The social disparities and inequities people experience in the communities where they are born, live, play, learn, work, pray and age significantly influence their health long before they see a medical professional.
“Everything happens to you before you get to the emergency room or the doctor’s office,” said keynote speaker Lisa C. Richardson, MD, MPH, who leads the Division of Cancer Prevention and Control at the Centers for Disease Control and Prevention.
“Equity is one of our guiding principles and it’s been there forever,” said Richardson, who directs all scientific, policy, and programmatic issues related to four cancer prevention programs.
She helped lead a task force that embedded an equity checklist within the Notice of Funding Opportunity (NOFO) documents that go out to organizations such as Fred Hutch that want to partner with the CDC.
“Within each NOFO there is a checklist that everyone has to use,” Richardson said.
Organizations that opt-out of the equity checklists must explain their reasoning.
“You have to tell us why the checklist is not something that you should follow or that you should include,” Richardson said. “It’s really easy for people not to do something if they have to opt-in, because it is extra work, I’m not going to lie to you.”
She said most organizations use the checklists and those that opt-out usually provide an explanation that makes sense.
“This has significantly increased the proportion of CDC public health infrastructure and capacity-building grants and cooperative agreements that explicitly address health disparities or social determinants of health,” according to the CDC.
Richardson urged the summit attendees to recognize their own power to improve equity both within the workforce at Fred Hutch and in the community.
“You can control what happens inside your cancer center, which will improve how you interact with the community and others,” Richardson said.