"Eliminating Racial and Ethnic Health Disparities: A Little Less Talk and a Lot More Action": State Minority Health Representatives Leadership Meeting 2004 PDF
Preview "Eliminating Racial and Ethnic Health Disparities: A Little Less Talk and a Lot More Action": State Minority Health Representatives Leadership Meeting 2004
For Reference DoNotTakeFromtheLibrary eliminating Racial arib ^djnic Health Disparities: A Little Less Talk and A Lot More Action." StateMinorityHealthRepresentativesLeadershipMeeting2004 July19-21,2004 RenaissanceMayflowerHotel•Washington,DC OfficeofMinorityHealth OfficeofPublicHealthandScience U.S.DEPARTMENTOFHEALTHANDHUMANSERVICES Introduction TheOfficeofMinorityHealth(OMH)wasestablishedbytheU.S.DepartmentofHealthandHuman Services(HHS)in 1985,inresponsetoarecommendationfromtheHHSSecretary'sTaskForceon BlackandMinorityHealth.TheTaskForcerecommendedthatthereshouldbealocalpointwithin HHSforrespondingtominorityhealthissues.OMH'smissionwasdescribedasa"coordinativcandadvo- cacyrole,"withresponsibilitiesformonitoringactivitiesacrossthedepartmentindiseaseprevention,health promotion,servicedelivery,andresearchrelatedtoracialandethnicminoritypopulations. EarlyinOMH'shistory,theofficeadoptedastrategyofempoweringminoritycommunitiesbybuild- ingandstrengtheningviablepartnershipsacrosspublicandprivatesectors,formingaminorityhealth network.Thisvoluntaryandinformalnetworklinksfederal,state,andlocalhealthsystemswithindividuals andorganizationsaroundthenationthatareinvolvedinactivitiesintendedtoimprovethehealthstatusof racialandethnicminoritypopulations.Coordinationofmanyminorityhealth-relatedactivitiesoccursat thestatelevel,soprincipalpartnersinthisnetworkarestateorganizationalunitsthatfocusonminor- ityhealth issues.Thesepartnersarereferredtoasstateminorityhealthentities. Theformationofstateminorityhealthentitieshasbeencrucialtothesuccessfuloperationofthe minorityhealthnetwork.Theylinkfederalandlocaleffortstoimprovethehealthstatusofminoritypopu- alantdionUs..S.O-aMssHociahtaesdejnucroisudriacgtieodn.thIeneJsutnaebl1i9s9h0m,enOtMofHmihnoosrtietdyrheeparletshenetnattiitvieessoifntehaechfirssttatfei,vecsotmamteosnwtoeaelsttahb,- lishofficialminorityhealthentities: Indiana,Ohio,Michigan,MissouriandSouthCarolina. AsofJuly 2004,37statesmaintainedofficesofminorityhealth.Inaddition,ArkansasandOhiohasaCommission forMinorityHealthandastateOfficeofMinorityHealth,IndianahasastateOfficeofMinorityHealth andtheIndianMinorityHealthCoalition,andthereisanestablishedofficeinNewYorkCityandNew York. Agrowingnumberofminorityhealthentitiesarenowbeingestablishedatthelocallevel.The minorityhealthentitiesrangefromunitswithinstatehealthdepartmentstoindependentcommissions, advisorycommittees,programs,liaisonsandtaskforcesestablishedbygovernors,healthofficersandstate legislatures.EachhasamissionsimilartothefederalOfficeofMinorityHealth.Thestructureandorgani- zationalplacementoftheseentitiesdifferfromstatetostate. Thiscollection*ofprofilesprovidesanoverviewonthemissions,organizationalstructures,activities, andaccomplishmentsofsomeofthestateminorityhealthentities.Theprofilesincludegeneralinformation regardingcharacteristics,staffingandfundinglevels,aswellascontactinformation. Otherinformationincludesacompletelistoffederalhealthclearinghouses/centersandsourcesofhealth materialsforAfricanAmericans,AmericanIndians/AlaskaNatives,AsianAmericans,Hispanics,Native HawaiiansandotherPacificIslanders. VisitourWebsiteathttp:/Avww.oinhrc.govformoreinformation. Wehopeyoufindthisdocumentuseful. 