helped reduce the number of people with mental illness ending up in jails and prisons. “The criminal justice system has, by default, become one of the largest mental health systems … around the country as well,” Henderson says. “People with mental illness are in jails and prisons, at a percentage that they really should not be.” Henderson speaks with Health Disparities podcast host Hadiya Green about what it takes to ensure people in need of mental health services get the help they need, why it’s important to train providers to recognize unconscious biases, and what it means to provide trauma-informed and culturally sensitive care.…
Former U.S. Surgeon General Dr. Jerome Adams has the following message for health equity advocates: forge respectful relationships with people with different viewpoints — and pay close attention to the words you use. “We need to learn to speak in a language that resonates with folks,” Adams says. “When that happens, you will get better policy making.” Adams recounts his experience – both as the 20th U.S. Surgeon General and as the former state health commissioner for Indiana – in an interview with Health Disparities podcast host Claudia Zamora. He also discusses his new book, Crisis and Chaos: Lessons From the Front Lines of the War Against COVID-19 , explains why diversity in medicine matters, and talks about the importance of dismantling stigma to increase access to mental health care and addiction treatment.…
There’s a long history of racism in both education and health care. But some health equity advocates — including Michellene Davis, President and CEO at National Medical Fellowships — are holding onto hope that real change is possible. “The only reason why I like the name, the title ‘social determinants of health,’ is because anything that has been socially constructed can be socially deconstructed,” Davis said. “Health disparities do not naturally occur in nature, they have been manmade, right? So now it's time for us to unmake them.” In this week’s episode, host Dr. Tamara Huff speaks with Davis, along with Jennifer Holmes, Senior Counsel with the Legal Defense Fund , who works on cases that advance racial justice in the areas of educational equity, economic justice, and voting rights.…
Artificial Intelligence is gaining widespread popularity, but despite the growing number of AI applications, many questions remain about how the technology could affect health disparities — for better or worse. “We know how technology has had a disparate impact and harms on people, and medicine has had disparate impact and harms,” says Bill Jordan, a family and preventive medicine doctor based in New York City. “We need to prepare physicians and future physicians to have these conversations with their patients and be able to explain… what the inequities could be based on, what we’ve seen in history, and then also what the opportunities are.” This week on the Health Disparities podcast: hosts Dr. Melvyn Harrington and Doreen Johnson discuss AI — and its pros and cons pertaining to health equity — with Dr. Jordan, along with Maia Hightower, CEO and co-founder of Equality AI, and Rebecca Stone, the executive director of Generation 7 Industries.…
It’s important that health care workers provide quality health care. But when it comes to addressing health disparities, clinical care can only go so far, says Dr. Diana E. Ramos, an OB/GYN who now serves as California’s first Latina surgeon general . “It would be wonderful if that 10-minute appointment that a patient just saw me for made the biggest difference in the patient's life. That's not the reality,” Ramos said. “We have to [take] into consideration the environment that the people live in.” Ramos says cross-collaborative partnerships between health care providers and community partners are critical to addressing health disparities. In the latest episode of the Health Disparities podcast, host Dr. Claudia Zamora speaks with Dr. Ramos about what these kinds of cross-collaborative partnerships can look like, and what it takes to improve the health and wellbeing of people in California – and the nation.…
Many envision influencers as social media stars with vast followings. But being an influencer is so much more than that. In today’s episode, we redefine the term across various sectors, from health to social justice, and delve into how you can activate your network by using your influence. One thing influencers do is share information throughout their communities to spread awareness about important issues, says Beth O’Connor, the executive director of the Virginia Rural Health Association , “People want to know more,” O’Connor says. “And people who are often in those mineral age groups are thrilled to be able to share that information with the people in their communities helping to influence health care policy.” This week on the Health Disparities podcast, hosts Sharon LaSure-Roy and Sarah Hohman discuss strategies for being an influencer and making a difference with O’Connor, along with Taelor Bakewell, vice president of influence marketing with Edelman , Jerail Fennell, director of marketing and communications at 904WARD , and Dr. Maria Portela Martinez, chief of family medicine at the department of emergency medicine with George Washington Medical Faculty Associates .…
Nonprofit organizations rely on funding to execute their mission, but steady funding is not always easy to come by. So, what can leaders of nonprofits do to attract attention — and resources — from foundations and corporations with money to give? Many funders want to understand an organization’s impact — and quantifying and conveying that impact can take many forms, says Velma Monteiro-Tribble , former director of grants and programs for the Florida Blue Foundation. “People think that there is money lying around; money is tighter today,” she said. “And people are looking at those that really can tell the story... Quantifying, to me, doesn't mean that it's always in data and statistics. It’s also through storytelling. And I think that organizations, nonprofits especially, should be in the business of doing that today.” This week on the Health Disparities podcast, hosts Rev. Willis Steele and Dr. Erick Santos join Monterio-Tribble and Al Reid , the former VP of corporate development with Abbott Laboratories. Together, they delve into valuable insights and strategies for attracting funders during challenging times.…
In a nation where healthy choices often take a back seat, Dr. Marc Watkins, chief medical officer at Kroger Health, advocates a transformative shift: viewing food as medicine. Watkins is spearheading a mission to eradicate food insecurities, paving the way for a healthier America. “If we’re going to change the way America eats, we have to lead around making sure we have a variety of foods in our stores that represents an adequate format of foods that makes sense for Americans to purchase at the right price,” Watkins says. This week on the Health Disparities podcast, host Dr. Mary O’Connor and special guest Marc Watkins, M.D. , discuss the strategy Kroger Health is using to empower customers to make informed and health-conscious choices at the grocery store.…
When it comes to self-care, many people think of taking a break due to exhaustion or burnout. But the acts of self-care that make a real difference go beyond self-soothing, says Ariel Belgrave, an award-winning health and fitness expert, wellness consultant, and the founder of Gym Hooky . Belgrave challenges people to consider self-care as an investment in their future selves. “The mindset shift I challenge folks to have is: thinking about the future version of you,” Belgrave says. “...The reality is: Taking care of yourself now could be the difference between your independence and being in a nursing home.” This week on the Health Disparities podcast, host Dr. Tamara Huff and Ariel Belgrave debunk self-care myths and explore alternative approaches to prioritizing yourself using the P.A.U.S.E. method.…
