tate of Women’s Health S
EX P LO R ING INNOVATIVE STRATEGIES TO TRANS FORM HEALTHCARE
2016 Outcomes Report
SEPTEMBER 14, 2016 | UNION LEAGUE OF PHILADELPHIA
Sli.do Live Polling
Power in Numbers
The charts on the left are the results of our Sli.do Live Polling platform at #SWH2016 last September – attendees were able to weigh-in in real-time and thereby shaped the direction of our program – making the morning a truly interactive, dynamic experience, involving everyone in the room. We reached out to you again in the first 100 days of the new administration, to see if your concerns and priorities had shifted, and the charts on the right illustrate your answers to our survey published in April 2017:
April 2017 Poll
At #SWH2016 in September, we asked you what your top priorities were for women’s health and well-being for the first 100 days of the next administration, and you reported this: Ensure affordable quality childcare, safe housing, & healthy food for all Raise minimum wage and ensure equal pay for equal work Enact mandatory paid family/medical leave and paid sick leave Expand access to high quality care and services for low income and minority communities Enact gun control/reform Expand systems of collaborative/ integrative healthcare, and the independent practice of midwives & NPs
Ensure affordable and high quality Healthcare Coverage is available to all, including no pre-existing condition exclusions
Train providers and communities on how the environment impacts people’s health & how to address
Ensure affordable high quality childcare and education, safe housing and healthy food for all
To see if any of your priorities had shifted under the new administration, we asked you again what your current concerns for health & equity were. Not surprisingly your answers showed a marked concern about healthcare coverage for all Americans, though many of your other priorities remained consistent:
Enact mandatory paid family leave and paid sick leave
Raise minimum wage and ensure equal pay for equal work
Expand environmental protection and education about how the environment impacts our health
Expand and Improve collaborative, integrative, and holistic healthcare models like the independent practice of midwives & NPs
Ensure accessible and integrated healthcare & services for people with disabilities Other
We also asked at #SWH2016 what you saw as the biggest economic and equitable obstacles facing us at the time, and your answers reflected:
Considering the current political landscape, we refocused our question this year to elicit where your greatest concerns and attention were directed and you reported:
Lack of affordable quality childcare
Loss of healthcare coverage, leaving millions uninsured and unprotected
Women still earn 21% less than men for equal work, 79 cents on the dollar Too low minimum wage - $7.25 is not a livable wage Too many workers without paid Parental Leave Lack of women in leadership; scarce role models for girls & women Sexism & bias in hiring, promoting, recruiting and electing Insufficient family-friendly workplace policies
Restrictions on reproductive rights Reversing Environmental protections and Occupational Health
Increasing health disparities
15% 10% 11%
Reversing advances in LGBTQ rights over the last decade Rolling back of family-friendly workplace policies Accessibility and Disability Challenges
Too many workers without paid sick time Other
Maria J Brooks @mariajbrooks In Philadelphia, babies of black mothers are 3x more likely to die compared to those of white mothers. #SWH2016
Many thanks to all who joined us for #SWH2016, our second annual State of Women’s Health symposium! From Senator Judith Schwank’s inspiring keynote, to 2 very experienced panels of experts and leaders in public health, policy-making and advocacy, to the Slido live-polling that engaged audience participation in real-time, it was a dynamic and motivating event! The panelists and discourse were exceptional, covering a broad range of topics including the invidious gaps in maternity care; the impact of socioeconomic and environmental factors on health disparities; and the lack of women in government and leadership. We also identified policies and initiatives that have shown great promise for making change, including holistic lifespan-focused healthcare such as the midwifery model of care, collaborative care models like the Alliance for Innovation on Maternal Health, and advances in enactment of paid sick and family leave. The collective energy to improve our healthcare systems was extremely powerful, and we are excited as we plan #SWH2017 to build on this cross-sector collaboration. At the time of #SWH2016, we were mostly looking forward for proactive change, and were hopeful that we would continue to usher in expanded options for women and LGBTQ health policy and equity. Now, 7 months later, the future of healthcare and equity has never seemed more at risk, and collective action is even more critical.
