Logan Health’s Post

The below words are from the article, based on the available evidence from the summary part ‘What can be done?’: A decade ago, research into organisational behaviour in the NHS concluded: “The NHS exhibits too high a level of collective ego defences and protection of its image and self-esteem, which distorts its ability to address problems and to learn. Organisations and the individuals within them can hide and retreat from reality and exhibit denial; there is a resistance to voice and to ‘knowing’”. This is exacerbated if the concern raised by BME staff is about racism or bullying. In Too Hot To Handle? (2024) our report found racially minoritised staff face common responses when raising concerns about race equality. These include: denial reluctance or refusal to acknowledge race as an issue a lack of empathy In addition, there are common shortcomings in race-related investigations. These findings correlate with findings from a number of Employment Tribunals we reviewed where BME staff had successfully sued NHS employers over their treatment when raising concerns, notably the successful landmark claim by Michelle Cox, a Black nurse manager, who whistle blew about the treatment of patients and was victimised for doing so. We suggest NHS organisations can create a culture freer from race discrimination by: developing an appetite for ‘race talk’ and setting standards of behaviour that challenge ‘everyday’ racism developing greater levels of comfort in staff speaking out about racism and ensuring concerns are acted on without retaliation acting on the early warning signs of racism by tackling racism more informally and being proactive when evidence would suggest there might be a problem imparting the skills that all staff need to get closer to genuine anti-racist practice, with particular development needed for boards, leaders, and professionals whose roles directly uphold the values of their organisations. Crucially, there needs to be a learning culture where staff can be confident they will be heard, listened to, and their concerns acted on, without risk of resultant detriment. The culture and behaviours – the organisational deafness – of those with authority is the prime obstacle. This is even more so with BME staff. Boards need to end the protection and recycling of individuals engaged in race discrimination. Doing so will make a very significant contribution to patient care and safety, alongside a recognition of the detrimental impact of unchallenged racism on NHS staff of BME heritage. We urge you to make explicit recommendations about this issue, far too long the subject of avoidance, denial, and collusion to the detriment of patient care and safety, organisational effectiveness, and staff health and wellbeing.

🩺🦷 In a recent poll of 2,000 Americans, 64% of respondents only go to a physician or dentist when something feels “extremely wrong,” 53% said it is difficult to access health care, and 35% felt more information and education about the importance of screenings and routine care would be beneficial. Prevention is Power, a multi-year public health awareness campaign, aims to increase patient awareness of the connection between oral health and overall health by supporting the adoption of routine preventive care and advancing the utilization of an integrated model of care to improve overall health outcomes. Learn more at https://bit.ly/4dbObA5. 🤝 The Henry Schein Cares Foundation is partnering with a diverse cross-section of leading medical and dental provider associations, including the American Dental Association, American Medical Association, National Medical Association, The Arnold P. Gold Foundation, National Association of Community Health Centers (NACHC), CUNY Graduate School of Public Health and Health Policy, and Release The Pressure. #HSHealthCenterWeek #NHCW24 #ValueCHCs #HSPreventionIsPower

Delays in approval of reauthorization and Teaching Health Center (THC) funding has caused programs to take extreme measures impacting current and future health care workforce. Congressional reauthorization and renewed appropriation are essential to preventing closure of these programs. Read the Forefront article: https://bit.ly/4aVtDu7

Very helpful recommendations to increase Medí-Cal enrollment renewals in this blog! I hope you read it.

The constraints that matter for CHCs are constraints on the funding of Community Health Centers. No training design such as Teaching CHCs can help as long as Medicaid pays less than costs of delivery for this 50% of Medicaid patients. No training intervention can overcome CMS with 1.4 trillion a year voted against basic, cognitive, office, basic health access services. These distort MD DO NP PA and RN away from lowest valued CHC and other practices predominantly Medicare, Medicaid, Dual, and other worst paying health insurance plans. All of the HRSA tens of billions are no match for the 1.4 trillion a year from CMS. Poor support translates to team members too few and team members with numerous dimensions of deficits in experience and continuity. All specialties are complex and all need most and best team members to share that complexity. Primary care and other basics are denied most and best and the CHCs that do have higher complexity have the fewest and least by design. Most and best team members are required and are denied by the financial design. No training design can overcome concentrations of the worst public and private health insurance plans HRSA and CHCs and most Americans most behind are not valued, especially regarding basic health access. I have studied basic health access for decades. More types of graduates, massive expansions, special schools and programs, and pipelines are all training interventions that have all failed for 40% of Americans most behind, for CHCs, and for others with worst quality health insurance that directly or indirectly reduce access to care.

Check out the recording from our Primary Care 101 Webinar to learn the basics of primary care in Texas and what the Texas Primary Care Consortium does to improve access to care and policies that further the health and well-being of Texans. https://lnkd.in/gd-y-jS8

We are proud to present Oregon Primary Care Association’s 40th Anniversary Annual Report, commemorating four decades of dedication to transforming primary care in Oregon. Inside, you’ll find a timeline of key health equity moments and an in-depth look at our strategic plan for the next three years. You'll also find information on our new cost-saving initiatives, an innovative legislative outcome that began in our peer groups, and updates on our special programs - Alternative Payments and Advanced Care Models (APCM), Oregon AIDs Education and Training Center (AETC), and the Oregon Network of Community Health Centers (the Network). Check out the report for all this and more on how we're honoring our community roots as we continue to cultivate health equity. We are proud to present Oregon Primary Care Association’s 40th Anniversary Annual Report, commemorating four decades of dedication to transforming primary care in Oregon. Inside, you’ll find a timeline of key health equity moments and an in-depth look at our strategic plan for the next three years. https://loom.ly/S9iBvNo

🚨 Complimentary Webinar Alert 🚨 Is your agency equipped to tackle the dreaded Additional Document Request (ADR) letter? Join Brenda Beggs and myself as we share essential strategies for ADR preparedness, directing the response stage to ADR letters, and navigating the appeals process if necessary. Register at this link: https://loom.ly/08_Ps10 #homecare #homehealth #hospice #askmaclegacy MAC Legacy

Pharmacy’s role in health care continues to evolve