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Advancing A Culture of Inclusion: From Good to Great Faculty Senate Adeola Oduwole, MSc. Dir., Diversity & Inclusion Dec 10 2012 Diversity at UTMB Creating a Culture of Inclusion Diversity Council 2 Dimensions of Diversity Biomedical Sciences Health/Illness Beliefs & Practices Communication Mission Area/ Health Institutional Entity Outcomes Health Professions Division/ Department Nursing Medicine Learning Styles & Needs Work Experience Language Spiritual/Religious Orientation Mental/Physical Ability Function Education Diagnosis Level Floor Values Age Marital Status Research Military Status Gender Ethnicity Sexual Orientation Children Fellows Credentials Language Proficiency Race UTMB Clinical Training Clinical Food Practices Field Role of Family Treatment Geographic Location Tenure Insurance Appearance Work Location Residents Post-doctoral Advance Directives Shift Cultural Identity Modesty Symptom Mgt. Adapted from Diverse Teams at Work, Garden & Rowe (Irwin, 1994) 4 Internal Dimensions of Diversity – Workforce 0.51% 10.41% 8.80% Generations 27.53% Race/Ethnicity AMIND 14-35 15.80% 36-47 34.98% AFRAMR 48-60 28.70% ASIAN 56.56% 61 & above 16.47% HISPA OTHER PACIF 0.20% 0.04% WHITE 28.88% Sex 71.12% Source: Department of Human Resources M F 5 Internal Dimensions of Diversity – Students American Indian/Alaskan Native Asian or Pacific Islander Race/Ethnicity 0% 5% 14% Generations 12% 13% Black (non-Hispanic) 1946-1964 (Boomers) 9% 1965-1976 (Gen X) Hispanic/Latino Multiple Races 1977-1998 (Gen Y) 16% 81% 43% 0% 6% 1% 0% Native Hawaiian or Other Pacific Islander Non Resident Alien or Foreign White or Caucasian (nonHispanic) NA/Unknown 31% Sex Female 69% Male Unknown Source: Office of Institutional Effectiveness 6 Internal Dimensions of Diversity – Patients 1% Age 1% 1% 0-1 8% 7% 2-18 10% 20% 17% 29% 19-20 21-44 23% 3% 45-64 65-74 29% 0% 51% 75+ 36% Race/Ethnicity AI/AN Asian Black/Af. American Caucasian/White Hawaiian/PI Hispanic/Latino Unknown Sex 64% Female Male Source: UTMB Hospital Financial Management 7 Moving the Needle… Compliance Valuing Diversity Strategic Diversity Mgt Open Doors Open Minds Open Systems GOOD GREAT 8 Diversity at UTMB Creating a Culture of Inclusion Diversity Council 9 Advancing A Culture of Inclusion Diagnosis Current state of organizational issues relative to diversity and inclusion at UTMB. Planning Develop all the necessary planning for a smooth implementation based on discovery in diagnosis phase. Implementation Implement programmatic components of strategic plan in a well organized manner. Planned Integration Diversity Advisory Council is fully functional and supported. Evaluation Evaluate program by comparing what we wanted to take place against what actually took place. 10 Diversity Infrastructure Academic Enterprise (Pillars: Research, Education, People) Goals 1. Health System Business/Finance (Pillars: Quality/Health Sys., Community, People) (Pillars: Strategic Mgt., Financial, People) Develop and sustain an internal and external pipeline of outstanding students, faculty, administrators and staff from underrepresented cultural backgrounds. 2a: Develop and strengthen an educational curriculum that is supportive of diversity and inclusion objectives. Strengthen efforts to recruit and retain underrepresented women & minority faculty and administrators from all areas of the enterprise to reflect availability in the relevant labor market. • KPIs Strategic Initiatives 2b: Develop a research evidence base to inform disparity reduction initiatives. One woman or minority faculty member recruited/ promoted or awarded tenure per year. Develop a plan for professional development around cultural competence for faculty and administrators. • 100% of faculty and administrators engaged in diversity and inclusion related education. Leverage economies of scale to maximize student recruitment efforts across the four academic bodies and create opportunities for multi-school interdisciplinary interactions focused on diversity. • One student recruitment collaboration within the University in support of diversity and inclusion. Implement programs to increase the diversity of participants in research clinical trials. Enhance academic climate to promote the development of multicultural competence. • One standardized university credit cultural competence course added to required didactic curriculum in the four schools. • Diversity awareness is a component of student orientation. • 10% of campus-wide student activities reflect D&I.. • 10% increase in participation of URMs in clinical trials. 13 Diversity Infrastructure Academic Enterprise (Pillars: Research, Education, People) Goals 1. Business/Finance Health System (Pillars: Quality/Health Sys., Community, People) (Pillars: Strategic Mgt., Financial, People) Develop and sustain an internal and external pipeline of outstanding students, faculty, administrators and staff from underrepresented cultural backgrounds. 3a: Increase the multicultural capacity of clinical staff to ensure culturally appropriate interaction and inform the delivery of a uniform standard of care. Strategic Initiatives 3b: Drive multicultural partnership, outreach and engagement to serve the health and well-being of diverse populations. KPIs Review and develop policies to ensure responsiveness to the needs, preferences and expectations of patients and families from diverse cultural backgrounds, to include Investment in CultureVision. Implement a CLAS Assessment Toolkit to ensure that UTMB is compliant with the 14 national healthcare standards. • Pilot testing initiated and one toolkit developed. • Review 100% of patient related policies relative to D&I. • Develop policy mandating a zero-tolerance culture for inappropriate speech or behaviors, to reinforce a culture of trust (Patient Rights and Responsibilities). In accordance with Joint Commission standards, promote continuous learning and development to enhance customer service experiences with emerging patient populations and among staff. • 100% of healthcare workforce receives education and learning relative to D&I. Collaborate with community leaders and groups to identify and plan outreach and health disparity education activities with the goal of reducing readmissions. • Development of one annual health education/ disparity reduction activity. 