Toward Health Equity and Patient-Centeredness: Integrating Health Literacy, Disparities Reduction, and Quality Improvement: Workshop Summary (2009)

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Appendix A Workshop Agenda Toward Health Equity and Patient-Centeredness: Integrating Health Literacy, Disparities Reduction, and Quality Improvement Fairmont Newport Beach Newport Beach, CA 8:00 am–5:00 pm Outcomes of workshop 1.  Review the current evidence base for quality improvement approaches that address health literacy and/or reduce disparities 2. Describe several paradigmatic efforts to use quality improvement to address health literacy and/or reduce disparities 3.  Explore several key conceptual and policy questions for quality improvement strategies to address health literacy and/ or reduce disparities 4.  Make linkages between quality improvement, health literacy, and disparities reduction, with improving equity and patient- centeredness as the focus May 12, 2008, Public Workshop 8:00–8:15 Opening Remarks Speaker: Ignatius Bau, The California Endowment 8:15–8:45 Vision for better health outcomes: Integration of disparities reduction, health literacy, and quality improvement Speaker: George Isham, HealthPartners 79 

80 TOWARD HEALTH EQUITY AND PATIENT-CENTEREDNESS 8:45–9:30 Building the foundation for integrating health literacy, disparities reduction, and quality improvement in health and health care Moderator: Ignatius Bau, The California Endowment •  Health Literacy: A Matter of Health Care Quality and Equity Speaker: Michael Wolf, Northwestern University •  Integrating Health Literacy, Disparities Reduction, and Quality Improvement  Speaker: Cindy Brach, Agency for Healthcare Research and Quality •  Patient-Centeredness as an Indicator of Quality— Measures of Patient-Centeredness and How Issues of Health Literacy and Health Disparities Interact to Impact Quality  Speaker: Mary Catherine Beach, Johns Hopkins University 9:30–10:00 Discussion 10:00–10:15 Break 10:15–11:00 Integration at the practitioner level: Using quality improvement as a tool to improve health literacy and reduce disparities Speakers will describe the type of system in which they work, and why they see integration as important for that system, and discuss how approaches to improve quality and health literacy and reduce disparities might be used in that system to improve equity and patient-centered care. Moderator: Jack Lewin, American College of Cardiology Speakers: • Health plan—Grace Ting, WellPoint •  Ambulatory care—Tom Sequist, Harvard Vanguard •  Hospital—Michael Pignone, University of North Carolina 

APPENDIX A 81 11:00–12:00 Responses and reflections on using quality improvement  Speakers: Nicole Lurie, RAND; Marshall Chin, University of Chicago; Steve Somers, Center for Health Care Strategies, Inc. 12:00–1:30 Lunch 1:30–2:30 Breakout Session • Health plans Leader: Alicia Dixon, The California Endowment • Ambulatory care  Leader: Carolyn Clancy, Agency for Healthcare Research and Quality • Hospital  Leader: Thomas Boat, Cincinnati Children’s Hospital Medical Center Questions to be discussed: 1.  escribe a specific activity that effectively D integrates quality improvement, disparities reduction, and addressing health literacy. 2.  ow can such integration be more H patient-centered? 3.  hat systems integration and systems changes W might be necessary to achieve greater patient- centeredness and equity? 2:30–3:15 Group Reports Moderator: Marshall Chin, University of Chicago 3:15–3:30 Break 3:30–4:00 Policy Issues of Integration Issues to be addressed include • What standards/priorities should be put in place to foster improvement in patient-centered care and equity? • What types of measures need to be developed? • How can efforts be evaluated? • Financing • Education and training 

82 TOWARD HEALTH EQUITY AND PATIENT-CENTEREDNESS Moderator: Winston Wong, Kaiser Permanente Speakers: • National: Paul Schyve, Joint Commission •  Other: Romana Hasnain-Wynia, Northwestern University 4:00–4:15 Discussion Moderator: Winston Wong 4:15–5:00 Summary/conclusions: Closing remarks from chairs of forums/roundtables 5:00 Adjourn