Eliminating Racial and Ethnic Disparities in Health, Report to Congress: FY 1998/1999

496 Pages·1999·17 MB·English

U. DEPARTMENT OF HEALTH AND HUMAN SERVICE!
S.
OFFICE OF MINORITY HEALTH

mH9«W)3U3
AND
ELIMINATING RACIAL
ETHNIC DISPARITIES
IN
HEALTH
Report Congress
to
Office of Minority Health
Department of Health and Human Services
APRIL 1,1999

FROM THE DIRECTOR
In meeting the needs ofracial and ethnic
minorities, we have identified key partners,
including Federal agencies, national health
Since 1986, the Office ofMinority Health
and health related organizations, national
(OMH) has served as the nation's focal point
minority organizations, State offices of
for addressing health disparities which exist
minority health, community-based
between the nation's racial and ethnic
organizations, universities, and private
populations and the general population.
foundations to work with us.
This report, EliminatingRacial andEthnic
Disparities in Health, is the fourth biennial
OMH During 1998, the Department's launch ofa
report submitted since was
new Initiative to Eliminate Racial and
legislatively established under the
Ethnic Disparities in Health, and the
Disadvantaged Minority Health
announcement ofthe proposed goal of
Improvement Act of 1990 (Public Law 101-
eliminating disparities for Healthy People
527). EliminatingRacial andEthnic
2010 (national disease prevention and health
Disparities in Health presents the activities
OMH promotion goals for 2010), have allowed
and accomplishments of and the OMH
expanded opportunities to work with
Department ofHealth and Human Services
new partners to further the goal of
in Fiscal Years 1997 and 1998 and
eliminating racial and ethnic disparities in
summarizes programmatic evaluations
health.
conducted by OMH.
The Health Professions Education
Upon my assumption ofthe position and
Partnership Act of 1998, (P.L. 105-392),
duties ofthe Acting Deputy Assistant
includes a reauthorization ofthe Office of
Secretary for Minority Health and Director
ofOMH, the mandate and focus were clear - Minority Health. Section 201 (f) (2) ofthe
reauthorization states that the heads ofthe
- to improve the health status ofracial and
Public Health Service agencies are to submit
ethnic minorities by ensuring that minority
to the Deputy Assistant Secretary for
health issues are addressed at all levels of
Minority Health a report summarizing the
government and in the private sector. Key
minority health activities ofeach ofthe
to our success has been OMH's ability to
respective agencies. This is a new
provide leadership, actively promote and OMH
requirement for in reporting minority
assist in the development of the health
health activities and FY 1999 represents the
infrastructure at the Federal, State, Tribal OMH
first year for this reporting. The is
and local levels. Through various means,
pleased to include with this report, in the
including policy analysis, coordination and
appropriate attachments, the minority health
development, advocating for improved data
activities reflective ofour partnerships with
collection and analysis, demonstration
agencies.
programs, program review and evaluation,
OMH
and information dissemination, has OMH
The will continue to build upon best
been able to effect change in improving and
practices, advocating for change where
strengthening the public health infrastructure
change is needed, and providing support and
necessary to address disparities in health
technical assistance as needed. With our
care impacting minority health.
goal ofeliminating racial and ethnic
disparities in health, we call upon our
partners in both the public and private
sectors to assist us by helping to assure a
healthy start for every child; promoting
personal responsibility for healthier
lifestyles and behaviors; and enhance mental
health prevention, treatment, and outcomes.
By applying sound science to public health
policy and programs and by educating
people and communities about prevention,
health, and the health care system, we will
stimulate research, policies, and the
development and implementation of
interventions that improve the Nation's
health and, thereby, eliminate racial and
ethnic disparities in health. With this in
mind, it is with great pleasure that I transmit
this Report to Congress, highlighting the
major activities ofthe Office ofMinority
Health.
Nathan Stinson Jr., PhD, MD, MPH
Acting Deputy Assistant Secretary for
Minority Health
u
TABLE OF CONTENTS
FROM THE DIRECTOR
i
ACRONYMS AND ABBREVIATIONS
vi
HEALTH PROFILE OF RACIAL AND ETHNIC MINORITIES
1
MISSION OF THE OFFICE OF MINORITY HEALTH 3
ORGANIZATION AND STRUCTURE 4
Office ofthe Director 5
Division ofPolicy and Data 5
Division ofInformation and Education 5
Division ofProgram Operations 5
Division ofManagement Operations 5
EQUITABLE ALLOCATION OF RESOURCES 6
PROGRAMMATIC AND POLICY ADVANCEMENT ACTIVITIES 8
Office ofMinority Health Resource Center 8
Information and Education Projects 11
