On Speaking Up

#EmbraceEquity

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Today is International Women’s Day (IWD) and March is Women’s History Month. The International Women’s Day 2023 campaign theme is #EmbraceEquity. As their website says, “The aim of the IWD 2023 #EmbraceEquity campaign theme is to get the world talking about Why equal opportunities aren’t enough. People start from different places, so true inclusion and belonging require equitable action. International Women’s Day is a global day celebrating the social, economic, cultural, and political achievements of women. The day also marks a call to action for accelerating women’s equality.”

Yes, we have much progress to celebrate but sad to say that in 2023, there is still so much more to do. Especially with our current political climate and Diversity, Equity and Inclusion (DEI) programs being under attack in some states. Take Florida for example where the governor announced in February that he intends to ban state universities from spending money on diversity, equity and inclusion initiatives, calling them discriminatory.

I continue to participate in CHIME’s Diversity, Equity and Inclusion committee as we start another year of programming for all CHIME members. As leaders, raising awareness and finding ways to take positive and meaningful action for our employees and our patients is what this work is about. This Friday as part of the DE&I Dialogues series, we will host a live webinar entitled, “Why DE&I: Defining Health Disparity, Inequity, and Inequality”. The webinar will cover why DE&I is important in your healthcare organization and how it impacts patient care. Featured speakers are Andrea Daugherty, CIO at Dell Medical School at the University of Texas at Austin, Cletis Earle, SVP and CIO at Penn State Health, and Dr. Eric Quinones, Chief Healthcare Advisor at World Wide Technology. You can register here for the March 10, 12PM ET webinar. I hope you will join us this Friday and for future DE&I Dialogues as we continue to learn and work together in 2023.

Related Posts:

International Women’s Day all year long

Women’s History Month, not exactly a Hallmark care event!

One year later – an increased focus on diversity equity and inclusion

 

Leadership means being bold and taking on the tough issues

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As a leader, do you shy away from issues that may be considered too controversial or too political? What if those issues are at the core of delivering healthcare to your community and supporting your team? In our current political environment with the level of discourse so negative and uncivil, it can be hard to take a stand on something. But true leaders do just that.

Michael Dowling, President and CEO at Northwell Health in New York, is the kind of leader who doesn’t shy away from controversial issues. He should be a role model for all of us. I have mentioned him in previous posts on the need for civility and on preventing gun violence. This week I want to highlight his unwavering commitment and national leadership to prevent gun violence.

Under Dowling’s leadership, Northwell Health hosted the 4th Annual Gun Violence Prevention Forum this week. It was an in-person event in New York but open for virtual registration. I can’t tell how many were in the room but in his opening remarks he said there were over 2000 registered virtually.

His opening comments were inspiring. He said we were gathered to learn, to share, to strengthen our commitment to work together in unison, and to hold hands as we march down the road bending the curve of gun violence. He challenged us to each rethink and reimagine the obligation and responsibility of leadership. As health systems, to ask who are we, what do we stand for and believe in. He said we need to inspire others that this is health. That we can’t improve health unless we go upstream. And that health is more than medicine. Whether inside the organization or outside, to take on difficult topics. To make sure others get involved and feel bad about not doing so. He talked about the progress made. He reminded us that big issues and big successes are the result of a constellation of small things. And he encouraged us to be optimistic, that people follow optimistic leaders. He asked us to be proud, committed and fearlessly optimistic.

He talked about the National Health Care CEO Council on Gun Violence Prevention and Safety taking the pledge to prioritize the health and safety of our communities. 50 health system CEOs have signed the pledge and are united to fight gun violence. He talked about how even a few years ago he couldn’t get anyone to sign something like this. The response he got back then was it’s too political, their board wouldn’t like it, there were NRA members on their board, and so on. 50 is progress and we can hope that in the future it will be hundreds. Continue reading →

Ban books? No, encourage young readers

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It’s that time of year – whatever holiday you celebrate during this Season of Gratitude there is likely some gift giving involved. You may have an obligatory attitude of just getting it done or (hopefully) a more positive giving attitude spending time selecting thoughtful and more personalized gifts. When I had leadership teams reporting to me, I would give them a book each year. It was often the hardest gift to buy – deciding on the perfect book that they would all like. Over the years, my books included some of the best titles on innovation, leadership, technology, public health and more.

