A focus on equity has risen to the fore in many U.S. health care systems in reaction to the killings of George Floyd, Breonna Taylor, and their repercussions, as well as the many racial and ethnic disparities highlighted anew by the COVID-19 pandemic. Both senior management and boards of directors of health care systems across the country have undertaken new efforts, or redoubled existing ones, to address equity: first in the context of provision of care and the fundamental operations of health systems, and second, in addressing the broad upstream drivers of social and economic inequity that are largely extrinsic to health care.
Actions are being taken by health systems in five main categories: speaking out publicly against inequity; taking larger steps internally to address diversity, equity, and inclusion (DEI), combat racism, and advance empowerment; widening their traditional equity lens to encompass widespread discrimination against multiple population groups; ramping up efforts to address the safety and quality of care and reducing undesirable variation as a means to reducing inequity and disparities; and using their resources to address upstream health drivers, including in priority areas of the social and economic determinants of health.
Susan Dentzer will describe how a growing number of U.S. health systems now recognize and accept that they must play a dominant role in a process of social and economic transformation to eliminate racism and other forms of discrimination and place the nation on the road to better health.

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