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2024 Colorado Healthcare Ethics Forum (CHEF) ANNUAL CONFERENCE 

The 2024 Colorado Healthcare Ethics Forum annual conference will explore healthcare equity, focusing on difficult ethical challenges and solutions that advance the fair and just delivery of healthcare to under-served and underrepresented populations. Addressing healthcare disparities requires a multi-faceted approach, including policy changes, increased cultural humility in healthcare delivery, improved access to education and preventive services, and efforts to address health-related social needs. Identifying and recognizing the interconnected nature of these disparities will allow providers to work towards equitable healthcare for all people in a manner that aligns with professional and institutional values.

Objectives:

Participants will increase their understanding of ethical problems and solutions concerning healthcare equity, including but not limited to ethical issues arising from:
a. economic barriers to accessing health services and healthcare insurance;
b. racial, cultural, and linguistic bias and discrimination in healthcare;
c. gender bias and discrimination in healthcare;
d. citizenship and nationality bias and discrimination in healthcare;
e. ability-related bias and discrimination in healthcare.


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Wednesday, February 12
 

7:30am MST

Registration and Breakfast
Wednesday February 12, 2025 7:30am - 8:30am MST
Check-in with registration staff and collect any conference materials. Breakfast provided until 8:30am.;
Wednesday February 12, 2025 7:30am - 8:30am MST
Onyx Lounge

8:00am MST

Welcome and Opening Remarks
Wednesday February 12, 2025 8:00am - 8:10am MST
Moderators
avatar for Nicole Michels

Nicole Michels

Chair of Medical Humanities/Associate Professor of Physiology, Rocky Vista University
Nicole Michels, PhD, is the Chair of the Department of Medical Humanities and also serves as Assistant Professor of Physiology in the Department of Biomedical Sciences. She graduated from the University of Nebraska Medical Center with a Ph.D. in Biochemistry and Molecular Biology... Read More →
Wednesday February 12, 2025 8:00am - 8:10am MST

8:10am MST

Equity in Healthcare: Applying the Social Justice Model
Wednesday February 12, 2025 8:10am - 9:00am MST
The program will define the Social Justice Model and its relevance to healthcare. Social Justice model offers a framework for addressing inequities in healthcare and promotes health equity for all patients regardless of their cultural background or socioeconomic status. By examining the intersections of race, class, gender, and other social determinants of health, we will uncover how systemic inequities impact the five principles of the social justice model: access, equity, participation, diversity, and human rights. The five principles of the Social Justice can transform healthcare delivery, ensuring equitable access and outcomes for all. Social Justice in healthcare is about ensuring that everyone can live a healthy life and receive high-quality care regardless of their background or circumstances. As a society, we are responsible for our responsiveness to the systemic inequities in healthcare and improving the experience of our patients.

Objectives:

1. Gain a comprehensive understanding of the principles of a Social Justice Model as a method for identifying inequity and bias healthcare.
2. Identifying the barriers to applying the five principles of the Social Justice Model.
3. Examining the issues of health inequity for an under-resourced or marginalized population.
4. How can we as a community promote, support, and apply the Social Justice Model in healthcare.
Speakers
avatar for Tonie Moore, RN, BSN, MSOL

Tonie Moore, RN, BSN, MSOL

Director of Nursing, ACS Primary Care and Urgent Care Clinics, Denver Health
Tonie Moore is the Director of Nursing for the Primary Care, Urgent Care, Outpatient Diabetes Management, and the Dental Programs for Ambulatory Care Service at Denver Health and Hospital. Currently, Tonie is the Diversity Equity Inclusion and Belonging Co-Chair for the organization... Read More →
Wednesday February 12, 2025 8:10am - 9:00am MST
Cambridge Room

9:00am MST

Health Equity & the Twin Aims Approach to Justice
Wednesday February 12, 2025 9:00am - 9:50am MST
This lecture addresses "twin aims" theories of health and social justice. Specifically, the lecture will ground the concept of health equity in a rigorous account of justice that emphasizes the twin aims: improving overall population health and compressing health inequity. The talk explains why a robust framework is necessary, explains why health interventions often fail the twin aims approach, and justifies the twin aims account as an ethically optimal approach to advancing health equity.

The talk will offer some practical examples of twin aims interventions in health policy and health professional practice, and tie the approach to key anti-oppressive efforts that aim to counter structural violence in the health professions.

