009: Leaning into Discomfort

In this episode of The Social Leader, Fr. Justin Mathews talks with Gwendolyn Grant, President and CEO of the Urban League of Greater Kansas City. They discuss about how self awareness can lead to social awareness, the importance of evaluating the data to understand disparities facing people of color, how to lead without "positional power," and the necessity of leaders to lean into discomfort.

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EPISODE 9 — TRANSCRIPT

Father Justin Mathews: Well hello, my friends! Welcome to The Social Leader podcast where we learn to lead with greater social impact. Before we begin today, just a quick reminder that The Social Leader podcast is presented by Reconciliation Services and sponsored by Thelma’s Kitchen, Kansas City's first donate-what-you-can restaurant. The mission of Reconciliation Services is to cultivate a community that's seeking racial and economic reconciliation to turn Troost Avenue from a dividing line to a gathering place in our city and to reveal the strength of all. You can find out more about Reconciliation Services, our social and therapeutic services, our program Thelma’s Kitchen, as well as our Foster Grandparents Program at rs3101.org. Now let's jump into the show. It is the ninth episode of The Social Leader podcast. I am incredibly honored to have a special guest with us today. Her name is Gwendolyn Grant. She is the CEO and President of Kansas City's Urban League. We're going to have an amazing conversation about leadership, about learning to lead with greater social impact, about how she became the leader that she is today. We're also going to dive into some very important issues around the state of black Kansas City and then extrapolate that on to other socioeconomic and social factors, particularly focusing on equity in our country during this time of COVID-19. Stay with me and we'll be right back with Gwendolyn Grant of the Urban League.

Fr. Justin: Well welcome Gwendolyn. It's so wonderful to have you here today on The Social Leader podcast. How are you?

Gwendolyn Grant: I'm wonderful. Thank you, Father Justin, it’s definitely a pleasure to be here with you this afternoon.

Fr. Justin: Absolutely. We've been longtime friends here in Kansas City and I've admired your work for many years in the community. And if I'm not mistaken, you started as the CEO of Kansas City's Urban League all the way back in 1995. Is that right? 

Gwendolyn: No, no, no, no, I actually started working at the Urban League in 1995. I became CEO in 2001. But I've been there a long time. It's been a long time.

Fr. Justin: Well, your impact is so great I just had to extrapolate it across all the years that you've been there. No, for real, I've seen you on so many shows. You're on every important panel that's happening in Kansas City. Your organization publishes a book almost every year, although this year is a bit of an exception, as I understand. We'll get back to that, the state of black Kansas City. Obviously the Urban League is a historic national civil rights organization with tremendous impact and I think going even further beyond the beginning of the civil rights movement, and perhaps you can illuminate some of that in a minute. But before we jump in, this podcast is all about helping us as leaders learn to lead with greater social impact, whether we’re in nonprofits or in the for-profit world, wherever we are in life, learning to lead with greater social impact. And so of course, on this show, we bring on folks like you who can speak not only to the depth of the social issues, but also can teach us about leadership. So the first thing I really want to know, and we've never really had a chance to chop it up and talk about this, is how did you become the leader of the Urban League? How did you know from childhood even that you were destined to be the leader that you are today?

Gwendolyn: Wow, what a question, Father! This takes me back. Well, I think one thing I must say about leadership is that we really have to be tuned into our life experiences and recognizing that we live on purpose and to know what your purpose is or what your calling is and evidence of that starts to show up early in life. So I grew up during the civil rights movement. In the aftermath of Dr. King's assassination, I had the opportunity to visit Washington DC for the closeout of the Poor People's Campaign, the March on Washington that he led, which is one of the the final civil rights activities that he was engaged in and he left that to go to Memphis to deal with the garbage workers strike, in which point he was assassinated. Well, growing up and watching all of these events unfold on TV, of course, being emotionally invested and personally invested in the civil rights movement, I had the opportunity to, after his assassination, they planned an event called Solidarity Day to close out the Poor People's March on Washington and to celebrate the life and legacy of Dr. King. They had caravans coming from all across the country, buses, and my mom allowed me to go to the ceremony as a preteen. I don't want to say exactly what age because we don't want anyone trying to guess how old I really am. I will never tell! My mom allowed me to go and I basically got on a bus with a bunch of church people. It was a bus that left out of the Kaw Valley Bank over in Kansas City, Kansas. And I got on the bus by myself and the church ladies took care of me and I rode on this bus to Washington, DC. And I had the opportunity to witness not only that celebration, but to walk through the camp site where people had left their homes and traveled to Washington, DC to make a statement about poverty in America because Dr. King started to begin to focus not only on the racial divide, but on the issue of poverty for all people in America at that time.

Fr. Justin: Yeah, that was a logical step and something actually that you are building you're still dealing with today and trying to advance. We'll get to that. 

Gwendolyn: So basically, having that experience, seeing the sacrifice that people had made, and understanding the sacrifice that Dr. King and other civil rights leaders and volunteers had made just to try to make America better, to try to make life better for people of color in this country, had an overwhelming impact on me as a young child. And so from that point on, I have pretty much invested my life or focused my work and my service on trying to improve the conditions, the social conditions and the economic conditions that impact African Americans.

Fr. Justin: That one bus trip sounds like it was sort of a seminal moment for you, a real axiomatic moment where your life sort of turned and it also sounds like your mother was a bold and visionary parent as a preteen. I have three boys who are all teenagers and I kind of can't imagine putting one of my teenagers, even with church ladies, on a bus and sending them. Your mom must have been a pretty incredible person. Where did you grow up and what was home like for you and how did that impact your leadership today in the way that you approach leadership at the Urban League?