3 StateMinorityHealthRepresentativesLeadershipMeeting2004 Alabama GwendolynS.Lipscomb,M.S.N.,R.N. Director DivisionofMinorityHealth AlabamaDepartmentofPublicHealth 201 MonroeSt.,Suite710 Montgomery,AL36104 334-206-5396 334-2065434Fax- E-mail:[email protected],us OrganizationalStructure/History locatEesdtawbiltihsihnedthaedmOifnfiiscteraotfivPerliymabryytChaersetaatnedheRaulrtahloHfefaicletrhiinnMtaheyAl1a99b1a,mathDeepMairnotrmietnytHoefaPlutbhliScecHteiaolnthi.s In1999,theMinorityHealthSectionestablishedaMinorityHealthAdvisor)'Councilcomposedoflegis- lators,consumers,clergy,academicprofessionals,healthprovidersandrepresentativesofthefourmajor ethnicpopulations. Purpose/MissionStatement ThemissionoftheMinorityHealthSectionisto:J)improvethehealthstatusofminoritypopulation;2) hmieimanplortrohivtpeylaapconcpneuislsnagttioaonnqsud.alpiotlyichyeailntfhorcmaarteiosnervaincdes:f4o)remninhoarnicteiesa;nd3)prpormoomtoetepumbilniocriatwyarperneessesnceofahnedalptahrtciacriepanteieodnsi0tj ProgramActivities AdvisoryCouncil •Assistscommunity-basedorganizationsidentifycommunityresourcesandpotentialfundingsources. •Promotescommunicationandinteractionstatewidetolearnabouthealthproblemsandtoimprove serviceaccess. • Engagesthecommunitiesbyholdingpublicmeetings,communityforumsandparticipationinactivi- ties. •Servesasaliaisontocommunityorganizations,otherstates,nationalorganizationsandthefederal government. •CompletedtasksinconjunctionwiththeMinorityHealthAdvisoryCouncil. LanguageSen/ices •Monitorsutilizationofthehealthdepartment'slanguageinterpretersservices.DuringOctober2002, rele-InterpretcrsofCaliforniawasselectedasthevendortoprovideoverthetelephonelanguageservices fortheAlabamaDepartmentofPublicHealthtoensureaccesstohealthservicesfortheno\i-English speakingclients.Tele-Interpreterservicesenablehealthdepartmentemployeestocommunicatewith clientsspeakinganyofthemorethan 140foreignlanguagesinterpretedviathelanguageline. 5 StateMinorityHealthRepresentativesLeadershipMeeting2004 HealthInformationDissemination •Distributesaquarterlycalendarofminorityhealtheventstoover500community-basedorganizations. • InJanuary2002,produced"OurMulti-CulturalPopulation,"abrochureandresourceguideforun- derstandinghealthissuesofthediversepopulationinAlabama. •InJune2002,published "AlabamaAtlasofRacialDisparitiesinMortality"inconjunctionwiththe CenterforHealthStatistics. •InJune2003,developeda—minorityhealthWebpagethatcontainshealthdataandstatisticsonAlabama's multiculturalpopulation http://www.adph.org/minorityhcalth HealthPlanning/PolicyDevelopment •Collaborateswithintra-andextra-departmentalagenciestoreviewthelinquisticallyappropriatenessof themedicalandhealthdocumentscompletedbythelimitedEnglishproficiency(LEP)population. •Developedanddistributedstate-widetwonewpoliciesinJune2003toensurethehealthdepartment's compliancewithfederalstatutes;A)Interpreter/TranslatorPolicy,andB)PolicyforCompliancewith TitleVIoftheCivilRightsActof1964. •CompletedinconjunctionwiththepolicyoftheAlabamaDepartmentofPublicHealththatallsuper- visorscompletetraininginmanagingadiverseworkforceandcommunicatinginamulticulturalenvi- ronmenttoeliminatedisparitiesinhealthandenddiscrimination. HealthPromotion/DiseasePrevention •Participatesonalldiseaseprogramadvisorycommitteeswithinthestatehealthdepartment. •Playsacontinuingroleinco-sponsoringhealthseminars,workshopsandhealthfairswithlocalcommu- nityorganizationsandprovidesculturallyappropriatehealtheducationmaterialstotheparticipants. •WorkswiththeCommunityCareNetwork,avolunteerorganizationofphysicians,nurses,pharmaceu- ticalrepresentatives,andnutritionistsinthecommunity.