Recalibrate the Present and Redefine the Future We are inspired like never before by the rallying cry that ended #SWH2016: “Agitation precedes legislation!” (Thank you Senator Art Haywood) Now more than ever, people are looking for ways to make a difference, and #SWH2017 is going to provide exactly this in the healthcare realm. To maximize our collective impact, this year we are going to roll up our sleeves in multiple interactive workshops, to delve deeply into issues and solutions most needed at this moment in time. Our need to protect what we have now - including coverage for basic healthcare needs as well as respecting fundamental rights for all Americans - has by necessity become a primary focus, and we must never stop working to increase access to innovative, collaborative, and empowering models of care for all. Join us in November at #SWH2017! Whether you are a practitioner, an advocate, a consumer, a policymaker, a healthcare administrator, or anyone who cares about health issues facing us today - together, let’s generate the power of our Collective Impact, and knock down barriers to care!
Clockwise from top: Marla J. Gold, MD, FACP: Dean Emerita and Professor, Drexel University School of Public Health Vicki Shabo: Vice President, National Partnership for Women & Families Brenda DeFeo: Vice President of Bryn Mawr Hospital,Presenting Sponsor of SWH2016 Nancy C. Sharts-Hopko, PhD, RN, FAAN: Professor and Director, PhD Program, Villanova University College of Nursing Honorable Judy Schwank: Pennsylvania State Senator, 11th District Co-Chair, Bipartisan Legislative Women’s Health Caucus
Kathryn Boockvar, JD Executive Director, Lifecycle WomanCare Moderator, SWH2016
M. Christina Johnson, CNM, MS, FACNM: Director, Professional Practice & Health Policy, American College of Nurse-Midwives Honorable Art Haywood: Pennsylvania State Senator, Fourth District Pouné Saberi, MD, MPH: President, Board of Directors, Physicians for Social Responsibility Carol E. Tracy: Executive Director, Women’s Law Project Peri Jude Radecic: Chief Executive Officer, Disability Rights Pennsylvania
Priya Dieterich @priyadieterich “40% of U.S. counties have no OBs or midwives to provide prenatal care there” #itStartsWithBirth #SWH2016
If America really loved
When I gave birth in Japan over 30 years ago, I was eligible at no cost for a number of prenatal and postnatal benefits including a stipend from the City of Tokyo toward the purchase of essential baby-care supplies, despite the fact that my husband and I were foreigners. It was evident that Japan highly valued children, even my foreign child, as being essential to the society’s long-term well-being. When I got back to the US with my infant it was equally clear that here, childbearing is regarded far more as a life-style choice for which people need to assume personal responsibility as best they can. Given that our national politics has been defined to a great extent by tension among advocates defined as pro-life versus reproductive choice, it mystifies me that America’s political will consistently ignores the reality that societal investment in the care of children after they are born is key to our country’s future. What might it look like if America really valued our children?
America’s political will consistently ignores the reality that societal investment in the care of children after they are born is key to our country’s future.
Those who care for infants and children would be supported and remunerated. Mothers would be assured that they would be able to provide safe housing, health care, and healthy food for their children. Children would have clean air and water throughout the country. Paid parental leave would see children through most of their first year of life. Families with no stay-home parent would have access to high quality, affordable childcare. Childcare workers would be paid a living wage. Before school, after school, and vacation childcare would be universally accessible. Families with children with disabilities would have access to home care and respite services that would enable those parents to work. Teachers would be highly respected, well-compensated community leaders working with reasonably sized classes. School districts would be funded at a level sufficient to ensure quality education. Examples of the successful implementation of these policies can readily be found among developed countries, including in northern Europe, Japan, Australia, and New Zealand. Country comparisons of health and education outcomes point to the efficacy of investment in children; the United States lags on numerous indicators that relate to children’s future productivity. Commitment to ensuring that our children are healthy, secure, and able to learn so that they grow up to be contributing members of society is a major long-term investment in our economic growth and competitiveness in the world markets. The possibilities for this country’s growth are unlimited if national leaders who profess love of our children can truly be held accountable for their well-being once they see the light of day. It is the responsibility of all of us who advocate for children and their parents to ensure that they do.
