C8 2 moving health equity forward

Moving Health Equity Forward.. A Shared Journey to get it “Right” Tanya S. Shute –Manager, Allied Health Services, Quality & Risk Management at South East Grey Community Health Centre Debbie Taylor, Health Link Project Lead, Grey Bruce Jill Umbach, Planning Network Coordinator, Bruce Grey Poverty Task Force

Faculty/Presenter Disclosure •Faculty: Tanya Shute, Debbie Taylor, Jill Umbach •Relationships with financial sponsors: –Grants/Research Support: None –Speakers Bureau/Honoraria: None –Consulting Fees: None –Patents: None –Other: None

Disclosure of Financial Support • This program has received financial support from Partner organizations in the form of shared costs for creation of health equity wheel.

• This program has received in-kind support from partner organizations in the form of staff time to move project forward.

• Potential for conflict(s) of interest: – No Potential for conflict of interest

Mitigating Potential Bias • No Mitigating Potential Bias

Moving Health Equity Forward in Grey & Bruce Who We Are? • • • • • • •

Grey Bruce Integrated Health Coalition Grey Bruce Health Link Grey Bruce Public Health Grey Bruce Poverty Task Force Grey County Long Term Care South East Community Health Centre SWLHIN Grey Bruce Sub Region Lead

Context Setting: Grey & Bruce • Northern tip of Southern Ontario • Mainly rural: Grey & Bruce Counties, 17 Municipalities; largest centre Owen Sound, Ont. • Population – 161,977 • Many seasonal visitors, cottagers (winter and summer) • Area – 8603.6 km2 (approx. size of P.E.I.)

How it all started…

• September 2013- Social Determinants of Health Campaign,“Let’s Start a Conversation about Health…and not talk about health care at all” video.

• June 2016-Bruce Grey Poverty Task Force meeting on Access to Oral Health. PTF moves to create Health Equity Action Group.

• June 2016-First Collaborative "Poverty Tool" Workshop for Primary Care held in Owen Sound.

How it all started…

• June 2016-Grey Bruce Integrated Health Coalition met on Health Equity; September meeting focused on Health Equity and Indigenous Communities.

• December 2016- Second “Poverty Tool” Workshop for Primary Care in Walkerton. Over 95 attended. Attendees indicated an interest in ongoing health equity work.

• December 2016- Health Equity Steering Committee met with the leadership of the Grey Bruce Health Unit.

• February 2017-Grey & Bruce Health Equity Forum held in Owen Sound.

Moving Health Equity Forward Forum OBJECTIVES:

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Identify current health equity initiatives Initiate an inventory of best practices Identify current joint actions Identify gaps Identify action items for moving forward

Scope of Engagement • 20+ agencies participated (46 individuals) • Health: SWLHIN, Health Link, Primary Care, Physicians, Hospitals, Mental Health and Addictions.

Long Term Care • Community and Social Services: Bruce County & Grey County, Public Health, Housing, Social Services, Community Support Services, Transportation, Ontario Works, EMS, Bruce Grey Poverty Task Force, Court Support, Legal Aid • Community Voices: People with lived experience

Moving Health Equity Forward..

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The Forum concluded with three potential new joint actions:  Apply health equity lens in all our work

 Oral health for adults and seniors  Access to local primary health care

Health Equity Lens In Our Work • March 2017: Environmental scan of current Health Equity Tools in use across the province.

• June 2017: Larger Health Equity Group convened to collectively create the GB Health Equity Tool.

• Dec 2017: Soft Launch of GB Health Equity Tool, Website and Resource Materials

Health Equity Tool- Front

Health Equity Tool-Back

Health Equity Tool-Online

Health Equity Tool-Online

www.publichealthgreybruce.on.ca/health-equity

Roll-out Plan • Getting the tools out to all organizations & Distribution groups in Grey Bruce

Education

• In-person education • Train-the-trainer education

Goal of HE tool training To increase awareness of health equity, and build capacity for health equity-focused decision-making at all levels of health, social, and community service organizations in Bruce and Grey.

How-to Video Creation

Video Learning Objectives Video 1: Introduction to Health Equity. Have increased awareness of health equity concepts Video 2: Understanding the Tool. Be familiar with the tool and understand each of its components Video 3: Understanding the Website. Know how to access online tool resources Video 4: Applying the Tool in Your Practice. Understand how to embed health equity into daily work Be confident in their use of the tool as a resource to inform decisionmaking

Next Steps….

• Collect metrics on training and reassess - # of organizations spread to - # trained - Use of tool - Capture qualitative examples of practice • Concurrently work on Moving Health Equity Forward in Grey and Bruce Objective # 2: Oral Health for adults and seniors.

Questions?