(Theorganizationsponsorshealthseminars, healthfairsandworkshopstopromotehealtheducationtotheunderscrvedpopulationtopreventheart diseaseandstrokes,improvehypertension,anddecreasecardiovasculardiseaseratesintheircommu- nity. ThisinitiativewasmadepossiblethroughfundingfromRegionIV,OfficeofMinorityHealthin 2000,andtodayissupportedbyRobertWoodJohnson,FaithInActionfunding.). •Willco-sponsorahealthdisparitiessummitwithUAB,CenterforMinorityHealthandResearchin 2004.Thesummitwillbringtogethermulticulturalcommunityorganizations,academicinstitutions andmedicalentitiesinthestatewhohavereceivedfundingtoaddresshealthdisparities. Thepurpose oftheonedayopenforumistolookatgeographicalareasofthestateaswellasethnicpopulationsnot includedininterventionsaddressinghealthdisparities,andtodevelopacomprehensivestrategyto shareresources. Training/TechnicalAssistance •Co-sponsoredathree-partseriesonCulturalCompetentApproachestoHealthCareServiceswiththe AlabamaPrimaryHealthCareAssociationandtheAreaHealthEducationCenterfromOctober2001 throughApril2002.ThislivesatellitevideoconferencewasfundedbyHRSAandviewedby40states. •CollaboratedwithOfficeonWomen'sHealthonajointtraininginJuly2003,todevelopanational databaseforminorityhealthdatacollection. •Providesstate-wideregionaltraininginthreespecificareas:a)culturalcompetencyinservingdiverse populations;b)reducingtheriskofsuddeninfantdeathsyndrome(SIDS)inAfricanAmericansandc) healthpromotionpracticesfortheincarceratedinmates. 6 StateMinorityHealthRepresentativesLeadershipMeeting2004 •Co-projectmanagesforwocommunitybasedprojectsfundedbytheFederalOfficeofMinorityHealth addressinglanguageandculturalbarrierstohealthservices. •CfSReeeosrssmvpiimoocnuneasnliCibsotltreyupdfseHonerttarsltathihwen.hipnorgiPpmrpaaorrrogtyjriecaccimatpraetpkernrooeivnciwrdnaueisaststmcrleuSinnctEitcuAaarlnReddeCxHrlpeee—tarerinneStintincuogednseenaxictpntsei/rvpRiirteeiisnemicsaderebynyitntsorpvareEiirxnsmpieaenerrgiiynfegoncrcatreheesleiagaNinnabdtdleifoRahnoematailallttyHiheopanprlratoci-h-n tice,workingwithundcrscrvedpopulationsindesignatedhealthprofessionalandmedicalshortage areasofthestate. Resources istraTtihveesMuipnpoorrittystaHfef.alTthheSoefcftiicoenriescesitvafefdedonwei-tthimoenefudnirdeicntgor,toansuapspsoirsttanltocdailrepcrtoojrecatsndtoonaeddrfuelslstciomemmaudnmiitny- levelminorityhealthproblemsin2003. TheMinorityHealthSectionexpendituresareincludedinthe overallstatefundsfortheOfficeofPrimaryCareandRuralHealthDevelopment. Iheoffice'sapproximateexpendituresforFY2001-2003were: Funds State Federal Private Total FY2001 S85,500 $0 SO $85,500 FY2002 $85,500 SO SO S85500 FY2003 $94,424 $0 SO $94424 7 StateMinorityHealthRepresentativesLeadershipMeeting2004 Arizona MiriamVega,M.D.,M.P.H. Director CenterforMinorityHealth OfficeofHealthSystemsDevelopment ArizonaDepartmentofHealthServices 1740WestAdamsSt.,Room410 Phoenix,AZ85007 602-542-1219 602-542-2011 Fax E-mail:[email protected] OrganizationalStructure/History In1991,theArizonaDepartmentofHealthServices(ADHS)publishedareportentitled"Closingthe Decade,"documentingfactsthatArizona'sethnicminoritypopulationswereexperiencingaboveaverage incidenceofdeathanddisease. Followingthereleaseofthisreport,thechiefofthehealthdepartments thenOfficeofLocalHealthheldmeetingswiththedirectorandstaffattheRegionIXofficetodiscussthe desirabilityofcreatingaminorityhealthentityinthehealthdepartment. In1992,thehealthdepartmenthelditsfirstminorityhealthconference,followedbyasecondonein October1993,thesamemonththatthedirectoroftheDepartmentofHealthServicescreatedtheCenter forMinorityHealth. TheOfficeofLocalHealthbecametheOfficeofLocalandMinorityHealth. Recently,thedepartmentunderwentanorganizationalchange,andtheCenterforMinorityHealth movedfromtheOfficeofLocalandMinorityHealthtotheOfficeofHealthSystemsDevelopment.The OfficeofHealthSystemsDevelopmentfocusesonaccesstocareprimarilyamongvulnerablepopulation