Frontiers of Health Services Management - Spring 2014 - (Page 7)
2006-2012: Office of Health Equity
By 2006, Baylor had developed a robust
infrastructure to ensure and continuously
improve quality of care. In 1999, Baylor
hired a chief quality officer, and soon
thereafter (in pursuit of STEEEP care), the
organization established the Institute for
Health Care Research and Improvement
(IHCRI) to conduct research and support
system goals related to clinical effectiveness, patient safety, and healthcare quality
improvement. IHCRI's department structure was closely aligned with the STEEEP
initiative and included the Office of Patient
Safety and the Office of Patient Centeredness. In 2006, Baylor's board of trustees
chartered the creation of the Office of
Health Equity (OHE) to address another
important component of STEEEP care-
equitable care. In its charter, the OHE was
given three primary responsibilities:
Exhibit 1
A Conceptual Framework for Health Equity
Improvement
To effectively address health equity-both
within Baylor and throughout the communities it serves-a conceptual framework had
to be developed that clearly communicated
the factors contributing to health equity
while serving as a guide for operationalizing
health equity improvement strategies. In
its first year, the OHE developed the Health
Equity Triangle (Exhibit 1), a simple graphic
that illustrates the core elements of Baylor's
equity improvement philosophy.
The Health Equity Triangle effectively
communicates three dimensions of care
that contribute equally to health equity.
1. Access to care. The access dimension
focuses on a person's ability to obtain
health services when needed. Access
issues are broad in scope, affecting
a patient's ability to access services
along the entire continuum of care.
Baylor Health Care System Health Equity Triangle
Care
Delivery
Access to
Care
Health
Equity
Health Outcomes
J oe l T. A ll iso n, F A CHE; Cl iff Ful l e rt on; a nd Ada m C ha b ir a * 7
F E A T U R E
1. Develop a conceptual framework
for health equity work within Baylor
Health Care System.
2. Develop a methodology for
measuring and analyzing health
equity within Baylor Health Care
System.
3. Lead the innovation of interventions
that improve health equity and
reduce health disparities within
Baylor Health Care System and the
communities it serves.
Table of Contents for the Digital Edition of Frontiers of Health Services Management - Spring 2014
Frontiers of Health Services Management - Spring 2014
Contents
Editorial
Baylor Health Care System’s Journey to Provide Equitable Care
In Pursuit of High-Value Healthcare: The Case for Improving Quality and Acheiving Equity in a Time of Healthcare Transformation
Ending Healthcare Disparities: An Urgent Priority and a Growing Possibility
Expanding the Evidence Base for Health Equity
A Historical Perspective on Disparities as Context for Our Work Ahead
Frontiers of Health Services Management - Spring 2014
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