Health Equity Summit II
Sandra E. Brooks, M.D., MBA, is system vice president of Research and Prevention for Norton Healthcare.Dr. Brooks joined Norton Healthcare in October 2006. She is charged with leading strategic and programmatic research, initiatives to reduce health disparities and prevention and wellness activities for Norton Healthcare. With the newly created Norton Healthcare Centers for Prevention & Wellness, Dr. Brooks leads a team that works on education and screening efforts to prevent chronic diseases and cancer in the community.
In 2010, Norton Cancer Institute was selected to become a National Cancer Institute Community Cancer Centers Program, part of a network of cancer centers linked with the National Cancer Institute to enhance cancer prevention efforts, treatment and research nationwide. Dr. Brooks is the principal investigator of this $1.5 million contract. In this role Dr. Brooks spearheads programs focused on reducing health disparities. Norton Cancer Institute is the only NCCCP site in Kentucky.
Under her leadership, the prevention program received the MediStar 2008 Governor’s Dignity of Humanity Award, recognition by Business First, the Louisville Metro Department of Public Health and Wellness, and Passport Health Plan for its work in the areas of prevention and promotion of health equity.
Prior to joining Norton Healthcare, Dr. Brooks served as professor and director of the Division of Gynecologic Oncology at the University of Maryland School of Medicine in Baltimore for 10 years.
Dr. Brooks earned her Bachelor of Science and medical degrees from Howard University in a combined six-year program. She completed a residency in obstetrics/gynecology at the University of Pennsylvania and a gynecologic oncology fellowship at Brigham and Women’s Hospital, Harvard Medical School. Dr. Brooks holds an MBA from Johns Hopkins University.
Dr. Brooks was the 2011 recipient of the Excellence in Community Service Award from Jewish Hospital & St. Mary’s Foundation at the 16th annual Doctor’s Ball. She was one of six health leaders in Louisville to be honored for excellence in leadership, innovation and service.
C. Anneta Arno, Ph.D., MPH, is director of the Center for Health Equity of the Louisville Metro Department of Public Health and Wellness. The center works to eliminate social and economic barriers to good health while reshaping the public health landscape. The center serves as the catalyst for collaboration between communities, organizations and government entities through capacity building, policy change and evidence-based initiatives.
Arno leads a multidisciplinary paradigm and practice change effort that focuses on the social determinants of health, the root causes of health inequities to eliminate disparities and the pursuit of strategic systemic solutions grounded in a “health-in-all-policy” perspective.
Before becoming director of the Center for Health Equity in January 2011, Arno worked as a public health consultant, focusing on operationalizing health equity practices within public health and health care sectors. She has an international academic and professional community planning and public health background, which emphasizes community engagement and capacity building, practiced within a community-based participatory research model. Her past appointments have included visiting assistant professor, University of Louisville; consultant director, Community Growth & Development, Greater Louisville Inc.; director, Community Economic Development, Transit Authority of River City T2 light rail project; and executive director, Community Resource Network.
Arno earned her doctorate degree in urban planning from the University of Reading, Berkshire, England, and a Master of Public Health degree from Columbia University, Mailman School of Public Health in New York City.
C. Anneta Arno, Ph.D., MPH
Going Upstream to Stem the Downstream Tide – Louisville Metro Social Determinants and Health Equity Context
Place matters and neighborhoods count! Social, physical and economic conditions shape the places and spaces into which we are born and where we live, learn, work, play and age across the life span. The characteristics of a given neighborhood or community represent the complex interplay of contemporary burdens and benefits, but they are neither natural nor inevitable. Research provides compelling evidence that population health and group differences in health status are both evident in and attributable to the influence of place. But this is not a "physical determinism" perspective, as place is not merely the physical location where one lives. The underlying social and economic determinants are pervasive – collectively serving both as symptom and cause. Place acts as a major determinant of risk and protective factors associated with health status. And neighborhoods count in opportunities for good health. The essence of this approach is founded on a social determinant of health and health equity perspective. Using a data-rich and neighborhood-oriented perspective, this presentation will set and frame the Louisville neighborhood-specific context for the discussion of health equity as we begin the process – not only of setting a vision for tangible change but moving to focused action in Louisville Metro.
M. Chris Gibbons, M.D., MPH
The Promise of eHealth Solutions in Closing the Chronic Disease Disparity Gap
This presentation will focus on the use of innovative technologies to address disparities in chronic disease health outcomes. It will draw on the breadth and depth of Dr. Gibbons' research and experience in urban health, eHealth, minority health and health care disparities.
Brian D. Smedley, Ph.D.
