Seattle Children’s Health Equity and Anti-Racism Action Plan Progress

Phase One Review and Introduction to Phase Two

Seattle Children’s Health Equity and Anti-Racism (HEAR) Action Plan is comprised of three phases, each lasting 18 months. Phase one ended March 31, 2023 and phase two is underway. See more work detail about our journey to become an anti-racist organization in the previous quarterly reports.

See this as an infographic in English or Spanish.

Phase One Highlights

Covington Review and Seattle Children’s Response

Read the Covington review of Phase 1 and Seattle Children’s response released in May 2023.

Embedded Anti-Racism Into Values

SC41_EDI Infographic F_COMPONENTS.png Seattle Children’s values-based behaviors and leadership qualities were updated to better reflect anti-racism.

See what anti-racism and inclusion look like in practice.

Replaced Code Purple With Adaptive Social Response

SC41_EDI Infographic F_COMPONENTS3.png 37 families, community leaders and workforce members developed recommendations that created the Adaptive Social Response system.

Meet the team now providing relational, proactive support for patients, families and workforce.

Improved Inclusion Score

Improvement in rating as demonstrated by Seattle Children’s workforce responses to the prompt: “This organization values workforce members from different backgrounds.” (Goal was 3.82 out of 5.0; actual was 4.01.)

Odessa Brown Children’s Clinic (OBCC) Highlights

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Improved care for patients with sickle cell disease.
Launched OBCC Governance Council, helping to achieve equity, diversity and inclusion priorities.

Increased Workforce Diversity

SC41_EDI Infographic F_COMPONENTS2.png Increase in racial/ethnic diversity since the Action Plan release*:

Employees — up 5.3%, to 41.5%
Nursing — up 5%, to 28.3%
Managers — up 3%, to 24.8%
Research — up 6.1%, to 44.6%
Executive Leadership Team — up 9.1%, to 54.6%
Board — up 7.3%, to 37.7%
Medical staff diversity: 26.8%

* % increase represents percentage points. Data as of July 31, 2021, and March 31, 2023.
** Data as of March 31, 2023; comparison data from 2021 unavailable.

Diversified Workforce Development

SC41_EDI Infographic F_COMPONENTS5.png Research investments that support historically underrepresented communities in healthcare and biotech span the academic spectrum, from elementary through high school, to college and post-doctoral.

Phase Two Introduction:
A Continuation and Deepening of the Work

Continuing Outcome Measures in FY23

Reduce central line-associated bloodstream infection rates and eliminate disparities for Black and African American patients and patients who use a language other than English. Goal = 1.17.
Increase workforce diversity by 3% to 43.4%.
Increase to 81.5% the percentage of patients and families willing to recommend Seattle Children’s via the Family Experience Survey. Establish Racial, Ethnicity and Language (REaL) benchmark data.

New Outcome Measures in FY23

Maintain or decrease Hospital-Acquired Conditions (HACs) from existing baseline. Stratify data by REaL to identify and address disparities. Goal = 2.23.
Increase diverse research participants by 3% to 33%.

Adaptive Social Response Rollout and Continuous Improvement

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Broaden data collection and integration to ensure comprehensive understanding of impact, including monitoring other areas for potential harm or inequities.
Adaptive Social Response team meets three times a week to proactively identify areas and relationships that require additional support and solutions to eliminate disparities.

FY23 Employee Performance Evaluations

SC41_EDI Infographic F_COMPONENTS12.png FY23 evaluations will incorporate the updated values, emphasizing anti-racism and inclusion.

Languages Other Than English

SC41_EDI Infographic F_COMPONENTS9.png 10% of patient population speaks a language other than English.

Top 5 requested languages for interpretation: Spanish, Somali, Vietnamese, Mandarin and Cantonese.

Priority Language Projects

Expand multilingual workforce to meet needs of patients and families.
Develop opportunity for workforce, patients and families to provide feedback on interpretation experience
Expand families’ ability to request interpretation support as needed in real time.

Growing Anti-Racism Learning Opportunities

SC41_EDI Infographic F_COMPONENTS8.png Bias Reduction in Medicine Trainings (BRIM) will continue to scale and adapt for providers. An additional anti-racism course for the broader workforce is in development.