Now my holiday gift book buying is all for younger people. In addition to the one big gift for each of my grandchildren, I get them a book. I will be starting two of them on the “National Geographic Kids Almanac 2023” this year – it is filled with information on animals, science, nature, technology, conservation, and more.  I bought “Good Night Stories for Rebel Girls: 100 Inspiring Young Changemakers” for one of the granddaughters at my daughter’s suggestion. I was delighted to get the suggestion as I have been patiently waiting for my granddaughters to be old enough so I could start buying some of the feminist books for girls I see in bookstores. And for my grandson who loves all sports and is learning to read, I’m getting a fun story he should like – “The Dog That Stole Football Plays”. The football player on the cover has a “Jets” jersey on and that happens to be the name of my grandson’s flag football team. Hoping he loves the story, and it encourages him to read more!

I have another book buying annual holiday tradition that continues. I buy a book for each of my grandnephews and grandnieces back home in Minneapolis where I’m from and where my siblings and their families all live. That group is older – mostly teenagers. So, we have progressed over the years from picture books when they were little to books focused on their interests including baseball, ballet, and opera during middle school years, to more scholarly and political books now that they are in high school. For example – “A Choice of Weapons” by Gordon Parks, “Narrative of the Life of Frederick Douglas”, and “The 48 Laws of Power” by Robert Greene. I count on my three nieces to help me with recommendations and to understand their kids’ evolving interests. The grandnephew who wanted baseball books when he was younger is now into Nordic skiing and heavy metal with his own band. Yes, with my sister’s (their grandmother) help, I found a book he will like.

I can’t talk about nurturing young readers without mentioning the current banned books controversy that goes hand in hand with concerns about teaching critical race theory and talking about LGBTQ. Continue reading →

Remember what our parents taught us – civility and respect

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Last week I wrote about exercising our right to vote. With the mid-term election dominating the news it’s hard to think about much else. With the brutal attack on Speaker Nancy Pelosi’s husband, Paul, the threat of political violence during this election season is heightened. The amount of disinformation and baseless conspiracies are contributing to the situation. And bullying behavior that you wouldn’t tolerate from your boss or co-worker, or from your kid’s teacher or coach is somehow acceptable coming from elected officials and candidates for office.

As we approach Election Day, I go back to civility and respect. Basics that seem to be lost in the recent years. Civility and respect are important and necessary in our everyday lives and discourse, be it with family, friends, co-workers, neighbors, or people we know only as a name and social media account online.

With no new novel message on this, I’m asking you to revisit two of my posts in recent years that highlighted the need for civility and decency drawing on comments from well-known healthcare leader, Michael Dowling, President & CEO of Northwell Health – “Towards a more civil society” and “The healing power of humanity”.

Be kind, be respectful, and be sure to vote your values!

Time to exercise your right to vote

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It is less than two weeks to election day. I voted early yesterday at my city hall since I will be at the CHIME Fall Forum in San Antonio on election day, November 8. I hope my colleagues who are attending and everyone else reading this who can’t vote in person on election day has a plan to vote early in-person or will mail-in their ballot.

Voter intimidation is real. Already we hear candidates saying the election is rigged – their way of saying they won’t accept a loss. Voting is your fundamental right as a citizen. Voting rights were fought for by our ancestors. We can’t take this right for granted. And we can’t be intimidated.

It is encouraging to see long lines for early voting in swing states with tight races. And it is more encouraging to know that early voting is outpacing 2018 levels by one million. As of last night, 13.6 million people have voted compared to 12.6 million in 2018.

What is at stake in the midterm elections? A lot! I’ve commented in previous posts on reproductive care and a woman’s right to choose (A step backwards), same sex marriage (Marriage equality, it’s personal), and common-sense gun control (When is enough enough?). It should be no surprise that I voted a straight Democratic ticket up and down the ballot.

I won’t tell you how to vote. But I encourage you to exercise your right to vote and to vote your values. Your vote matters!

Resources:

I will vote – website where you can select your state, make sure you’re registered to vote, then choose how you’re going to vote this year. Also has a hotline number to call with questions.

When we all vote – is a leading national, nonpartisan initiative on a mission to change the culture around voting and to increase participation in each and every election by helping to close the race and age gap. Website has useful information on your voting rights and provides an Election Protection Hotline to report voting issues.

Related posts:

Make your voice heard, your vote counts!

Vote your values

A step backwards

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“The decision whether or not to bear a child is central to a woman’s life, to her wellbeing and dignity. It’s a decision she must make for herself”. Ruth Bader Ginsburg

I was both angry and sad last Friday when the Supreme Court ruling was announced. There is no question that we are going backwards. My granddaughters will have less rights than me.

How did we get here? The Supreme Court ruling overturning Roe v Wade should come as no surprise. I’m not just talking about the leaked opinion in May. I’m talking about the state level restrictions that have been enacted over the past decade leading to Friday’s ruling.

