February 2025
Join our NJC Research and QI teams will be collaborating this year for some Works In Progress sessions focusing on Equity-Focused Quality Improvement (EF-QI). Our first joint session is on February 5, 2025 2:30-4p EST. Rising leaders in neonatal justice work will share their project and are looking to engage after presenting to discuss questions, suggestions, or collaborations.
“The rising tides lifted which boats? Using EF-QI tools to assess routine mental health screening for NICU parents” will be presented by Kelsey Carrigan.
“The Sisterhood Project: Leveraging Every Step of Community-Partnered QI to Improve Systems and Birth Equity for Black families in LA county,” will be presented by Pearl Omo-Sowho and Cynthia Fok
The next session will be on May 6, 2025 2:30-4p EST will be on “Equity and Safe Sleep for Infants in Illinois” presented by neonatologist Leslie Caldarelli and “Mitigating Unplanned Extubation Disparities” presented by neonatologist Liz Bonacchea.
On Thursday, January 23, 2025, Dr. Joseph Wright presented to the Policy and Advocacy committee sage words rooted in his career advocating for pediatric health equity. To the 32 attendees, he provided comfort and solace during a week filled with uncertainty for the future of work that may be impacted by executive orders.
As the Chief Health Equity Officer and Senior Vice President for Equity Initiatives of the American Academy of Pediatrics (AAP) for the past 15 months and a much longer history of this work prior to that, he encouraged us to practice self-care, reminding us all “this is withering and weathering work.”
We were empowered to remember that “equity is a core component of quality based care” and is a part of national patient safety goals. He encouraged us that now is the time to “double down” on the emphasis of health equity work, advocating to prepare for to meet and event exceed these regulatory requirements. Another focus was “how we take back the high ground … to focus on the best possible outcomes for our patients rooted in health equity.”
As we continue to share the important work we and others are doing for neonatal health justice, we urged us to consider, “Are we delivering messages to the choir or the congregation?” Do we need to appeal to the audience’s heart and empathy, their numerically inclined minds, or their bottom dollar and discuss value proposition, and adjust the focus of our talk accordingly. While neonatal justice advocates can understand and appreciate the overlap of all these values in the work we do, Dr. Wright encouraged us to “be aware of where the polarization is, how it impacts how we’re messaging and who’s listening.” He encouraged us to reflect on “What is going to keep the message in the room?”
Dr. Wright encouraged attendees, “In order to stay in it we have to exercise self care… Now more than ever you ‘ve got to have a safe space posse.” Time will tell what implementation of these orders looks like. After pausing for a moment to center yourself, Dr. Wright encourage us to get back to the work. He reminded us, “The unique high ground we own is the unique (beneficial) health components of equitable care”
Prior to his role in AAP that began last year, Joseph L. Wright, MD, MPH most recently served as inaugural Chief Health Equity Officer of the University of Maryland Medical System and prior to that was tenured Professor and Chair of Pediatrics at the Howard University College of Medicine. He spent more than two decades in leadership at Children's National Hospital in Washington, DC where he provided strategic direction for the organization’s advocacy mission, public policy positions, and community partnership initiatives while also serving 17 years as the inaugural State Pediatric Medical Director within the Maryland Institute for Emergency Medical Services Systems. Dr. Wright maintains appointments as adjunct professor of emergency medicine and health policy at George Washington University, and teaches as professor of health policy and management at the University of Maryland School of Public Health. We greatly appreciate him sharing his knowledge and insights with the NJC!
On January 8, 2025 we held our general body meeting with 53 participants on “Threats to Neonatal Justice Work: Processing and Strategizing.”
Our NJC chair Kayla Karvonen opened up the discussion to the real and ongoing DEI threats specifically in neonatology fields. Panelists Dr. Elizabeth (Liz) Bonachea and Dr. Valencia Walker shared initial feelings post-election of numbness and post-election reactions of compartmentalization, protecting themselves from the news for some time.
Drs. Bonachea and Walker described their leadership roles in the equity spaces and the moral injury sustained of being caught between the two extremes of the patients and families they advocate for and the administrators that employ them. They discussed feeling isolated as faculty member, struggling with the battle of how to not lose their moral compass yet not sell your soul?
The panelists reflected on leading obstacles to neonatal health equity work, being
Funding
Hampered efforts to workforce diversity
Challenges to collecting SDOH information to provide individualized family supports
The panelists shared their strategies for continuing to do this crucial neonatal health equity work of
Resisting the urge to constantly be on the defensive,
Prioritizing your battles,
Being flexible and changing and contorting yourself to address the threats at hand,
Collaborate,
Resist the urge to isolate
Scroll the meeting quotations to inspire your health equity work. Stay connected to the NJC community by signing up for our listservs.
Meet up with NJC in-person at PAS
Saturday, April 26, 2025
11:40 AM - 12:55 PM
Sheraton Waikiki Beach Resort: Waianae Room
Stay up to date on literature or other non-NJC health equity focused events below
Nursing Program for Advancing Training in Health and Social Determinants (NPATHS) is a 9-month comprehensive program grounded in community-based, participatory research designed to equip nurse scientists or allied health professionals, with the tools to advance health equity through research-focused training and reflective practice.
This committee is led by junior leaders Drs. Alejandra Barrero-Castillero and Ashlee Vance, and senior leaders Drs. Ashwini Lakshmanan and Henry Lee.
Sign up to present at the next Works In Project below.
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Contact us at neonataljustice@gmail.com or @NeonatalJustice