Many people who go into medicine come from well-off families and don’t know what it’s like to live in poverty. So when they graduate and become physicians, they can struggle to understand why their therapeutic interventions aren’t improving the lives of their patients. This, according to Dr. Pedro José Greer Jr. , is because med schools have not done a great job helping their students understand the social determinants of health — the many nonmedical factors that influence health outcomes. “It's not for the student physician to be able to resolve the social determinants, it's for them to really understand what they are,” Greer said. “Without understanding all these other things, we're not going to make [the] right therapeutic calls. “The health outcomes in this country are embarrassingly bad,” he added. “So we have to be driven to improve those disparities.” Greer is an American physician of Cuban descent and founding dean of the Roseman University of Health Sciences College of Medicine. He spoke with Health Disparities podcast host Claudia Zamora about how to improve medical education, why diversity matters, and why it’s critical that med schools train doctors to show compassion and empathy for their patients. The conversation was recorded in person at the 2023 Movement Is Life annual Health Equity Summit.…
Movement is important for a person’s health and well-being. The good news is: many activities that promote movement come with enormous benefits that extend beyond physical health. Today’s discussion features the founders of two organizations that aim to promote physical activity — and build community while doing it. Walk with a Doc began in 2005 after Dr. David Sabgir, a cardiologist in Columbus, Ohio, invited his patients to go for a walk with him in a local park. The program has since spread to more than 500 locations. Semilla Cultural , founded by Isha M. Renta López, is a non-profit organization in the Washington, D.C., area that promotes the development and cultivation of a community that embraces Puerto Rican culture and arts, including by teaching and performing the Puerto Rican musical genre of Bomba. Sabgir and López spoke with Health Disparities podcast hosts Dr. Hadiya Green and Christin Zollicoffer. This conversation was recorded in person at the 2023 Movement Is Life annual Health Equity Summit.…
Dr. David Ansell’s book “The Death Gap: How Inequality Kills” was first published in 2017. In a foreword for the book updated in 2020, Chicago Mayor Lori Lightfoot wrote that “Three years before the COVID-19 crisis, Dr. David Ansell published The Death Gap, brilliantly synthesizing what he experienced in decades of practicing medicine in two utterly different medical worlds that were mere blocks apart. What makes this book so compelling is that rather than focusing exclusively on data and statistics, Dr. Ansell makes these gruesome numbers real. He tells the story of the disparities through the real-life experiences of patients with whom he had deep, committed relationships.” In today's discussion Dr. Ansell reflects on the collision between the ongoing epidemic of social and structural determinants of health, and the pandemic of COVID-19. He also shares recommendations for ways that healthcare providers can bring together quality, safety and equity in medicine. David A. Ansell, MD, MPH, is Senior Vice President for Community Health Equity for Rush University Medical Center and Associate Provost for Community Affairs for Rush University System for Health, Chicago. Dr. Carla Harwell is Medical Director, University Hospitals Otis Moss Jr. Health Center; Associate Professor of Medicine, CWRU School of Medicine, Division of Internal Medicine; and Vice Chair for the Board of Directors at Movement is Life. (c) Movement is Life 2023…
Can equitable real estate development organization Parity help solve Baltimore's empty housing problem and build Black wealth? Founder Bree Jones and her backers are making it happen. According to a profile in Baltimore Magazine , Bree Jones counts herself among a generation of young Black Americans who are being spurred to activism by high-profile killings of unarmed Black people. These are people who demand accountability on issues involving race, violence, and equality in the U.S. For Bree Jones, a central solution is revitalizing neighborhoods – without gentrification. Her organization, Parity, a non-profit equitable real estate development company, is working in Baltimore to do just that. Visit https://www.parityhomes.com/ for more information. In this episode of The Health Disparities Podcast, Bree Jones tells the story of Parity, and discusses why building Black wealth and impacting social determinants is so important to health, and why so many high profile investors are getting behind the initiative. With host Dr. Michelle Leak, Mayo Clinic in Jacksonville, Florida, and member of the board of directors for Movement is Life. The Health Disparities Podcast is a program of Movement is Life . This episode was recorded live and in person at Movement is Life’s annual health equity summit. The theme this year was “Bridging the Health Equity Gap in Vulnerable Communities.” (c) Movement is Life 2023…
When it comes to self-care, many people think of taking a break due to exhaustion or burnout. But the acts of self-care that make a real difference go beyond self-soothing, says Ariel Belgrave, an award-winning health and fitness expert, wellness consultant, and the founder of Gym Hooky . Belgrave challenges people to consider self-care as an investment in their future selves. “The mindset shift I challenge folks to have is: thinking about the future version of you,” Belgrave says. “...The reality is: Taking care of yourself now could be the difference between your independence and being in a nursing home.” This week on the Health Disparities podcast, we revisit a conversation between host Dr. Tamara Huff and Ariel Belgrave debunk self-care myths and explore alternative approaches to prioritizing yourself using the P.A.U.S.E. method. Never miss an episode – subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Over the past two decades, nearly 200 rural hospitals have closed, resulting in millions of Americans losing access to an emergency room, inpatient care, and other hospital services. And today, more than 700 rural hospitals in the U.S. – or approximately 1 in 3 – are at risk of closing due to financial problems, according to a report from the nonprofit Center for Healthcare Quality and Payment Reform. All this comes at a time when rural health disparities are rampant. In the final episode of our rural health series, we consider solutions: What does it take to prevent rural hospital closures? What evidence-based solutions can policymakers consider to ensure all Americans have access to critical health services, regardless of where they live? Health Disparities podcast host Bill Finerfrock speaks with Harold Miller , president and CEO of the Center for Healthcare, Quality and Payment Reform and adjunct professor of public policy and management at Carnegie Mellon University. Miller says many people assume that when a rural community loses a hospital, it’s one of several options, when in reality, “in many small rural communities, the hospital is the only place to get any kind of health care. It is the only place where, not only where there is an emergency department, but because there's no urgent care facility in the community, there's no other place to get a lab test, there may not even be primary care physicians in the community.” When it comes to policy considerations to prevent rural hospital closures, Miller says there need to be a greater emphasis on the role private health insurance plans play in putting hospitals at risk. “The myth, unfortunately, is that the problem of rural hospital payment is all about Medicare and Medicaid, and that has led people to focus, I believe, inappropriately and excessively, on Medicare and Medicaid,” he says, “when what we have found is that the biggest problem for most rural hospitals is private insurance plans who don't pay the rural hospital even as much, in many cases, as Medicare or Medicaid does. … We need to start thinking about how to solve the real problems and to solve them now, rather than waiting until the hospital is faced with closure.” Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
