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Addressing Drivers of Inequities in Lactation Support

Virtual
On Demand
1 CE Hour On Demand
General
Free

Presented By

Recorded On

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Location

  • On Demand
    Sessions will be available On-Demand
Description

You cannot have quality without equity. In this presentation, participants will learn what leads to health disparities and how healthcare providers can provide equitable care. We will focus on perinatal care, including lactation support.

 

Target Audience
  • • Psychologist
  • • Social Worker
  • • Counselor
  • • Marriage & Family Therapist
  • • Substance Use Disorder Professionals
  • • Physician
  • • Nurse
Educational Goal

The educational goal of this workshop is to ensure healthcare providers understand their role in improving health equity.

 

Learning Objectives

At the end of this course, participants will be able to:

  • Explain the roots of health disparities.

  • Describe how bias beliefs have impacted perinatal care/lactation support, citing at least 2 examples.

  • Identify at least 2 ways to equitably support lactation.

References

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  • Bruce, K., Trichilo, R., Gillispie-Bell, V., Hyde, R., Outhuse, A. (2021) Louisiana Pregnancy-Associated Mortality Review. https://www.partnersforfamilyhealth.org/wpcontent/uploads/2021/09/2018_PAMR_Report_FINAL_MF.pdf. Last accessed on October 28, 2021.

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  • Devine, P. G., Forscher, P. S., Austin, A. J., & Cox, W. T. (2012). Long-term reduction in implicit race bias: A prejudice habit-breaking intervention. Journal of experimental social psychology, 48(6), 1267–1278. https://doi.org/10.1016/j.jesp.2012.06.00

  • Diversity and Inclusion in Leadership. (2017). An Official Position Statement of the Society of Maternal Fetal Medicine. https://s3.amazonaws.com/cdn.smfm.org/media/1107/Leadership_-_January_2017.pdf

  • Donabedian A. (2005). Evaluating the quality of medical care. 1966. The Milbank quarterly, 83(4), 691–729. https://doi.org/10.1111/j.1468-0009.2005.00397.x

  • Dovidio, J. F., & Fiske, S. T. (2012). Under the radar: how unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities. American journal of public health, 102(5), 945– 952. https://doi.org/10.2105/AJPH.2011.300601

  • FitzGerald, C., & Hurst, S. (2017). Implicit bias in healthcare professionals: a systematic review. BMC medical ethics, 18(1), 19. https://doi.org/10.1186/s12910-017-0179-8

  • Hausmann, L. R., Jeong, K., Bost, J. E., & Ibrahim, S. A. (2008). Perceived discrimination in health care and use of preventive health services. Journal of general internal medicine, 23(10), 1679–1684. https://doi.org/10.1007/s11606-008-0730-x

  • Hoffman, K. M., Trawalter, S., Axt, J. R., & Oliver, M. N. (2016). Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Proceedings of 3 the National Academy of Sciences of the United States of America, 113(16), 4296–4301. https://doi.org/10.1073/pnas.1516047113

  • U.S. Department of Health and Human Services Office of Minority Health. (2020) Infant Mortality and African Americans. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=23. Last accessed on July 7, 2020.

  • Kim, L., Whitaker, M., O'Halloran, A., Kambhampati, A., Chai, S. J., Reingold, A., Armistead, I., Kawasaki, B., Meek, J., Yousey-Hindes, K., Anderson, E. J., Openo, K. P., Weigel, A., Ryan, P., Monroe, M. L., Fox, K., Kim, S., Lynfield, R., Bye, E., Shrum Davis, S., … COVID-NET Surveillance Team (2020). Hospitalization Rates and Characteristics of Children Aged <18 Years Hospitalized with Laboratory-Confirmed COVID-19 - COVID-NET, 14 States, March 1-July 25, 2020. MMWR. Morbidity and mortality weekly report, 69(32), 1081–1088. https://doi.org/10.15585/mmwr.mm6932e3

