Podcast

The Health Disparities Podcast, From Movement is Life. Conversations about health disparities with people working to eliminate them.

This podcast highlights disparities evidenced in common chronic conditions featured in the “vicious cycle” (e.g. diabetes, cardiovascular disease, chronic pain, mental health) and musculoskeletal/arthritis conditions, with emphasis on disparities and how social determinants of health impact these conditions and their management.

Most Recent Episodes​

#103
Published: June 16, 2021
Part 1. Community health needs assessments and implementation strategies are required for tax-exempt hospitals as a result of the Patient Protection and Affordable Care Act. They provide a framework to improve coordination of hospital community benefits with other efforts to improve community health.
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#102
Published: June 9, 2021
After building a career in hospital management and healthcare consulting, Duane Reynolds gravitated towards the health equity space after leading several inclusion-focused initiatives.
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#101
Published: June 2, 2021
June 5th is World Environment Day, an initiative of the United Nations, and part of the framework that ended the ozone layer crisis. But now there are new environmental crises looming large and threatening our most vulnerable populations.
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#100
Published: May 26, 2021
Podcast host Sharon LaSure-Roy and series producer Rolf Taylor discuss the overall mission of The Health Disparities Podcast, a program of the Movement is Life Caucus.
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#99
Published: May 19, 2021
Professor Augustus “Gus” White III didn’t just pioneer the understanding of unconscious bias through research methodology during his illustrious career as an orthopedic surgeon. The author of “Overcoming” & “Seeing Patients” has also spent a lifetime fostering a culture of diversity and inclusion wherever he has worked, often by emphasizing our common humanity – his use of the term “fellow humans” to start speeches has become legendary.
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#98
Published: May 12, 2021
At the height of the pandemic, orthopedic surgeon Dr. Nur Nurbhai found himself helping out his colleague Dr. Eddie Black in the emergency room. All elective surgeries were cancelled, cutting off a vital revenue stream for the hospital.
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#97
Published: May 5, 2021
This week our panel discusses the approaches that their organizations, community leaders and faith leaders have taken with bringing pandemic vaccine clinics to underserved populations, and their commitment to equitable vaccine distribution.
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#96
Published: April 28, 2021
The community health design and innovation team at Sibley Memorial Hospital, a member of Johns Hopkins Medicine, invited communities in DC’s Wards 7 & 8 to help define their own solutions to health disparities and inequities. The resulting Ward Infinity social innovation program is now a model for community intervention.
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#95
Published: April 21, 2021
For many years a familiar face on CBS in Washington DC, and winner of 22 Emmys, Bruce Johnson has made health awareness and equity part of his life’s mission. In this episode Bruce joins podcast host Dr. Mary O’Connor to explore the power of the media to solve our health disparities crisis.
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#94
Published: April 14, 2021
More than 181 million Americans receive health coverage through employers, the largest source of health coverage for the nonelderly, covering 58% of the U.S. population.
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#93
Published: April 7, 2021
Dr. Omolola (Lola) Eniola-Adefeso and Dr. Kelly Stevens are part of a nationwide network of BME women faculty who are collectively arguing that the racial funding disparity by NIH is the most "insidious barrier to success of Black faculty in our profession".
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#92
Published: March 31, 2021
Recently featured in the Forbes 30 under 30 list, M.D. candidate Max Jordan Nguemeni Tiako, M.S. channels a passion for health equity and racial equity to produce and host “Flip the Script”, a highly rated podcast on SoundCloud, iTunes and Spotify.
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#91
Published: March 24, 2021
Dr. Nereida Correa, who began her career as a registered nurse, became the first Hispanic woman to be named chair of the department of obstetrics and gynecology at Lincoln Medical and Mental Health Center, a large, hospital-based group practice in the Bronx.
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#90
Published: March 17, 2021
With new payment models further complicating a difficult situation, are some Kentucky residents struggling to get the care they need and the respect they deserve from rural healthcare systems that are under increasing strain?
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#89
Published: March 10, 2021
With more and more physicians choosing specialty care over primary care, Nurse Practitioners have an increasingly important role as providers on the front line, serving more vulnerable populations who experience limitations in accessing healthcare, particularly in rural areas.