Building Stronger Communities for Better Health: Moving from Science to Policy and Practice
Racial and ethnic health inequities persist from the cradle to the grave in the form of higher rates of infant mortality, disease and disability, and premature mortality for many communities of color relative to national averages. The causes of these inequities are complex but are associated with differences in socioeconomic status, environmental risks and exposures, occupational exposures, health behaviors and access to health care. At their core, many of these factors can be traced to differences in neighborhood and work environments that are the result of residential segregation and other structural inequalities. This presentation explores how neighborhood and community contexts directly and indirectly shape health and contribute to health inequities as a result of racial and ethnic residential segregation. The presentation also will feature a discussion of policy strategies that break up high-poverty areas and increase investments in health-enhancing resources in communities that suffer from disinvestment.
Not Just Changed, But Transformed: A Community Partner's Journey with a Health Equity Lens
Follow the journey of a nonprofit community agency, from its CEO, across organizational leadership and beyond, including its strategic plan, as the practice of collaboration and an entire organization are all transformed by the concept of health equity. We will explore how a community-based organization undertakes a transformational journey from isolated entity doing good work to an organization that has reinvented its focus from "inside-out" to "outside-in," achieved by completely changing its approach to issues of community, community health and equity. This includes using partnerships and collaboration to take the "science" of health and the concepts of policy, systems change and environmental change and applying changes to the "street level." Further, we will explore specific examples of collaboration and sustainability, and how the journey continues through expanding the concept of health.
Adewale Troutman, M.D., MPH, M.A., CPH
Driving Change Locally, Nationally & Globally: Toward Health Equity
A careful examination of history demonstrates dramatic, persistent and growing differences in the health of populations of color and the poor. It is clear that these differences are unfair, unjust and systematic. The unacceptable health status of millions of people requires change and further demonstrates the necessity of a public health response vested in social justice, policy and legislative change. The focus of this presentation is the evolution of the concepts of health equity, social justice and human rights driven by policy change and a shift of focus to the primacy of the social determinants of health. Beginning with his work on the National Association of County and City Health Officials board and continuing with the creation of the Center for Health Equity, the first of its kind at a local health department, Dr. Troutman will trace how these principles have been incorporated into Healthy People 2020; local government responses to preventing childhood obesity; the Centers for Disease Control and Prevention; and the Association of State and Territorial Health Officials. Health equity has now taken on national significance. This perspective contributed to the production and popularity of "Unnatural Causes: Is Inequality Making Us Sick?" Further, evolution of the work has embraced global thinking from the World Health Organization Commission on the Social Determinants of Health and the insights and work of Michael Marmot. Louisville has been at the center of this critical work.
Muriel Harris, Ph.D., MPH
Putting Prevention to Work: Insights and Lessons Learned
The Communities Putting Prevention to Work program was an initiative funded by the federal government through the Centers for Disease Control and Prevention to put into place policy, environmental and systems changes to improve the health of Louisvillians. The Louisville initiative instituted a number of strategies across a wide range of sectors, including a media campaign, all with the primary purpose of reaching for health equity. Residents who live in one part of Louisville will argue that where they live, work and play is far from being a healthy place. When asked, they say in a resounding voice, that a healthy place is one free from crime, where healthy foods and places to exercise are available, accessible and affordable. This presentation will share the voices contained within the evaluation of the Louisville Putting Prevention to Work initiative. It will highlight the challenges and opportunities for a public-private sector collaboration to promote and protect the health of residents of west Louisville in particular, by addressing the individual, social and environmental factors that influence their health.
LaQuandra Nesbitt, M.D., MPH
Vision for Community Transformation
A tremendous effort has been undertaken to expand our community's practice and understanding of equity. Success in this regard is evident with local initiatives, such as the Mayor's Healthy Hometown Movement; and receipt of nationally competitive grant awards, such as Louisville Putting Prevention to Work. Together, these initiatives successfully elevated attention to food access, "food deserts" and access to green spaces, as well as active/public transportation. Looking ahead, however, it is critical that we learn from and leverage these accomplishments by beginning to bridge the gap between public health programs, services and policies, and the provision of preventive health services within the comprehensive health care delivery system in Louisville Metro. The ethical practice of medicine dictates that individuals screened at community events and health fairs be connected to a primary care "home," where they can be managed appropriately and receive comprehensive care. We must, therefore, expand the scope and redouble our community's efforts to include tobacco prevention and control – the No. 1 cause of preventable deaths – and chronic disease management and prevention. In doing so, members of the health care community will better understand the environmental context in which their patients live. The public health community will have the added benefit of knowing what resources are available in the health care community, which will have the potential to impact referral patterns and increase use of quality, clinical preventive services. These are some of the critical ingredients for community transformation.
M. Chris Gibbons, M.D., MPH, is associate director of the Johns Hopkins Urban Health Institute and assistant professor of medicine, public health and health informatics at the Johns Hopkins Medical Institutions. Dr. Gibbons is a health care disparities and urban health expert and physician informatician whose research focuses on the use of technology and consumer health informatics to improve health care disparities. Dr. Gibbons has been named a Health Disparities Scholar by the National Institute on Minority Health and Health Disparities of the National Institutes of Health. Dr. Gibbons also is an adviser and expert consultant to several state and federal agencies and policymakers in the areas of urban health, eHealth, minority health and health care disparities.
