Institute of Medicine Workshop:

1

• Institute of Medicine Workshop
• Guidance in Designing a National Healthcare
  Disparities Report
• Julianna Gonen, Ph.D. and Rea Pañares, M.H.S.
• Center for Prevention and Health Services
• Washington Business Group on Health
• 20 March 2002

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Washington Business Group on Health

• National non-profit devoted to analysis of health
  policy from the corporate purchaser perspective
• Private and public sector employers
• Represent 40 million employees, dependents,
  retirees
• Founded in 1974

3
WBGH Board of Directors

• 3M
• AOL Time Warner
• California Healthcare Foundation
• Dell Computer Corporation
• Ford Motor Co.
• General Electric Co.
• General Mills, Inc.
• Health Policy Corporation of Iowa
• Honeywell
• IBM Corporation

• Mead Corporation
• PepsiCo, Inc.
• Pitney Bowes
• Sokolov, Sokolov, and Burgess
• Starwood Hotels Resorts Worldwide, Inc.
• Union Pacific Railroad Company
• Verizon Communications
• Xerox Corporation

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WBGH Mission Statement

• The Washington Business Group on Health is the
  national voice of large employers dedicated to
  finding innovative and forward-thinking solutions
  to the nations most important health care issues.

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WBGH Activities

• Make the business case for important health care
  issues
• Center for Prevention and Health Services
• CDC Cooperative Agreement
• Maternal and Child Health
• Health Disparities
• Clinical Preventive Services
• Mental Health
• Disability Management

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Main Topics

• WBGH supports the National Disparities Report
• National Disparities Report useful to WBGH and
  our members
• Priority issues and data elements important to
  employers
• Employer concerns and the employer role

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WBGH Supports NDR

• WBGH Exploratory meeting
• Employer Leadership Forum Promoting Health for a
  Culturally Diverse Workforce The Impact of
  Racial and Ethnic Health Disparities on Employee
  Health and Productivity
• Strengthens WBGHs work in this area
• WBGH Health Disparities Initiative

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Health Disparities Initiative Promoting Health
for Culturally Diverse Workforce

• Objectives
• Provide pertinent and timely information to
  employers on issues affecting their diverse
  workforce
• Develop practical solutions and tools
• Serve as the link between business and public
  health leaders

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Health Disparities Initiative Promoting Health
for Culturally Diverse Workforce

• Expert Advisory Panels
• Technical Advisory Board
• Employer Council
• Current Activities
• Proposed Activities

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NDR Useful to WBGH Members

• IOM/AHRQ highly respected by employers
• Quality report
• Lends seriousness to issue
• Encourage employers to take action
• Data collection
• Re-examine purchasing behavior and employee
  wellness programs

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Priority Issues

• Quality of services received
• Same investment should same care
• Utilization of services
• Disease management programs
• Work-site wellness programs and screenings
• Access to health care
• Differential treatment recommendations

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Data Elements

• Extent of disparities, controlling for insurance
  status
• Disparities within leading chronic conditions
• Geographic dispersion
• Languages spoken and effect on health

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Employer Concerns

• Means to safely collect data to determine
  extent of disparities within workforce
• Absence of data relating race/ethnicity to health
  outcomes and productivity

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Conclusion

• Address employer concerns
• Specific suggestions on employer role
• How to use leverage as purchasers
• Programs to implement on-site
• Employee Education