Transforming Cardiac Care

In Detroit, Expecting Success helped turn around a community-based teaching hospital.

Published: July 17, 2008

Transforming Cardiac Care

Expecting Success

Hundreds of research studies have documented that patients from certain racial and ethnic groups are more likely to receive lower quality health care. These gaps in treatment, commonly referred to as racial and ethnic disparities, persist across a range of health care services used to treat different conditions. The evidence of disparities was especially striking in the diagnosis and treatment of cardiovascular disease.

Expecting Success, an initiative of the Robert Wood Johnson Foundation, is aimed at improving cardiac care for racial and ethnic minority populations in the United States.

Detroit's Sinai-Grace Hospital is one of 10 general acute care hospitals selected for the Expecting Success program on a competitive basis. Sinai-Grace is participating in a 29-month long collaborative process to improve the quality of care for African Americans and Latinos with cardiovascular disease.

Participation in Expecting Success has been transformative for Sinai-Grace, a hospital seeking to improve care and build its standing in the community.

"All along the way, the hospital got better," Conrad L. Mallett Jr., President, Sinai-Grace Hospital, said. "All along the way, people inside the hospital began to have a better attitude about themselves because we were able to show the community, show our board, that the work that we were involved in was equal to or better than a great many important hospital facilities in the entire country."

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Notes from the Field

By:
Blustein J, Regenstein M, Siegel B and Billings J

Publication date:
August 01, 2007

Summary:
The authors of this paper, as part of an evaluation of the Robert Wood Johnson Foundation's Expecting Success (ES) program, faced the task of completing Institutional Review Board (IRB) processes at 10 different sites. ES is a program that targets racial...

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Assumed Equity

By:
Siegel B, Bretsch J, Sears V, Regenstein M and Wilson M

Publication date:
September 01, 2007

Summary:
Findings from the initial stages of the Expecting Success program, the first hospital-based collaborative on health care disparities, are presented in this article. Specifically, researchers explored the development of strategies to equitably deliver health...

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Collecting Data on Patient Race, Ethnicity and Primary Language is Helping Hospitals Improve the Quality of Care

Publication date:
September 24, 2007

Summary:
To address concerns about the poor quality?and equality?of American health care, Expecting Success: Excellence in Cardiac Care, is helping 10 hospitals measure the quality of cardiac treatment they provide to patients based on their race, ethnicity and primary...

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Expecting Success Toolkit

Publication date:
June 04, 2008

Summary:
Ten hospitals with racially and ethnically diverse patient populations participated in Expecting Success: Excellence in Cardiac Care, a program of the Robert Wood Johnson Foundation aimed at improving quality of cardiac care while reducing racial, ethnic and...

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Toolkit Provides Hospitals, Health Plans and Others Guidance for Collecting Patient Data

Publication date:
Feb 15, 2008

Summary:
A toolkit from Health Research and Educational Trust (HRET) offers hospitals, clinics, health plans and others navigate the most frequently encountered questions about collecting patient data, such as race, ethnicity and primary language.

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