Dr. Gibbons earned his medical degree from the University of Alabama, Birmingham. He completed his residency in preventive medicine and fellowship in general surgery and basic research in molecular oncology at Johns Hopkins. He also holds a Master of Public Health degree from Johns Hopkins in health promotion among urban and disadvantaged populations.
Dr. Gibbons has authored and/or edited four books, including “eHealth Solutions for Healthcare Disparities.” His work also is leading the emergence of the field of populomics, which represents the fusion of population sciences, medicine and informatics.
Muriel J. Harris, Ph.D., is an associate professor in the School of Public Health & Information Sciences at the University of Louisville. Harris teaches master’s- and doctoral-level courses in health program evaluation, community-based participatory research, and culture and public health in the U of L Department of Health Promotion and Behavioral Sciences. She also serves as director of the department’s Ph.D. program and is the university’s diversity chair.
Harris is committed to the active participation of communities in their development as well as health equity and social justice locally and globally. She takes students to Ghana annually to experience public health on a global level. Locally, she involves multiple stakeholders in ensuring that her students get real-life learning experiences in public health.
Harris is the lead evaluator for the $7.9 million Communities Putting Prevention to Work (CPPW) federal grant awarded to Louisville in 2010 to address obesity through policy, systems and environmental change. The Louisville Metro Department of Public Health and Wellness chose West Louisville as the focus of most of the grant’s activities in an effort to address the high rates of obesity and other health issues. She has evaluated a range of projects, including HIV/AIDS and tuberculosis locally, in South Carolina and internationally. She believes that evaluation is a critical part of health program planning and implementation with the use of good evidence to stimulate action.
Harris earned her master’s and doctorate degrees in public health with a concentration in health promotion and behavior from the University of South Carolina, Columbia. She was inducted into the Delta Omega Honorary Society in Public Health in 2000, and she currently serves as its president. Harris is the author of a textbook titled “Evaluating Public and Community Health Programs,” published by Jossey-Bass in 2010.
LaQuandra Nesbitt, M.D., MPH, is director of the Louisville Metro Department of Public Health and Wellness, a position she has held since July 2011. Dr. Nesbitt is a board-certified family physician and assistant professor at the University of Louisville School of Public Health & Information Sciences in the Department of Health Management and Systems Sciences.
Before coming to Louisville, Dr. Nesbitt served as senior deputy director for Community Health Administration at the District of Columbia Department of Health. Her work there focused on improving health outcomes for targeted populations by promoting coordination within the health care system; enhancing access to prevention, medical care and support services; and fostering public participation in the design and implementation of programs for Washington, D.C. families.
Dr. Nesbitt earned her Bachelor of Science degree in biochemistry from the University of Michigan, Ann Arbor; her medical degree from Wayne State University School of Medicine, Detroit; and her Master of Public Health degree in health care management and policy from the Harvard School of Public Health, Boston. Dr. Nesbitt completed an internship in family medicine at University Hospitals of Cleveland/Case Western Reserve University. She completed her residency at the University of Maryland Department of Family Medicine, where she served as chief resident. She completed her fellowship training with the Commonwealth Fund/Harvard University Fellowship in Minority Health Policy, which is designed to prepare physicians for leadership roles in formulating and promoting health policies and practices that improve access to high-quality care at the national, state and/or local levels for minority, disadvantaged and vulnerable populations.
Brian D. Smedley, Ph.D., is vice president and director of the Health Policy Institute of the Joint Center for Political and Economic Studies in Washington, D.C. Smedley oversees all operations at the institute, which was founded in 2002 with funding from the W.K. Kellogg Foundation. The institute focuses on exploring disparities in health care and generating policy recommendations on long-standing health equity concerns.
Smedley previously served as research director and co-founder of The Opportunity Agenda, a communications, research and policy organization. In this role, he led the organization’s efforts to center equity in state and national health care reform discussions and to build the national will to expand opportunity for all. He also worked as director for public interest policy at the American Psychological Association, managing a wide range of topics on social, health and education policies. Prior to joining the APA, Dr. Smedley served as a congressional science fellow in the office of Rep. Robert C. Scott (D-VA), sponsored by the American Association for the Advancement of Science.
Smedley earned his bachelor’s degree from Harvard University, Boston, and a doctorate in psychology from University of California, Los Angeles.
Smedley is co-editor of “All Things Being Equal: Instigating Opportunity in an Inequitable Time.” Before founding The Opportunity Agenda, Smedley served as senior program officer in the Institute of Medicine Division of Health Sciences Policy, where he served as study director for reports titled “In the Nation’s Compelling Interest: Ensuring Diversity in the Health Care Workforce” and “Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.”
