| You're on your organization's diversity
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| | satisfaction scores, days in treatment,
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| committee. You have the best of
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| | staffing levels, number of adverse events
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| intentions.And that's the problem.It
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| | and law suits, and such.Next, recognize
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| leads you to appeal for funding for all
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| | that when your organization fails to work
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| the wrong reasons.Take healthcare for
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| | effectively with minority consumers, it's
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| example.The US foreign-born population
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| | not only the consumers who suffer. You
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| comprises a larger segment than at any
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| | need to point out how your organization
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| time in the past five decades. And this
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| | is missing its numbers, how improved
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| trend is expected to continue(1). People
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| | performance on the frontline will help
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| of diverse racial, ethnic, and cultural
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| | your unit meet it's goals, and how
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| heritage suffer disproportionately from
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| | diversity training will create the
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| cardiovascular disease, diabetes, HIV
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| | improved performance you need.Let me give
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| AIDS and every form of cancer. In
| |
| | you an example. Here's how diversity
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| addition, their infant mortality rates
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| | training translates to lower liability
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| are generally higher(2). Minorities
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| | costs in hospitals.Hospitals
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| receive measurably poorer care and they
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| | administrators have a significant
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| suffer for it.Great reasons for diversity
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| | incentive to reduce medical malpractice
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| training. Disastrous reasons to ask for
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| | claims. If you do a little digging,
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| executive funding for your diversity
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| | you'll find out that four of five
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| program.If you doubt me, just look at
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| | patients who sue haven't suffered medical
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| your budget. Chances are you're getting
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| | negligence(3). Patients sue because they
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| sincere encouragement from the boardroom
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| | feel devalued, deserted, misunderstood,
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| but not budget codes that represent
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| | and misinformed(4).Combine that with the
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| significant financial resources.Here's
| |
| | knowledge that minority patients are less
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| the nut of the problem.If you're at or
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| | satisfied--in fact African Americans,
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| near the front lines--the medical floor
| |
| | Latinos, and Asian Americans are 10-15
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| if you're in healthcare, or sales or
| |
| | times more likely than whites to believe
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| service if you're in a corporation--the
| |
| | they would receive better health care if
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| discussions you're having about diversity
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| | they were a different race(5)--and you
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| training are not the discussions your
| |
| | have a recipe for trouble.It will cost
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| executives are having.In healthcare, for
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| | your hospital $25,000 to mount a defense
|
| example, when physicians, nurses, and
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| | for each claim, even if you win. And your
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| their department heads discuss diversity
| |
| | hospital has scores of claims, possibly
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| training, they talk about the increased
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| | hundreds.Put an argument like this
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| needs they experience in serving minority
| |
| | together and see the mileage you get.The
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| populations.That conversation centers on
| |
| | discussion starts like this: "We have a
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| health disparities among ethnic and
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| | problem with medical malpractice that we
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| cultural minorities, how they might be
| |
| | all want to solve. Each claim costs us
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| overcome, the new treatments that are
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| | $25,000 to defend. And X number of them
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| called for, and new techniques and
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| | have come from our staff's difficulty in
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| perspectives staff need to be educated
| |
| | engaging minorities effectively. How many
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| in.That discussion is all good. All
| |
| | cases do you think we could head off if
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| well-intentioned. And every part it
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| | we trained this group of staff to perform
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| increases the expense side of the income
| |
| | more effectively in their interactions
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| statement.Your executives are having a
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| | with minority patients?"Now you're
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| discussion of their own.What they want to
| |
| | talking about saving money and meeting
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| know is how diversity training impacts
| |
| | organization goals.And that's a welcome
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| the business of whatever business you're
| |
| | reason to commit funding.Whatever
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| in. In healthcare, that means increasing
| |
| | cultural issues your organization is
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| your appeal to minority patients,
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| | facing, they have business impacts. You
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| competing for private purchaser business,
| |
| | just need to point them out, and make
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| responding to public purchaser demands,
| |
| | your proposal part of the solution.
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| and improving cost effectiveness.In other
| |
| |
|
| words, while frontline staff are talking
| |
| | _________________________________________
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| about diversity training in a way that
| |
| | _____________1. National Center for
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| increases costs, executives are looking
| |
| | Cultural Competence, Why is There a
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| for strategies to decrease costs and
| |
| | Compelling Need for Cultural
|
| increase income. As long as the frontline
| |
| | Competence?2. Cohen E, Goode TD. Policy
|
| and boardroom talk past each other,
| |
| | Brief 1: Rationale for Cultural
|
| programs like diversity training will
| |
| | Competence in Primary Health Care.
|
| fail to receive the recognition and
| |
| | Washington, DC: National Center for
|
| funding they deserve.But you don't need
| |
| | Cultural Competence; Winter 1999.3. Focus
|
| to wait for a more enlightened day. In
| |
| | June 4, 2004, How Doctors Might Curb
|
| fact, you can turn a few switches on
| |
| | Malpractice Claims, News from Harvard
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| yourself.If you're a real advocate of
| |
| | Medical, Dental, & Public Health
|
| diversity training, I recommend you start
| |
| | Schools4. Beckman HB, Markakis KM,
|
| assembling a "business impact model", the
| |
| | Suchman AL, Frankel RM. The
|
| sharp dark line that connects performance
| |
| | doctor-patient relationship and
|
| on the front line with your
| |
| | malpractice: lessons from plaintiff
|
| organization's ultimate business goals.
| |
| | depositions. Arch Intern Med.
|
| There are some very good books where you
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| | 1994;154:1365-13705. Center on an Aging
|
| can learn about this quickly. "The
| |
| | Society Georgetown University, Issue
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| Success Case Method" by Robert
| |
| | Brief Number 5, February 2004, Cultural
|
| Brinkerhoff and "Performance Consulting"
| |
| | Competence in Health Care: Is it
|
| by Robinson and Robinson are good places
| |
| | important for people with chronic
|
| to start.Here's the short course.Instead
| |
| | conditions?Tim Dawes is the founder of
|
| of asking for money for diversity
| |
| | Interplay, Inc., a firm that helps
|
| training, start from the top down. Look
| |
| | healthcare organizations to exceed their
|
| at your unit's business needs. In
| |
| | strategic goals by demonstrating
|
| healthcare, this shows up as patient
| |
| | unexpected empathy to patients.
|