Gwendolyn: So I grew up here in Kansas City on 20th Street, just off of Indiana. So I actually now live in work not far from where I grew up. Life in my household. My mom's a single parent, I had two older brothers, but she was definitely a force in our lives, pressing for us to become well educated, pressing for us to be socially engaged and to use our time here on this earth to make a difference. She was someone that read a lot, watched the news a lot. She did not complete high school, but she was a very like self educated woman and she instilled those values in her children. So all of us have, through either our work or through our community service, made strong efforts to give back to pay our rent for the time we have here on earth.

Fr. Justin: The impact of our childhood I think we discount sometimes the thoughts and the things that come forward in our life that really shaped the work that we do. And as we kind of take a look at the recent history of your leadership, and again, you've been there in one way or another as a leader since 1995 at the Urban League. I'd love for you to tell some of our listeners who might not know the importance of the Urban League, what's the mission of, particularly, Kansas City's Urban League? And then in this time, there's been a lot of change, what are maybe two or three of some of the greatest victories that you've been able to lead the Urban League in Kansas City to attaining?

Gwendolyn: Greatest victories? That's hard to say. I will just point out that our mission is to enable African Americans and other disadvantaged populations to secure economic self reliance, parity, power, and civil rights. We do that through developing data driven, research proven programs and services to help our people to achieve economic self sufficiency. So we operate workforce development programs. We are heavily involved in education. Those are our two primary areas of focus education and workforce development. And under those umbrellas, there are a number of things that we do. We publish, not annually, about every two to three years, we publish the State of Black Kansas City Equality Index. And through that publication, we measure the disparities that exist between blacks and whites and Hispanics and whites in economics, education, health, social justice, and civic engagement. And we use those data to help to elevate the important issues relative to advocacy for improving or changing policies and practices that continue to contribute to the inequities. And we use it to inform dialogue to try to bridge the racial divide in Kansas City. And we think that it's really important to have data to elevate those conversations.

Fr. Justin: I was going to ask this question a little bit later, but let's actually get into that, because the State of Black Kansas City book is actually incredibly important. And in my opinion, there isn't enough data. There isn't enough data about people of color and the entrepreneurship or access to capital issues. We hear a lot about lots of different issues. In our society, we hear about inequity but until you hear family stories, which is sort of how you get that lived experience, and then when you see the data that then extrapolates those families stories out into the larger framework, it's difficult for folks to understand the plight of our neighbors who might even just live a few blocks away from us. So what I want to ask you is what is the importance of quality and comprehensive data, particularly in social leadership, not just for you as a nonprofit leader and someone who's trying to bring forward the issues in the black community in Kansas City in particular, but help us to understand why do we need to slow down and make sure that we look at comprehensive and high quality data in our social leadership when?

Gwendolyn: Well, one of the primary reasons is because it's just the facts, right? So when you bring data to substantiate or to make it crystal clear, these are the conditions that exist, this is not something that we're bringing from an emotional perspective or from a rhetorical perspective as often that can be a label that is placed on civil rights organizations or social justice champions when we start talking about inequities. We need to bring the data that supports that because then it makes it unequivocally clear that this is the situation that we need to address. So let's take all the personalities out of it, all of that, the distraction and let's just focus on the facts. The other reason that is important is you have to know where you've been and understand what the conditions are in order to be able to address them. So you can't go out here and try to solve these problems, if you don't have clarity about what the problems are and what are the contributing factors. So it just makes it extremely important to understand data, it is the reality and then build programs and build advocacy around the information around. 

Fr. Justin: It's amazing to me in this day and age that we live in, where we've got everything from Google Analytics to smart streets, smart cities, Wi Fi enabled bus stops, you name it, we've got data coming out our ears. But then again, when you try to dig in and get beyond sort of a city level and really get into a zip code level or neighborhood level, it really begins to break down and you can find data about all sorts of things in our city, from transit to stoplights, but it's very hard to find data that can really illumine the kinds of situations that the Urban League is trying to do in advancing prosperity and civil rights. I'd like to know, obviously the State of Black Kansas City, from what I understand at a national level, that book isn't going to be published in 2020? It's going to be published in 2021 after the census, right? Is that right?

Gwendolyn: Well, we hope that that's correct. We're certainly not publishing this year, and intentionally prior to knowing about the COVID-19 pandemic, but certainly because of the 2020 census. But the other driver for us is having the resources and the capacity to publish. We've been blessed and fortunate to have the philanthropic community recognize the importance of this work, of this research in this publication to invest in it. So we hope that in 2021 the resources will be there because it will be post the 2020 census and then we can put out the study with the updated census information.

Fr. Justin: So what do you think is going to be different, post the census, post 2021, when we get into next year, because of COVID-19? We did a show with Qiana Thomason from the Health Forward Foundation a number of episodes ago where we went in really deep about health equity and inequities, particularly among communities of color in Kansas City and across the nation. So we've established a baseline for anyone who's been listening for a while about some of those inequities. But when those State of Black Kansas City and the National Urban League's book comes out on the State of Black America, what do you think is going to be different post COVID-19?

Gwendolyn: Well, I'm certain the data will be devastating, because basically, we are now in a depressed economy. We were in February, prior to the pandemic and the shutdown of the economy, we were in what is called a full employment economy. So the overall unemployment rate was around 5.3%, the lowest it had been in 20 some odd years, right? But even then, the unemployment rate for African Americans during a full employment economy was still 1.5-2 times higher than the unemployment rate of whites in America. So now we are in a depressed economy and we anticipate unemployment amongst blacks is now about 3 times higher than it is amongst whites. So post the 2020 census and post the COVID-19 pandemic, it stands to reason that unemployment amongst African Americans will be probably 3-4 times higher than unemployment amongst whites, which is what it was during the Great Recession. So, the economic impact of this pandemic will be devastating and is devastating already, both from an economic perspective and from a public health, from a healthcare perspective on the African American community. The infection rate and the death rate as a result of COVID-19 is highest amongst African Americans in any other population group in this country.

