2013 Community Health Leadership Program participants viewing the community garden at Light of the World Christian Tabernacle in Stockbridge, GA established by 2012 CHLP graduate Rev. Rickie Holmes (pictured far left). WINTER/SPRING 2013 VOLUME II NUMBER I Webster defines “teamwork” as “work done by several associates with each doing a part but all subordinating personal prominence to the efficiency of the whole.” Team sports present a perfect example of teamwork, where there are shared victories and shared losses. One of the framing philosophies of the Satcher Health Leadership Institute at Morehouse School of Medicine (SHLI/MSM) is that we view and teach leadership as a team sport. The burden of leadership can be overwhelming when one attempts to carry it alone. Some leaders get caught up in the glory of the position and forget that the responsibility of leadership is shared. This includes the rewards and glory as well as the penalties and criticism. One of the first and most important responsibilities of leadership is to develop and nurture a leadership team. However, the “leader” cannot be an expert in every area. A diverse team with shared leadership can broaden both the expertise and cultural sensitivity of the team. When I became director of the Centers for Disease Control and Prevention (CDC) in 1993, my focus had not been in institutional public health. But many people feel that during my tenure, the leadership team was one of the most diverse and effective teams ever assembled in public health. The CDC response to global public health crises, such as the HIV/AIDS epidemic and West Nile virus, is memorable. We developed new training programs and strategies that continue to bear fruit today. If the leader fails to view leadership as a team sport, valuable and available resources are most likely unappreciated and underutilized. The leader is also a manager who motivates the team towards its best performance. Regular interaction, with and among team members, is critical, though not always David Satcher, MD, PhD Director, Satcher Health Leadership Institute 16th Surgeon General of the United States “e burden of leadership can be overwhelming when one attempts to carry it alone. Sometimes leaders can get caught up in the glory of the position and forget that leadership is a shared responsibility, with shared rewards and burdens.” Continued on Page 6 Director’s Statement IN THIS EDITION Expanding Access by Expanding Medicaid – p. 2 SHLI Director the Recipient of Two Honors – p. 4 SHLI Partners with NFL – p. 6
Transcript
2013 Community Health Leadership Program participants viewing the community garden at Light of the World Christian Tabernacle in Stockbridge, GA established by 2012 CHLP graduate Rev. Rickie Holmes (pictured far left).
WINTER/SPRING 2013VOLUME II NUMBER I
Webster defines “teamwork” as “work done by several associates with each doing a part but
all subordinating personal prominence to the efficiency of the whole.” Team sports present a
perfect example of teamwork, where there are shared victories and shared losses.
One of the framing philosophies of the Satcher Health Leadership Institute at Morehouse
School of Medicine (SHLI/MSM) is that we view and teach leadership as a team sport. The
burden of leadership can be overwhelming when one attempts to carry it alone. Some
leaders get caught up in the glory of the position and forget that the responsibility of
leadership is shared. This includes the rewards and glory as well as the penalties and
criticism.
One of the first and most important responsibilities of leadership is to develop and nurture a
leadership team. However, the “leader” cannot be an expert in every area. A diverse team
with shared leadership can broaden both the expertise and cultural sensitivity of the team.
When I became director of the Centers for Disease Control and Prevention (CDC) in 1993,
my focus had not been in institutional public health. But many people feel that during my
tenure, the leadership team was one of the most diverse and effective teams ever assembled
in public health. The CDC response to global public health crises, such as the HIV/AIDS
epidemic and West Nile virus, is memorable. We developed new training programs and
strategies that continue to bear fruit today. If the leader fails to view leadership as a
team sport, valuable and
available resources are most
likely unappreciated and
underutilized.
The leader is also a manager
who motivates the team
towards its best performance.
Regular interaction, with and
among team members, is
critical, though not always
David Satcher, MD, PhDDirector, Satcher Health Leadership Institute16th Surgeon General of the United States
“The burden of
leadership can be
overwhelming when
one attempts to carry
it alone. Sometimes
leaders can get caught
up in the glory of the
position and forget that
leadership is a shared
responsibility, with
shared rewards and
burdens.”
Continued on Page 6
Director’s Statement
IN THIS EDITIONExpanding Access by Expanding Medicaid – p. 2
SHLI Director the Recipient of Two Honors – p. 4
SHLI Partners with NFL – p. 6
2
Oluwatoyosi Adekeye, MBBS, MPHDirector
Community Health Leadership Program
Carey Roth Bayer, EdD, RN, CSE Associate Director
Educational Leadership
Martha N. Okafor, PhD, MPADirector, Behavioral Health
Christian Thrasher, MADirector
Center of Excellence for Sexual HealthAssociate Director of Operations
Harry J. Heiman, MD, MPHDirector, Health Policy
Kisha B. Holden, PhD, MSCRDirector, Community Voices:
Healthcare for the Underserved Interim Research Director
Megan Douglas, JD is a 2012-2013 SHLI Health Policy Leadership Fellow
SATCHER HEALTH LEADERSHIP INSTITUTE SHLI.MSM.EDU
Expanding Access by Expanding MedicaidBy Megan Douglas, JD
The Affordable Care Act (ACA) contained a
number of provisions aimed to increase access
to healthcare for all Americans. One of those
provisions was the mandatory expansion
of Medicaid to cover low income adults
without children. When the U.S. Supreme
Court decided the constitutionality of the
ACA in 2012, it ruled that states could not
be compelled to participate in the Medicaid
expansion. Many governors, including Ga.
