October 28, 2015 Winifred V. Quinn, PhD Adriana Perez, PhD, RN Herminia Palacio, MD, MPH Pier A.Broadnax, Ph.D, RN Jehan El-Bayoumi, M.D., F.A.C.

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1 October 28, 2015 Winifred V. Quinn, PhD Adriana Perez, PhD, RN Herminia Palacio, MD, MPH Pier A.Broadnax, Ph.D, RN Jehan El-Bayoumi, M.D., F.A.C.P

2 Today s Webinar Describe the social determinates of health Discuss how the social determinates are used to guide the development a culture of health in the District of Columbia. Winifred V. Quinn, PhD Director, Advocacy & Consumer Affairs Center to Champion Nursing in America at AARP Adriana Perez PhD, ANP-BC, FAAN Assistant Professor University of Pennsylvania School of Nursing 2

3 Today s Webinar Herminia Palacio, MD, MPH Director, Robert Wood Johnson Foundation Pier A. Broadnax, Ph.D., RN University of the District of Columbia Program Director, Bachelors of Science of Nursing Program Jehan El-Bayoumi MD, FACP Founding Director Rodham Institute Professor of Medicine George Washington University 3

4 Where we live learn work and play: Understanding social determinants in the context of Culture of Health Campaign for Action - Diversity Learning Collaborative Webinar October 2015

5 Overview Social Determinants of Health Culture of Health Action

6 Social Determinants of Health as described by Centers for Disease Control and Prevention (CDC) are economic and social conditions that influence the health of people and communities. These conditions are shaped by the amount of money, power, and resources that people have, all of which are influenced by policy choices.

7 Social Determinants of Health as described by World Health Organization (WHO) are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The social determinants of health are mostly responsible for health inequities - the unfair and avoidable differences in health status seen within and between countries.

8 Estimated contribution to population health

9 Education and Health

10 Education and Health

11 Income and Health

12 Place and Health

13 Las Vegas, NV: Age 71 versus years in about 9 miles between The Strip and Southeast Las Vegas

14 Chicago, IL: Age 69 versus years in the 7 L stops between Washington Park and the Loop

15 Kansas City, MO: Age 69 versus years in a few miles between Blue Hills and Armour Hills

16 New Orleans, LA: Age 55 versus years in just a few miles

17 Place Matters Unnatural Causes is inequality making us sick? California Newsreel 2008

18 what is a culture of health?

19 what is a culture of health?

20 Being healthy and staying healthy is an esteemed social value

21 health of the population guides public and private decision-making

22 geography and demographics do not serve as barriers to good health.

23 individuals, businesses and governments work collectively to foster healthy communities and lifestyles.

24 individuals, the economy businesses is less and burdened by excessive governments and unwarranted health work care collectively spending to foster healthy communities and lifestyles.

25 we are all supported to make proactive choices that will improve our health.

26 CULTURE OF HEALTH ACTION FRAMEWORK ACTION AREA 1 MAKING HEALTH A SHARED VALUE ACTION AREA 2 FOSTERING CROSS-SECTOR COLLABORATION TO IMPROVE WELL-BEING EQUITY OUTCOME IMPROVED POPULATION HEALTH, WELL-BEING, AND EQUITY EQUITY ACTION AREA 3 CREATING HEALTHIER, MORE EQUITABLE COMMUNITIES ACTION AREA 4 STRENGTHENING INTEGRATION OF HEALTH SERVICES AND SYSTEMS

27 Action Coalitions

28

29

30 30 Culture of Health

31 Resources Social Determinants of Health (Paula Braverman and Laura Gottlieb) County Health Rankings and Roadmaps Health Equity pdf/sdoh-workbook.pdf

32 Implementing a Culture of Health Using the Social Determinants of Health Pier A. Broadnax, Ph.D., RN Co-Lead. District of Columbia Action Coalition Jehan El-Bayoumi, M.D., F.A.C.P Founding Director, Rodham Institute Professor of Medicine, George Washington University

33 Social Determinants Upon completion of this session, the participant will be able to: 1. Describe the social determinates of health; 2. Discuss how the social determinates are used to guide the development a culture of health in the District of Columbia.

34 Social Determinates of Health (SDOH) (Healthy People 2020): Economic Stability Education Social and Community Context Health and Health Care Neighborhood and Built Environment

35 Social Determinants in Action: District of Columbia

36 Operationalizing SDOH Elements Education Educate the nursing community through Lunch and Learn sessions. Develop a list of resources to support para-professional and professional nurses returning to school. Social and Community Context Structure community clinics to the needs of the target community

37 Health and Health Care Build collaborations with diverse providers (NBNA, NAHN, MD s [primary care and behavioral health] Public Library, EMS, different SON s). Work with local legislatures to convene health programs. Build public/private partnerships.

38 Questions or Comments? Press *1 on your telephone key pad to ask a question OR Use the chat feature to send everyone a question. You can find the recording, webinar summary, and additional resources by going to: 38

39 Monthly Webinar Series Diversity Learning Collaborative WebEx Every 3 nd Wednesday of Month Next Webinar on Wednesday, November 18 Time 3:00 PM ET 4:00 PM ET Topic: "The Numbers Are There: Using Data to Pave the Way to Increased Diversity

40 Campaign Resources Visit us on the web at

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