Objectives:

  • Explain the concept of a twin-aims approach to health and social justice;
  •  Identify two reasons why a twin aims approach is important to advancing health equity; and
  • Identify two examples of health interventions that satisfy a twin aims approach. 
Speakers
avatar for Daniel Goldberg, JD

Daniel Goldberg, JD

Director of Education, Director, Public Health Ethics and Law Program (CSPH), Center for Bioethics and Humanities, University of Colorado, Anschutz Medical Campus
Dr. Daniel S. Goldberg is trained as an attorney, a historian, and a public health ethicist. He uses methods drawing primarily from public health law, public health ethics, and the history of public health (focusing on 19th and early 20th c. US).His specific areas of expertise include... Read More →
Wednesday February 12, 2025 9:00am - 9:50am MST
Cambridge Room

9:50am MST

Break
Wednesday February 12, 2025 9:50am - 10:10am MST
Break
Wednesday February 12, 2025 9:50am - 10:10am MST
Onyx Lounge

10:10am MST

Black Maternal & Infant Mortality
Wednesday February 12, 2025 10:10am - 11:00am MST
Review of world, US & CO black maternal and infant mortality. With calls to action.

Objectives:
  • Learn about worldwide/US and Colorado MMR Black infant mortality rate 
  • Identify solutions 
  • Identify next steps 
Speakers
avatar for Dawn Owens Robinson, MD

Dawn Owens Robinson, MD

Board Certified OB/GYN, Advent Health Ethics Committee, Colorado Maternal Mortality Committee
Dr. Dawn Owens Robinson (she, her, hers) was born where CU Anschutz sits now, as her father was an active-duty Marine.   As a Denver native, Dr. Owens Robinson attended DPS schools and graduated from George Washington High School.  As a child, she was active in martial arts, dance... Read More →
Wednesday February 12, 2025 10:10am - 11:00am MST
Cambridge Room

11:00am MST

Citizenship and Nationality Bias and Discrimination in Healthcare
Wednesday February 12, 2025 11:00am - 11:50am MST
This lecture will discuss ethical concepts that apply to bias and discrimination in healthcare affecting individuals in the US based on their citizenship and nationality.

1. Describe the impact of healthcare bias and discrimination based on citizenship and nationality, on individuals, communities, and society.
2. Describe the ethical principles that apply to citizenship and nationality bias and discrimination in healthcare.
Speakers
avatar for Rocio Pereira, MD

Rocio Pereira, MD

Director of Health Equity, Denver Health & Hospital Authority
Dr. Ro Pereira is a physician leader and health equity champion at the safety-net healthcare system Denver Health, where she is the inaugural Director of the Office of Health Equity, Section Head for the Division of Endocrinology, and Co-Chair of the Diabetes Quality Improvement Committee... Read More →
Wednesday February 12, 2025 11:00am - 11:50am MST
Cambridge Room

11:50am MST

Lunch
Wednesday February 12, 2025 11:50am - 1:00pm MST
Buffet lunch with colleagues.
Wednesday February 12, 2025 11:50am - 1:00pm MST
Pavillion

1:00pm MST

Compassionate Care and Competence: Transforming Medical Education through Rocky Vista University's Urban Underserved Track
Wednesday February 12, 2025 1:00pm - 1:50pm MST
Join us for an insightful conference presentation exploring the "Urban Underserved" class at RVUCOM. This transformative two-semester enrichment track prepares medical students to serve diverse and vulnerable populations adeptly. This course not only educates students about the unique healthcare needs of refugees, homeless individuals, veterans, and the LGBTQ community in the Metropolitan Denver area but also deeply immerses them in the complexities and rewards of working with these underserved groups.

Our presentation will focus on the experiential learning and personal growth our students achieve through their involvement in the class, confronting challenges such as PTSD, addiction, and language barriers that complicate healthcare delivery.

The session will highlight how the course integrates clinical experiences with a strong foundation in the social determinants of health, enhancing students' abilities to navigate and address issues like income insecurity, food scarcity, and employment challenges that often intersect with health outcomes.

This program not only augments students' medical education but also enriches their perspective on global health and social responsibility. By attending, you will gain insights into how future healthcare professionals are being equipped to deliver compassionate and competent care to some of the most marginalized communities, ultimately shaping them into more empathetic, effective practitioners.

Objectives:

Understand the Unique Challenges: Gain a comprehensive understanding of the specific healthcare needs and challenges faced by underserved populations such as refugees, homeless individuals, veterans, and LGBTQ communities in urban settings. Engage with Real-World Outcomes: Hear first-hand accounts from students about their transformative experiences and the practical skills they have acquired, which they can apply in their future medical practices.
Speakers
avatar for Matthew Duncan

Matthew Duncan

Student, Rocky Vista University
Matthew Duncan is a current 2nd year osteopathic medical student attending Rocky Vista University in Parker, Colorado. He is from Dallas, Texas and received a B.S in Biology and MBA from Texas Tech University. He joined the Urban Underserved Track during his first year of medical... Read More →
avatar for Jensen Fisher

Jensen Fisher

Assistant Professor, Medical Humanities, Rocky Vista University
Professor Jensen Fisher oversees the Urban Underserved Enrichment Track at RVUCOM, a dynamic program he initiated in 2018. This program immerses osteopathic medical students in the complexities of serving urban underserved communities. Presenting alongside a select group of his second-year... Read More →
avatar for Parker Sullivan, MS, OMS-III

