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This year’s report from Children’s National highlights the DEI Program’s progress and leadership’s unwavering commitment in spite of anti-DEI headwinds at the national level. It also captures the many ways the hospital is reaching beyond the four walls to share the lessons learned with other children’s hospitals and health systems that are on their own equity-focused journeys. The repot focuses on the 10 target areas to measure equity in care (see graphic below).
DCHA is partnering with the DC Department of Health Care Finance/CRISP DC to provide our hospitals with access to an electronic advance care planning platform aimed at improving staff workflow and supporting the quality of patient care.
MyDirectives for Clinicians Integrated in the CRISP DC HIE
This user-friendly platform allows health care providers to create, upload, and view new digital advance care planning forms whenever and wherever they are needed across all patient care teams with access to the DC HIE. Advance care planning forms available through the platform include DC MOST, National POLST, Psychiatric Advance Directive and Universal Advance Digital Directive.
How MyDirectives for Clinicians Improves the Quality of Patient Care
The presentation recordings are available for viewing and downloading from the 2024 Opioid Response Symposium, held virtually on August 5-7.
DCHA believes that to achieve health equity we must understand the challenges, aspirations, barriers, and realities of the community. To share the example of innovative approaches to equity and shine a light on leaders across the District of Columbia, DCHA created the Vincent C. Gray Health Equity Award. DCHA recognizes the importance of health equity and is working with its member hospitals to ensure that disparities in health care quality and access are eliminated. The award is to honor and recognize individuals and organizations who are making health equity a reality in their community and leveraging engagement to improve health outcomes for those most impacted by health disparities. The award will go to an individual or organization that can demonstrate they have contributed to reducing disparities in health care quality. Nominations are due October 7, 2024. Awardees will be honored at DCHA’s Health Care & Innovation Summit on October 30.
Award Criteria:
The Care Center is part of United Medical Center and is a nationally recognized, outpatient infectious diseases treatment facility. The Care Center provides diagnostic and clinical services for infections and infectious diseases. The community can find The Care Center in the medical office building adjacent to United Medical Center’s emergency department.
When it opened in 2011, The Care Center provided treatment for people diagnosed with hepatitis and HIV, and now offers care and treatment for skin and soft tissue infections, bone and joint infections, pneumonia, tuberculosis and other infections.
The Care Center built a reputation for its patient services and the sophisticated, compassionate and holistic treatment of people living with HIV/AIDS, offering health education, psychological counseling, patient navigation and referral services, support groups, and medical case management. The Care Center’s work and the efforts of Dr. Lisa Fitzpatrick, MD were featured in the 2012 International AIDS Society conference held in Washington, D.C. Dr. Fitzpatrick was also included in the PBS documentary Endgame: AIDS in Black America.
News articles have highlighted The Care Center’s work and services have appeared in The New York Times, Washington Post and the UK Guardian.
In 2013, The Care Center collaborated with the Kaiser Family Foundation and the Greater than AIDS campaign. That partnership brought singer Alicia Keys to UMC where she met with women living with HIV and learned about their stories of survival.
In an ongoing effort to improve upon our quality health care and treatment options, The Care Center has secured grant funding from Gilead Sciences, Inc., D.C. Department of Health, and National Institutes of Health which partially support clinical care and research activities.
Highlights: A generalized increase is noted across all focus utilization metrics this month compared to January 2020 baseline. Acute care admissions moved from -13% under the baseline last month to -10% in May (Fig. 1) with all except one hospital showing a slight increase in volumes as shown in Table 2 of the report. Emergency department visits and psychiatric admissions both show a slight increase in volumes this month going from -23% to -22% and -21% to -19% below baseline respectively. Observation admissions and ambulatory surgeries continue to remain over 2020 baseline as portrayed in Fig. 1 below.
Reduced variation in observation admissions has been seen over the past few months. In addition, volumes show a recovery compared to the height of the COVID-19 pandemic after the emergency was declared in March 2020 as depicted in Fig. 2 below. Comparing March 2023 to March 2020 volumes there is a noted recovery even though some variation is observed as depicted in Fig. 2. Conversely, psychiatric admissions continue to fluctuate around the post-COVID median and have returned to pre-COVID volumes with the biggest drop observed from March to April 2020 following the emergency declaration as shown in Fig. 3 below.