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#88
Published: March 3, 2021
Rural communities experience significant health disparities along with the above-average prevalence of chronic conditions, and a lower-than-average ratio of providers to patients.
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#87
Published: February 24, 2021
Podcast host and NYC Physician Assistant Klarisse Mathis welcomes two colleagues and mentors. Infectious disease specialist Sondra Middleton, MHS, PA-C, is Assistant Professor at the Touro School of Health Sciences, and Associate Director of Physician Assistant Manhattan.
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#86
Published: February 17, 2021
Dr. Dwight Burney welcomes back orthopedic surgeon and outcomes expert Dr. MaCalus Hogan, M.D., M.B.A. to the podcast. Dr. Hogan is the Vice Chair of Education, and Residency Program Director, in the Department of Orthopaedic Surgery at the University of Pittsburgh Medical Center, a health system serving 3 million patients.
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#85
Published: February 10, 2021
Dr. Jannifer Harper welcomes rural health and legislative affairs expert Bill Finerfrock, and Root Cause Coalition Director Tom Dorney, who previously served as Senior Policy Advisor to Congressman John Lewis.
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#84
Published: February 3, 2021
Dr. Mary O’Connor hosts a discussion about the potentially detrimental impact of value-based care models on vulnerable populations, and how the safety-net hospitals that serve these patients are further strained, particularly in rural and inner-city areas.
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#83
Published: January 27, 2021
Risk is an intrinsic part of medical decision making. Every drug and every procedure must justify their benefit relative to any risks involved, so healthcare providers are very conscious of these risks and outcomes.
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#82
Published: January 20, 2021
Dr. Sherry Segura continues our exploration of Hispanic education and workforce diversity. Dr. Segura is CEO of the Foundation for Hispanic Education in San Jose, California, where she is deeply involved in community efforts to ensure high quality and innovative educational services are available to all students.
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#81
Published: January 13, 2021
Ed Alvarez is President at the Latino Education Advancement Foundation in the San Francisco bay area, collaborating with other experienced nonprofits in developing initiatives focusing on college and career pathways, college persistence and completion.
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#80
Published: January 6, 2021
Dr. Leigh Callahan is Professor of Medicine & OAAA. As an epidemiologist, Dr. Callahan seeks to understand how outcomes of osteoarthritis are influenced by factors such as race, ethnicity, gender, age, location, and social determinants of health (such as socioeconomic status).
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#79
Published: December 30, 2020
When healthcare quality management expert Donna Kurek made the switch to a more rural hospital system, she realized that there exists a whole different set of social determinants to consider in Appalachia, especially in the context of bundled payments.
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#78
Published: December 23, 2020
Physician Assistants are a relatively new specialty created in response to the shortage of primary care physicians in rural areas, and the PA profession is now well established with over 100,000 graduates of accredited PA programs.
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#77
Published: December 16, 2020
Orthopedist Dr. Eric Santos sees a diverse range of patients in his two Texas practices in Corpus Christi and McAllen, which have very different patient populations. He works hard to provide culturally competent healthcare services to his Hispanic patients, which includes providing consultations in both Spanish and English.
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#76
Published: December 9, 2020
Rural Wyoming is a beautiful place to live, but those wide-open spaces on the frontier create a number of health disparities, with the presence of Native American reservations, COVID-19, and hospital closures adding more complexity.
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#75
Published: December 2, 2020
Operation Change is a community intervention designed to address chronic health conditions and to mitigate some of the related social determinants of health, for women in mid-life and later-life. A fundamental part of the program is to help participants find their own sources of motivation for creating a healthier lifestyle.
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#74
Published: November 25, 2020
Operation Change provided Lynn with invaluable knowledge and a new support network. In her 70s and busy in retirement with volunteer work, Lynn became more conscious of her diet, her physical activity levels, and she became a FitBit enthusiast.
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#73
Published: November 18, 2020
Mt. Vernon, N.Y. resident Olivia found new motivation to take care of her own health by learning about health disparities in her community.
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#72
Published: November 11, 2020
Bringing clinical research to Latinx communities has become a joint mission for today’s podcast guests, Dr Fabian Sandoval and Dr Gustavo Corrales.