MINORITY HEALTH NETWORK
12
Federal Component 12
Federal Activity in the Regions 12
State Focused Activities 19
PROGRAMMATIC AND FINANCIAL ASSISTANCE 22
OMH-Funded Grants 22
Minority Community Health Coalition Demonstration Grants 22
Bilingual/Bicultural Service Demonstration Grant Program 23
Basic Cooperative Agreements 24
Children's Hospital ofPhiladelphia 24
City University OfNew York Research Foundation/Health Force 24
Family and Community Violence Prevention Program 24
Prevention ofCancer in Minority Populations 25
OMH
Funded Umbrella Cooperative Agreements 25
Asian and Pacific Islander American Health Forum 25
Association ofAsian Pacific Community Health Organizations 26
Aspira Association, Inc 27
Hispanic Association ofColleges and Universities 27
Interamerican College ofPhysicians and Surgeons 28
in
National Asian Pacific American Families Against Substance Abuse 28
National Coalition ofHispanic Health and Human Services Organizations 29
National Council ofLa Raza 30
National Hispanic Medical Association 31
National Latino Children's Institute 31
National Medical Association 32
Minority Health Professions Foundation 32
National Association for Equal Opportunity in Higher Education 34
Association ofAmerican Indian Physicians 35
American Indian Higher Education Consortium 36
National Minority AIDS Council 37
MEMORANDA OF UNDERSTANDING/ AGREEMENT 38
Minority Training Institute 38
National Health Interview Survey 38
National Association ofHispanic Serving Health Professions Schools 38
Seattle Indian Health Board 38
SPECIAL INITIATIVES/OTHER ACTIVITIES: ELIMINATING RACIAL AND ETHNIC
DISPARITIES IN HEALTH 39
White House Initiative on Historically Black Colleges and Universities 39
White House Initiative on Educational Excellence for Hispanic Americans and
Hispanic Agenda for Action 40
White House Initiative on Tribal Colleges and Universities 41
Tribal Consultation 42
Asian American and Pacific Islander Initiative 43
Healthy People 2000 44
DHHS
Initiative to Eliminate Racial and Ethnic Disparities in Health 45
Center for Linguistic and Cultural Competence in Health Care 46
Presidential Fatherhood Initiative 48
Managed Care Activities 48
Report to the Secretary on HIV/AIDS in Racial and Ethnic Communities 50
DATA POLICY ACTIVITIES 50
EVALUATION ACTIVITIES 52
APPENDIX 1: DISADVANTAGED MINORITY HEALTH IMPROVEMENT ACT 57
APPENDIX 2: HEALTH PROFESSIONS EDUCATION PARTNERSHIP ACT OF 1998 59
APPENDIX FEDERAL REGISTERNOTICE
3: 63
APPENDIX 4: OFFICE OF MINORITY HEALTH COOPERATIVE AGREEMENTS 65
IV
ATTACHMENT AGENCY FOR HEALTH CARE POLICY AND RESEARCH. ....... 66-125
1 :
ATTACHMENT 2: CENTERS FOR DISEASE CONTROL AND PREVENTION 126-219
ATTACHMENT 3: FOOD AND DRUG ADMINISTRATION 220-235
ATTACHMENT 4: HEALTH RESOURCES AND SERVICES ADMINISTRATION 236-322
ATTACHMENT 5: INDIAN HEALTH SERVICE 323-324
ATTACHMENT 6: NATIONAL INSTITUTES OF HEALTH 325-373
ATTACHMENT SUBSTANCE ABUSE AND MENTAL HEATH SERVICES
7:
ADMINISTRATION 374-388
ATTACHMENT 8: ADMINISTRATION ON AGING 389-391
ATTACHMENT 9: ADMINISTRATION ON CHILDREN AND FAMILIES 392-429
ATTACHMENT 10: HEALTH CARE FINANCING ADMINISTRATION 430-470
ACRONYMS AND ABBREVIATIONS
AAIP Association ofAmerican Indian Physicians
AAPCHO Association ofAsian Pacific Community Health Organizations
AHCPR Agency for Health Care Policy and Research
AIDS Acquired Immune Deficiency Syndrome
AIHEC American Indian Higher Education Consortium
AMHPS
Association ofMinority Health Professions Schools
ANMA
Auxiliary to the National Medical Association
APACSA Asian and Pacific American Consortium on Substance Abuse
APHA
American Public Health Association
APIAHF Asian and Pacific Islander American Health Forum
APIHIN Asian and Pacific Islander Health Information Network
A/PI Asian and Pacific Islanders
AI/AN American Indian/Alaska Native
CBO Community-Based Organization
CDC
Centers for Disease Control and Prevention
CFR Code ofFederal Regulations
CHIP Children's Health Insurance Program
CLCCHC
Center for Linguistic and Cultural Competence in Health Care
COE
Center ofExcellence
COPD
Chronic Obstructive Pulmonary Disease
COSSMHO National Coalition ofHispanic Health and Human Services Organizations
CTG "Closing the Gap"
DHHS Department ofHealth and Human Services
DIE Division ofInformation and Education (OMH)
DMO
Division ofManagement Operations (OMH)
DPD Division ofPolicy and Data (OMH)
DPO Division ofProgram Operations (OMH)
DWG
Departmental Working Group
DWG-TCU
Departmental Working Group on Tribal Colleges and Universities
FDA Food and Drug Administration
FY Fiscal Year
GPRA
Government Performance and Results Act
HAA
Hispanic Agenda for Action
HAI Hispanic American Initiative
HBCU
Historically Black Colleges and Universities
HHLP
Hispanic Health Liaison Project
HIV Human Immunodeficiency Virus
HRSA
Health Resources and Services Administration
ICPS Interamerican College ofPhysicians and Surgeons
IHS Indian Health Service
LEP Limited English Proficiency
VI