The Office of Health Equity’s work takes place within the context of the Robert Wood Johnson Foundation’s definition of health equity:
Health equity means that everyone has a fair and just opportunity to be as healthy as possible. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.
Entrenched inequities exist within systems and continue to affect people’s abilities to have a “fair and just opportunity to be as healthy as possible.” Dell Med’s ongoing work in this area addresses contributors to health within this larger context, while upholding racial equity as a foundational principle.
Health Equity Strategic Map
The Health Equity Strategic Map depicts the key elements of Dell Med’s three-year strategy to demonstrably and sustainably embed health equity as an operating principle in all areas of the organization in order to ensure achievement of its mission.
To lay the foundation for broader external-facing health equity work, the initial 12 months of the map’s implementation will focus on internal progress within the organization, with specific emphasis on advancing five priority tracks of work:
- Ensure leadership understanding, commitment and engagement
- Build partnership between Dell Medical School, Central Health and Ascension Seton
- Complete data-driven needs analysis
- Adopt a health equity approach to research
- Establish health equity educational competencies
The priorities, objectives and work outlined in the strategy require consistent alignment with Dell Med’s aspirational culture, and the strategic map will progress with staff, students and faculty participation from across the organization.
Policy is a key function to address the systemic nature of health equity work, in which existing systems reflect entrenched, rampant and often unacknowledged inequities. To that end, in addition to its initial focus on internal organizational culture change, Dell Med’s health equity work includes creating policies that directly address inequities.
Other organizations are engaged in similar policy endeavors. For example, the American Academy of Family Physicians is advancing health equity through its policies on topics such as linguistically appropriate care, human trafficking and keeping physicians in rural practice. Meanwhile, the American Public Health Association offers an online database of policy statements for reference and use in advocacy, and Policy Link introduces health equity broadly and makes the policy case for data disaggregation to advance a culture of health.