Nancy C. Sharts-Hopko PhD, RN, FAAN Professor and Director, PhD Program Villanova University College of Nursing
Mama Bird Birth @ElizaVara_LCCE Complex issues at hand. Brilliant women in this room. I am hopeful for the future of health care for ourselves and our daughters #SWH2016
OPIOID CRISIS UPDATE PA Physician General Dr. Rachel Levine was LWC’s inaugural State of Women’s Health Keynote Speaker. It was 2015, and she spoke at length about the Opioid Crisis in PA—a disaster that at the time was barely in the public consciousness. As she informed us then, the prescription opioid and heroin crisis had become the most significant public health crisis facing Pennsylvania. In 2015, 3,505 Pennsylvanians died as a result of drug poisoning—an astonishing 10 deaths a day—more deaths from drug overdose than car accidents.
Graph via Philly.com article As Dr. Levine described in her Keynote address, three programs became top-priority for the PA Department of Health: Recalibrating prescribing guidelines: Educating providers to curb the routine over-prescribing of extremely strong, extremely long-acting and addicting pain medication. PA Prescription Drug Monitoring Program (PDMP): Establishing an online registry of all prescriptions of narcotics and opioids in the state – both the patients and the prescribers – to prevent “doctor shopping.” Public access to Naloxone or narcan (Act 139 of 2014): Naloxone or Narcan is an antidote to an overdose to any type of opioids, whether prescription drug or heroin, directly saving lives. To date, Dr. Levine’s efforts and these program priorities have saved thousands of lives in PA, as she describes:
Dr. Rachel Levine is currently the Physician General for the Commonwealth of Pennsylvania and Professor of Pediatrics and Psychiatry at the Penn State College of Medicine.
Since my Keynote at #SWH2015, the state’s response on all points aforementioned has been interagency and multifaceted, including prevention, treatment and recovery. This includes training current and future medical providers, and working with the medical school deans to improve student education. We have published nine evidence-based specialty-specific opioid prescribing guidelines. This includes guidelines for obstetrics and gynecology providers and the treatment of substance use disorder in pregnant patients. We have also partnered with Pennsylvania Medical Society and other organizations to produce continuing-education modules for medical professionals. All of the modules are free on the PA Medical Society website. The state developed the comprehensive Prescription Drug Monitoring Program. This critical online tool supports clinicians in identifying patients who may be struggling from the disease of addiction and help connect them with treatment. To save lives and give individuals a chance to get into treatment, PA is increasing access to naloxone. In 2015, I signed a standing
order prescription that allowed first responders, like police and fire departments, access to the medication. Since then, PA law enforcement has saved over 3000 lives with naloxone. Then, in October 2015, I signed a standing order prescription for the public. This allowed any Pennsylvanian to walk into a pharmacy and secure naloxone for themselves or a family member. Once reversed by naloxone, the patient must go to the emergency room then be transferred to treatment. The Wolf Administration is focused on increasing access to substance abuse treatment, and the Department of Human Services developed 45 new Centers of Excellence throughout the state for Medicaid patients with substance use disorder. While we’ve made developments in combating the opioid epidemic, there is still much work to be done; this crisis is complex and requires all hands on deck. The public are important partners in our response. For more information about this crisis and the state’s response, visit health.pa.gov.
BREAKING NEWS Wolf Administration Secures $26.5 Million Federal Grant to Combat Heroin and Opioid Crisis
Nicole Johns @PublicHealthNDJ I am so happy to hear the panelists talking about #socialdeterminants impact on women’s health and well being #SWH2016 #publichealth
Make your voice heard.
The voice of the citizens is not loud enough or organized enough during the time when decisions are being made. After election time is when
Respond to & influence
your Government Reps via Citizen Action Apps: Countable & iCitizen.
Send letters to editors of local
newspapers and websites.
Be aware & ACT:
Follow legislative developments via PA4WomensHealth.org.
Vote! Elections do matter.
those doing the decision-making need to be influenced. An army of folks who are willing to call, write or visit their legislators are the ones who will make change. Our government will work for us if we do the work. Sen. Art Haywood Pennsylvania State Senator, Fourth District
Have a suggestion for a #SWH2017 Workshop? Let us know!