Governor Nathan Deal (R), rejected expanding
their Medicaid programs citing the expense
that the expansion would impose on state
budgets.
In response, advocates in Georgia teamed up
to form the Cover Georgia Coalition. More
than 40 organizations have joined the coalition
representing consumers, hospitals, doctors,
businesses and the LGBT community. The
groups have been busy educating legislators
and the public on the need for Medicaid
expansion.
To kick off the 2013 Georgia General
Assembly, Georgians for a Healthy Future
hosted a legislative breakfast. The SHLI Health
Policy Leadership Fellows had the opportunity
to attend. Both advocates and opponents
of expansion expressed their views during
the event and although no consensus was
reached, the discussions have begun.
“It was exciting to see so many people from
so many different backgrounds come together to discuss increasing access to healthcare,” said 2013 SHLI Health Policy Fellow Dr. Jammie Hopkins.
Over the next few months, Cover Georgia continued to press the discussion and monitor the national conversation, as a number of governors who were initially opposed to expanding Medicaid reversed positions and decided to expand. A prime moment was when Fla. Gov. Rick Scott (R), who was one of the expansion’s most vocal critics, agreed to expand Florida’s Medicaid program, telling the Huffington Post, “I want every Floridian to have access to high-quality healthcare they can afford.”
At the same time, reports about the economic impact of expansion showed that 70,000 new jobs would be created in Georgia, generating an estimated $8 billion in revenue per year statewide. Although Gov. Deal is standing strong against expanding Medicaid, advocates and the Cover Georgia Coalition remain optimistic that he will change his position. Letters have been flooding the governor’s office and citizens are contacting their elected officials in support of expansion. The discussion continues and advocates wait with baited breath for any indication that Georgia will expand its Medicaid program to increase access to healthcare for many of Georgia’s most vulnerable citizens.
SHLILEADERSHIP
TEAM
3
SHLI.MSM.EDU SATCHER HEALTH LEADERSHIP INSTITUTE
MSM MPH students sharing highlights of a CHLP presentation on Twitter and Facebook– (L-R) Ronique Evans, Kimberly Whitley and Ira Tigner Jr.
Dr. Ty Adekeye, new Director of the CHLP
Community Health Leadership Program Welcomes a New Director for the Fourth Cohort
The 2013 Community Health Leadership Program (CHLP)
began with a new director, 2011 SHLI Health Policy
Dr. David Satcher was honored twice in March by major universities because of his work in promoting health.
On March 14, 2013 in San Francisco, he was awarded the 17th Annual Public Health Heroes Award by the University of
California Berkeley School of Public Health for his leadership in promoting health equity, mental health, sexual health and
educating health professionals.
A day later, he was in New York City to receive the Inaugural Dr. David Satcher Outstanding National Leadership Award
for Achieving Excellence in Addressing Health Disparities from the Teachers College, Columbia University.
Satcher’s career has spanned over 40 years in public health, government, top leadership positions at the Charles R.
Drew University of Medicine and Science, Meharry Medical College, and Morehouse School of Medicine, and as a family
medicine physician.
“I never planned to be Surgeon General,” Satcher said. “What I had was the drive to do my job well at all the levels I
served. Strive to do your job well and people will find you. Effective leadership transforms communities.”
The Public Health Heroes honor was established in 1996 by the UC Berkeley School of Public Health with the objective of
broadening awareness and understanding of the public health field by recognizing individuals and organizations for their
significant contributions and exceptional commitment to promoting and protecting the health of the human population.
The Teachers College, Columbia University presented the inaugural award in conjunction with its Fifth Annual Health
Disparities Conference and the 125th Anniversary Celebration of Teachers College. The conference was a part of a global
21st century civil rights movement for equity in health for all as a social justice and human rights issue.
In addition to receiving the award at the Fifth Annual Health Disparities Conference at Columbia, Dr. Satcher keynoted
and called on health and education practitioners to take charge in the effort to eliminate health disparities, arguing that
effective leaders are found at all levels of the health care system.
