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Addressing Structural Racism Using a Whole-Scale Planning Process in a Single Academic Center.

Eve J Higginbotham1, Kya Hertz1, Corrinne Fahl1

  • 1Perelman School of Medicine, Office of the Dean, Department of Ophthalmology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

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Summary
This summary is machine-generated.

A strategic process successfully initiated cultural transformation in an academic medical system by addressing systemic racism. Key actions included stakeholder engagement and developing a framework for lasting change.

Keywords:
change managementhealth equityinclusive culturestrategic planningstructural racism

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Area of Science:

  • Health Equity
  • Organizational Behavior
  • Medical Education

Background:

  • Systemic racism in the US, highlighted by George Floyd's murder, necessitates cultural transformation in academic medical centers.
  • Academic medical institutions face pressure to address and dismantle pervasive systemic racism.

Purpose of the Study:

  • To evaluate the effectiveness of a strategic process designed to foster cultural transformation within an academic medical system.
  • To assess the impact of a structured approach on addressing systemic racism in healthcare settings.

Main Methods:

  • A 13-month whole-scale strategic planning process involving diverse stakeholders, surveys, and town halls.
  • Development of a strategic framework with actionable items and a balanced scorecard for progress monitoring.
  • Administration of the Diversity Engagement Survey (DES) 18 months post-implementation.

Main Results:

  • Over 96% completion of unconscious bias education and 76% completion of "Just Do Its" action items.
  • The DES indicated improved "respect" within the organizational culture.
  • 64% of respondents affirmed that actions were addressing internal and external racism.

Conclusions:

  • A shared purpose, stakeholder engagement, and a strategic framework are crucial for initiating cultural change.
  • Empowering stakeholders to implement changes is vital for addressing structural racism.
  • The implemented strategy demonstrated efficacy in fostering cultural transformation and addressing racism.