AURORA HEALTH CARE is an integrated, not-for-profit, and all-for-people health care provider serving communities throughout eastern WI and northern IL.

WE HELP “ALL” PEOPLE LIVE WELL

the health care

dispaRities

Aurora pledges to

JACQUELIN COBY-BEAVERERICKAJOY DANIELS

DR. JAKE BIDWELL

#123forequity

Oct - Feb 2017

PROGRESS TIMELINE

Identify health system health disparities gap

and engage clinic team in QI project to address on local level.

OUR GOAL

15 hospitals | 150+ clinics70 pharmacies in 30 communities

AURORA CURRENTLYOPERATES...

Why we chose Hypertension in African Americans:Hypertension is a major health problem in African American patients. The end-organ complications of hypertension are greater in African Americans than in other groups. Other systemic illnesses such as diabetes compound these risks. Therefore, hypertension control is particularly important in these patients. While the Aurora Health Care system ranked well above the national average for hypertension control, we discovered that African Americans both at the system level and at Aurora Sinai Medical Center had lower rates of hypertension control than whites or other ethnic groups.

Hypertension in African Americans with Diabetes

at the Aurora Sinai Medical Center – Internal Medicine Clinic

LESSONS LEARNEDBuilding a model for scale

Education for teams beyond launch teams

Setting pace of play

Service quality teams are collateral roles

Securing consumer voice

SUCCESSESNew capability and awareness

in care management teams

Gap closure

Operationalized analysis for proactive work

Cross functional collaboration

KEY LEADERSHIP SUPPORT

Chief Executive O�cer: Dr. Nick Turkal

Chief Medical O�cer: Dr. Andy Anderson

Executive Vice President and Chief Transformation O�cer: Patrick Falvey

Aurora Sinai Internal Medicine Lead Physician: Dr. Kern Reid

84%

79%

868482807876

System

2015 Gap: 5

Data: Through August 2016

3Q Gap: 5

BP

Co

ntro

l

AfricanAmericans

BP Control: AHC

80.6% 71% 72.9%

1009080706050

White

Data: Through November 2015

Goal: >84%

BP

Co

ntro

l

AfricanAmericans

BP Control: Sinai IM Clinic

All

Identify 3-5 top quality measures for analysis by race, ethnicity, and language

Identify and engage key stakeholders at the

department level

Analyze key quality measures by race, ethnicity, and language

Identify 3-5 barriers and targeted solutions for targeted demographic in zone

Exploration with external community partners for shared service model of innovative solutions (American Heart Assoc, Feeding America)

Vetting solutions with focus group framework

July 2016

October2016

August 2016

September 2016

March -Next Steps

Present to local and system leadership; optimize implementation plan; partner with Clinic to drive culture change; take model to scale

1. Pharmacy managed chronic disease clinic

2. Instituting rooming protocols for the medical assistants

3. Proactive care coordination via team delivery based on

existing care management data

4. Additional system resources (remote monitoring, healthy food

options, environment of care, consumer insights)