SHLIDirector the Recipient of Two Prestigious Awards
Raymond J. Baxter, PhD, Senior VP of Community Benefit, Research and Health Policy at Kaiser Permanente presents Dr. Satcher with the Public Health Hero Award at UC Berkeley School of Public Health (photo courtesy of UC Berkeley School of Public Health)
5
SHLI.MSM.EDU SATCHER HEALTH LEADERSHIP INSTITUTE
SHLI and its Multidisciplinary Partners
Successfully Compete for 5-Year Institutional
Grant in Health Policy Development
The Satcher Health Leadership Institute was recently
awarded $13.5 million over five years for a research
center grant (U54) entitled “Transdisciplinary
Collaborative Center (TCC) for Health Disparities
Research: Informing and Influencing Health Policy
and Practice.” The research initiative is funded by
the National Institute of Minority Health and Health
Disparities from 2012-2017 under the leadership of
Principal Investigator, David Satcher, MD, PhD. The
four research subprojects will be lead by Carey Roth
Bayer, EdD, RN, CSE, Kisha B. Holden, PhD, MSCR,
Dominic Mack, MD, MBA, and Martha Okafor, PhD,
MPA.
This research initiative is a comprehensive and
meaningful approach to the development,
advancement, implementation and evaluation of health
policy-related issues in HHS Region IV and nine SHLI
partner states that harness the power of collaboration
to bolster innovation, cost reduction and health equity.
The SHLI TCC proposes transformative health policy
goals that will positively impact and sustain health
equity with the ultimate goal of the Institute emerging
as the pre-eminent, national health policy center. The
TCC will also focus on training the next generation
of leaders in health policy research and expand the
diversity of the health policy workforce. SHLI and its
multidisciplinary partners will significantly impact the
health outcomes of participating communities through
policy development, with the ultimate goal of reducing
health disparities for underserved individuals, families,
and communities. It is an excellent collaboration
between SHLI, the Clinical Research Center, National
Center for Primary Care, and the Prevention Research
Center at Morehouse School of Medicine.
City of St. Louis Health Commissioner Melba Moore and Lucy Gibson, LMSW, South Carolina Department of Health and Environmental Control at TCC National Childhood Policy Council Meeting on March 21, 2013
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SATCHER HEALTH LEADERSHIP INSTITUTE SHLI.MSM.EDU
Since 2010, the Satcher Health Leadership Institute has
worked in partnership with the National Football League
and NFL Player Care Foundation to address the growing
problems of dementia and stigma related to mental health
and mental illness across the United States. In 2012, Dr.
Satcher became a mental health advisor to the NFL as it
launched its NFL Total Wellness initiative. Most recently,
Satcher delivered keynote addresses to NFL players on
mental health, transitions and resiliency as part of a series
of health and safety lectures during Super Bowl XLVII in
New Orleans.
SHLI also teamed up with the NFL Player Care Foundation,
the Living Heart Foundation, the Boone Heart Institute
and the Urological Care Foundation in providing a
series of Healthy Body and Mind Screenings for former
players. In this collaboration, Dr. Kisha Holden, Dr. Brian
McGregor, Chris Thrasher and Sharon Rachel have referred
active and retired NFL players to mental and behavioral
health programs, including the NFL Neurological Care
Program and the NFL LifeLine. They have reached over
100 former players and their families at these screenings,
which are convened in different cities across the country
where there are NFL franchises.
The Neurological Care Program
provides former players with
a comprehensive neurological
exam, including a physical
with a doctor of internal
medicine, neurological testing
with a neurologist and neuro-
psychologist, a psychiatric
evaluation and brain imaging
via MRI. The NFL LifeLine is a
toll-free crisis and resource hotline for current and former
players and their families and offers free, confidential
mental health crisis counseling, referrals and resources
for legal or financial troubles, relationships concerns and
substance abuse problems, among others.
Putting Our Heads Together: SHLI Partners with NFL to Promote Mental Health
pleasant. While it is the job of the leader to educate,
motivate, and mobilize the team, the job of team members
is to educate, motivate, and mobilize each other. Team
members should have each others’ backs.
So how are members of the leadership team selected? We
should recruit people who have demonstrated some ability
to lead and who are committed to the same mission and
goals. While compatibility is important, diversity should
also be valued.
The leadership team is critical for assuring the success of
three strategies:
1. Sharing - The leader shares both the burden and glory
of leadership and benefits from the diverse expertise and
perspective of team members.
2. Communication - While the leader has to communicate
both internally and external to the organization, it is
interaction with the leadership team that enables the
timely distribution of information when opportunities,
challenges, and crises arise.
3. Problem Solving - In good times and bad, the leader
has to communicate the team’s internal approach to
problems and its posture to external constituents. The
expertise of the leadership team helps to prepare the
leader for this task and when appropriate, the team
shares the burden of responding to these external chal-
lenges.
Ideally, the boundaries of the leadership team are always
expanding. And since leadership is not position dependent,
new leaders are always emerging. At SHLI, we like to say:
“In order to eliminate disparities in health, we need leaders
who care enough, know enough, have the courage to do
enough, and who will persevere until the job is done.”
Director’s Statement continued
7
SHLI.MSM.EDU SATCHER HEALTH LEADERSHIP INSTITUTE
Photo taken at the
2013 Clinton Foundation Health Matters Conference
in La Quinta, California
Learn How the Clinton Foundation Will Join SHLI as it Seeks Sustainability
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