A piece in the New York Times on June 25, “How Did Roe Fall? Before a Decisive Ruling, a Powerful Red Wave”, by Kate Zernike laid it out clearly starting back with the 2010 elections. The fact that 1380 state level restrictions were enacted in the 50 years since Roe v Wade was decided and that 46% of them were since 2011 tells the story. It is a long article but worth reading.

Aside from understanding the recent history covered in this article, the takeaway is clear – your vote matters. It matters at every level from local elections to the national election for president. While more Americans voted in 2020 than in any other presidential election in 120 years, 80 million people didn’t vote. Local candidates and state legislators win elections oftentimes with only a small percentage of voters bothering to vote.

The health equity issues of this ruling are significant. The ruling puts the health and safety of women at risk with a disproportionate impact on women of color and the financially disadvantaged. Many leaders have recognized this in their statements of support for reproductive rights and the actions they are taking to provide services. Continue reading →

When is enough enough?

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We are all asking when is it enough? Parents of young children are struggling with how to talk to their children, how to keep them safe. The mass shootings in Buffalo and Uvalde are the latest horrific examples of gun violence and hate in this country.

I have been struggling to find the right words. There are none. Yes, thoughts and prayers for all the victims, their families, and communities are needed. May they find the strength to carry on in the very difficult days ahead. But what’s needed in this country is action and policy change, not just more thoughts and prayers.

I read two pieces that have helped me to express what I’m feeling.

Michael Dowling, President and CEO of Northwell Health, is a progressive voice amongst healthcare executives. He doesn’t shy away from taking a stand on difficult issues and very clearly names gun violence as a public health issue. Under his leadership, Northwell established The Gun Violence Prevention Learning Collaborative for Health Systems and Hospitals, a grassroots initiative that gives healthcare professionals the space to have open dialogue about the impact of gun violence, share best practices and collectively take action. This piece in Becker’s Hospital Review describes his call to action – “Michael Dowling: ‘Every single US hospital leader should be screaming about what an abomination this is’”.

Arika Lycan posted on LinkedIn a piece that frames not just the murder of innocent elementary school children but all the ways that our rights are under attack – “Who is going to do something about this?!” I am, You are, We are.” Arika is a consistent voice for social justice. I am grateful to be collaborating with them and the entire CHIME Diversity, Equity, and Inclusion Committee to continue to educate and raise awareness with our health IT colleagues.

We can’t let Buffalo and Uvalde move out of the news cycle and be forgotten. We need to speak up, show up, donate our time and money, and vote for candidates at all levels of government who support our values. The 2022 mid-term elections are consequential. Know what candidates stand for and vote your values. And consider volunteering some of your time to do phone / text banks for critical House and Senate races in other states.

I admit that I don’t have anything truly new to say today. I have written numerous posts after similar events rocked us to the core, and I have said it all before. So, I’m sharing my “Hate has no place” post again. If you don’t want to read it again or even for the first time – here’s my bottom-line message:

We must speak up for love and justice every chance we can. We must challenge those who hate and divide us as a people. And we must vote for the kind of leaders that we are willing to trust the future of our children and grandchildren to. Please join me.

Hate has no place (written August, 2019)

The most recent horrific mass shootings are not due to video games, the Internet, nor mental illness. There are more guns in the United States than people. Let that sink in.

Hate speech, racism, and white supremacy exist and are tolerated by some of our elected leaders who are supposed to keep us all safe. Let that sink in.

This is not who we want to be as a country. It is time for responsible, moral leaders to act. Continue reading →

#BreakTheBias

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That’s the theme of International Women’s Day (IWD) 2022 celebrated today, March 8. It is one to remember not just today but every day. Two weeks ago, as Black History Month came to an end, I wrote a post titled “2022 of the 1950s?” about systemic racism. March is Women’s History Month and when I see the assault on women’s rights in many states, I could ask that same question again.

While women have made great progress since I was growing up in the 1950s and 1960s, coming of age during the women’s movement shaped me both personally and professionally. I remember when International Women’s Day was something most people knew nothing about. Now it is more prominently highlighted in the media. You may have seen some “strike the pose” posts on social media in recent days and wondered what that was about. But International Women’s Day is not just a celebration of women, it is a focus on the historical and current struggles of women for true equality and a call to all of us to forge a gender equal world.

Themes in recent years have been:

#ChooseToChallenge – reminding us that we are responsible for our own thoughts and actions and that we can all choose to call out gender bias and inequality.

#EachforEqual – emphasizing the need to bring together people of all gender, age, ethnicity, race, religion, and country to embrace the values and actions needed to create a gender equal world.

What does this year’s theme #BreakTheBias focus on? From the IWD website:

“Imagine a gender equal world.