Fr. Justin: It's amazing to actually look at the data at what's happened. If you think about the Great Depression, we've seen numbers that equal or approach the Great Depression. And I think the last count that I remember from just recalling from memory was like 14.7% unemployment. Right now as we're recording this in May 2020, over 33 million people are out of work. But here's the difference, though, that I think is really striking. Unlike the Great Depression, where that took place over a period of months, 33 million people are out of work now in five weeks. And like you said, these historic racial and economic disparities in the United States are exacerbated by COVID-19, of course. So how should we go and be taking historic racial equity and racial disparities into account when we address equal opportunity?

Gwendolyn: Good question. So first off, you have to understand how we got here. Again, it's about understanding history because I think oftentimes people operate from the erroneous assumption that somehow all things are equal, and we live in a meritocracy, and that African Americans and other minorities have the level playing field, and we are in this situation because maybe we don't work as hard, we need to get more education, we need to do whatever. Well, what the data show is that number one, we are having to address structural and systemic racism in order to bridge this divide and to understand what that means you have to understand historically, the systems were designed to marginalize and isolate basically African Americans We have been denied full access to the economic mainstream of this country. So we are so many years behind economically, that then you layer on a recession, a depression, a pandemic, and it just creates a deeper, deeper divide, and makes it much more difficult for us to achieve economic parity. 

Fr. Justin: I just want to drive this point home because a lot of people are going to hear what you're saying, and maybe not agree, because not everybody's looked at the data. But here's one of the best analogies I've heard when and that is: Imagine that we're all sitting down to play Monopoly at the same time. And you've probably heard this one before. And if you took a classroom, and you had all the white kids in the classroom start monopoly, and everyone has the same rules. And then you don't let anyone else in the classroom who are black students or non white students start playing until four hours later. Then you give everybody the same money, everybody the same rules, everybody the same access to the table. How do you think that that second group who didn't get to start playing Monopoly until four hours later, how are they going to do? Well, the point is they never catch up, or I think statistically, somebody's run the numbers and it's like 98.7%, or some astronomical number, that somebody who actually starts four hours later gets to win the game. So I think when people are hearing what you're saying, I don't want them to tune their ears out. I don't want them to turn their ears off. I want them to hear this point, that you're not saying something about somebody’s, necessarily their moral behavior when you're talking about structure. You're talking about 400 years of American history, where men and women of color, particularly the black community, and then we could even add that in later into gender inequality. Look at men versus women. But you're talking about 400 years in the black community where you are not permitted, by and large, to participate in any of the economic life. And so now that's what you're getting at that you've got these structural issues, you've got time bound issues that have to be overcome. So how should we be taking that historical racial disparity into account today? How are you doing that today at the Urban League in Kansas City, to address equal opportunity?

Gwendolyn: Well, one thing just to your point, and thank you, it's an excellent analogy to make because it is difficult for people to really get their arms around it when we use language like structural racism or systemic issues, it sounds very academic, and you make it very real. So basically, it's just like imagining if you're in a race and everybody has a starting line and you're several yards back, in order for you to catch up, you're going to have to run a whole lot faster than everybody else and sustain that for an extended time to catch up, it almost practically defies the laws of physics. So what we're wanting to do is while we address the immediate needs of folks that we're serving, is to also figure out how to accelerate the supports. So basically, you have to invest more, it's like triage. If you go into any emergency room, and you need medical assistance, they're going to triage based on that need. So if I walk in and I have a broken arm and you're walking in at the same time, and you're suffering from a heart attack or something, they're going to invest a whole lot more medical attention and resources in trying to save your life than they are in trying to address my fractured arm. And so the same approach has to be given to what we need to be doing in the central city and doing with the populations that you serve through Reconciliation Services. The people who need the most help, need to be given more resources, not less. So you can't mitigate these issues saying that everybody's going to be treated the same, we're going to allocate resources equally across all of the six different councilmanic districts and we're going to give every community the exact same treatment when everybody's issue is not the same. So what we try to do is look at that and how we serve, how we approach our work, and how we approach the advocacy around civil rights, racial justice, and equity.

Fr. Justin: I know you stood up publicly and supported Robbie Makinen and KCATA for finding money in the city budget to be able to provide free transit, which is a great leveler for a lot of folks in the workforce who want to be working but have access issues and other things. Now, look, I want to make sure we get to some of the personal side because you and I could talk forever about structural racism and barriers. And if you want to find out more, go check out ULKC.org. It's a good portal to begin. You can springboard from there to lots of other places. But again, I'm talking with Gwendolyn Grant. She's my guest, the President and CEO of the Urban League. And Gwen, what I want to get into now is about leadership and really trying to help our audience learn to lead and have greater social impact. And you said something a minute ago about how we're going to model moving forward, how we have to live that out. And so as a leader, how do we model moving from discomfort to comfort in our social leadership?

Gwendolyn: Well, I'm in with that discomfort all the time. Leading a civil rights organization, you create discomfort actually. You have to almost create discomfort to push for the change that we want to see in policies and practices and the improvements to bridge the racial divide and the economic divide. So for me personally, I've had to learn to be comfortable with discomfort. And I've had to learn to know that in order to bring about change, you have to disrupt the status quo. I often think about the Frederick Douglass quote about power concedes nothing without a demand, it never has and it never will. And so if you're in a civil rights space, you see, from my leadership, there's always this push, there's always is an uncomfortable position to be in because for the most part, while folks I believe are inherently good people, most people are good people and want to believe that everyone is treated fairly. It requires pushing in ways that make people uncomfortable. And then what I would say if you're trying to grow your leadership capacity in dealing with this is you got to lean into discomfort and you've got to be okay with the fact that in order for us to get to the next level, we're all going to have to be out of our comfort zones. We're going to have to open up to information that doesn't always feel good and we're going to have to be very introspective about how we're showing up as leaders. How do we bring people along requires that extra work and so it's first we'd certainly have to know who you are as a person and how you show up and be open to change.