  • Leonard, S. A., Main, E. K., Scott, K. A., Profit, J., & Carmichael, S. L. (2019). Racial and ethnic disparities in severe maternal morbidity prevalence and trends. Annals of epidemiology, 33, 30–36. https://doi.org/10.1016/j.annepidem.2019.02.007

  • Ly D. P. (2022). Historical Trends in the Representativeness and Incomes of Black Physicians, 1900-2018. Journal of general internal medicine, 37(5), 1310–1312. https://doi.org/10.1007/s11606-021-06745-1

  • MacDorman M. F. (2011). Race and ethnic disparities in fetal mortality, preterm birth, and infant mortality in the United States: an overview. Seminars in perinatology, 35(4), 200–208. https://doi.org/10.1053/j.semperi.2011.02.017

  • Messer, L. C., Kaufman, J. S., Dole, N., Savitz, D. A., & Laraia, B. A. (2006). Neighborhood crime, deprivation, and preterm birth. Annals of epidemiology, 16(6), 455–462. https://doi.org/10.1016/j.annepidem.2005.08.006

  • Nadal K. A (2014). Guide to Responding to Microaggressions. CUNY FORUM 2:1 (2014) 71-76. Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A. M., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: implications for clinical practice. The American psychologist, 62(4), 271–286. https://doi.org/10.1037/0003-066X.62.4.271

  • Obermeyer, Z., Powers, B., Vogeli, C., & Mullainathan, S. (2019). Dissecting racial bias in an algorithm used to manage the health of populations. Science (New York, N.Y.), 366(6464), 447–453. https://doi.org/10.1126/science.aax2342

  • Park, J., Saha, S., Chee, B., Taylor, J., & Beach, M. C. (2021). Physician Use of Stigmatizing Language in Patient Medical Records. JAMA network open, 4(7), e2117052. https://doi.org/10.1001/jamanetworkopen.2021.17052

  • Petersen, E. E., Davis, N. L., Goodman, D., Cox, S., Syverson, C., Seed, K., Shapiro-Mendoza, C., Callaghan, W. M., & Barfield, W. (2019). Racial/Ethnic Disparities in Pregnancy-Related Deaths - United States, 2007-2016. MMWR. Morbidity and mortality weekly report, 68(35), 762–765. https://doi.org/10.15585/mmwr.mm6835a3

  • Rothman P. (2016) Diversity in medicine has measurable benefits. News & Publications. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/news/articles/diversity-in-medicine-has-measurablebenefits#:~:text=Studies%20show%20that%20students%20trained,by%202.2%20minutes%2C%20on%20aver age. Last accessed on July 13, 2020.

  • Smedley, B. D., Stith, A. Y., Colburn, L., Evans, C. H., & Institute of Medicine (US). (2001). The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in the Health Professions: Summary of the Symposium on Diversity in Health Professions in Honor of Herbert W.Nickens, M.D. Increasing Racial and Ethnic Diversity Among Physicians: An Intervention to Address Health Disparities? https://www.ncbi.nlm.nih.gov/books/NBK223632/

  • Snyder, J. E., Upton, R. D., Hassett, T. C., Lee, H., Nouri, Z., & Dill, M. (2023). Black Representation in the Primary Care Physician Workforce and Its Association With Population Life Expectancy and Mortality Rates in the US. JAMA network open, 6(4), e236687. https://doi.org/10.1001/jamanetworkopen.2023.6687

  • Widome, R., Brock, B., Noble, P., & Forster, J. L. (2013). The relationship of neighborhood demographic characteristics to point-of-sale tobacco advertising and marketing. Ethnicity & health, 18(2), 136–151. https://doi.org/10.1080/13557858.2012.701273

  • Williams, D. R., & Collins, C. (2001). Racial residential segregation: a fundamental cause of racial disparities in health. Public health reports (Washington, D.C. : 1974), 116(5), 404–416. https://doi.org/10.1093/phr/116.5.404

  • Wyatt R., Laderman, M., Botwinick,L., Mate, K. & Whittington, J. (2016). Achieving Health Equity: A Guide for Health Care Organizations. IHI White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement.

