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From HRO to HERO: Making Health Equity a Core System Capability.

Ernest Moy1, Leslie R M Hausmann, Carolyn M Clancy

  • 1Office of Health Equity, Veterans Health Administration, Washington, DC Health Equity Capacity Building Core, Center for Health Equity Research and Priorities, VA Pittsburgh Healthcare System, Pittsburgh, PA US Department of Veterans Affairs, Washington, DC.

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
|September 10, 2021
PubMed
Summary
This summary is machine-generated.

Integrating health equity into high-reliability organizations (HROs) is crucial. Achieving High Equity Reliability Organizations ensures reliable health outcomes for all, aligning with the HRO goal of zero harm.

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Area of Science:

  • Healthcare Management
  • Health Equity Studies
  • Patient Safety

Background:

  • Health systems increasingly adopt high-reliability organization (HRO) principles.
  • Health equity is notably absent from current HRO discussions and applications.
  • Health disparities reflect systemic failures in achieving reliable outcomes for specific populations.

Purpose of the Study:

  • To propose the integration of health equity as a core component of HROs.
  • To introduce the concept of High Equity Reliability Organizations (HEROs).
  • To outline how equity aligns with the five core HRO concepts.

Main Methods:

  • Conceptual analysis of HRO principles and health equity.
  • Integration of equity into the five core HRO concepts: sensitivity to operations, preoccupation with failure, deference to expertise, resilience, and reluctance to simplify.

Main Results:

  • Health equity is essential for achieving true high reliability.
  • Systematic disparities are antithetical to the HRO goal of "zero harm."
  • Equity can be integrated into all HRO core concepts.

Conclusions:

  • High Equity Reliability Organizations represent a necessary evolution for healthcare.
  • Integrating equity into HROs is critical for eliminating health disparities.
  • Achieving high reliability necessitates a commitment to health equity for all patient groups.