andleadstheArizona2010activitiesandprogramstodecreasehealthdisparities. Therefore,theCenterfor MinorityHealthbuildsuponacross-sectionalteamapproachandintra-agencyeffortintegration. Purpose/MissionStatement ThemissionoftheCenterofMinorityHealthistodevelopasystemtoidentifyandassessthehealthneedsof ethnicminoritycommunitiesinArizonaandworkwiththosecommunitiestoimprovehealthoutcomesanddecrease healthdisparities. TheArizonaCenterforMinorityHealthhasthreemaingoals,aroundwhichastrategicplanwill develop: •Createacoordinatedsystemamongtheagency'sactivitiesandprogramsthataddressneedsofminority populations. •IncreaseculturalawarenessamongADHSstaffandincorporatestandardsofculturallyresponsivenessin allservicesprovided(directlyorindirectly)byADHS. •Improvecapacityofminoritycommunitiesforhealthpromotionanddiseaseprevention. 8 StateMinorityHealthRepresentativesLeadershipMeeting2004 ProgramActivities •BuildaninventoryofcurrentADHSminorityhealthinformation,byrequestingprogrammaticinfor- mationacrossallthreedivisions,collectingandreviewinghealthstatisticsdocuments,andmaintaining aasnriensvoeunrtcoeryanodftcheinstrianlfopromianttioonficnonotradcetrftoorbAeDtHheSceonntramlinroerpiostiytohreyalftohrmisisnuoesr,itayshweealllthasdattoamaankdesetrhvies informationaccessibleandusefultominoritycommunitiesthroughoutthestate. •PromoteculturallyappropriateandlinguisticallyaccessibleservicesforallpersonsservedbyADHS, andincorporatetheCLASstandardstotheoveralldepartment'sstrategicplan. •Formaminorityhealthnetworkbyidentifyingethnicminoritycommunitiesandorganizationsinthe stateandbuildingadirector)'ofminorityhealthstakeholdersinthestate. •ConveneaMinorityHealthAdvisor)'Board,developaninternalandexternalminorityhealthdirectory, andperformaninternalassessmentofminorityhealthresourceswithinADHSareshort-termobjec- tives. Resources Themainresourceistheteamapproachtodecreasehealthdisparities. AlsotheCenterforMinori rHeesaolutrhceswilalrecAonDvHeSn'eastnaffa,dvsipsaocreyabnodaredqutihpamtenwitl.lgiverecommendationsandhelptosetpriorities.Oth 9 StateMinorityHealthRepresentativesLeadershipMeeting2004 Arkansas ChristineB.Patterson Director StrategicManagement/OfficeofMinorityHealth ArkansasDepartmentofHealth 4Li8tt1l5eWReosctk,MAarRk7h2a2m05St.,Slot22 501-661-2193 501-661-2414 Fax E-mail:[email protected] JoyCarrington,M.S.W.,M.Div. ProgramCoordinator OfficeofMinorityHealth ArkansasDepartmentofHealth 4815WestMarkhamSt.,Slot22 LittleRock,AK72205 501-661-2958 501-661-2414 Fax E-mail:jcarrington<?'hcalthyarkansas.com OrganizationalStructure/History TheArkansasOfficeofMinorityHealthislocatedwithinStaffServices. ThedirectoroftheHealth Departmentestablishedtheofficein1991becauseofherconcernregardingthedisparityinhealthstatusof minoritypopulations.TheofficeworkscloselywiththeArkansasMinorityHealthCommissionthatwas establishedbylegislationinJuly1991 (Act912). TheArkansasMinorityHealthCommissionassuresthat allminorityArkansansaccesstohealthcarethatisequaltothecareprovidedtoothercitizensofthestate andtoseekwaystoprovideeducation,address,treatandpreventdiseasesandconditionsthatareprevalent amongminoritypopulations. Therearefourareasofresponsibilitythatthecommissionistasked.Theyare- asfollows: •Studyissuesrelatingtothedeliveryofandaccesstohealthservicestominoritiesinthestate •Identifyanygapsinthehealthservicedeliverysystemthatparticularlyaffectminorities •Makerecommendationstotherelevantagenciesandtothelegislatureforimprovingthedeliveryofand accesstothehealthservicesforminorities •Studyandmakerecommendationsastowhetherservicesareavailabletoinsurefutureminorityhealth needswillbemet. In1993,theDepartmentofHealthhiredadirectorfortheoffice,andtheMinorityHealthCommis- sionobtainedfundingfromthelegislaturetohireitsdirector.Thecommissionisafreestandinglegislative- entity(reportingdirectlytotheGovernor'sOffice)thatcollaborateswiththestateOfficeofMinority Healthonmanyinitiatives. 