Fr. Justin: I talk about often this idea of moving away from charity, moving away from charitable intentions, and getting to integrated priorities. Something that you said that I'd love for you to unpack a little bit, and if you could make it practical for somebody who's not the President and CEO of a civil rights organization, because you're kind of at a bar way up here. You're so comfortable with the uncomfortable that you are able to unpack the uncomfortable with a sort of power that gives a lot of air of confidence. But I really want to, if we're going to make a sea change in some of the issues that you focus on, we've got to have a tipping point of leaders who, like you said, lean into the discomfort. So think about that middle manager, think about that hiring manager, think about that person who's not leading a nonprofit civil rights organization, what are maybe two or three tips that you would give them about how to lean into discomfort in their life to have greater social impact?

Gwendolyn: So that's a really tough question, Father, because it certainly is different for everyone. I think first, I would go back to getting comfortable with who you are, because if you are someone who if you have a very high need to be liked to be accepted, then there's always going to be some higher degree of risk when you begin to think about what are you going to do to try to change a particular situation as a middle manager or whatever. So when I encourage people to do it, and I've done a lot of leadership development training and what I encourage folks to do is to try to figure out how to lead within your domain. So within your sphere of influence, what can you get done? And to have a really good understanding of how to lead within your domain and how to lead without power. And when I say that how to lead without power, I'm talking about how to lead without positional power, because we all have power. So power is something you have to recognize you have and then know how to use it. But everybody has it. So you have to choose to embrace the power that you hold within any given situation. And so in that it requires you assessing that situation, and understanding what do I have the power to influence here and recognizing what you don't, so you don't put time and energy into something over which you have no control or power. You focus that energy and channel it into those things that you can do and you can change. And as you do that, you begin to expand your circle of influence and the impact that you can have just a little bit at a time. But it requires really being socially conscious and aware, and certainly self aware, and learning how to build your own confidence in that space.

Fr. Justin: I like a lot that you brought out that you may not have positional power, but that if you become self aware and become socially conscious, that gets us back to the data, and then to the internal work that we have to do as leaders as we strive to have a greater social impact through our leadership. You might not be the CEO of the company, you might not be the hiring manager who can actualize whatever that you feel like should be done but you do have power. This is what you're saying. And if you learn to use it and to move from discomfort to comfort or learning to be comfortable with the uncomfortable, then you can make a huge impact. Gwen, I really appreciate you sharing that. It's a good reminder for me, and for all of us. I want to give you the final word as we wrap up our time together. What would you leave folks with who are listening to this podcast and who want to make a change, want to be social leaders, but they're not quite sure where they're going to begin? What would you like to leave us with?

Gwendolyn: Well, I think I'm really big on first understanding I think everybody can make a contribution. And no matter how small or how large, it's important that you make that contribution. And so what I would encourage people to do is to really think about where's my passion? What am I most concerned about or one that I want to change most, and then take a deep dive into that, like find that one thing, and then learn everything you can about it. And show up and share your gifts and talents to make a difference. And don't be concerned about how big of a difference or how much money, it’s not always about money. It's about time. It's about what you can bring to improve the situation.

Fr. Justin: Alright, well, if you're listening to the podcast, and you want to become a social leader, go back and rewind because Gwen has dropped a whole bunch of great tips and tricks and ideas and some really important things. I like what you said about dive deep, get into it, really understand that one issue that breaks your heart and then show up and do something. So Gwen, thank you for leaving us with that. And I want to make sure, again, that everybody has your website, if they want to reach out to you, if they want to help fund the State of Black Kansas City book and make a donation, they can do that online. You can help make sure that we have the quality and comprehensive data that we need to be able to continue the work of the Urban League especially right here in Kansas City, but all across the nation. Go to ULKC.org. Again, my guest today was Gwendolyn Grant, President and CEO of the Urban League Kansas City. Gwen, thank you, it's been an honor to get to talk to you about leadership and about all that you do with the Urban League. And thank you, for your advocacy for the community and all that you've given us in Kansas City.

Gwendolyn: Thank you and thanks Reconciliation Services for all that you do to serve Kansas City. We sincerely appreciate you and thank you so much for this opportunity.

Fr. Justin: Absolutely. Hang tight with me. I'll be right back to you. Hey, everyone who's listening to the show, I want to make sure that you know about something that is coming up that I'm super excited about. If you want to go further with the kind of things that Gwen was talking about today, if you want to have greater social impact in your leadership wherever you are, Reconciliation Services is about to launch an e-course called Social Leader Essentials. It's coming up. It will be launched in the next month and you're going to want to stay tuned. So if you go to TheSocialLeader.org, you'll be able to sign up, get on the mailing list and be one of the first ones who knows when this course launches. It's going to be an incredible course to give you the kickstart that you need to become someone who can have the kind of social impact that Gwen was talking about today, no matter where you work and what you do. In addition to that, if you're someone who's looking for a job and you're looking to stand out from the sea of similarity, with 33 million people looking to apply for the job that you want, you're going to want to take this e-course. Go to TheSocialLeader.org, answer a few quick questions, one of our team is going to reach out to you and make sure that you know when that launches. So once again, thank you for joining me today for episode nine of The Social Leader where my guest was Gwendolyn Grant of the Urban League Kansas City. Today was presented by Reconciliation Services and sponsored by Thelma’s Kitchen. I look forward to seeing you every Tuesday at 12:30 live on YouTube and on Facebook. Make sure to smash the like button, subscribe, hit the little bell so you know every time we go live, and follow us on Facebook, Twitter, Instagram, and YouTube. We look forward to speaking with you again next week. Until next time, learn to lead with greater social impact.

