If your organization is looking to translate its commitment to equity into the safety and quality work you do, a team of leaders from New York City Health + Hospitals — the nation’s largest integrated municipal health system — offers both timely advice and examples of a 4-part strategy in action.
- Start with a needs assessment, involving input from at least five percent of the workforce to ground the organizational culture shift in data.
- Map the work streams associated with all quality and safety activities in the organization and shore up capacity for equity work.
- Apply an equity lens to existing quality and safety efforts using iterative Plan-Do-Act-Study cycles.
- Use data visualization with transparent milestones and measures.
The team’s strategy is part of a larger effort to address historic racial, ethnic, socio-economic and other inequities in a health system that serves a diverse population of more than 1 million patients. The 4-step approach is described in detail in a blog article published this summer and freely available from the Institute for Healthcare Improvement.