Introductory
General
Psychologist

Trusted Provider Network is approved by the American Psychological Association to sponsor continuing education for psychologists. Trusted Provider Network maintains responsibility for this program and its content.

Trusted Provider Network, LLC is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0125.

TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LEPs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.25 hours of continuing education credit for LEPs as required by the California Board of Behavioral Sciences.

Social Worker

TPN.health, #1766, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. TPN.health maintains responsibility for this course. ACE provider approval period: 03/31/2022 – 03/31/2025. Social workers completing this course receive 1.25 General continuing education credits.

Trusted Provider Network, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0654.

TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LCSWs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.25 hours of continuing education credit for LCSWs as required by the California Board of Behavioral Sciences.

Counselor

TPN.health has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7267. Programs that do not qualify for NBCC credit are clearly identified. TPN.health is solely responsible for all aspects of the programs.

Trusted Provider Network, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0097.

TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LPCCs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.25 hours of continuing education credit for LPCCs as required by the California Board of Behavioral Sciences.

Marriage & Family Therapist

TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LMFTs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.25 hours of continuing education credit for LMFTs as required by the California Board of Behavioral Sciences.

Trusted Provider Network, LLC is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0097.

Substance Use Disorder Professionals

This course has been approved by TPN.health, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #198061, TPN.health is responsible for all aspects of the programming.This course has been approved by TPN.health, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #198061, TPN.health is responsible for all aspects of the programing. Counselor Skill Group: Legal, Ethical, and Professional Development

Physician

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and TPN.health. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Professions in scope for this activity are listed below. Amedco Joint Accreditation Provider Number: 4008163. Amedco LLC designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and TPN.health. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Amedco LLC designates this activity for a maximum of 1.25 ANCC contact hours.

CE Policy
This course is fiscally sponsored by Aetna Better Health Louisiana. There may be potential biases or conflicts of interest inherent to this relationship, and it must be disclosed to participants. These conflicts of interest have no bearing on the course content and have been resolved.
  • Waiting Room Opens
  • Workshop Begins
  • Workshop Ends
Note: Time designated for waiting room, breaks cannot be counted toward CE credit.
Veronica Gillispie-Bell, MD, MAS, FACOG

Dr. Veronica Gillispie-Bell is a Board-Certified Obstetrician & Gynecologist and Associate Professor for Ochsner Health in New Orleans, Louisiana. She serves as the Senior Site Lead and Section Head of Women’s Services at Ochsner Kenner. Additionally, she serves as the Director of Quality for Women’s Services for the Ochsner Health System and is the Medical Director of the Minimally Invasive Center for the Treatment of Uterine Fibroids. She earned her medical degree from Meharry Medical College and completed her residency training at Ochsner Health System. She has a Master of Applied Science in Patient Safety and Healthcare Quality from the Johns Hopkins Bloomberg School of Public Health. Additionally, she has received certification in Diversity and Inclusion from Cornell University. Clinically, in addition to providing obstetric care, Dr. Gillispie-Bell performs advanced laparoscopic and robotic assisted laparoscopic procedures and is known nationally for her expertise in management of heavy menstrual bleeding associated with fibroids.

 

Dr. Gillispie-Bell is also the Medical Director of the Louisiana Perinatal Quality Collaborative and Pregnancy Associated Mortality Review for the Louisiana Department of Health. In this role, she leads initiatives in the state of Louisiana to improve birth outcomes for all birthing persons in Louisiana and eliminate the Blackwhite disparity gap. Dr. Gillispie-Bell has testified before Congress and led Congressional briefings to inform on the drivers of maternal mortality and legislative policy to improve maternal outcomes. She was an invited speaker at The White House Maternal Health Day of Action.

 

She has served in several other local and national leadership roles and received many accolades for her clinical, academic, and community services contributions. She has also been quoted in and published in several local and national publications, including USA Today and the New York Times, and has been a featured speaker at Essence Festival, Good Morning America, CNBC, Scripps News, and was featured in the 1619 Project Docuseries.

 

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