A focus on equity has risen to the fore in many U.S. health care systems in reaction to the killings of George Floyd, Breonna Taylor, and their repercussions, as well as the many racial and ethnic disparities highlighted anew by the COVID-19 pandemic. Both senior management and boards of directors of health care systems across the country have undertaken new efforts, or redoubled existing ones, to address equity: first in the context of provision of care and the fundamental operations of health systems, and second, in addressing the broad upstream drivers of social and economic inequity that are largely extrinsic to health care. Read More >

Actions are being taken by health systems in five main categories: speaking out publicly against inequity; taking larger steps internally to address diversity, equity, and inclusion (DEI), combat racism, and advance empowerment; widening their traditional equity lens to encompass widespread discrimination against multiple population groups; ramping up efforts to address the safety and quality of care and reducing undesirable variation as a means to reducing inequity and disparities; and using their resources to address upstream health drivers, including in priority areas of the social and economic determinants of health.

Dentzer will describe how a growing number of U.S. health systems now recognize and accept that they must play a dominant role in a process of social and economic transformation to eliminate racism and other forms of discrimination and place the nation on the road to better health. Read Less ^

“Imagine a health care system that came to you -- a system that met you, as an individual, where you are, in your home, workplace, or community, in part through such ‘virtual care’ modalities as telehealth. Such a system would anticipate your needs and work to keep you as healthy as possible, and view any of your needs to access “sick care” as a possible sign that the system had let you down. This system would address the upstream drivers of your health status, and yet be as convenient and accessible as other elements of your life that you now take for granted, like ordering online. Such a system could be called ‘Health Care Without Walls.’ Read More >

Susan Dentzer can describe current trends and examples moving us toward the vision of Health Care Without Walls, and the public policy changes and private sector measures also necessary to achieve it. Although there will be many benefits in achieving a far more distributed system of care outside of conventional institutional settings, such as hospitals, physicians’ offices, and nursing homes, a number of payment/reimbursement, regulatory, workforce, and human factors issues must be addressed before such a system can be realized. Dentzer can describe the need for a “21^st Century Hill Burton” program to assist many of the nation’s hospitals in transforming into new roles. In particular, Dentzer can discuss the many implications for the nation’s health care work force; education and training of health care professionals; and in particular, interprofessional education and training to deliver the team-based, virtually enabled care that will increasingly be the norm. She can offer examples of organizations that are engaging in such efforts, and describe the opportunities that may emerge for research and other partnerships to advance the field. Read Less ^

As the world reaps the fruits of genomics advances, advanced treatments for many conditions, such as cancer, are becoming available, but they are only contributing to a cost spiral that has already put affordable health coverage out of the reach of many Americans. And in the meantime, growing national health expenditures continue to pose a challenge not just to individuals’ pocketbooks, but to state treasuries, the federal government, and taxpayers. Health expenditures are crowding out spending on other critical areas such as education – leading to a vicious cycle that will probably deprive many Americans in coming years of optimal health. Read More >

What is to be done? How can the United States improve the health of its population; address the health crises afflicting so many; spread or equalize access to the best health care available; and maintain expenditures on health care within sustainable bounds? Achieving all of these outcomes may seem impossible, but there are important steps that the nation can take to get us on the right road. Susan Dentzer will describe the issues and options available to us as a nation. Read Less ^

As an expert on healthcare policy, Susan Dentzer cuts through the rhetoric and examines the latest policy changes and explains what they mean for the future. Read More >

She will touch upon: Read Less ^

• The future of Medicare reform.
• Social security, Medicare, and Medicaid.
• Rising to meet America’s healthcare challenge.