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#71
Published: November 4, 2020
The relatively low uptake of flu vaccinations in Black and Hispanic communities is a longstanding health disparity and a public health concern. What if this pattern is repeated for the coronavirus, which is already having a disparate impact?
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#70
Published: October 28, 2020
Meet Freda from St. Louis. Over many sedentary years Freda experienced chronic conditions such as back pain, diabetes and high blood pressure and she found it difficult to follow her doctor’s directions to exercise and lose weight. “I desperately needed to garner better health habits, or I would have deterioration in my conditions and need […]
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#69
Published: October 21, 2020
Meet Sonja from St. Louis. Sonja was intrigued when her husband brought home a flyer describing a health education program soon to start nearby.
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#68
Published: October 14, 2020
Meet Laura from San Diego. Like many women of retirement age, she has experienced the joys of building a family and the challenges of staying healthy.
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#67
Published: October 7, 2020
Dr. Elena Rios has dedicated her career to improving the health of Latinx communities. In 1994, she co-founded the National Hispanic Medical Association based in Washington DC which represents approximately 50,000 Hispanic physicians across the United States.
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#66
Published: September 30, 2020
When Congressman Anthony Brown was Lt. Governor of Maryland, he implemented a new model for reducing health disparities: the creation of Health Enterprise Zones.
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#65
Published: September 23, 2020
Living in rural Kentucky has its challenges, and Deanna at 74 was feeling unhappy that she had constant back pain and her health seemed in decline.
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#64
Published: September 16, 2020
We revisit our Operation Change series with a trip to Hazard, Kentucky. Wanda initially thought an 18-week health education program was a huge time commitment, and that maybe it was too late to make changes.
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#63
Published: September 9, 2020
Five young health professionals and an experienced mentor make the future look brighter as they share insights and experiences of overcoming bias and racism.
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#62
Published: September 2, 2020
Despite progress, heart disease remains the #1 cause of death in America. Not only does heart disease have a disproportionate impact on different populations, it also has a direct bearing on the severity of COVID-19 infection.
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#61
Published: August 26, 2020
It’s a well-known fact that women do better with female doctors, and minorities do better with doctors that look like them, but both demographics are underrepresented in surgical medicine.
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#60
Published: August 19, 2020
Dr. Augustus White is a pioneering African American physician and Harvard Professor and a leading researcher and writer about unconscious and implicit bias in medicine.
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#59
Published: August 12, 2020
There are 574 federally recognized Native American tribes in the United States, all of which were promised healthcare and other services as part of resettlement programs. But having limited democratic power and leverage, health services for Natives have been neglected over many decades.
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#58
Published: August 5, 2020
With Florida emerging as the new epicenter of the COVID-19 pandemic, care providers in Jacksonville knew they had to intervene decisively with a testing plan for all populations, including the most vulnerable.
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#57
Published: July 29, 2020
Operation Change Chicago was the prototype of this community intervention program, and has run numerous series that have enabled the model to evolve.
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#56
Published: July 22, 2020
Every iteration of Operation Change has a unique aspect. There may be certain chronic health conditions that are common to urban, suburban and rural communities, but the needs of different communities vary greatly.
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#55
Published: July 22, 2020
Historic St. Louis was the location for an Operation Change program led by Darlene Donegan, an educator and yoga teacher who is very active in her community.
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#54
Published: July 15, 2020
Based in the Salvation Army Kroc Center in eastern San Diego, Miriam Rodriguez and her team used their local connections to build the first Operation Change program to be delivered in the Spanish language.
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#53
Published: July 15, 2020
In this podcast program leader Hazella Rollins LaVar shares some insights into the content and impact of the Operation Change initiative at Grace Baptist Church, New York. Grace Baptist is in Mount Vernon, Westchester County, on the fringes of New York City.
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#52
Published: July 8, 2020
Chicago community leader Christin Zollicoffer discusses how Operation Change has evolved and explores some of the profound and life-changing experiences she has witnessed working with her local participants.
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#51
Published: July 1, 2020
Dr. Yashika Watkins details some of the underpinnings of the Operation Change program and shares insights into how the program can be replicated. This is the first in a series of podcasts exploring the Operation Change program, which will include testimonials from program leaders and participant case reports.
