Evaluating the success of the NYC Coalition to End Racism in Clinical Algorithms initiative in addressing structural and medical racism in healthcare
The Fund for Public Health in New York City, (FPHNYC) is a 501(c)3 non-profit organization that is dedicated to the advancement of the health and well-being of all New Yorkers. To this end, in partnership with the New York City Department of Health and Mental Hygiene (DOHMH), FPHNYC incubates innovative public health initiatives implemented by DOHMH to advance community health throughout the city.
As a core organizational investment in addressing racial inequities in the healthcare delivery system and in bridging public health and healthcare, the NYC Health Department created the position of Chief Medical Officer (CMO). The CMO’s mission is to develop and implement anti-racism policies and programs that advance health equity and accountability in partnership with Health Department divisions and health care delivery organizations.
In December 2021, the inaugural Chief Medical Officer released the NYC Health Department’s Inaugural Chief Medical Officer (CMO) Strategic Plan. A flagship initiative of the CMO Strategic Plan is the 2-year NYC Coalition to End Racism in Clinical Algorithms (CERCA). Eleven healthcare institutions, representing both the public and private sectors, have pledged to remove race adjustment from at least one clinical algorithm relating to kidney disease (estimated globular filtration rate [eGFR]), lung disease (pulmonary function tests [PFTs]), and/or birth equity (vaginal birth after cesarian [VBAC]).
The Health Department’s evaluation of CERCA seeks to assess the coalition’s effectiveness internally and its impact on patients and the health care system. This project will help the Health Department understand the successes and challenges of a coalition model in addressing structural and medical racism in healthcare. Further, synthesizing and disseminating the knowledge gained from the evaluation will enable other state and local health departments to learn from this model and adapt it to their jurisdictions. Ultimately, CERCA’s goal is to help patients of color affected by race adjustment receive timely access to appropriate care and minimize and redress the impact of race adjustment.
The CERCA data analyst will report to a Senior Program Evaluator and work closely with senior clinical and analytical staff in the evaluation of the CERCA initiative. The analyst will support background research, conduct survey and qualitative data analysis, and produce presentations and reports.
This position is funded through May 14, 2024, by a grant from the Robert Wood Johnson Foundation.
- Assist with survey data collection and analysis, including the development of survey instruments; programming surveys into Alchemer; creating codebooks; and cleaning and analyzing survey data using a statistical software package, such as SAS.
- Assist with qualitative data collection and analysis, including the development of interview guides, recruitment and scheduling, conducting in-depth interviews, note-taking, creating codebooks, analyzing data and summarizing results.
- Conduct and summarize background research (i.e., literature reviews)
- Conduct document review. Organize and summarize data from agendas, meeting notes, workplans, and other relevant coalition documents
- Produce reports and presentations tailored to target audiences
- Support the evaluation of patient engagement initiatives
- Respond to ad hoc information requests
- Other responsibilities as directed by supervisor