Parker Sullivan, MS, OMS-III

Rocky Vista University College of Osteopathic Medicine
Parker Sullivan is a third-year medical student at RVUCOM. Growing up in New York City, Parker spent much of his formative years working with his mother at her Women's and Food shelter in Harlem. This upbringing exposed Parker at a young age to the vast number of inequities that existed... Read More →
avatar for Ashley Yang

Ashley Yang

Medical Student, Rocky Vista University
Ashley Yang (“Ash·lee Yuhng”) is a second-year medical student currently enrolled at Rocky Vista University College of Osteopathic Medicine, and is passionately dedicated to addressing healthcare disparities in urban underserved communities. Previously in her undergraduate academic... Read More →
Moderators
avatar for Nicole Michels

Nicole Michels

Chair of Medical Humanities/Associate Professor of Physiology, Rocky Vista University
Nicole Michels, PhD, is the Chair of the Department of Medical Humanities and also serves as Assistant Professor of Physiology in the Department of Biomedical Sciences. She graduated from the University of Nebraska Medical Center with a Ph.D. in Biochemistry and Molecular Biology... Read More →

Wednesday February 12, 2025 1:00pm - 1:50pm MST
Cambridge Room

1:50pm MST

Health(care): Why Income Matters
Wednesday February 12, 2025 1:50pm - 2:40pm MST
This session will focus on income as a social determinant of health by integrating both lecture and activities. Inequities in the health of our communities consistently exist for people with lower incomes due to income as a contributing factor to health outcomes and as a factor inter-related to other social determinants of health. For health professionals to address health equity, it is critical to understand the connection between income and health, both through data and the root causes of these inequities, or the “why” of income inequity. Participants will learn about the systems that impact health inequities in both healthcare and the community and will be challenged to think through the systems in which they operate and work through a process to re-design these systems, connecting clinical interventions to community context and community interventions. We will look at the socioecological model for health and identify ways that participants can engage to shift inequities as professionals and as members of their own communities. Participants will leave feeling as though they are part of the solution to shift the status of health outcomes for people of lower incomes!

Objectives:

By the end of this presentation, participants will:

  1.  Explain income as a social determinant of health;
  2. Understand the systems that impact income-based health inequities and how to re-design to support lower-income community members;
  3. Bridge healthcare interventions with community interventions to support whole-person health;
  4. Understand ways to engage to remove income inequities 
Speakers
avatar for Monica Buhlig, MPH

Monica Buhlig, MPH

Director of Health Equity and Strategic Initiatives, Adams County Health Department
Monica Buhlig, MPH has over 20 years of public health, local government, healthcare, and philanthropic experience focused on strategies that align population health and community partnerships to remove the barriers to healthy choices, or assuring the healthy choice is the easy choice... Read More →
Wednesday February 12, 2025 1:50pm - 2:40pm MST
Cambridge Room

2:40pm MST

Break
Wednesday February 12, 2025 2:40pm - 2:55pm MST
Networking break.
Wednesday February 12, 2025 2:40pm - 2:55pm MST
Onyx Lounge

2:55pm MST

Anti-ableism in Healthcare
Wednesday February 12, 2025 2:55pm - 3:45pm MST
Until recently, people with disability have historically been excluded from equity and diversity conversations in healthcare. This has perpetuated the long standing, structural ableist conditions in our healthcare system and society. The presentation will include examples of how historical ableist views are present in today' healthcare setting and teams, and the initial steps needed to advance equitable and just healthcare for people with disabilities.

Objectives:

1. Define the social model of disability and its role in understanding and addressing ableism in healthcare.
2. Identify actions healthcare teams can take to ensuring equitable and just delivery of care to patients with disabilities.
Speakers
avatar for Megan Morris, PhD, MPH, CCC-SLP

Megan Morris, PhD, MPH, CCC-SLP

Associate Professor, University of Colorado, Anschutz Medical Campus
Megan Morris, PhD, MPH, CCC-SLP is an Associate Professor in the Division of General Internal Medicine in the Department of Medicine at the University of Colorado, Anschutz.In her work, Dr. Morris aims to identify and address provider and organization-level factors that contribute... Read More →
Wednesday February 12, 2025 2:55pm - 3:45pm MST
Cambridge Room

3:45pm MST

Conference Wrap-Up
Wednesday February 12, 2025 3:45pm - 4:00pm MST
Conference wrap-up. This session will cover the key points covered during the day.
Speakers
avatar for Kathy Prue-Owens, PhD

Kathy Prue-Owens, PhD

President, Colorado Healthcare Ethics Forum, University of Colorado, Colorado Springs
Dr. Kathy Prue-Owens is the current president of the Colorado Healthcare Ethics Forum (CHEF) and is a retired Army Nurse Corps Officer who served in the United States Army for over 30 years. Her specialties include cardiovascular, critical care, burn care, nursing research, and administration... Read More →
Wednesday February 12, 2025 3:45pm - 4:00pm MST
 
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