In our latest podcast series, we’re taking a deep dive on rural health, going beyond the common tropes about rural America – the older, sicker, poorer narrative – and checking in with folks on the ground who are excited to do the work of promoting equitable health outcomes for rural Americans. Today, Health Disparities podcast host Sarah Hohman talks with two rural health providers: Russell Wimmer is a physician associate practicing in a single provider clinic in the small rural town of Brownsville, Oregon. Dr. Caylor Johnson is a Family Medicine Physician with Medical Specialists, Inc., in Waynesboro, Georgia. Johnson explains some of the unique challenges facing rural communities, which are incredibly diverse. “In my county alone, I have multiple communities, and they each have their own challenges, their own culture, their own history and beliefs,” Johnson says. “And that all comes to the table when they come to the doctor, and I have to be prepared for that.” Wimmer also shares what he loves about providing care in his rural community. “When you walk around, people talk to you and you know them personally, and they know you,” Wimmer said. “They're not ignorant to the fact that you're working with limited resources. They know that they're remote, they know that it's hard for you to sometimes help them with what they need. But the fact that you're there with them every day is not lost on them. They appreciate everything that you've done. They know that you're what they've got.” Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
When we consider what it takes to improve the health of rural Americans and address rural health disparities, there's no one size fits all solution. Because, as the saying goes, if you’ve seen one rural community, you’ve seen one rural community. In our latest podcast series, we are digging into rural health: the challenges, and the opportunities. We’re highlighting the diversity of rural communities and addressing common misconceptions.. In today’s episode, Health Disparities podcast host Sarah Hohman checks in with three people who work in rural hospital leadership and administration, doing incredibly important work, often with limited resources: Michael Calhoun, Chief Executive Officer/Executive Director for Citizens Memorial Healthcare, an integrated healthcare system serving over 130,000 residents in southwest Missouri. Mandy Shelast, the President of Marshfield Clinic Health System’s Michigan and Southern Regions, and the President of the National Association of Rural Health Clinics. Dr. John Bartlett, a practicing primary care physician and the Vice President of Medical Affairs for the Michigan Region of Marshfield Clinic. Some of the biggest challenges are related to the health care workforce and staffing, in particular for specialty care. “If we lose a chemo nurse in a town of 10,000 there's not five other ones looking for that job,” Bartlett says. “What I'm concerned about is just our aging population and how we're going to be able to train a workforce enough to be able to care for all the people that need it, that's a real concern,” Calhoun says. All three guests addressed common misconceptions about rural America, and emphasized the benefits of rural, including a slower pace of life and having providers who are passionate about the mission of providing excellent, personalized health care. “The patients that we care for are our friends and our family and our community members,” Shelast says. “We take care of them on the very best days of their life — maybe when they're welcoming a life into the world — and on the worst days, when they're having a medical emergency or they've received a terminal diagnosis, and it is just such a great experience to be able to go up to that person and say, 'I'm here for you.’” Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
People in rural areas have higher rates of certain chronic conditions and disabilities and can expect to live a couple years shorter, on average, compared to people in urban areas. The health disparities facing rural Americans stem from many factors – including geographic, economic, social, and systemic issues. But in the midst of all this, there is hope. There’s greater awareness of the importance of rural health care and public health resources, and a growing number of federal agencies dedicated to supporting data-driven solutions aimed at addressing rural health challenges. Two individuals behind some of those efforts join the Health Disparities podcast to discuss rural health challenges and opportunities: Tom Morris, Associate Administrator for the Federal Office of Rural Health Policy at HHS Diane Hall, Director for the Office of Rural Health in CDC's Public Health Infrastructure Center “There's been a lot of focus on access to health care in rural areas, which is absolutely incredibly important,” Hall says. “But I also think we need to really pay attention to the public health infrastructure, which has also been decreased because of budget issues [and] because of the impact of the pandemic.” Addressing rural health needs is a bipartisan issue, says Morris. “There may be disagreements about how you get to the outcome, but there's no disagreement about what the challenges are,” Morris says. “...The partisan divide sort of falls apart when you dive into the issues.” Morris and Hall speak with Health Disparities podcast host Bill Finerfrock about the priorities of their respective offices, common myths about rural America, and what gives them hope as they consider the future of rural health. Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Congresswoman Terri Sewell says she’s honored to have called John Lewis a colleague, friend and mentor. Lewis, one of the most important civil rights leaders in American history, died in 2020. But his legacy is carried on by health equity champions like Sewell, who has taken up the mantle on legislation that aims to address health disparities in our nation. “The John Lewis Equity in Medicare and Medicaid Treatment Act — it really is an opportunity to reduce health disparities and to evaluate payment models of Medicare and Medicaid that will take social determinants of health into account,” Sewell says. “I really do believe that health disparities is a civil rights issue, and the opportunity to carry on a bill that [John Lewis] championed, now that he's gone, is a real highlight of my career.” Now in her seventh term representing Alabama’s 7th Congressional District, Rep. Terri Sewell is one of the first women elected to Congress from Alabama — and the first Black woman to ever serve in the Alabama Congressional delegation. She speaks with Health Disparities podcast host Bill Finerfrock about how her personal experiences have led her to the work she’s doing today in Congress and also shares these words of encouragement to those working to advance health equity in their communities: “Stay in the trenches, continue to mobilize and organize around these issues and continue to fight… and advocate for what we know is a civil rights issue. It is a human rights issue, health care, and so we can be frustrated, we can be downright mad, but what we can't do is give up.” A note to our listeners: Movement Is Life’s upcoming annual summit brings together stakeholders from diverse backgrounds to discuss healthy equity challenges and actionable solutions. This year’s theme is: "Health Equity: Solutions from Healthcare Leaders.” The summit will take place in Atlanta, Georgia, from November 14 to 15. Registration is now open – find all the details at our website , and get signed up today! Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Americans are on track to need 1 million knee replacements annually by the year 2025. The rate of disability caused by degenerative joint problems is also on a rise. At the same time, rates of physical activity continue to decline, and sedentary lifestyles and obesity are becoming the main cause of diabetes and heart disease. It's a vicious cycle of pain, immobility, chronic illness, all of which impact underserved populations most. It’s why Movement is Life created Operation Change – an evidence-based behavioral change program focused on grassroots community interventions. Operation Change has programs running in cities across the U.S . In today's episode, Health Disparities podcast host Chiara Rodgers speaks with two people involved in the Operation Change chapter in St. Louis: Dr. Darlene Donegan, program director for Operation Change St Louis Dr. Kiaana Howard, assistant professor of physical therapy and orthopedic surgery at Washington University School of Medicine in St Louis A note to our listeners: Operation Change will be featured at Movement Is Life’s upcoming annual summit , which brings together stakeholders from diverse backgrounds to discuss healthy equity challenges and actionable solutions. This year’s theme is: "Health Equity: Solutions from Healthcare Leaders.” The summit will take place in Atlanta, Georgia, from November 14 to 15. Registration is now open – find all the details at our website , and get signed up today! Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Movement Is Life’s annual summit brings together stakeholders from diverse backgrounds to discuss healthy equity challenges and actionable solutions. This year’s theme is: "Health Equity: Solutions from Healthcare Leaders.” The summit will take place in Atlanta, Georgia, from November 14 to 15. Movement Is Life is honored to have Joel Bervell as a plenary speaker at our upcoming 2024 annual summit . Bervell is a Ghanaian American medical student and science communicator known online as the “Medical Mythbuster.” Through viral social media content, Bervell addresses racial disparities, the hidden history of medicine, and biases in healthcare. Bervell says he appreciates Movement Is Life’s emphasis on community-based programs, clinician education about health disparities, and health policy. He’s excited to attend the summit and meet other like-minded people who are passionate about health equity. “By breaking that cycle of understanding that disparities exist and talking about it, we can start to reach equity,” Bervell says. Bervell speaks with Health Disparities podcast host Dr. Mary O’Connor about the 2024 Movement Is Life summit and the exciting slate of hands-on workshops and plenary speakers, including Dr. Arline Geronimus, Dr. Louis Sullivan, and Dr. Valerie Montgomery Rice. Registration is now open for Movement Is Life’s annual summit – find all the details at our website , and get signed up today! Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
It takes time, energy and financial resources to bring about change within an organization. Healthcare organizations are no exception. Health systems that are serious about centering health equity need to put their money where their mouth is, says compliance and DEI consultant Linda Howard . In practice, this means centering equity in both their mission statements and their budgets. “You have to allocate resources. When people start seeing resources being allocated towards things, they start to take it more seriously,” Howard says. Howard speaks with Health Disparities podcast host Christin Zollicoffer about what it takes to bring about real, lasting change in health systems. They also discuss the possible compliance and legal consequences health systems can face if they fail to address health inequities, and why the investment in health equity is worth it. This episode rounds out our 5-part series on Hospitals & Health Equity. Find previous episodes from this series by subscribing to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts. Registration is now open for Movement Is Life’s annual summit ! Find all the details at our website , and get signed up today!…
Hospitals and health systems can play a big role in addressing healthcare disparities in our nation. It's the focus of our latest podcast series. Today, we zero in on a statewide health equity initiative that is first of its kind in the nation. Through a historic 1115 Medicaid waiver , Massachusetts hospitals have made a commitment to come together with the state to embed equity into the foundation of their operations. “This really does entail an intentionality on the part of our hospital systems that I think is unmatched in many ways — an intentionality and a will and a drive and a desire to do this work," says Izzy Lopes , Vice President of health equity for the Massachusetts Health and Hospital Association. Health Disparities podcast host Dr. Mary O’Connor speaks with Lopes about the statewide initiative that aims to address healthcare disparities. Lopes explains why it’s important to prioritize people over percentages, use data to drive health equity strategies, and collaborate with community partners to address patients’ health-related social needs. Never miss an episode – subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Racial and ethnic minorities and other underserved groups receive unequal medical treatment, contributing to the myriad disparities in health outcomes that we see today. This notion is supported by a growing body of research stemming back decades . The Joint Commission has recognized the horrible impact of health disparities in America, and the group is taking action, says Kathryn Petrovic , vice president for accreditation and certification product development at the Joint Commission. The accrediting organization launched a new health care equity certification program in 2023 that recognizes hospitals that are “making health care equity a strategic priority, and collaborating with patients, families, caregivers, and external organizations to identify and address needs that help translate equitable health care into better health outcomes,” Petrovic says. Health Disparities podcast host Claudia Zamora speaks with Petrovic to learn more about TJC’s health equity initiatives. Petrovic also explains how resolving healthcare disparities is both a moral and ethical requirement, and a fundamental patient safety and quality of care imperative. Never miss an episode – subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Hospitals and health systems can play a major role in addressing healthcare disparities in our nation. In our latest episode – part of our hospitals and health equity series – we zero in on hospital rankings and how the metrics that are used can compel health systems to take much-needed action on health equity. “If hospitals were to focus more on health equity, they would be fulfilling both a moral responsibility as well as a legal responsibility,” says Tavia Binger , a health data analyst at U.S. News and World Report. “Nonprofit hospitals are actually required to spend portions of their revenue on community benefit activities – like providing care that is free or at a reduced cost for patients who can't afford to pay – in exchange for their tax exempt status.” In addition to the latest U.S. News Best Hospitals rankings , published on July 16, U.S. News has also introduced health equity measures and has released a list of hospitals excelling in health equity by “providing vulnerable populations with substantial access to high-quality care,” Binger says. Health Disparities podcast host Dr. Mary O’Connor speaks with Binger about how U.S. News and World Report is working to promote health equity. They also discuss how healthcare consumers can use hospital rankings to understand whether the hospitals in their communities are doing their part to provide care that is both high-quality and equitable. Never miss an episode – subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Every person brings their own cultural background into their encounters with the healthcare system. But this doesn’t mean that every healthcare provider needs to develop an encyclopedic knowledge of every culture in order to provide equitable, high-quality care to every patient. “The truth of the matter is: that could never be done. I'm Puerto Rican, Latino, and even among Puerto Ricans, there's a great difference in lived experience, exposure to health care and the like,” says Dr. Joseph Betancourt , president of the Commonwealth Fund. But there will be times when a person’s cultural background affects their ability to access the health care they need. In those cases, Betancourt says it’s important that providers be equipped with the right tools and resources to assess how those cultural factors may come into play. Health Disparities podcast host Dr. Mary O’Connor speaks with Betancourt about the importance of culturally competent care — what it is, and what it’s not. They also discuss the need for ongoing training to address cultural differences and structural barriers, and share about recent developments in health policy and health care that give them hope. Never miss an episode – subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
