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Harvard Case - The Rhode Island Commission of Health Advocacy and Equity: Developing a Report on Health Disparities, Part A

"The Rhode Island Commission of Health Advocacy and Equity: Developing a Report on Health Disparities, Part A" Harvard business case study is written by Christina Ratleff, Reginald Tucker-Seeley. It deals with the challenges in the field of General Management. The case study is 9 page(s) long and it was first published on : Apr 1, 2019

At Fern Fort University, we recommend that the Rhode Island Commission of Health Advocacy and Equity (RI-CHAEE) adopt a multi-faceted approach to developing its report on health disparities. This approach should prioritize data collection, analysis, and dissemination to inform policy recommendations and drive impactful interventions.

2. Background

The case study focuses on RI-CHAEE, a newly formed commission tasked with addressing health disparities in Rhode Island. The commission faces the challenge of developing a comprehensive report that identifies key disparities, analyzes their root causes, and proposes actionable solutions. The main protagonists are the commission members, who are diverse stakeholders with varying perspectives on health disparities and the best approach to tackling them.

3. Analysis of the Case Study

Strategic Framework: We will utilize a framework that combines elements of the SWOT analysis and Porter's Five Forces to analyze the situation facing RI-CHAEE.

Strengths:

  • Dedicated Commission: RI-CHAEE is a dedicated body with a clear mandate to address health disparities.
  • Diverse Expertise: The commission comprises various stakeholders with diverse expertise in healthcare, public policy, and community advocacy.
  • Political Will: The creation of the commission signifies a commitment from the state government to address health disparities.

Weaknesses:

  • Limited Resources: The commission may face resource constraints, including funding, staff, and time.
  • Data Availability: Access to comprehensive and reliable data on health disparities may be limited.
  • Stakeholder Alignment: Aligning the diverse perspectives and priorities of stakeholders within the commission can be challenging.

Opportunities:

  • Increased Awareness: Growing public awareness of health disparities presents an opportunity to mobilize support for policy changes.
  • Technological Advancements: Leveraging technology and data analytics can enhance data collection, analysis, and dissemination efforts.
  • Collaboration Potential: Partnerships with other organizations, including healthcare providers, community groups, and research institutions, can strengthen the commission's impact.

Threats:

  • Political Opposition: Proposed solutions may face resistance from certain stakeholders or political groups.
  • Funding Uncertainty: Sustained funding for the commission's activities may be uncertain.
  • Data Privacy Concerns: Collecting and analyzing sensitive health data requires careful consideration of privacy and ethical issues.

Porter's Five Forces:

  • Threat of New Entrants: The commission's work is unlikely to face significant competition from new entrants.
  • Bargaining Power of Buyers: The commission serves as an advocate for the public, so the bargaining power of buyers is minimal.
  • Bargaining Power of Suppliers: The commission relies on data and expertise from various sources, making suppliers' bargaining power moderate.
  • Threat of Substitutes: While other organizations may address specific aspects of health disparities, RI-CHAEE's comprehensive approach provides a unique value proposition.
  • Competitive Rivalry: The commission's main competition is the status quo and the lack of effective action to address health disparities.

4. Recommendations

1. Data-Driven Approach:

  • Establish a Data Collection Framework: Develop a comprehensive plan to collect and analyze relevant data on health disparities in Rhode Island. This framework should include data sources, collection methods, data quality assurance, and ethical considerations.
  • Utilize Existing Data Sources: Leverage existing data from state agencies, healthcare providers, and community organizations.
  • Conduct Primary Data Collection: Consider conducting surveys, focus groups, and interviews to gather firsthand information from affected communities.
  • Partner with Data Analysts: Collaborate with data scientists and analysts to ensure accurate and insightful data analysis.

2. Develop a Strategic Framework for Action:

  • Identify Key Disparities: Prioritize the most significant health disparities based on data analysis and stakeholder input.
  • Analyze Root Causes: Investigate the underlying social, economic, and environmental factors contributing to these disparities.
  • Formulate Policy Recommendations: Develop evidence-based policy recommendations aimed at addressing the identified root causes and reducing disparities.
  • Prioritize Actionable Solutions: Focus on solutions that are feasible, cost-effective, and have the potential to achieve meaningful impact.