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#50
Published: June 24, 2020
Every month millions of patients visit Orthoinfo.org, a patient oriented orthopedics website from AAOS. Dr. Stuart Fischer leads the editorial team, which produces the content and translates articles into multiple languages.
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#49
Published: June 17, 2020
A multitude of key health disparity indices show that we have not seen significant progress in narrowing the gap between minority and majority populations since the landmark report “Unequal Treatment” in 2003.
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#48
Published: June 10, 2020
Dr Rahn Bailey discusses how for decades discrimination has played a central role in health disparities, and how gun violence compounds the problem through traumatic experiences, chronic stress and behavioral consequences.
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#47
Published: June 8, 2020
Reverend Willis Steele hosts a discussion about the impact of COVID-19 in Southern states with Dr. Pernessa Seele, the CEO and founder of The Balm in Gilead, a faith-based organization that provides support to people and their families with chronic diseases such as diabetes, as well as working for the prevention of HIV and AIDS.
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#46
Published: June 3, 2020
Speaking at the university where she was the only female and only African American student in her class, and in the auditorium named for her, Healing Hate conference keynote speaker Dr Vivian Pinn reflects on progressing her career during eras of segregation, discrimination, and civil rights.
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#45
Published: May 29, 2020
Bill Finerfrock, Executive Director at the National Association of Rural Health Clinics, hosts an in-depth discussion about rural health disparities with a panel of experts from across the US.
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#44
Published: May 27, 2020
Christina Jimenez, Ph.D. is an Associate Professor at the University of Colorado, and an expert in the processes of privilege that can both limit and promote opportunities for individuals, dependent on factors such as race, ethnicity, gender and class.
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#43
Published: May 22, 2020
Medical anthropology may not be the first discipline we associate with public health, but it provides perspectives that are vital to understanding the many and complex intersections at the root of health disparities.
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#42
Published: May 20, 2020
Professor Dayna Bowen Matthew is a leader in public health who focuses on structural and racial disparities in health care. In this podcast she discusses vast inequalities we see in health access and health outcomes between majority and minority populations, which she says are derived from systematic segregation, discrimination and racism.
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#41
Published: May 15, 2020
Privilege is when a person or group enjoys an unearned advantage over other(s). As the COVID-19 pandemic has dramatically highlighted, those with less privilege often pay the ultimate price in times of crisis.
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#40
Published: May 10, 2020
Marking National Nurses Week 2020 and the bicentenary of Florence Nightingale's birth, nurse advocates and leaders from across the U.S. meet to celebrate the nursing profession and discuss many topics, including its diversity, future aspirations, and their nursing heroes. Featuring Rose Gonzalez, Millicent Gorham, Charla Johnson, Julie Kneedler, Doreen Johnson, and Mary Behrens.
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#39
Published: May 1, 2020
Alameda County is home to 1.7M diverse Californians who have long experienced health disparities. Alameda Hospital System (AHS) CEO Delvecchio Finley takes us inside the workings of AHS as they adapt to the COVID-19 outbreak.
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#38
Published: May 1, 2020
The disproportionate impact of COVID-19 on people of color is rightly making headlines. Reverend Dr. Franklyn Richardson of Grace Baptist Church in New York, a national leader for social justice, has seen his online church attendance blossom from 2,000 to 9,000 live-streams, and his church is feeding at least 500 families very week.
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#37
Published: April 29, 2020
As a physician interested in health policy, UPMC orthopedic surgeon MaCalus Hogan MD, MBA, has helped develop cutting edge approaches. The University of Pittsburgh payer-provider model enables innovations in technology and delivery models, including value-based approaches that pre-date the Affordable Care Act era.
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#36
Published: April 22, 2020
The circumstances around early childhood development have ramifications throughout a person’s life. Ronnie Musgrove, Governor of Mississippi between 2000 and 2004 discusses his conviction that early intervention is vital to good outcomes across education, health and the local economy.
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#35
Published: April 15, 2020
Healthcare payment systems are so complicated that when it comes to fitting all the pieces together, hope may be the dominant strategy. Too often, policies and initiatives designed to improve healthcare quality hit a roadblock in payment systems, and the money cannot follow good intent.