Artificial Intelligence is transforming health care. The promise of this technology is enormous and is already being realized to increase the accuracy of diagnoses, promote patient engagement, increase efficiency in health care and lower costs. It’s even being used to identify patients at risk of disease and predict patients who might be good candidates for medical procedures. Done well, AI tools can help ensure patients with the greatest need for orthopedic surgery are prioritized for care, and help reduce health care disparities, says Luke Farrow , an orthopedic and trauma surgeon and clinical researcher at the University of Aberdeen in Scotland. But without proper considerations, “you can ultimately end up with AI systems that worsen those health disparities, which is obviously the last thing we want. And there is definitely evidence out there to suggest that does happen if we're not careful.” Health Disparities podcast host Dr. Mary O’Connor spoke with Farrow about AI and health equity, and about his ongoing research on the use of AI to help general practitioners in the UK know when it is appropriate to refer patients to orthopedic surgeons for consideration of hip and knee replacement surgeries. Never miss an episode – subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts , YouTube , or wherever you get your podcasts.…
For too many people in the U.S., health care is unaffordable and not accessible. Even patients who have health insurance coverage can be confronted with barriers that keep them from accessing the health care that they need. And research shows health disparities are rampant, with health care access — and outcomes — worse for people of color and other marginalized groups. The new State of Patient Access report from the PAN Foundation breaks down these disparities and highlights next steps for creating more equitable access to care. “Our goal with the project was really to understand the challenges that adults living with chronic conditions every single day face accessing the care they need,” says Amy Niles , the PAN Foundation’s health policy expert and Chief Mission Officer. “More importantly, our goal was to understand what disparities exist, and there were some significant disparities between various groups and communities.” To learn more about the report, and what can be done to help overcome barriers to care for underserved communities, Health Disparities podcast host Dr. Ramon Jimenez spoke with Niles, along with Adrianna Nava , president of the National Association of Hispanic Nurses .…
This is the first of a 4 episode mini-series of The Health Disparities Podcast exploring bias & systemic racism in medicine. The series aims to bring to the surface discussions, definitions, & perspectives about the problem of bias, examples of bias, structural & systemic racism, & examples of programs and policies that are tackling bias & racism. "Unconscious Bias, Yes it is Real" is a useful short guide to understanding unconscious bias, its consequences in healthcare, & some ways to mitigate unconscious bias. It discusses most types of bias impacting the quality of healthcare, including race, ethnicity, gender, gender identity, sexuality, religion, mental health, & weight bias. The "Unconscious Bias, Yes it is Real" booklet is available as a digital download on our website. Movement is Life invites listeners to use the booklet in association with this audio resource as the basis for workshops and discussion groups aimed at improving cultural sensitivity & understanding. 1:35 Introduction – We are all biased | 3:25 What is bias? | 5:30 Types of bias | 8:02 Unconscious or implicit biases | 9:55 Unconscious bias in healthcare | 13:40 Unconscious bias involving weight | 16:12 Unconscious bias involving mental health | 18:20 Unconscious bias involving race & ethnicity | 23:10 Unconscious bias involving gender & gender identity | 28:35 Unconscious bias involving sexual orientation | 30:35 Limitations in research | 32:18 How patients respond to bias | 36:30 Measuring unconscious bias using IAT | 41:50 Counteracting bias in healthcare | 44:30 The LEARN model | 46:00 Glossary | 50:30 Closing comments Unconscious Bias, Yes it Real - Digital Booklet: http://startmovingstartliving.com/wp-content/uploads/2019/07/Unconscious_Bias_Content_03_print.pdf About Movement is Life https://www.movementislifesummit.org/website/56162/about-movement-is-life/ Narration by Dr. Michelle Leak & Rolf Taylor. Adapted for audio from the booklet & produced by Rolf Taylor. (c) Movement is Life 2023…
The Movement is Life Annual Summit is fast approaching, and thanks to philanthropic support from the Zimmer Biomet Foundation , there is no cost to register. Over two days (Nov 30 - Dec 01) a mix of plenary sessions and workshops will feature a stellar lineup of health equity thought leaders at the Renaissance Hotel Downtown, Washington, DC. Online registration: https://www.movementislifesummit.org/website/56162/program/ or Google Movement is Life Summit. In our 150th episode of the Health Disparities Podcast, Dr. Michelle Leak hosts a discussion about Summit highlights, exploring the theme of "Bridging the Health Equity Gap in Vulnerable Communities." Joining Dr. Leak are Movement is Life Chair, Dr. Mary O'Connor, and Vice-Chair Dr. Carla Harwell. Attendees can hear a sneak preview of the program and also consider which two of the four workshops they will want to attend. We hope to see you at the Summit, but if you can't make it there is a plan B, as many of the Summit speakers will be joining us on the The Health Disparities Podcast after the event. (c) Movement is Life 2023. *please note this schedule is not final and is subject to change*…
Very few physicians can name Dr. LaSalle Leffall and Dr. Clive Callender as pivotal mentors in their career, and also cite their experiences growing up with sickle cell as another important teacher. In a wide ranging discussion with fellow surgeon and Howard University alum Dr. Randall Morgan, Dr. Frederick explores some of the most important aspects of mentorship. He also discusses developing young leaders in science, the ongoing evolution of Howard University, and the challenges of building a diverse healthcare workforce that is better able to meet the needs of a diverse population. Dr. Frederick also talks about why his frequent visits to Trinidad to teach science are so important to him, and how he will enjoy his upcoming sabbatical. Recorded at the recent National Medical Association annual meeting in New Orleans. Dr. Wayne Alix Ian Frederick is a Trinidadian-American scholar, surgeon, and university administrator. He is currently serving as president of Howard University in Washington D.C. since July 21, 2014. He also serves as the distinguished Charles R. Drew Professor of Surgery. Dr. Randall Morgan is an orthopedic surgeon based in Sarasota Florida, and the Executive Director of the W. Montague Cobb Institute. He also serves on the steering group of Movement is Life.…
Research findings from Mayo Clinic & published in the Journal of the American Heart Association at the end of 2022 found that “participating in religious activities, from church services to private prayer, as well as holding deep spiritual beliefs, are linked to better cardiovascular health among Black Americans.” According to Dr Brewer of the Mayo Clinic, multiple socially determined challenges which were magnified by COVID-19 are preventing African Americans from living their best lives by following a healthy lifestyle to prevent heart disease. The recent study focused on better understanding some of the psychosocial influences on health behavior change among African Americans, and in particular following those activities as defined by The American Heart Association’s “Life’s Essential 8TM . ” These include eating well, being active, quitting tobacco, healthy sleep, weight management, controlling cholesterol, managing blood sugar, & managing blood pressure. The study found that increased church attendance and spirituality was associated with higher levels of physical activity and less smoking, suggesting that having social support and an optimistic outlook may also encourage individuals to practice healthy behaviors. Today’s discussion features Robert “Clarence” Jones, M. Ed., CPH, CHW, CPE, Executive Director at the Hue-MAN Partnership and a Community Engagement Strategist, along with Mayo Clinic cardiologist and study lead author Dr. LaPrincess Brewer, MD, MPH, whose primary research focus is in developing strategies to reduce and ultimately eliminate cardiovascular disease health disparities in racial and ethnic minority populations and in underserved communities. Dr. Brewer is also an Assistant Professor of Medicine at Mayo Clinic. This episode is hosted by Dr. Mary O’Connor, Chair of Movement is Life and Co-Founder of Vori Health. Copyright Movement is Life 2023…