Know your Avenues for Advocacy:
American College of Nurse-Midwives Disability Rights Pennsylvania National Partnership for Women & Families Physicians for Social Responsibility
Women’s Law Project Carli @acrz001 Women and children’s health is critical to a healthy society. Thank you for this important event #SWH2016
The ACNM Continuing Education Unit (CEU) Program number is: 2016/051. With our expanded program in 2017, we anticipate that this year’s SWH will offer more credit towards your continuing education!
THANK YOU TO OUR #SWH2016 SPONSORS & PARTNERS PRESENTING SPONSOR
Center City Film & Video INNOVATION SPONSORS Einstein Healthcare Network FFG Nonprofit Benefits Group
J.M. Patton Associates, Inc. Maven Communications, LLC
ADVOCACY SPONSORS Friedman LLP Certified Public Accountants Hahnemann University Hospital
Law Offices of Willig, Williams & Davidson Lenhardt Rodgers Architecture + Interiors
CONTRIBUTING SPONSORS AFSCME Council 13
Managed Care Consultants
Beatrice O’Donnell, Duane Morris
Marc Scheiner, Duane Morris
Bryn Mawr Women’s Health
Centric Business Systems
Sansweet, Dearden & Burke, Ltd.
Main Line Women’s Healthcare
Curtin & Heefner LLP
Women’s Healthcare Specialists
Women’s Health Care Group of PA:
Daniel Burke Photography and Video
NON PROFIT PARTNERS AccessMatters Black Women’s Health Alliance Family Practice & Counseling Network
Mabel Morris Family Home Visit Program
Pennsylvania Health Professionals for a Livable Future
Maternity Care Coalition
Midwifery Institute at Philadelphia University
Maternal Child Health Working Group, Dornsife School of Public Health at Drexel University
Living Beyond Breast Cancer
Philadelphia Nurse-Family Partnership
Greater Philadelphia Diaper Bank
Planned Parenthood Southeastern Pennsylvania Resources for Human Development Women’s Way
SMALL BUSINESS PARTNERS Acuity Specialty Hospital of NJ Bloom at King of Prussia Family Wellness Center Christine’s Care & Compassion Constitution Health Plaza
Fulheart Family Support Services
The Honorable Valerie Arkoosh, MD, MPH
Lisa Piraino Solinsky
Law Office of Mandy C. Rosenblum, LLC
Linsey A. Will, CNM
Postpartum Stress Center
Dana Perlman, CNM, MSN
Well Born Baby
Marian W. Wentworth Sherley Young
Fulheart Family Support @FulheartFam “The countries that have the best maternal morbidity rates also lead in providing midwifery care” -M Christina Johnson #SWH2016
We must never stop working to increase access to innovative, collaborative, and empowering models of care for all.
JOIN US THURSDAY, NOVEMBER 9 TH 2017 #SWH2017 3 rd ANNUAL
S tate of Women’s Health
Houston Hall | University of Pennsylvania Keynote Luncheon | Interactive Workshops | Cocktail Reception SWH2017 will delve deeply into issues that you identify as the most critical for women & families today.
Reserve your spot & Register Here!
Join us and maximize our #CollectiveImpact via interactive workshops, dynamic speakers, and networking with colleagues old and new.
Thank you to our Presenting Sponsors:
BECOME A SPONSOR OR A NON-PROFIT PARTNER Contact us at firstname.lastname@example.org
918 County Line Road Bryn Mawr, PA 19010 | lifecyclewomancare.org | T. 610.525.6086
Lifecycle WomanCare (LWC), a 501(c) 3 organization, has been providing exceptional healthcare services for women of all ages, regardless of income, since 1978. We were the first licensed independent birth center in Pennsylvania and are one of the oldest continually-operating birth centers in the United States. LWC seeks to transform clients’ experience with and expectations for their healthcare, by providing personalized care that strengthens each person’s capacity to be an active participant in their healthcare decision-making. LWC has also been a strong advocate for health policy and practices that advance care for all.