The Intersection of Health Equity, Burnout and Trauma-Informed Care

The advancement of Health Equity, including the identification of outcome gaps and the development of processes to close those gaps, has become a major focus for the Centers for Medicare and Medicaid Services as well for managed commercial insurance plans. This project was designed to identify the most significant and urgent Health Equity opportunity within a county hospital and to create a pilot intervention to close high priority identified gaps.

The Trauma Informed Care Experience

The project focused on providing trauma informed care training to staff members to address allegations of hurtful, aggressive, and derogatory comments made towards foster youth in care. The primary goal was to educate staff on how to realize, recognize, respond, and prevent re-traumatization of these vulnerable individuals.

Improving Birth Outcomes through Midwife Workforce Expansion

The aim of this project was to assess the strengths and limitations of student teaching for
midwife-led clinical practices in California through an anonymous survey. Decades of research
shows that midwives dramatically decrease maternal and fetal morbidity and mortality in labor.
and postpartum. As of 2020, in the US there are approximately 4 midwives per every 1,000 live
births. According to the American College of Nurse Midwives, to be on par with other
high-income countries with better outcomes, we need to aim for a minimum of 25 midwives per

Announcing Our New Initiative to Strengthen California’s Health Workforce

By Director Sunita Mutha, MD, FACP, and Associate Director of Research Elizabeth Mertz, PhD

 

“We envision a collective effort that prioritizes systems and policy changes to advance the diversity and skills of workers to produce better economic opportunity and, ultimately, better health for communities of color.”

 

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CHCF Alumni Network Meeting

The CHCF Alumni Network meets in-person twice annually and offers access to more than 600 clinician leaders who transform health care — and communities — across California. The CHCF Healthcare Leadership Program is a project of the California Health Care Foundation that was created by and has been managed by Healthforce Center at UCSF since 2001.

Autism: Breaking the cycle of health disparity in Los Angeles County

When a child receives an autism diagnosis, the work has just begun. Parents are faced with a myriad of challenges, many of which may persist across the lifespan. Social skill deficits is one of the hallmark features of the disorder. This can impair a baby’s ability to give a social smile, or an adult’s ability to obtain and maintain meaningful employment.

Leadership through a Staffing Crisis

Staffing crises have become endemic in healthcare. The costs go far beyond the financials, deeply affecting morale and patient care. Balancing patient needs, staff morale, equity, and future expectations is a challenging skill set. This project will describe a leadership journey through a staffing crisis, and highlight lessons learned.

Decreasing Iron Deficiency Anemia in Pregnancy

am Director of Women’s Health for Eisner Health, an FQHC which provides physician and midwife care to 2000 birthing people annually at two safety net hospitals in Los Angeles. Local, statewide, and national data all show significant health disparities around maternal morbidity. The majority of maternal morbidity is secondary to the need for transfusion. Women who present to labor and delivery anemic are more likely to need transfusion.

Team Based Care to Reduce Burnout

Clinicians at Keck Medicine of USC are burned out due to the COVID 19 pandemic, competing demands on their time and insufficient support to achieve work life balance. This project was designed to establish a team-based care program at Keck Medicine of USC to reduce clinician and staff burnout in the Family Medicine Department. Burnout affects over 50% of physicians and nurses and leads to reduced access to care due to sick calls, reduced patient safety and lower quality of care.

It takes a village – promoting health equity domestically and globally

In recent years, there has been increased focus on health equity, galvanized by events such as Black Lives Matter, and increased awareness of the porosity of borders during the COVID19 pandemic. In my role as faculty lead for DEI efforts within Stanford’s Division of Primary Care and Population Health (PCPH) as well as faculty lead for the division’s global health partnership in western Kenya, I realized that many of the challenges to health equity globally are at play domestically.