Value-based care has emerged as an alternative and potential replacement for traditional fee-for-service reimbursement, centering quality and outcomes rather than quantity. That is the theory. In practice, value-based care has been shown to exacerbate some disparities in the healthcare system by making it harder for those patients with complex conditions, or being impacted by social determinants of health, to access care. Put simply, if some categories of patient are more financially risky than others to treat, providers may find ways to exclude them – unless checks and balances are put in place to help manage risks associated with SDOH and comorbid conditions. Health policy expert Matt Reiter hosts a discussion featuring Bill Finerfrock from Capitol Associates, and Tom Dorney from The Root Cause Coaltion. Together they discuss the very real danger of widening health disparities resulting from the expansion of value-based care, and the legislative solution proposed by the John Lewis EMMT Act (Equality in Medicare and Medicaid Treatment) which has been reintroduced in 2023 by Rep. Teri Sewell and Sen. Cory Booker. All organizations advocating for health equity are encouraged to help advance the legislation by writing letters of support (template below) to Matt Reiter reiterm@capitolassociates.com who will coordinate their forwarding to Representative Sewell and Senator Booker. ------------------------------ LETTER OF SUPPORT TEMPLATE Dear Representative Sewell & Senator Booker, I am writing in support of S.1296/H.R.3069, the John Lewis Equality in Medicare and Medicaid Treatment (EMMT) Act of 2023. The EMMT Act would require the Center for Medicare and Medicaid Innovation (CMMI) to include experts in health disparities and social determinants of health as part of the evaluation and review process for new payment models. If enacted, this bill would also require fairness of these new payment methods for women, high-risk patients, patients from racial or ethnic minorities, or patients from rural communities. Lastly, it directs CMMI to develop and test a payment model that is tailored to addressing social determinants of health. While quality and cost are important considerations, equal consideration should be given to the impact a proposed model may have on access to care for women, minorities and beneficiaries residing in rural areas. CMMI is under no statutory obligation to account for social determinants of health when considering new payment models. Indeed, the only factors CMMI must consider when determining whether to approve a new payment model are quality and cost. Because Medicare is the single largest health care payer in the country, and many commercial insurance plans will adopt policies based on Medicare, Congress must ensure that the models approved by CMMI incentivize reductions in minority and rural health disparities and not create barriers to care. We appreciate all that this CMS Administration has done to advance health equity. Passing the EMMT Act will ensure that all new models account for social determinants of health and how the models impact minority and rural populations. Your leadership on eliminating health disparities for women, minorities and beneficiaries residing in rural areas is deeply appreciated. I applaud your leadership on this important bill. The EMMT Act will go a long way towards improving access to quality healthcare for Medicare and Medicaid beneficiaries. On behalf or our organization: Sincerely, ------------------------------ Health Disparities Podcast Episode 143 (c) Movement is Life 2023…
Dr. April Kapu, DNP, APRN, ACNP-BC, FAANP, FCCM, FAAN, is president of the American Association of Nurse Practitioners® (AANP). She has 30 years of experience in health care and 18 years as an acute care nurse practitioner (NP). Dr. Kapu has committed her career to advancing NP-delivered care and increasing access to NP care across all settings. Currently, she is Associate Dean for Clinical and Community Partnerships, Vanderbilt University School of Nursing, with oversight for several nurse-led community practices. In todays episode, which is hosted by NP and rural health expert Mary Behrens, FNP, FAANP, we hear about Dr. Kapu's experiences of meeting NPs across the country during her year of presidency. NP Behrens and Dr. Kapu also discuss some of the reasons why being an NP is now widely considered to be one of the most rewarding careers in healthcare, and explore the importance of building diversity in the profession. This year marks the 102nd birthday of NP founder and advanced practice expert, Dr. Loretta Ford. Dr. Kapu discusses her accomplishments, her commitment to health equity, and the continued mission to make sure healthcare is accessible to everyone, everywhere. Copyright: Movement is Life, Inc, 2023…
Carol Redmond Naughton, JD, shares with us some aspects of the proven Purpose Built Communities model, working with local leaders to help them plan, implement, and sustain holistic neighborhood revitalization initiatives that create healthy neighborhoods which include broad, deep, and permanent pathways to prosperity for low-income families. During the discussion she describes the essential role of “community quarterbacks,” and calls upon listeners to look with open eyes and think about the systems that have kept people trapped in poverty, particularly Black and Brown people, and to not blame the victims. Carol believes that we need to recognize that the systems have been broken for so long that they have “broken the place,” but the people remain unbroken. So, when we think about building communities of purpose for children with unlimited human potential, we can find ways to create great places with a “cradle to college pipeline,” and we can change the systems to make it easier to create other great places. With host Dr. Tamara Huff, MD, MBA, Founder and CEO of Vigeo Orthopedics, in Columbus, Georgia, and member of www.movementislifecaucus.com for transcripts of this and other episodes. Excerpts The secret sauce is creating a community quarterback organization . You have got to have an organization that isn’t in the service delivery business, but is thinking about how after the residents have created their vision for the community, how do they implement it? Thinking about how to work with public, private and non-profit partners to actually do the housing, to build the education pipeline, and create those health and wellness amenities. I love Columbia Parc and I am so proud of what the district partners have been able to do since hurricane Katrina. These were three business leaders that really did not know anything about community development at the time, but our mutual connections suggested they to go to see East Lake in Atlanta and learn how it could be the model for the rebuild of New Orleans. We spent two days together and they came home committed to trying to do what nobody had been able to do in New Orleans before. Our network members really encouraged us to elevate economic vitality within our model. Poverty is expensive, if you don’t live within walking distance of a grocery store you will be paying higher prices at the convenience store, if you don’t have a car you will be paying a driver or paying with time on a two hour bus journey. My call to action is to look with open eyes, and think about the systems that have kept people trapped in poverty, particularly Black and Brown people, and to not blame the victims. Recognize that the systems have been broken so long that they have broken the place, but the people are not broken, and if we come at it thinking about how we are building communities for children of God with unlimited human potential we can create great places and we can change the systems to make it easier to create other great places.…