007: Building in Equity

In this episode of The Social Leader, Fr. Justin Mathews talks with Qiana Thomason, CEO of the Health Forward Foundation. They discuss the importance of understanding the social, environmental, and economic determinants of health and the need to intentionally build equity into our structures and systems.

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EPISODE 7 — TRANSCRIPT

Father Justin Mathews: Well, hello, my friends. Welcome back to The Social Leader podcast. The pursuit of health equity is rooted in over 100 years of data that shows that the morbidity and mortality rates for poor Americans, and in particular Americans who are people of color, are significantly worse than for those of the white mainstream. Welcome to the seventh episode of The Social Leader where today I will be talking with my guest Qiana Thomason, who is the CEO of the Health Forward Foundation. We're going to be talking about innovation. We're going to be talking about health equity. We're going to be talking about health care philanthropy and social leadership. Don't go away. This is going to be a critically important conversation today.

Fr. Justin: Well, again, my guest today is Qiana Thomason. Let me tell you a little bit about Qiana because her resume is incredible. She is a native of Kansas City and she currently serves as the CEO of the Health Forward Foundation. During her time there, she has already begun to bring wonderful thought leadership, including right when COVID-19 happened she put out an article on health equity. That is the reason I wanted to get her on the program so quickly today. We're going to get to those topics but before her time at the Health Forward Foundation as the CEO, she filled various leadership roles, eight year tenure at Blue Cross and Blue Shield of Kansas City, including being the Vice President of Community Health. She also spent eight years at Swope Health Services in Kansas City. And finally she had the role as Director of Clinical Operations, Behavioral Health, and Program Manager for the Kansas City Mental Health Court. It is my honor to welcome to the program, Qiana Thomason. Good morning and welcome.

Qiana Thomason: Thank you so much. Good morning, Father Justin. Thanks for having me on.

Fr. Justin: Absolutely. I want to tell everyone today's conversation is being sponsored by Reconciliation Services. You can find out more about RS at rs3101.org. Qiana, as I said, you have an unbelievable resume and I'd love to know, did I leave anything out? What don't we know about Qiana that we need to know?

Qiana: Well, I think it's important to know that I am born and bred right here in Kansas City. I grew up in the third district in Kansas City. I was a benefactor and a recipient of Kansas City's wonderful safety net system for folks who live in marginalized conditions as I did when I grew up, and I just count it as such a blessing to be able to serve and use my career to be able to give back to a system that blessed me so much.

Fr. Justin: Well, you've done that mightily. And to be honest as a partner, Reconciliation Services is a deep partner with Health Forward Foundation. You guys helped us launch Thelma’s Kitchen. You've helped us launch our men's mental health program called the R.E.V.E.A.L. (Restore Engage Value Encourage Act Lead) program. You all have helped us with everything, so many years now. I'm looking forward to continuing that partnership. And I think, as we talked about the other day on the phone when we got to have our first long conversation, I'm super excited about where you're wanting to take Health Forward Foundation. Today, I really want to focus in on what this current pandemic has highlighted. Because as you wrote in your essay, which was so wonderful that you put that out right at the tip of the spear, the COVID-19 pandemic has highlighted the inequities in our healthcare system, in the safety net system that you talked about. And in the Kansas City region in particular, you've talked about the fact that these disparities stem really from pre-existing income inequalities, as well as inequalities to access to healthcare, and then you also mentioned occupational segregation. And as the old saying goes, when America catches a cold, people of color catch pneumonia, and that has never been more easy to see than right now. So I recognize that I'm sure you have a lot of priorities in your new role as CEO at the Health Forward Foundation, but given our situation, what's your top ranking priority during this COVID-19 pandemic and what do we need to do to address it, Qiana?

Qiana: So you hit the nail on the head in so many areas for Health Forward Foundation, being a public charity, deeply steeped, in this community, our first priority is to partner with and stabilize, and as best we can, help recover as quickly as they can our grantees and our partners. And so right out the gate, we wanted to make sure that our grant making was responsive, that we got advanced payments out the door quickly, that we converted all current grantees to core operating funds to use the funds flexibly how you needed it, that we relaxed or decreased reporting requirements, all those types of processes and issues that our partners just don't have time to be thinking about in this pandemic as they serve the people in our community. In addition to that, we are expanding our attention to emergency funding. So a lot of emergency funding has gone out the door. We reserved up to $3.7 million for safety net medical behavioral health providers, as well as essential services like childcare, food, and all those types of insecurities that people were already struggling with that this pandemic really just exacerbated. But as we pivot from response to more focus on resiliency, it will be important that we go upstream and work with our partners, our grantees, our policymakers, and a whole host of stakeholders across this community, public and private, to focus on issues even outside of healthcare that impact health and health outcomes, issues like transportation, issues like affordable housing, livable wage. There are a plethora of issues that impact the daily lives of our communities and we know that it's on us in partnership with other folks in this community to drive those upstream changes for health equity.

Fr. Justin: Yeah, and by the way, I think that the Forward Foundation, as well as really the entire philanthropic community, moved with unprecedented speed. In the 22 years of nonprofit leadership that I've been a part of, I've never seen a response like that of the Kansas City, philanthropic community and Health Forward Foundation again, huge partner of Reconciliation Services. And so my hat's off to you and to the entire philanthropic community. Because without you I think a lot of us who are on the frontlines would absolutely be in the tubes right now. And that would mean that literally, for example, the 5,000 people a year the Reconciliation Services is caring for and walking with, we wouldn't be here without you. But what you're bringing about in your perspective, as you really shift to talk about those root causes and those barriers, it's really highlighting that not only are there structural barriers, but specifically there are socioeconomic structural barriers at every level of our society. So for example, coronavirus economy. We know it's going to devastate the after economy, it's going to affect people who can least afford it. 53 million Americans, about 44% of US workers, are making a median of $10.22 cents an hour or about $24,000 a year. You can barely make it on that. And as I prepared to talk to you today, I had scenarios of our clients playing through my mind like, what would happen if this snowball began? You have a low wage worker who doesn't have paid sick leave. Maybe they’re hourly. They don't have benefits. Maybe they miss work due to a family member or a child being ill, then they lose that crucial income. That can be the difference between making rent or not. Maybe they become homeless. You run the risk of being let go from your job and just it's snowballs, snowballs, and it's one thing and one moment that can make that happen. So here's the question that I have for you. How do you plan, as an innovative leader who gets these things innately, to lead the Health Forward Foundation to address these structural socioeconomic barriers and health equity issues in our region? What are you going to do to pivot? Or what things are you exploring right now?