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#34
Published: April 9, 2020
Care providers taking care of joint replacement and broken bones are having to adapt their practices during the pandemic. In this podcast orthopedic surgeons from Connecticut, Georgia and Pennsylvania meet online to discuss some of the changes their health systems are making.
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#33
Published: April 8, 2020
Dr. Claire Pomeroy continues her discussion with Dr. Bonnie Simpson Mason, considering how extensive rural poverty underpins rural health disparities, and how these are being made worse by hospital closures.
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#32
Published: April 3, 2020
The COVID-19 podcast everyone needs to hear. Four experienced doctors working on the frontlines of healthcare share their words of wisdom. Together they discuss the important subjects...
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#31
Published: April 1, 2020
Social determinants of health, the life circumstances in which we are born, educated, work and play, are powerful drivers of as much as 90% of our health status. Lasker Foundation President Dr Claire Pomeroy discusses ways that race, ethnicity, gender, socioeconomic status, the safety of our neighborhoods, having good access to food, and feeling part of a community all combine to impact health.
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#30
Published: March 25, 2020
Nobody can ignore the COVID-19 pandemic. But will some communities be hit harder than others? What are the implications for people with diabetes and obesity? Will everyone be able to access care if they need it?
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#29
Published: March 25, 2020
Fatima Cody Stanford, MD, MPH, MPA, FAAP, FACP, FTOS is an obesity medicine physician scientist, educator, and policy maker at Massachusetts General Hospital and Harvard Medical School. She is a national and international sought-after expert in obesity medicine who bridges the intersection of medicine, public health, policy, and disparities.
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#28
Published: March 11, 2020
Fixing the incredible dysfunction of the healthcare system has been a career guiding light for Adrienne White-Faines, MPA, FACHE. Since electing to stay on the policy and strategy side of healthcare, she has held leadership roles with the American Cancer Society, the Primary Care Collaborative, and most recently as CEO of the American Osteopathic Association.
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#27
Published: February 21, 2020
Known by most as simply “Father Greg”, Father Gregory Boyle founded Homeboy Industries, Inc. in Los Angeles to provide pathways out of violence through education, employment and community support.
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#26
Published: February 7, 2020
This year’s Vanguard Award winner is Dr. Patricia McManus, founder of the Black Health Coalition of Wisconsin (BHCW).
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#25
Published: January 24, 2020
Orthopedic surgeon Tamara Huff, MD was inspired by her mothers’ interest in carpentry (and her power tool collection) to take her medical career path, ultimately leading to the operating room.
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#24
Published: January 10, 2020
Although fee-for-service payments may encourage volume without rewarding quality, bundled payments may incentivize providers to avoid patients more prone to complications...
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#23
Published: December 27, 2019
In some faith-based communities there has been an evolving sense of what constitutes transformation and salvation. Harlem native Rev. Willis Steele discusses the health needs of the congregations and communities he works with, his experience of integrating health into faith practice, and how mental health support can be complementary to spirituality.
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#22
Published: December 13, 2019
Yale hip and knee surgeon Daniel Wiznia, MD, used a “secret shopper” methodology to research and reveal patterns of appointment making that seem to indicate a marked preference for commercial insurance on the part of some surgery providers, which creates a barrier to access for Medicare and Medicaid patients.
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#21
Published: November 29, 2019
Working in Wyoming where there are only two humans per square mile (on average), nurse practitioner Mary Behrens, MS, FNP-BC, FAANP provides vital health care capacity to mainly rural populations. In this podcast she describes the role of the nurse practitioner, a discipline that is growing rapidly. She also discussed some of the ways a nurse practitioner can help reduce health disparities – from recognizing the unique and complex needs of patients with comorbidities, to facilitating physical therapy and physical activity. With Rose Gonzalez.