Dr. Tamara Huff, MD, MBA sits down with Dr. Alisahah Jackson for a discussion about enhancing the health of every community, and they explore the challenges of building healthier communities against a backdrop of declining health infrastructure, particularly in rural communities. They also discuss the reality of the elephant in the room, that racism exists both in terms of attitudes and bias, and in various structural forms, and how building trust is vital to the displacement of bias. Dr. Jackson is a proven leader in empowering women to improve their health and the health of their families and communities. She was named the first Chief Community Impact Officer at Atrium Health, where she established strategies for Health Equity and Social Determinants of Health. More recently, she became the System Vice President, Population Health Innovation and Policy, at CommonSpirit Health, and is also CEO of Why Health Matters. Dr. Tamara Huff is a member of Movement is Life Steering Committee & Founder & CEO, Vigeo Orthopedics, LLC. Excerpts: “There are decisions that are being made for us that actually drive health outcomes. Economic, policy and investment decisions. People may live in a food dessert. Or a maternity dessert. We have to start acknowledging that these decisions are happening outside of our own decisions about our health behaviors.” “Providers will often label patients as “non-compliant,” and that is a term I encourage everyone to take out of their vocabularies. I simply don’t believe that people wake up in the morning and decide that they want to be unhealthy. Our responsibility as care providers is to identify what the barriers are that people have to achieving great health, and help patients mitigate or eliminate them.” “I was a young African American female physician coming into a community that had only seen one other Black female physician, and I really had to build trust. I’m not going to sugar coat it, there were definitely patients who did not want to see me.” “One of the things I love about Movement is Life is that you are providing resources to help with behavior change. And thank you, Movement is Life, for being an accelerator of these much needed conversations.” “What the data tells us, what the research tells us, is that people who have providers who look like them, who can connect with them, tend to have better health outcomes. Movement is Life has been culturally humble enough to say that things like food are very cultural, it’s one of the things that makes a group uniquely different, so their needs are different. Changes in Hispanic culture are going to look different to changes in African American culture, and different from the dominant culture.”…
Featuring Cara McClellan, JD, MEd, and Mary I. O’Connor, MD. Addressing the under-representation of racial minorities in the health professions is considered central to reducing overall health disparities and inequalities. Multiple “race-conscious” laws and policies have been introduced that seek to help marginalized communities, ranging from affirmative action to voting rights, reproductive rights, and environmental protections. Legal action now brought before the Supreme Court by conservative activist Edward Blum calling for all higher education admission applications to be effectively “color-blind” could end affirmative action as we know it, with wider ramifications for race-conscious legislation. In this episode of the Health Disparities Podcast, Cara McClellan, JD from the Advocacy for Racial and Civil (ARC) Justice Clinic at the University of Pennsylvania Carey School of Law in Philadelphia unpacks the origins of affirmative action with Dr. Mary O’Connor, Chair of Movement is Life. Together they discuss the foundational impact of the 14th Amendment to the United States Constitution, the role of the Freedmen’s Bureau, the Civil Rights Act of 1964 and the Higher Education Act of 1965, and current judicial deliberations. Depending on how SCOTUS rules on overturning affirmative action, the long battle to desegregate higher education in the United States could take a backwards step. But are there alternative approaches? Copyright: Movement is Life 2022…
We visit San Diego’s Salvation Army Kroc Center for an Operation Change Town Hall welcoming the local Hispanic community. For the first time since lockdown, Operation Change convenes its program in San Diego. There is a joyful and grateful atmosphere, although some participants have sad news to share about loved ones lost to the pandemic. Our interviews reveal how Operation Change is much more than a wellness program, it is a true community intervention. We learn how information shared during the Operation Change sessions ripples out into the wider community through family connections, via participants who are community health workers, and passed on by San Diego’s famous Kitchenistas. Featuring participants from the Operation Change San Diego community, Program Coordinator Sonia Cervantes, Dr. Ramon Jimenez, and Prof. Christina Jimenez. Produced and narrated by Rolf Taylor.…
In Part 2 of our Caucus Workshops Preview, Dr. Millicent Gorham, Dr. Mary O’Connor and podcast host Rolf Taylor discuss the “Movement” workshop series from the Movement is Life Caucus which convenes on November 10-11, 2022. Workshop 5: Social Influences of Health – Opening Doors, Opening Minds, impacting lives, Strategies to Improve Well Being. Workshop 6: Shared Decision Making - Beyond the Hype. Workshop 7: Move Your Mind, Move Your Body. Workshop 8: Engaging the Body and Brain Through an African Drumming & Dance Experience. Caucus & Registration information: www.movementislifecaucus.com…
In Part 1 of our Caucus Workshops Preview, Dr. Millicent Gorham, Dr. Mary O’Connor and podcast host Rolf Taylor discuss the “Activism” workshop series from the Movement is Life Caucus which convenes on November 10-11, 2022. Workshop 1: Is Health Equity the New Startup? Workshop 2: Playing the Race Cards, Conversations on Racial Healing and Equity. Workshop 3: The Art of Storytelling – Changing the World One story at a time. Workshop 4: The JEDI Journey – This is the way. To learn about our 4 “Movement” workshops, tune in to part 2 of this discussion which is episode 127. Caucus & Registration information: www.movementislifecaucus.com…
It’s been over two years since COVID-19 put everyone’s plans on hold. Community wellness programs such as Operation Change had to be paused, and everyone did their best to stay healthy in their homes during lockdown. This Town Hall at the South Side YMCA in Chicago is a welcome return to community gatherings, and an opportunity for past participants of Operation Change to reconnect, and also introduce new people to the program. Join us as we ask attendees why Operation Change has meant so much to them, and why Operation Change is such an important and effective community intervention. Featuring participants from the Operation Change Chicago community, and with Town Hall speakers Dr. Carla Harwell and Rev. Dr. Evelyn Dixon.…
The Movement is Life Annual Caucus is a major event on the health equity conference calendar. With the theme of “Health Equity Beyond the Headlines,” this year’s meeting convenes an outstanding group of leaders who are defining and implementing real solutions to health inequities. Join Caucus Chair Dr. Mary O’Connor and Movement is Life’s inaugural Executive Director Dr. Millicent Gorham for a preview of the plenary sessions and a discussion about the future mission and direction of Movement is Life, which is now an independent nonprofit organization. For further information visit: www.movementislifecaucus.com/2022-caucus/…
Neal Neuberger has spent the past 35 years in Washington as a recognized leader for healthcare and information technology policy and strategy. In this episode, he will discuss telemedicine and the effect it can have on health disparity in rural areas. With host Bill Finerfrock.
