Joy Lewis, MSW, MPH

For the Institute for Diversity and Health Equity, 2024 can be summed up in a single phrase: “letting the data speak and guide us.”
Juneteenth commemorates the emancipation of the last enslaved African Americans in Texas in 1865, two years following the issuance of the Emancipation Proclamation. As you can see from the two-year difference, the actual ending of slavery in the U.S. was a slow and complicated process.
What does it take to become an everyday champion for advancing health equity? How do hospitals and health systems successfully transition from planning to taking action and creating real cultural change?
AHA launches the first in a new series of toolkits designed to help hospitals and health systems make progress in advancing their health equity agenda.
Nearly 55 years ago, during the 1966 Medical Committee of Human Rights Convention, the Rev. Dr. Martin Luther King Jr. declared, “Of all the forms of inequality, injustice in health care is the most shocking and inhumane.” Although there has been incremental progress toward achieving a more just health care system, Dr. King’s words still ring true today.
With our nation’s COVID-19 vaccine administration rollout underway, policy influencers and advocacy groups are focusing on communities of color that have been disproportionately impacted by the fluctuating pandemic.
This case study highlights examples of capitated payment agreements that serve to increase the use and improve the quality of primary care services in rural communities. These arrangements are deployed at several levels of care management and delivery in the public and private sectors, with payment to parties such as managed care organizations, community health workers and physicians. Most of these models are enmeshed in larger, multi-agreement payment models and serve as an example of how to leverage capitated payments for specific services in conjunction with other payment methodologies such as fee-for-service, pay-for-value, and global budgeting.
Rural hospitals are often the largest local employer and help attract other businesses to the area, improving economic stability.
An invisible beam that detects ships and airplanes. An innovative drug that reduces cholesterol in a way no one has tried. The notion that tumors can be killed by choking off their blood supply. These things — radar, statins and anti-angiogenesis drugs, respectively — are taken for granted today. But when first proposed, they were laughed at, rejected and deemed impossible.
AHA staff recently visited two rural hospitals to see and hear firsthand how leaders are engaging in innovative practices to increase accessibility and affordability for their communities.