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Equity Minicourse

IHI National Forum

Matt Stiefel, MPA, MS

December 5, 2016

100 Million Healthier Lives

An unprecedented collaboration of change

agents who are fundamentally transforming the

way we think and act to improve health,

wellbeing and equity.

Mission: 100 million people living healthier

lives by 2020.

Vision: to fundamentally transform the way the

world thinks and acts to improve health, well-

being and equity to get to breakthrough results.

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100MHL Metrics Team

Rohit Ramaswamy,

PhD, MPH

Director, Center for

Global Learning,

University of North

Carolina at Chapel Hill

Carley Riley,

MD, MPP, MHS

Assistant Professor,

Pediatric Critical Care,

Cincinnati Children’s

Hospital Medical Center

Brita Roy,

MD, MPH, MHS

Assistant Professor,

General Internal Medicine,

Yale University;

Director of Population

Health, Yale Medicine

Matthew Stiefel,

MPA, MS

Senior Director, Center

for Population Health,

Kaiser Permanente

Soma Stout,

MD, MS

Executive External Lead,

100 Million Healthier Lives

Overall Conceptual Framework

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Health &

Well-being

Measuring Healthier Lives 6

Well-being x Life Expectancy =

Well-being Adjusted Life Years (WALYs)

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Measuring Equity

Differences in well-being

and years of life gained

Age

Sex

Race/Ethnicity

Education

Zip code

Service history

Overall well-being

Social well-being

Social well-being

Spiritualwell-being

Mentalhealth

Physicalhealth

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Creating Healthier Lives in Each Community

PHYSICAL HEALTH

MENTAL HEALTH

Leading

Indicators from

Community-

Specific

Initiative

DRIVER 1

DRIVER 2

DRIVER 3

SOCIAL WELL-BEING

SPIRITUAL WELL-BEING

HEALTH RISKS

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Health, wellbeing

and equity

People

Systems of Society

Places

Measures at All Levels

Equity as a System Property

2 miles

25 year gap in

life expectancy

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Chronic inequities that are place-based

are not accidental – there is a system in

place that propagates them

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“What Happened to You?” Report from the Prevention Institute

Chronic contributors: Racism, Poverty, Gender, Stigma

http://www.100mlives.org/measure-what-matters/

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