A path for predicting and preventing preterm birth Parsons X Johnson&Johnson Integrative Studio: 1 - Team 4 Alex Graham, Anushka Ansal, Barbara Castro, Neeraja Shidore, Sharvari Sovani Date: May 12, 2022
Meet Melissa 32 Years Old 1 Premature, Now Healthy Baby 1 Enthusiastic Partner
"An African American woman in the U.S. is two times more likely to have a preterm birth than a white woman."
Current State
Future State
Structural Issues
Opportunity
Not being heard
Today
Remove bias
Doctor's Bandwidth
Connection
An African American woman is 2x more likely to have a premature birth than a white woman Not enough information
Trust
Lack of Access
Disparity
Advocacy
Equality and quality of care
The Challenge How do we transform our healthcare system from diagnose and treat to predict and prevent?
How can we leverage Johnson & Johnson to transform the pregnancy experience and drive a more positive birth outcome for an African American woman, thus preventing premature births?
Meet Our Team Alex Graham
Anushka Ansal
Barbara Castro
Neeraja Shidore
Sharvari Sovani
We are driven by our desire to become agents of change and do so from a place of openness, understanding, and empathy.
Our Big Assumption We believe that there is systemic bias causing African American women to have premature births at a higher rate than white women. We believe that these premature births can be predicted and thus prevented.
Our Research in Numbers
5
4
+40
Mom Interviews
Expert Interviews
Articles Read
Ecosystem Affinity Map Advocacy
Not being heard
Accessibility
Support
Stressors
Structural issues
Bias + Discrimination in Healthcare
"
Black women don't feel heard. Serena Williams is one of the richest woman in America and still had to fight to get heard.
"
- Dr. Sonya Poitier African American mother and OBGYN
Insight
1
Access to quality healthcare resources, and being connected to the right provider, 02 helps improving birth outcomes for African American women. I chose doctors that friends were familiar with, beacuse I knew how they dealt with patients
"
Finding
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Insight
2
The structure and environments that providers work in lead 02 to greater bias. People believe that african american women have a higher threshold for pain even though thats not true. Because we have been treated like that historically
"
Finding
"
Insight
3
Women are not02 being heard at many levels within the healthcare system. implicit bias that seeps into everything
"
Finding
"
Insight
4
Having an advocate or a social support system can transform 02 one's pregnancy experience. what i needed was my midwife to come and give me a hug and say 'Whitney you can do this'
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Finding
"
Key Insight Having an advocate or a social support system can transform 02 one's pregnancy experience and help mitigate implicit and explicit bias, which often takes the form of not listening to the patients This is a major driver of healthcare inequity causing challenging birth outcomes for African American women.
We are seeing that bias of providers can lead care trajectories to result in premature birth.
"
Dr. Karen Lutfey Spencer Researcher, Medical Decision Making & Health Disparities
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"
Some providers are working within a system that doesn't allow that level of listening that needs to happen
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Dr. Marie Thoma Family Science Researcher and mother of two
How might we predict and prevent premature births amongst African American women through a product, service or strategy?
Our Idea Health in Her Hue is a digital platform that connects Black women to healthcare providers and offers health information and content that centers on their lived experiences. We believe that by acquiring Health in Her Hue, Johnson & Johnson can reduce racial health disparities by building the first modern, end-to-end platform for African American women going through the pregnancy experience.
Why Health in Her Hue? Providers
Co nte nt
ity n u m m Co
A powerful brand A mission: world of well 'Our Race to Health Equity' Impact through Innovation Capital
A digital platform A preventative healthcare solution that will advance better birth outcomes for African American women
Foster connection Knowledge sharing A safe space for African American women Inform and empower
Our Value Proposition Why partnership? J&J
HEALTH in her HUE
Johnson & Johnson has committed $100M to invest in and promote health equity solutions.
The first touchpoint for African American women to be informed & empowered when making healthcare choices.
This partnership would allow J&J to address this public health crisis by championing African American women working to solve this problem.
By partnering with the world's leading healthcare company, Health in her Hue can expand to new heights, raising awareness and become a safe space for all African American women.
Why is this the right time?
User Journey (pre-acquisition)
User Journey (post-acquisition)
Supporting Evidence Research has shown that healthcare institutions that engage with activities and organizations within communities are able to make a significant impact on the overall health of community members.
New York-Presbyterian Hospital + 1 Columbia University Medical Center In October 2010, these two institutions launched an integrated network of patient-centered medical homes that were linked to other providers and community-based resources and formed a "medical village."
Three years later... - Emergency department visits were reduced by 29.7% - Hospitalizations were reduced by 28.5% - Thirty-day readmissions declined by 36.7% - Average length-of-stay declined by 4.9%
New York-Presbyterian experienced a short-term return on investment of 11%
How we suggest implementing culturally competent care within J&J
1
Needs assessment and monitoring of organizational changes
2
Creation of positions or teams to monitor the acquisition and onboarding
3
Development of strong action plans
4
Leadership buy-in
5
Promoting structural changes within the organization
Organizational Level
Adaptation of HHH culture and practices Trainings and Facilitation Discussions of Acquisition
Individual Level
Involvement of Families Informing Patients
thank you, Q&A Section