Sixth National Conference on Quality Health Care for Culturally Diverse Populations: Roundtable Sessions The unfulfilled promise of quality: Building patient-centered and equitable health systems

Breakfast Roundtable The unfulfilled promise of quality: Building patient-centered and equitable health systems

The unfulfilled promise of quality: Building patient-centered and equitable health systems
Tuesday, September 23, 2008: 7:30 AM-8:30 AM, Minn Marriott, 4th Floor - Deer/Elk
How can patient-centeredness and equity, two of the six elements of high-quality health systems, as outlined by the Institute of Medicine in its Crossing the Quality Chasm report, be integrated into the continuous improvement of our health systems?  This session will provide an overview of concepts and frameworks, change strategies and best practice models to advance patient-centered and equitable health care, from the perspective of two funders who have prioritized these issues, The California Endowment and The Commonwealth Fund

Concepts and Frameworks
There will be discussion of how parallel and overlapping frameworks and definitions of minority health, multicultural health, culturally and linguistically appropriate services, cultural competency, health care disparities reduction, quality improvement, patient-centered care, and most recently, medical homes have been used.  How do we use these frameworks to best “make the case” (social justice, marketing, patient safety, risk management, legal and regulatory compliance, patient and provider satisfaction, improved patient outcomes, etc.) for investing in improvements on these issues?  Is there sufficient data to make these multiple cases for change? Which cases have been most persuasive to the leadership of health systems and policymakers?

Change Strategies
Discussion of change strategies and best practice models at the national, state and local policy level, at a health systems level, at an organizational level, at the clinical provider level and from patient/consumer engagement and empowerment perspectives will include work with national accreditation and quality improvement organizations, state government purchaser and regulatory agencies, hospital and health systems, health plans, local health departments, community health centers, physician associations, employer and purchaser associations, peer-reviewed journals, ethnic media and consumer and community-based organizations.  How can such efforts result in synergy and catalyze broader and deeper change within health systems? What are the roles of individual and institutional leadership in such change strategies? Evaluation results and outcome data from specific projects will be presented.
Finally, session participants will be invited to share their own change strategies, best practices and results from their own experiences.

Presentation Information:

Program: Roundtable Sessions

Ignatius Bau , The California Endowment, San Francisco, CA
    Program Director
    The California Endowment
    101 Second Street Suite 2400
    San Francisco CA, USA 94105

    Phone: 415-343-0222
    Fax: 415-343-0220
    Email Address:

    Biographical Sketch:
    Ignatius Bau, Program Director at The California Endowment, directs its programs on cultural competency, language access, health workforce diversity and health care disparities. He oversees grantmaking to national accreditation organizations, hospitals and health systems, physician organizations, health plans, community health centers, health care interpreter associations, health professions education institutions and community-based health policy advocacy organizations, Bau previously worked on health policy and programs at the Asian and Pacific Islander American Health Forum and as a civil rights lawyer, focusing on immigration-related issues. He has served on numerous boards of directors, including the Asian and Pacific Islander Wellness Center, Northern California Coalition for Immigrant and Refugee Rights, California Budget Project and National Minority AIDS Council. He has served on many government committees and task forces including the Presidentís Advisory Council on HIV/AIDS, the federal Office of Minority Health National Minority HIV Plan Working Group and the California Department of Health Services Task Force on Multicultural Health. He is a member of the Institute of Medicine Forum on the Science of Health Care Quality Improvement and Implementation and was a member of the Public Advisory Group of the Joint Commission on Accreditation of Healthcare Organizations and the National Quality Forumís Workgroup on Minority Healthcare Quality Measurement and Reporting.

Anne Beal, MD, MPH , Program on Health Care Disparities, The Commonwealth Fund, New York, NY
    Assistant Vice President
    The Commonwealth Fund
    Program on Health Care Disparities
    One East 75th Street
    New York NY, USA 10021

    Phone: 212-606-3861
    Email Address:

    Biographical Sketch:
    Anne C. Beal, M.D., M.P.H., is Assistant Vice President for the Program on Health Care Disparities. The goal of the program is to improve the quality of health care delivered to low-income Americans and members of racial and ethnic minority groups and to reduce racial and ethnic health disparities. The program builds on efforts to improve quality of care overall in the U.S., focusing on safety net institutions and other health care settings that serve large numbers of low-income and minority patients. Dr. Beal is dedicated to improving health care in the U.S., particularly for vulnerable patient groups such as children and minorities. Her career is devoted to providing access to high quality health care and has included delivering healthcare services, teaching, research, and educating the public about their health. Early in her career, Dr. Beal worked with a mobile medical unit project delivering healthcare services to children living in homeless shelters throughout New York City. Prior to joining the Fund, Dr. Beal was a health services researcher at the Center for Child and Adolescent Health Policy at Massachusetts General Hospital. In addition, she was Associate Director of the Multicultural Affairs Office of Massachusetts General Hospital, an attending pediatrician within the division of General Pediatrics, and held faculty positions both within Harvard Medical School and the Harvard School of Public Health. Dr. Bealís research interests include social influences on preventive health behaviors for minorities, racial disparities in health care, and quality of care for child health. She serves on the advisory boards for many organizations, has been a reviewer for the Health Systems Research study section of the Agency for Healthcare Research and Quality (AHRQ), and was recently appointed as co-chair of the Healthcare Disparities Technical Advisory Panel for the National Quality Forum (NQF) Ambulatory Care Measuresí Project. She is also chair of the Minority Health Council and member of the Public Health Council of NYS. Dr. Beal holds a B.A. from Brown University, an M.D. from Cornell University Medical College, and an M.P.H. from Columbia University.