Our Disparities Strategic Objective
Searching for Disparities Solutions:
“Trying harder will not work”
Reduce racial and ethnic disparities in the care
of cardiovascular disease, diabetes mellitus and
depression by 2008
Michael
Michael W.
W. Painter,
Painter, JD,
JD, MD
MD
Senior
Senior Program
Program Officer
Officer
Most think the Federal Government Should Do
More…
Total
Whites
African
Americans
Hispanic
Americans
Health Care Costs-2004
65%
57%
91%
• $1.9 trillion
• 16% GDP
• $6,280 per person
84%
Harvard School of Public Health/Robert Wood Johnson Foundation/ ICR,
September 2005
Performance of the U.S. Health Care System
Past Disparities Strategies Are Not Working:
August 18, 2005, NEJM
CABG
10
8
6
4
2
“The First National Report Card on Quality of Health Care in America”, RAND 2004
(Funded by the Robert Wood Johnson Foundation)
Rate (per 1000 enrollees)
12
White men
White women
Black men
Black women
0
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Year
Funded by the Robert Wood Johnson Foundation
1
Mrs. J Needed Quality Care That Was:
The Federal Environment
• Culturally appropriate
• Katrina
• Iraq war
• Judicial nominations
• Mounting Federal deficit
• Medicaid cuts
• Medicare Rx benefit
• Rising health care costs
• Rising numbers of uninsured
• Poor care quality and disparities
• Evidence based
• Patient centered
Our Solutions Network Includes:
Plans
$$$
Providers
INNOVATE
• Expecting Success
• Finding Answers
• Leading Change
Quality
Care
• Hablamos Juntos
• Legal Barriers Project
• Urban Indian Health
Commission
• National Health Plan
Collaborative
• Medicaid Plan
$$$
Collaborative
Cost Savings
RWJF Solutions Network
Finding
Answers
Expecting
Success
RWJF
Targeted
Research
Legal
Barriers
Project
Focusing on Next Steps
Leading
Change
Hablamos
Juntos
Plan
Collaboratives
• Developing a Solutions Network
• Leading the field—Disparities and Quality
• Refining the Research Agenda
• Implementing Effective Interventions
• Focusing on Special Populations
• Turning to Health Information Technology
2