What suggestions or ideas do you have?
The following comments are on behalf of Black Women for Wellness and Western Center on Law and Poverty, two of the sponsoring organization and writers of the legislation.
eLearning – the author & sponsors of SB 464 had intended for the implicit bias training to be done at the place of employment and in-person to give a strong cultural message from the employer of the importance of the topic, to invite continued dialog and use of learned concepts among employees, and to bring members of the perinatal team together as such bias is not only directed at patients but also affects staff relationships. It was also meant for there to be collective conversations between different sets of employees including, but not limited to hospital administration staff, front desk staff, and healthcare providers both licensed and unlicensed to foster system changes. How can this eLearning model be provided in a way that achieves these goals? E.g. can this eLearning be done in groups? Can messaging from the eLearning be otherwise incorporated into the institutions using the trainings such as through posters in shared spaces and suggested ground rules for department meetings?
Language – some of the language is very technical. Not all members of the perinatal team have medical degrees, yet even those with medical degrees would understand simpler language. If any of this is external facing and incorporated into the training (such as the summaries of the problem at the beginning), a more conversational and less clinical tone would humanize the topic and the people who suffer from bias in medical settings.
Audience, example – B2A – meeting learners where they are – some learners have also been victims of racism and this training may be personally triggering or upsetting both to acknowledge those learners and to ensure other learners know that their experience is not universal. Some acknowledgement of how bias can be internalized by people of color as well and acknowledging the different perspectives of the trainees would be helpful.
Collecting stories from birthing people. We appreciate the interest in collecting stories from birthing people to better inform the training materials. However, we also want to make sure that efforts to collect such stories are also prepared to help birthing people who have experienced discrimination in a health care setting during the perinatal period. At a minimum, please provide the information that hospitals are required to provide by SB 464 on where to report discrimination:
Health & Safety Code 1262.6 (a)(6) Information on how to file a complaint with the following:
(A) The State Department of Public Health, in accordance with Section 1288.4.
(B) The Department of Fair Employment and Housing. (DFEH is the state’s civil rights agency and can handle complaints of unlawful discrimination by any business including hospitals and medical practices: https://www.dfeh.ca.gov/complaintprocess/)
(C) The Medical Board of California.
Many birthing people may not yet have gotten this notice or may not still have it.