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#20
Published: November 15, 2019
As a practicing orthopedic nurse, teacher, and the president of the New York chapter of the National Association of Orthopedic Nurses, Doreen Johnson, MSN, RN, ONC brings many years of experience to her patients, students and colleagues. In this episode of the Health Disparities Podcast she discusses the importance of work done by the Movement is Life Caucus and Steering Committee in developing resources designed to reduce MSK disparities. Doreen believes it is vital to remind arthritis patients that “sitting is the new smoking”, and that physical activity is key to breaking the vicious cycle of health conditions worsening each another, particularly arthritis pain, diabetes, heart disease and depression. With Rose Gonzalez.
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#19
Published: November 1, 2019
Researcher Shreyasi Deb, PhD, MBA, became interested in health disparities when studying economics, and has since applied this perspective to understanding public health. At the American Academy of Orthopedic Surgeons, Shreyasi is looking at the positives and negatives of bundled payment models and the unintended policy consequences around value-based care. Are some patients already experiencing inequity and exclusion? Can we address the unique socioeconomic and multiple comorbidity aspects of each patient in a post fee-for-service world by spending more on social services? With Bill Finerfrock.
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#18
Published: October 18, 2019
When an accomplished surgeon sees his own father struggle with arthritis, he knows there are some structural problems in play. HSS surgeon Dr. Michael Parks shares some insights into the processes behind health disparities (or health differences as he prefers to say).
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#17
Published: October 4, 2019
Tammy Huff, MD discusses how rural health disparities are driven by many logistical challenges in remote and underserved areas, where limited public transport and hospital closures make access to care increasingly difficult.
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#16
Published: September 27, 2019
Deborah Coplin-Hall, MS, RN and Carla Harwell, MD discuss how nurses have been at the forefront of screening patients for social determinants for decades, only now are social determinants and cultural competency being taught, structured and systematized.
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#15
Published: September 27, 2019
Brigham and Women’s nurse Sasha Dubois, MSN, RN discusses how racial segregation, gentrification, and displacement in her native Boston can create “healthcare access deserts” that fuel health disparities, even in an area where there are a number of high-quality hospitals.
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#14
Published: September 27, 2019
Lyn Peugeot MSN, RN, is a nurse focused on hospice care, and has recently completed her doctoral research project looking at dementia diagnosis in African Americans. She discusses her concerns about the relatively low percentage of African Americans who choose hospice care, which may be less about access and more due to misperceptions about the role of hospice and its implications.
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#13
Published: September 27, 2019
Dr. Debra A. Toney PHD, RN, FAAN, is Vice President of Quality Management at Nevada Health Centers, President of NCEMNA and a past president of NBNA. She discusses her groups approach to population health management in Nevada, a primarily rural population where remoteness is a major factor in health disparities.
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#12
Published: September 20, 2019
Pediatric ICU nurse Carter Todd RN, MS, CCRN, switched from athletics to nursing and this changed his life completely. On graduation he realized he could help both his community and the nursing profession by advocating for greater workforce diversity.
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#11
Published: September 6, 2019
Incoming NBNA President Martha Dawson, DNP, RN, FACHE, shares her priorities for the organization as she becomes its 13th President. As the NBNA approaches its 50th anniversary in 2021, Martha is planning to highlight its founders and past leaders, and to focus on emphasizing the importance of meeting patients where they are, before they get sick.
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#10
Published: August 23, 2019
Eric J. Williams, DNP, RN, CNE, FAAN, is a Professor of Nursing and the outgoing President of the National Black Nurses Association (NBNA). Eric talks about some of the priority initiatives at NBNA during his leadership, and how NBNA has built on its mission to improve health equity in America since its founding in 1971. As well as discussing the importance of treating violence as a public health crisis and building a culture of health, Eric discusses ways that we can move beyond cultural competency to attain the higher skill level of cultural proficiency – skills that are good for healthcare and the wider world. Eric also discusses an important new initiative to increase diversity in the nursing workforce, working in collaboration with AARP and the Robert Wood Johnson Foundation. With Carla Harwell, MD.
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#9
Published: August 9, 2019
Cleveland, Ohio native Carla Harwell, MD has had “boots on the ground” working to eliminate health disparities in the Cleveland area for many years. As an African American setting up a primary care private practice in an underserved location, Carla was very conscious that zip codes often define health and determine life expectancy, along with other social determinants. She set out to do something about this reality by providing a local alternative to clinics and hospitals, taking a 360-degree view of her patients, and encouraging patients to keep moving. With Bonnie Mason, MD.