Qiana: Well, I think it's first it's important as leaders and as organizations that we really take the time to ground ourselves and how we got here, and not to the point that we're fixating on the problem, but it's important to have a healthy appreciation for the problem to understand how to fix it. So from my vantage point, and many others share it, inequities, not just in health but in life, are typically the result of two things in this country and that's structural racism and systemic racism as well as income inequality and the wealth gap that we struggle with as a country. And so with those root cause factors in mind, I think we must as leaders and as organizations focus our strategies and our tactics around being just as intentional at building equity into our systems and our structures, because there was a great deal of intentionality to build inequity in. 

And we have to apply the same level of resolve when we consider the different systems that influence that. And for us, we know that healthcare is largely influenced by socioeconomic and environmental factors, as you pointed out. So 80% of our health outcomes are driven by the social determinants of health. I prefer to say the social influences of health because people are resilient and they can transcend their environment and their circumstances. And so those influencers are 40% behavioral, 30% socioeconomic, your education, your income, all those different types of factors, as well as about 10% environment, violence, nutritional deserts in your community that contribute to obesity, and poor food intake, and all the chronic conditions that we know really were the underlying issues around COVID-19 and contributed to our over-representation as people of color in confirmed cases, as well as mortality. So when we think about that very broad space of the social determinants of health and economic inclusion, and all the things that contribute to it, we have to ask ourselves, what is our unique position to engage in community in this space? Where can we be most impactful? So as a team, we began having those conversations prior to this crisis and the perverse gift of the crisis was that it really underscored for our team, Health Forward Foundation, that it was time for us to commit more than ever to really digging in and applying that lens that thinks outside the box of healthcare, and considers those social, environmental, and economic factors that drive our health. So we'll be spending a lot of time the rest of this year into next year with our partners, with our Board, with our community advisory council talking through what's our unique differentiator to play in this space and where can we be most impactful?

Fr. Justin: Yeah, in the Business Journal, you were quoted when you were first made CEO saying that the vision of healthy people and healthy communities is going to remain intact under your leadership of the Health Forward Foundation, but that the methods and the initiatives will likely evolve over time. So this whole area that you're in, this space of health equity and a health equity lens and grant making and in partnering, this is a rapidly evolving and very ripe space for innovation. I'd love to know, what are some of your early ideas or some of the things that you're imagining that you can do in health, philanthropy, in order to lift up voices that aren't being heard or to foster real innovation in approaches, particularly in our region? This is a cutting edge space. What are you thinking?

Qiana: Well, there's three spaces, if you will, that we see as our core competencies at Health Forward and that's leadership, advocacy, and resources. So we continue to cultivate leaders, and have for the past 10 years, in our Healthy Communities Leadership Academy. That's produced over 100 champions for health equity and those who promote a culture of health in this community. We're thinking about how to position Kansas City's players as leaders in our equity journey together in community. What's our role in cultivating equity champions, beyond the Healthy Communities Leadership Academy? From an advocacy perspective, the lowest hanging fruit that I've shared with you is around Medicaid expansion. We gotta pass it. It's the no brainer, right thing to do, smart thing to do with respect to recovery for both Missouri and Kansas from a health and an economic standpoint. But there are other factors outside of Medicaid expansion that are in the policy realm that need philanthropy’s action and advocacy and so looking at that. We are paying a lot of attention to our wonderful city of Kansas City Council who last year approved a resolution to apply a racial equity lens to its decision making and policymaking. I was so inspired and impressed with that and I even mentioned to Mayor Lucas just yesterday, we want to play a role in that. There's a role for philanthropy to play in that space.

Fr. Justin: You're talking about the resolution that was put forward by Melissa Robinson in the 3rd District? 

Qiana: Yeah. 

Fr. Justin: We were really honored to get to work on that and Reconciliation Services’s contribution with her was really to put a focus around mental health and race and health equity and so a couple of the places in there. You're right, I mean, that's a very important document. Let me push you a little bit further though, because we talked a little bit in an earlier conversation about program-related investments and there is actually a lot of possibility that that health philanthropists can bring about. The traditional kind of grant making modalities are still going to be needed, apply for a grant, get a grant, report on a grant, apply again. But I wonder what's the role of tech right now? What's the role of social entrepreneurship right now? And how can Health Forward Foundation, which is arguably one of the most influential and best endowed health focused philanthropists, play a role? How are you thinking you might play a role, whether it's PRIs (program related investments) or some other modality? What are you thinking in that tech space or innovation space?

Qiana: Yeah, so traditionally, grantmakers, especially grantmakers in health, have a very kind of orthodox historical method of being responsive to grants that come in and we provide funding for different types of programs and initiatives in the community. But in wanting and needing to go upstream to address inequities that are more structural, you can't grant make your way to resolve those inequities. And so as you point out, we are talking as a team and have begun early conversations with our Board, our finance and investment committee, about the notion of social impact investing in community, not ready to share any commitments in that space, but we're learning about it.

Fr. Justin: We want to hear more! We want you to share, but I know you gotta wait.