In 2004, Smedley was honored by the Rainbow/PUSH Coalition as a Health Trailblazer; in 2002 he was awarded the Congressional Black Caucus Healthcare Hero award; and in August 2002 he was awarded the American Psychological Association Early Career Award for distinguished contributions to the field of psychology in the public interest.
Steve Tarver is president and CEO of YMCA of Greater Louisville, which serves 170,000 people annually with a budget of $39 million. Tarver is director of the YMCA Blue Ridge Leaders’ School, serving more than 600 teens from YMCAs across the southern states. He is a member of the Louisville GradNation Team and the YouthPrint Task Force, which work to develop a network of effective out-of-school activities for youth. He has worked on health and wellness programs at regional and national levels and has received several awards and certifications in the field of health and wellness.
Tarver grew up in Jacksonville, Fla., and the YMCA has been part of his life since he was 6 years old. He served in the YMCA’s Teen Leaders Club, held his first job as a YMCA lifeguard and a swimming and gymnastics instructor. His first full-time position was as the physical director of the Tallahassee YMCA while attending Florida State University. He worked in program positions in Kentucky and Tennessee, served as YMCA branch executive in Nashville and as CEO of the YMCA of the Suncoast in Clearwater, Fla., before moving to Louisville.
Tarver was among 10,000 torchbearers selected nationwide to participate in the 84-day, 15,000-mile Olympic Torch Relay that traveled through 42 states prior to the 1996 Centennial Olympic Games in Atlanta.
Adewale Troutman, M.D., MPH, M.A., CPH, is director of Public Health Practice and Leadership at the University of South Florida, Tampa, and president-elect of the American Public Health Association. Dr. Troutman’s life’s work has been a testimony to his commitment to social justice, human rights, community activism, health equity and national and global health. He has championed the principles of universal freedoms and the elimination of racism, injustice and oppression for more than 40 years.
Prior to serving in his current position, Dr. Troutman was an associate professor in the University of Louisville School of Public Health & Information Sciences. He also served as director of the Louisville Metro Department of Public Health and Wellness.
Dr. Troutman’s experience includes special consultancies with the World Health Organization in Thailand and Japan; health assessment missions in Angola, Jamaica and Zaire; and training in India and Austria. His commitment to justice has evolved into his nationally recognized efforts to create health equity and the supremacy of the social determinants of health, the founding of the nation’s first Center for Health Equity at a local health department (in Louisville) and the creation of the Louisville Mayor’s Healthy Hometown Movement. Dr. Troutman also is credited with the passage of one of the strongest anti-smoking ordinances in the country.
Dr. Troutman earned his medical degree from New Jersey Medical School, a Master of Public Health degree from Columbia University in New York City and a master’s degree in black studies from The State University of New York in Albany. He completed his residency and internship in family medicine at the Medical University of South Carolina, Charleston. His career has included clinical emergency medicine, hospital administration, as well as academic and public health practice. He is board certified from the National Board of Public Health Examiners.
Dr. Troutman co-authored “What If We Were Equal? A Comparison of the Black-White Mortality Gap in 1960 and 2000,” with David Satcher, M.D., Ph.D., former U.S. surgeon general and assistant secretary for health, et. al. Dr. Troutman’s awards and recognitions include the MediStar Physician of the Year award, the St. Stephen Church Community Man of the Year award, the Blanche B. Ottenheimer Award for social justice, the Power to End Stroke Award and numerous others.
Dr. Troutman is featured in the nationally televised PBS series “Unnatural Causes: Is Equality Making Us Sick?” He serves as a member or has been a past member of the National Board of Public Health Examiners; Academy for Health Equity; the Health and Human Services secretary’s Healthy People 2020 advisory committee on health promotion, disease prevention and infant mortality; American Public Health Association’s executive board; the African American Heritage Center; and the National Association of County and City Health Officials.
Dr. Troutman is a nationally known speaker, accomplished African percussionist, scuba diver, published poet and writer. He and his wife have four grown children.
Norton Healthcare Centers for Prevention & Wellness
Norton Cancer Institute and the National Cancer Institute Community Cancers Center Program (NCCCP)
Louisville Metro Department of Public Health and Wellness
Louisville Metro Department of Public Health and Wellness
Center for Health Equity
Louisville Metro Health Equity Report
The Social Determinants of Health in Louisville Metro Neighborhoods
Health Equity Dialogues
Unnatural Causes: Is Inequality Making Us Sick?
Kentucky Cabinet for Health and Family Services Office of Health Equity
U.S. Department of Health and Human Services Office of Minority Health
National Partnership for Action to End Health Disparities
2007 Health Equity Summit Presentations
Healthy People 2020