Achieving Health Equity
Certain groups suffer disproportionately in the face of serious illness, whether because of race, geography, income, sexual orientation, gender identity, culture, trauma history, or any of the myriad factors that impact patient care and patient experience.
Health professionals have a unique opportunity to lead in achieving health equity by establishing trust and alleviating suffering for historically oppressed or excluded patients. This toolkit provides curated tools and resources to improve the quality of care provided to these patient groups, and move the needle on equity for all people living with serious illness. We also recommend reviewing CAPC’s health equity blog series for additional information and resources.
What’s in the Toolkit
Role of Palliative Care in Addressing Health Equity
These CAPC videos provide information on various health equity issues that exist for people with serious illness, and strategies for palliative care professionals to provide more equitable care.
Strategies palliative care teams can employ to ensure racial and ethnic communities have access to care that relieves suffering.
In this on-demand webinar, panelists provide practical ways palliative care leaders can advance DEI practices in hiring and retention, team culture and composition, and clinical care delivery.
In this on-demand webinar, the presenter demonstrates how health professionals can examine biases through the lens of two clinical palliative care cases.
In this on-demand webinar, panelists discuss ways to identify how structural racism is operating at your institution, and actions both programs and individuals can take to promote health equity.
This on-demand webinar discusses the importance of addressing the spiritual care needs and existential pain of patients and caregivers, and our colleagues.
This on-demand webinar highlights CareOregon’s experience in providing outpatient palliative care to Portland's most complex patients, and ways to address medical, behavioral health, housing, and social support needs.
This Master Clinician describes the unintended consequences of implicit bias on health care disparities and shares a practical framework for how teams can begin to address these issues to enhance patient care.
Accessibility and Inclusiveness
With wide variation in the care experience of diverse patients, and their families, these resources offer ideas for increasing accessibility and inclusiveness for historically excluded patient populations.
CAPC 2x4 poster on assessing baseline attitudes about diversity, health equity, and inclusion on an interdisciplinary palliative care team.
CAPC National Seminar poster featuring a pilot from a safety-net hospital assessing their complex patient population’s ability to complete televisits.
Slide deck providing information on how telehealth, if developed with intention, can improve access and equity especially in rural, underserved populations.
NHPCO’s compilation of tools and resource guides to increase access to hospice and palliative care services within diverse communities.
Addressing Social Determinants of Health
Tools to incorporate the intersectionality and unique care experiences of certain populations living with serious illness to improve their care quality.
CAPC 2x4 poster using a quality improvement project to assess the feasibility of implementing a screening question on racism into a palliative care consult note.
CAPC 2x4 poster using case review of Hispanic oncology patients in an inpatient setting and ways to overcome barriers via an interpreter.
In this GeriPal podcast episode, Drs. Carey Candrian and Angela Primbas describe the experiences of lesbian, gay, bisexual, and transgender older adults and how the care recieved later in life can either empower or continue to stigmatize these communities.
Recommended clinical tools to standardize the way in which symptoms are captured for underserved patient populations, and considerations to incorporate cultural humility into communication and care plans for patients with serious illness.
Recommended assessment questions to typify pain and inform pain management for patients with serious illness.
Cultural assessment document with a mnemonic approach to improve communication with patients and families.
Defines cultural humility and how it influences patient care and offers ways to provide culturally humble care.
Sample script to help clinicians better understand patients’ experiences and meet needs, both during and after the COVID-19 pandemic.
Defines unconscious bias and how it influences patient care, and provides ways to reduce the impact of unconscious bias on care delivery.
All palliative care teams are responsible for addressing cultural aspects of care. Domain 6 shares clinical and operational implications and practice examples.
Developed by the Center for Health Care Strategies (CHCS), this two-page fact sheet describes a trauma-informed approach to care to provide effective health care services.
Karen Bullock, PhD, LCSW
Professor and Head of the School of Social Work, North Carolina State University
Brittany Chambers, MPH, MCHES
Director, Health Equity and Special Initiatives
Constance Dahlin, MSN, ANP-BC, ACHPN, FPCN, FAAN
Center to Advance Palliative Care
Sherika Newman, DO
Associate Medical Director
Allison Silvers, MBA
Chief Health Care Transformation Officer