A world free of bias, stereotypes, and discrimination.

A world that is diverse, equitable, and inclusive.

A world where difference is valued and celebrated.

Together we can forge women’s equality.

Collectively we can all #BreakTheBias.”

What can you do? Continue reading →

Ukraine, what can you do?

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Posting pictures of sunflowers and the colors of the Ukrainian flag are all signs of support. And yes, the free world and the autocrats need to see that support. But there is more you and I can do. Here are two resources to check out:

Call to Action: How the Health Community can Help Efforts in Ukraine is on March 3, 11AM ET sponsored by HLTH – you can register here. Description of the webinar:

As healthcare professionals, we can help via coordinated effort with Ukrainian Ministry of Health and state enterprise Medical Procurement of Ukraine. By now, Ukraine used all of its available medical supplies; deliveries to the country situated in the middle of Europe are severely disrupted.

We are hosting the webinar on Thursday, March 3rd during which our panelists will be able to provide clear instructions of what supplies are needed and how to ship them to Ukraine, as well as answer any of your questions. You will hear from:

Moderator:
– Anna Levchuk –  Member Of The Supervisory Board, Member Of The Supervisory Board,
State Enterprise Medical Procurement of Ukraine
Speakers:
– Arsen Zhumadilov – CEO of Medical Procurement of Ukraine
– Graham Stewart – Head of Supply Chain Delivery at Department of Health and Social Care, UK
– Kateryna Babkina – an award-winning Ukrainian poet and a refugee who drove from shelled Kyiv to Poland with one-year-old in tow

Please join the webinar to learn how you can help. Share this information with your colleagues in patient access, social responsibility, and sales departments.

From the Global Citizen, “22 Meaningful Ways You Can Help Ukraine” by Khanyi Mlaba and Tess Lowery on February 24th.

The article opens with this statement, “While many of us might feel helpless when confronted with geopolitical machinations of this scale, we’ve rounded up some ways you can help the people of Ukraine right now.” It includes ways to donate, take action, and stay informed.

Babies being born in subways that have become shelters. NICU babies being cared for in a hospital shelter. Innocent people including young children being killed and wounded. These are difficult images to watch. But it is happening. The strength and resilience of the Ukrainian people is inspiring. As global citizens, the fight for democracy and freedom is one we all must support.

 

2022 or the 1950s? 

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February started with news that was both disturbing and disappointing to see in 2022. But unfortunately, not a surprise considering the long history of racism and white supremacy in this country. News programs the first few days of Black History Month covered bomb threats at many HBCU campuses, the Florida Anti-Woke Act, book banning, a neo-Nazi group protesting in front of Brigham and Women’s Hospital in Boston, and another police shooting of a young black man, Amir Locke, in Minneapolis.

It makes one wonder if this is 2022 or the 1950s. Are we moving forward or backward?

When I touch on political subjects in my blog posts, I try to weave a healthcare perspective into it. The best I can do given these discouraging news stories is to reinforce that it takes each one of us to make change and create the kind of world we want to live in, work in and raise our families in.

As Rev. Dr. Martin Luther King, Jr. said, “The arc of the moral universe is long, but it bends towards justice”. Yes, but only if we pull it towards justice. So, what can you or I do to pull it?

I applaud Boston Children’s Hospital where I served as interim CIO last year for requiring “Bystander to Upstander” training for all employees as part of the health system’s commitment to diversity, equity, and inclusion. This program raised awareness of microaggressions in everyday life and provided simple tools for each of us to use to move from being a bystander when we see and hear something to being willing to call it out.

I applaud the CHIME Diversity and Inclusion committee which I am a member of for their continued work to raise awareness amongst CHIME and CHIME Foundation members and AEHIS, AEHIA and AEHIT members. The newest offering, “DEI Dialogues”, kicks off this Friday 2/25 from 12-1PM ET. DEI Dialogues will be a dynamic series of virtual conversations around identity, belonging, equity and inclusion with a different lens of focus each month. The focus of the first one is Black History Month. Cletis Earle, SVP and CIO at Penn State Health, and Dr. Andrea Hendricks, Senior Executive Director & Chief Diversity, Equity, and Inclusion Officer at Cerner, will moderate the discussion. For more information on CHIME Diversity and Inclusion and to register for the first DEI Dialogues, click here.

When it comes to understanding our own biases and working to end racism, we are each on our own journey of self-awareness and action. Together we can be the change and move forward not backward.

Resources and Related Posts:

Here’s the story behind Black History Month – and why it’s celebrated in February

How Sharing Our Stories Builds Inclusion

One year later – an increased focus on diversity, equity and inclusion

At the intersection of racism and healthcare