14 Diversity Infrastructure Academic Enterprise (Pillars: Research, Education, People) Goals 1. Health System Business/Finance (Pillars: Quality/Health Sys., Community, People) (Pillars: Strategic Mgt., Financial, People) Develop and sustain an internal and external pipeline of outstanding students, faculty, administrators and staff from underrepresented cultural backgrounds. 4a: Effectively measure and evaluate organizational outcomes related to diversity and inclusion. Strategic Initiatives 4b: Establish financial metric structures related to diversity and inclusion outcomes. KPIs Strengthen efforts to build talent pipelines (incl., Veterans and individuals with disabilities ) in underrepresented job groups. Integrate diversity and inclusion into workforce training and educational curriculum in partnership with HR Organization and Workforce Development. • Ensure two standard diversity education programs in place. • 100% of workforce engaged in diversity education. • Ensure three “good-faith” efforts per fiscal year. Systematic collection of diversity performance metrics, to include an organization-wide diversity climate assessment to establish a baseline . Support employee resource groups (ERGs) as a critical element of D&I strategy. • Support development of two ERGs (incl. charter and operating plan). • 50% survey response rate achieved. • AAP executed according to schedule per fiscal year. • Yearly baselines and targets established by entity. Develop a diversity scorecard to cascade, monitor and measure diversity related ROI.. • One dashboard developed. 15 Diversity Infrastructure Academic Enterprise (Pillars: Research, Education, People) Goals 1. Health System Business/Finance (Pillars: Quality/Health Sys., Community, People) (Pillars: Strategic Mgt., Financial, People) Develop and sustain an internal and external pipeline of outstanding students, faculty, administrators and staff from underrepresented cultural backgrounds. 4a: Effectively measure and evaluate organizational outcomes related to diversity and inclusion. Strategic Initiatives 4b: Establish financial metric structures related to diversity and inclusion outcomes. KPIs Incorporate scorecard measures in leader’s goal setting and performance evaluations to hold accountable. • 100% of executive and senior leadership receives appropriate D&I education and learning to establish one diversity goal. Elevate supplier diversity as a key component of the diversity strategy. • 10% increase in HUB participation. 16 Diversity Infrastructure Health System Business/Finance (Pillars: Quality/Health Sys., Community, People) (Pillars: Strategic Mgt., Financial, People) Academic Enterprise (Pillars: Research, Education, People) Strategic Initiatives Goals 5a: Develop and reinforce diversity infrastructure. Implement diversity and inclusion awareness building campaign as part of effort to establish a highly functional and self-directed diversity council that cuts across all areas of organizational life Develop structure for the office of diversity and inclusion to define product and service offerings. • D&I Structure established. • KPIs 5b: Optimize institutional recognition of diversity and inclusion to build a national brand identity. • Develop standard communication strategy for reintroducing the council and refreshing membership base in Partnership with the Office of the President. One kick-off event launched. Review and align isolated diversity related activities throughout institution to minimize duplication of efforts and link to diversity strategic plan. • 100% of independent diversity activities are linked to strategic plan. Create diversity brand identity and awareness through the development of marketing and communications collateral. • 100% completion of communication action plan (including evaluation of existing marketing materials for consistency with core value of diversity). Develop and disseminate a diversity annual report to document performance. • One annual report is prepared and distributed. 17 Diversity at UTMB Creating a Culture of Inclusion Diversity Council 18 Council Objectives • To expand ownership of the issues beyond the traditional supporters or interested parties. • Promote credibility for diversity efforts and to enhance the likelihood of institutional support. • To send a signal to the institution that diversity and inclusion is a part of the way that we "do business." 19 Integrated Strategic Approach Office of the President EVP EVP EVP DIVERSITY COUNCIL STANDING SUBCOMMITTEES Academic Health Business/Finance (Research, Education, People) (Quality/Health Sys, (Strategic Mgt., Financial, People) Community, People) Diversity Infrastructure 20 Who Makes Up the Council? Members are chosen from a pool of applicants representing a microcosm of the UTMB community. One-up approval to participate and at least two years of UTMB service in good standing. 21 Call to Action…. Greatness is not a function of circumstance, Greatness, it turns out, is largely a matter of conscious choice, and discipline. Disciplined people, disciplined thought, disciplined action Jim Collins 22