3. Disseminate Findings and Engage Stakeholders:

  • Develop a Comprehensive Report: Produce a clear, concise, and accessible report that summarizes the findings, analyzes root causes, and presents policy recommendations.
  • Engage Stakeholders: Actively involve stakeholders throughout the process, including community members, healthcare providers, policymakers, and advocacy groups.
  • Disseminate Findings Widely: Share the report with key stakeholders, the media, and the general public to raise awareness and build support for action.
  • Organize Public Forums: Host public forums and presentations to discuss the report's findings and engage in dialogue with stakeholders.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  • Core Competencies and Consistency with Mission: The recommendations align with RI-CHAEE's mission to address health disparities and promote health equity.
  • External Customers and Internal Clients: The recommendations consider the needs of both external stakeholders, such as affected communities, and internal clients, including commission members.
  • Competitors: The recommendations aim to differentiate RI-CHAEE's work by focusing on a comprehensive, data-driven approach and prioritizing actionable solutions.
  • Attractiveness: The recommendations are attractive due to their potential to improve health outcomes, reduce healthcare costs, and promote social justice.

Assumptions:

  • The commission has access to sufficient funding and resources to implement the recommendations.
  • Stakeholders are willing to collaborate and contribute to the commission's efforts.
  • Data privacy concerns can be addressed through appropriate safeguards and ethical guidelines.

6. Conclusion

By adopting a data-driven approach, developing a strategic framework for action, and engaging stakeholders effectively, RI-CHAEE can produce a comprehensive and impactful report on health disparities in Rhode Island. This report can serve as a catalyst for policy change, resource allocation, and community-based interventions, ultimately contributing to a healthier and more equitable society.

7. Discussion

Alternatives:

  • Focusing solely on qualitative data: This approach could limit the report's credibility and impact.
  • Adopting a narrow focus on specific disparities: This approach might miss broader systemic issues and limit the report's scope.
  • Ignoring stakeholder engagement: This approach could lead to a report that is not relevant or responsive to the needs of the community.

Risks and Key Assumptions:

  • Data availability and quality: Limited data availability or data quality issues could hinder the report's accuracy and reliability.
  • Stakeholder resistance: Proposed solutions may face resistance from certain stakeholders, potentially delaying progress.
  • Funding constraints: Insufficient funding could limit the commission's ability to implement recommendations.

8. Next Steps

  • Develop a detailed implementation plan: Outline specific tasks, timelines, and resources for each recommendation.
  • Establish a data collection and analysis team: Recruit qualified individuals with expertise in data management, analysis, and interpretation.
  • Engage key stakeholders: Initiate dialogue with community leaders, healthcare providers, policymakers, and advocacy groups to gather input and build support.
  • Secure funding: Develop a funding strategy to ensure the commission has adequate resources to support its activities.
  • Develop a communication plan: Establish a communication strategy to disseminate findings, engage stakeholders, and promote action.

By taking these steps, RI-CHAEE can effectively address health disparities in Rhode Island and create a healthier and more equitable future for all residents.

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Case Description

In 2011, the Rhode Island (RI) legislature established the Commission on Health Equity and charged this group with writing a report on health disparities every two years. The case protagonist, Dr. Harper Avery, Director of Minority Health at the RI Department of Health, has recently assumed the co-chair position on the Commission of Health Advocacy and Equity in RI. Through the experiences of Dr. Avery, the reader sees the issues involved when a multidisciplinary and multi-sectoral group must work together to create the health disparities/health equity report. Such issues include how to define "health disparities" and related terms, what health outcomes and behaviors to choose to report, where to get the data required for the report, and how to measure disparities with the data obtained. Additionally, the reader is encouraged to consider the multiple perspectives of the Commission members and the various constituencies they represent. This case study takes the students through the process of developing a state-level health disparities report.

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