Medical notes capture information that informs decision making. They can also reveal how healthcare providers are judging their patients, and patients reading those notes can feel offended, shamed and stigmatized by what they read. Drawing from her work as a Latina primary care clinician and health equity advocate, and as a Harvard Professor, Dr. Fernández highlights the importance of language and culture in medicine and in our medical notes. In this episode,we explore how language and literacy shape our ability to offer equitable, meaningful, and respectful care to Latinx, Black and other marginalized populations.…
We often hear about the role of microaggressions, macroaggressions, and atomic aggressions during discussions about health equity. Often driven by unconscious bias, microaggressions are intrinsic to the processes of marginalization, racism and sexism that impact both patients and providers during the complex interactions that occur every day in the healthcare setting. How do we go about reducing and eliminating these types of harmful behaviors and transgressions? Can raising awareness at the grassroots level and then legal remedies at the policy level work in tandem to change behavior and provide protection? Today's episode explores these questions from a variety of perspectives, touching on the importance of fostering an inclusive culture for diverse students heading towards healthcare professions, and how this will also benefit patients.…
Dr. Mary O’Connor invites fellow surgeon and singing sensation Dr. Elvis Francois to share his story. Dr. Elvis found fame on "The Masked Singer" after recording and posting inspirational performances accompanied by fellow physician Dr. William Robinson. In this episode, Dr. Elvis talks about the importance of integrating humanity into medicine, and how the emotional connections created through our shared love of music inspire resilience and healing.…
Baton Rouge has created a culture of health through its public private partnerships. Using many creative approaches, Baton Rouge seeks to blend cooperation, competition, and personal responsibility, with civic leadership, health equity and community resources. Featuring Baton Rouge Mayor Sharon Weston Broome, Coletta Barrett from the Our Lady of the Lake Regional Medical Center, and NAON President Dr. Charla Johnson.…
Google and YouTube have done a pretty good job of organizing the internet in a way that makes it quick and easy to find that one thing or website we need out of literally billions of options - including health information. In this episode, Dr. Graham and Dr. Gorham explore the theme of meeting people where they are, particularly where that place is an individual’s phone, and the individual is sharing their front of mind concerns about health with either a Google search or searching YouTube via their mobile phone. Dr Graham believes we are entering a new era of health information, a journey that all of us are already on. The key challenge is to make science central to that journey, so that even if we are receiving health information via social media, it is both factual and helpful.…
As COVID-19 emerged during early 2020, people all over the world were feeling similar negative emotions. Operation Change leaders were learning the extent to which participants were feeling let down and unsupported, so they urgently looked for solutions. In this episode, our panel of Operation Change community leaders reflect on the impact that COVID had on the groups they had convened, and share some of the ways they responded to the pandemic.…
For this episode of the Health Disparities Podcast, three members of the LaSure extended family gathered at the annual Movement is Life caucus to discuss their tradition of working in service to the greater good, a tradition which goes back many generations. Their discussion touches on aspects of Diversity, Equity, and Inclusion that these family members have witnessed in different spheres of service, but where similar patterns rise to the surface and reflect ever evolving norms in the context of racial diversification, inclusion, and advancement.…
Hawaii has long held the record for the highest average life expectancy in the US. The islands also enjoy some of the lowest COVID-19 infection and mortality numbers along with high vaccination rates. Dr. Green attributes near-universal healthcare coverage and a strong emphasis on primary care with Hawaiians good life expectancy, but Native Hawaiians live comparatively shorter lives. Parts of Hawaii are still in many respects the frontier, with poverty rates exacerbated by COVID’s impact on tourism, and difficult access to specialist care being important aspects of the disparities equation.…
Back in the early days of the pandemic, SUNY Downstate President Dr. Wayne Riley found himself leading a major health system responsible for the care of some of the most vulnerable communities in New York City through unprecedented times. As the hospitals filled up with COVID patients his teams had to simultaneously support their staff and plan their response for patients. Dr. Riley discusses some of the immediate steps they had to take in response, from dealing with a lack of PPE to mitigating an immediate oxygen shortage. Many hospitals have found themselves stretched to breaking point both financially and in terms of staffing, and many hospitals have closed. Dr. O’Connor and Dr. Riley discuss the vital role that safety net hospitals play in care of patients in both urban and rural environments, and the margin pressures and funding shortfalls that are causing a crisis in the care of underserved populations.…
Recorded at the Movement is Life Caucus, our panel of health law thought leaders continue their discussion about the shaping of American law to reduce health disparities and protect human dignity. Featuring Frank McClellan, JD, LLM, Law Professor Emeritus from Temple University and author of “Healthcare and Human Dignity”; D. Deone Powell, ESQ, from HIV and primary care organization Philadelphia FIGHT; Cara McClellan, JD, from The NAACP Legal Defense and Education Fund; and caucus keynote speaker Daniel Dawes, JD, from Morehouse School of Medicine, author of “150 Years of ObamaCare” and “The Political Determinants of Health.”…
Dr. Calvin Johnson, MD, MPH, has built his varied career at the intersections of medicine, data science, and public health. This episode explores a wide range of topics related to health equity in a fascinating discussion, including the historical significance of Morehouse School, the importance and vulnerability of safety net hospitals, addressing the enduring issue of limited access to care for some populations, and the importance of data analysis and proactive information dissemination for problem solving and crisis management.…
Kelly Bruno, President & CEO of the National Health Foundation joins us to discuss healthcare for the homeless. California has a disproportionate share of the nation’s homeless population, approximately 161,000 of the total homeless population of 580,000. The National Health Foundation, a California-based organization focused on recuperative care in Los Angeles and Ventura counties, offers medical respite care programs as an equitable pathway to health and housing for people experiencing homelessness. It’s an approach that can mitigate some social determinants and barriers to care and build community in the process.…
October is Physical Therapy Month, and this year the American Physical Therapy Association (APTA) has a new campaign. Orthopedist Dr. Mary O’Connor meets with Dr. Hadiya Green Guerrero, a senior practice specialist at APTA, and Dr. Drew Contreras, APTAs Vice President of Clinical Integration and Innovation, to discuss the #ChoosePT campaign. Dr. Green Guerrero and Dr. Contreras also share some of the reasons they became physical therapists, and explore the many benefits of PT, including its potential for addressing chronic conditions and health disparities. Dr. Contreras also shares the advice that he gave to help President Barack Obama move more, something which everyone can follow.…
“From the health community, we recognize that climate change is a public health issue, and we stand ready to address that. I’m so proud that this administration has named the first office in HHS that is going to address Climate Change and Health Equity.” ~ Dr. Doris Browne. Sequel to Episode 101.
Employee Resource Groups (ERGs), originally called Workplace Affinity Groups, began in the 1960s in response to racial tensions in the United States. These groups have roots in the desire to advocate for employees and give them a space at work to be their best authentic selves. To what extent are ERGs making a difference in benefiting employees, their employers, and the many stakeholders engaged with organizations, including patients?…
In her book Flatling, released in 2019, Dr. Adia Wingfield articulated how the burden of equity initiatives furthering diversity and inclusion in healthcare is being disproportionately shouldered by the very populations these initiatives intend to support. Today our panel revisits Flatlining and explores the additional implications of the pandemic for equity work during this “new-new economy,” and discuss some of the challenges and solutions in leading organizational change towards culturally sensitive care and minority representation.…
مرحبًا بك في مشغل أف ام!
يقوم برنامج مشغل أف أم بمسح الويب للحصول على بودكاست عالية الجودة لتستمتع بها الآن. إنه أفضل تطبيق بودكاست ويعمل على أجهزة اندرويد والأيفون والويب. قم بالتسجيل لمزامنة الاشتراكات عبر الأجهزة.