Qiana: Yeah, new territory for Health Forward. It's new territory for much of health philanthropy. What we know today, though, is that it will take social impact investments in our community and in partnership with public and private organizations. We can't do it alone. That can pool our dollars to create sizable, longitudinal impact in and for this city. So those are some of the things and concepts that we are beginning to explore as a team and a Board. 

Fr. Justin: That's a fantastic answer. As you know, Reconciliation Services, we have Thelma’s Kitchen, which is a social venture donate-what-you-can restaurant. We're working on a number of other social venture ideas and innovations. So definitely, I'm waiting with bated breath to see what the Board approves and would love to support you in that. 

Qiana: Really quickly, so that we don't miss the opportunity to help people understand what applying a racial equity lens to policy does. People most people get that there is a health implication to transportation, a health application to food and food procurement and food policy. There's a health implication to affordable housing. When a racial equity lens, which is really kind of like the book ends of inequity in our society, when that's applied to policy, it raises all boats including health and health equity. And so we want to partner with the community and with our city council, led by Melissa Robinson, of course, and Mayor Lucas, to really support that initiative, as well as focus a lot on data, as we are active in this space with letters to our governors in Missouri and Kansas, around the need to collect data around race and ethnicity, not just for COVID. Let's use COVID as a jumping off point to solve some of these data challenges that we have so that we can understand where we are, track where we need to go, and use data to reconstruct narratives.

Fr. Justin: I appreciate you bringing us back to the root again. There isn't enough data out there. There isn't enough work being done. And I think people look at these initiatives, when they hear about a health equity lens or racial equity lens, I think to just be honest about it, a lot of people's minds just kind of turn off. But the reality is, and I like to bring it back to this, and this is where the social entrepreneurship angle does come back in, when you start talking about the fact and you hinted at this, that racial equity and initiatives around diversity, equity, and inclusion, they are a superior growth model economically for the region. And when people begin to get that idea in their head and go, okay, well, not only do I feel good about it morally, maybe  I've learned enough about it that I understand why it's needed. But now I'm going to see it hit the pocket book, not only of my company, but of the entire region, and we're all going to be able to do more together. Do you see a direct correlation the same way between the socioeconomic plight of those who are excluded or have minimal access and the racial equity lens? Can you tie those two together directly for us?

Qiana: Yeah, absolutely. When you look at history, it teaches us that laws were used to be weapons against people of color to lock them outside of opportunity. When you look at our GI Bill in terms of education and home ownership, when you look at redlining in communities, when you look you see that resulted in underinvestment and disinvestment in communities that resulted in food deserts and in play deserts. So all of these types of policies shape our daily lives that contribute to the social and economic conditions for all people, but particularly people of color, who these laws were constructed to lock out from opportunity. So we have to be all that more intentional when we think about creating laws and policies, even organizational policies, to lock equity in so that all are included and have a fair and just opportunity to thrive.

Fr. Justin: I could not have said it better and I'm so thankful for you breaking it down and breaking it down so that somebody who's listening right now live or listening to the podcast later who maybe hasn't done so much reading about the racial equity lens and the health equity lens, they can maybe understand a little bit more about what you're saying. Okay, well Qiana, we're going to take a quick break. We're going to go and talk about our sponsor Thelma’s Kitchen. When we come back, I want to dive in and get a little bit personal, so don't go away. We'll be right back with you. 

Everybody, I want to tell you that The Social Leader podcast is sponsored by Thelma’s Kitchen, which is Kansas City's first donate-what-you-can restaurant. You can go to ThelmasKitchen.org to find out more. Right now, of course, the restaurant is closed. We're at the corner of 31st and Troost. Normally, we're open for lunch from 11am to 2pm but because of COVID-19, and while we're making preparations to open, we're still closed right now. However, we're giving away food, literally 300-350 meals every single day, Monday through Friday. And I'll tell you, there's a note of urgency right now. So again, thank you for your sponsorship, those of you who have donated a meal online, who have sent in a gift, or sent in plates or any kind of utensils, things that we need to make this happen during these extraordinary times. We're so grateful. You can find out more about the work of Thelma’s Kitchen, as well as Reconciliation Services, on our website. 

Okay, I want to jump back in and talk a little bit more with Qiana. Qiana, I want to switch a little bit and get personal if you can. I want to dive in because I know you’ve said you were born at Truman Medical Center, you grew up in Kansas City, and even at the beginning of the podcast, you said that you were an uninsured child and that you were a recipient of the social services safety net here in Kansas City. And then from there, you went on and you've led divisions and now, as the CEO of Health Forward Foundation, leading whole movements in this area around health equity. Is there a memory for you, something personal in your life or in your work life, that really drove home for you the structural and environmental barriers that make up the inequity to health access?

Qiana: Yeah, there are probably too many to mention, Father Justin. I’ll just say that my overall experience of being raised by a single mother, having three brothers, she struggled to put food on the table, relied very heavily on our grandparents to stabilize us, as well as an extended village, oftentimes to support us just for some basic needs until she was able to get on her feet and with the help of the village, pull herself up and go on to lead companies as well. I'm not the first leader in my family, I need to say that, we have a multi generational leadership. And so even despite those circumstances of being born uninsured, receiving services from the safety net, that was such a nurturing community to me, and my brothers, by the way, I should say, loved the village that we had at Swope Health that was very endearing, which I counted a blessing to return there to lead as a mid careerist. But all those factors of watching her struggle, watching her stand in line for welfare checks and cheese and just basic services, really cements in your mind the importance of resilience and the importance of looking at the assets that individuals and communities possess: assets of fortitude, assets of determination, assets of commitment despite adversity. So when I think about those factors that were passed down to me, from an asset perspective, it fuels me and fueled me to be able to rise above those circumstances and to use the privilege that I now carry as being an educated African American leader, who's committed to social justice, committed to equity, committed to uplift from the communities that I serve and from as well as broader communities. So it's really just fueled me in general, for a resolve for equity and for social justice. And I've been very blessed to use my career to be able to do that.