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#8
Published: July 26, 2019
Orthopedic nurse and Louisiana native Charla Johnson, RN, MSN, ONC, discusses zip code related health disparities on opposite banks of the Mississippi. Charla shares some effective ways to spark changes that improve quality of life, and she believes that education programs must be tailored to people’s unique circumstances, taking into account access to the household and community resources that people need to be successful. A proponent of balance exercises and Tai Chi, “Motion is lotion” is one of her favorite mantras. Charla also discusses how all healthcare professionals can work together and bring their voices and connections to the battle against health disparities, helping to bring about positive change in local communities. With Rose Gonzalez.
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#7
Published: July 12, 2019
Millicent Gorham PhD (Hon), MBA, FAAN, is the Executive Director of the National Black Nurses Association (NBNA), a long-time "Movement is Life" collaborator, and a champion of the health benefits of physical activity. Here she discusses how the NBNA is leading many facets of minority representation and participation in healthcare. With Rose Gonzalez PhD, MPS, RN.
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#6
Published: June 28, 2019
Physical therapist Shawn Tucker provides care that is informed by adverse childhood events (ACEs), trauma and toxic stress, all of which can contribute to the development of chronic health conditions in adulthood. Trauma informed care seeks to address the root causes of unhealthy behavior by helping to resolve previously hidden and unexplained conflicts. Do populations who experience more ACEs have higher prevalence of chronic conditions, and can toxic stress help explain health disparities in the obesity pandemic? With Rolf Taylor.
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#5
Published: June 14, 2019
New York pastor and community leader Rev. Dr. Franklyn Richardson discusses his ministry at the historic Grace Baptist Church in Mount Vernon, New York. Putting health education at the heart of the church has been part of a long history of working for civil rights and social justice. Dr. Richardson discusses the challenges facing African American communities, the importance of self-advocacy, overcoming the digital divide, and recognizing the roles that race and bias play in health disparities. With Rolf Taylor.
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#4
Published: May 31, 2019
Increasing diversity and inclusion in the medical profession has made progress, not least because of leadership from orthopedic surgeon and Harvard Professor Augustus White. For many decades he has called for healthcare to be seen as a human right intrinsic to the pursuit of happiness. Dr. White was the first African American graduate of Stanford University School of Medicine, and the first African American surgical resident at Yale-New Haven Hospital. In this podcast Dr. White discusses the importance of mentoring, having a strategic mission for inclusion, challenging racism, and the groups most affected by health disparities. With Dr. Bonnie Mason Simpson.
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#3
Published: May 17, 2019
To be human is to have bias and all are likely to be part of a disadvantaged group but some groups have more disparities than others. Two orthopedic surgeons take the lid off one of medicines "dirty little secrets", discussing ways in which unconscious bias towards race, ethnicity, gender, class and condition results in better outcomes for some than others. Unless physicians can recognize and tackle their own unconscious biases, they may continue to be out of sync with their patients, and the nation will be sicker for it. With Professor Mary O’Connor and Dr. Bonnie Simpson Mason.
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#2
Published: May 1, 2019
Law Professor and bioethics expert Frank McClellan's new book focuses on the importance of human dignity in healthcare. In this podcast he explores how the evolution of health systems has driven an agenda of cost-containment and shifted the burden of financial accountability, often compromising care management and widening disparities for the most vulnerable groups of patients. A new act aims to protect patients by requiring that the consequences of new payment models are researched and adjusted for by CMS, helping to build health equality across race, ethnicity, gender and geography. With policy expert Bill Finerfrock.
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#1
Published: April 15, 2019
An orthopedic surgeon's perspective on health disparities. Dr Mary O’Connor believes that new outcomes-based payment models such as bundled payments are exacerbating health disparities by ignoring the huge variance in circumstances for patients, and forcing providers to exclude more complex patients. In the real world, patients are getting very different care because of their race, gender, location and economic means, and some patients are squeezed out of the system completely through a process of "cherry picking and lemon dropping". Health inequities are widening as a result. Is risk-adjustment - incorporating social determinants - part of the solution?
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