Fr. Justin: Which you've done mightily. Qiana, one of the things that you brought out was this idea of an asset-based community development approach rather than a deficit-based community development approach. And we like to reinvent Reconciliation Services logo, RS, as actually standing for “reveal strength” and kind of realizing that the neighborhoods that we live in, although they may not have the same kind of green currency that some neighborhoods have, they have assets in them that are priceless. It's actually not enough to look at return on investment, what we really have to be looking at also is return on relationship and where does that currency play apart. And as you think about that, from a healthy community standpoint, from a grant making standpoint, how do you encourage that? That's a neighborhood organic thing that takes place. But is there something that you all can do at Health Forward Foundation to nurture that kind of return on relationship in Kansas City and in the region?

Qiana: That's one of the things that impresses me most about my colleagues at Health Forward is that they have their fingers on the pulse of what is happening in communities at the neighborhood level. And I love that about my team. They translate those needs into what's happening at the neighborhood level, with grassroots organizations, and sometimes through grassroots organizations does our insight and our information come, and then they show up at the table to advocate for these communities and for these neighborhoods from a grant making perspective. And so having a very deep and connected relationship with community, oh my goodness, it can't be overstated. And so our team knows our community very, very well. They spend a lot of time with organizations like yourself, Reconciliation Services, and various leaders and workers. And I think understanding the uniqueness of the characteristics of the organization positions them as the best advocates for them, even beyond grant making, but also from a policy perspective, as well as connecting them in with other opportunities and community.

Fr. Justin: When you took over as CEO recently of the Health Forward Foundation, in one interview that I read with you, you said that you want to always lead with purpose and with impact. So I'd love to learn from you and I'd love for you to share with our audience on the podcast right now, what personal leadership practices help you sharpen your purpose and your impact as an innovator in health equity and philanthropy?

Qiana: I think personally it's critical that we know what is our personal why. And we're not always clear on that in every season of our career, but for me my personal why, at least in this season, is to improve the lives of folk living in marginalized conditions. And note that I did not say marginalized people. I hate that phrase. I said marginalize conditions. 

Fr. Justin: That's that strength-based approach that you're talking about.

Qiana: Yeah, people are resilient. Communities are resilient. And so that is my personal purpose. And so, when and where possible throughout my career, I've done my best to align my personal purpose and value system with the organization. And if alignment wasn't there, I created it. And, for example, with my great friends at Blue Cross and Blue Shield of Kansas City, I went to Blue Cross as a social worker coming from the nonprofit realm who was a little bit intimidated to go over to the corporate side. I was also energized by the fact that I had done policy in the US Senate. I had done care delivery in the safety net system. I hadn't learned payment and I knew that that was key to health care. But I want it to also introduce healthcare payment to the social side of healthcare that I knew was a significant influencer on health outcomes. So it took me about six and a half, seven years to do that, but I was able to leverage the social capital that I've built within Blue KC to help them also realize the business value. As you pointed out earlier, sometimes it's not just the moral imperative, it's the business imperative. And when you can merge both, it's wonderful. So I was able to champion the inclusion of the social determinants of health and health equity into that corporate strategy. So I just use that as an example. We won't always have the luxury of finding a career opportunity that aligns with our passion and with our purpose, but use your capital, your social capital, your own assets to create that value, and find those win-wins.

Fr. Justin: Yeah, I love to talk about moving away from charitable intentions to integrated priorities because to me that's really what you're talking about, sort of getting beyond the charity bucket and saying well in my excess time, in my excess bank account, what's leftover I'll give. But what you seem to be talking about is really finding that missional alignment, really working, doing the self work that it takes to integrate your priorities, particularly in the social sphere in order to do social good from whatever company that you're in. Well, I always end every podcast with a question similar to this and I hope you'll be able to take us home with some really strong words of wisdom and some practical lessons that we can apply. But what do the leaders who are listening need to do in order to step up their social impact and become social leaders?

Qiana: I think a self assessment of your personal value system is always a great starting place. It should be our compass and identify a way to marry that to the social change and the leadership and the championship that this point in time in our country calls for. Then look about and see how you're positioned within your career within your company, how your company is uniquely positioned to make a change and to be a part of change. Whether it be in the health and human services sector, in the policy, sector, government, wherever it is, you have influence. And I encourage folks to use their influence for good and to do that with equity being centered in mind for all folk.

Fr. Justin: Thank you so much Qiana for spending some time with us, for just being such a wonderful Kansas City social leader, for typifying the kind of social leadership that this podcast is trying to highlight, and the amazing work of the Health Forward Foundation. I hope we get to visit with you again sometime very soon.

Qiana: Thank you. I appreciate it, Father Justin. Thanks for the time.

Fr. Justin: Hang tight with me for just a second while we wrap up. I wanted to tell you again that this podcast, The Social Leader, is sponsored by Reconciliation Services and in particular Thelma’s Kitchen. We've got something new and exciting that is coming up and it's called The Social Leader, a brand new experiential leadership development program that we'll be launching in the fall of 2020, as soon as the world opens up again. It will be an awesome opportunity to really go deeper. If you're interested in accelerating your social impact from the company that you're in now or if you're interested in differentiating yourself as a potential candidate for a job, because we all know there's a couple hundred million people that are going to be applying for jobs in the next couple of months, this is an awesome opportunity. So go to our website, down to the bottom of the page, answer a few questions, and one of our team will reach out to you to talk to you more about The Social Leader program, which is coming up very soon. So once again, thank you so much for joining me on The Social Leader episode seven. I hope you had a chance to learn something about health, health equity, and how we're going to move forward as a region with a health equity and a racial equity lens to do more social good together. Until next time.