10 StateMinorityHealthRepresentativesLeadershipMeeting2004 Purpose/MissionStatement TheArkansasDepartmentofHealth,OfficeofMinorityHealth's(OMH)missionistoassistinensuringthat healthservicesareappropriate,accessible,andsensitivetotheneedsoftheminoritypopulation. agarEalnotbijzetairvoqudeellaosOsfeircviincaiodsedSealsuadlupdarsacaMninaodreicausad(osO,MHac)cesdiebllDesepyarstenasmiebluetsoadelaSsalnaedcedseidAardkeasnsdaeslcaspcoonbtlraicbiuoinr minoritaria. AR-OMH'spurposeistoadvocateforthedevelopmentofpoliciesandprogramsthatimprovethe healthofracialandethnicminorityhealth. HealthyPeople2010isafederalmandatetoeliminateethnic andAraRci-alOMdiHsparciotlileasb,oraantdesAwRit-hOMalHl'tshelperaodgerracmosorwdiitnhaitnesthteheArakgaennscya'ssDaecptiavrittimeesnttooafccHoemaplltihshtotahidsdrgeosasl.the needsofminoritypopulations. Weprovidetechnicalassistancetothecommunityintheareaofasset mapping;grantproposaldevelopment,culturalcompetency,coalitionbuilding,andreferralstoourcon- stituents. AR-OMHcanprovideassistancewith: •Developingmodelprogramsanddemonstrationprojectsthatincorporateinnovativeapproachesfor improvingthehealthofracialandethnicminorities. •Culturallycompetentcurriculumstoensureservicesareprovidedinthelanguageandculturalcontext mostappropriateforclients. •Referralsforlanguageinterpretationand/ortranslationservices. •CoordinatingeffortswiththeArkansasMinorityHealthCommission,communitybasedorganizations andotheragenciesthatarefocusingonimprovingthehealthofminorities. •Pursuingappropriatefundingstreams,includingstate,federalandprivatefoundationsources. •Promotingcommunityoutreachbyparticipatinginpublicmeetingsandcommunitysponsoredactivi- ties. •Accesstohealthcare. •Culturalcompetency. •Fundinginformationandgrantwriting. ProgramActivities ThemajorityoftheArkansasOfficeofMinorityHealth'sactivitiesareintheareaofpolicydevelopment aconldlaabdovroactaicoyn.sLAiRst-edObMeHlowisisinavosluvmedmairn:yofsomeoftheinitiatives,conferences,coalitions,consortiumsand ArkansasCancerCoalition(ARCC) •Statewidenetworkconsistingoforganizationsandindividualscommittedtothegoalofimprovingthe healthofArkansans. •MissionistoreducethehumansufferingandeconomicburdenfromcancerforallArkansascitizens. •aAscstiisvtiitnigesAiRncClCudepatrhtenearswawridtihngvaorfiocuosmpoeuttirteiavceh"amctiinvii-tgiersa,ntssu"ppfoorrtiinngnovpartoifevsesicoonmalmuannidtyp-ubbalsiecdedpurcojaetcitosn, surroundingvariouscancertopics,andplanningforbreastcancerandprostatecancerconferences. SPtaartteneFraicntgsw&ithFigtuhreesA"rkraenpsoarstCaanndcecrounRetgyisctarnycearndfacttheshAemetesr.icanCancerSocietytocreatean"Arkansas StateMinorityHealthRepresent1at1ivesLeadershipMeeting2004 ArkansasKidneyFoundationCoalition •AR-OMHsupportsthiscoalitionbybeinganactiveparticipant. Coalitioniscomprisedofproviders whodevelopedaprogramtoaddresstheincreasingnumberofminoritypersonswhowereutilizing dialysisservices. Oneofthemajorcontributingfactorstotheincreaseinnumberwasthehighinci- denceofhypertension. •ProvidesbloodpressurescreeningsthroughoutArkansasforcommunitygroupsandchurches. ARKIDSFirstDirectOutreachStatewideCoalition •Coalitionwasconvenedinanefforttohaveallinterestedpartiescometogethertotalkaboutandreview aproposalfromtheRobertWoodJohnsonFoundation. Thecoalitionwantedtogarnersupportof variousagenciesinArkansasabletocontributeeitheraportionofthematchfundingintheoutreach initiativeandorsupporttheeffortsoftheproposedgrant.Thecoalitionwouldreceivefundingfora periodoffouryearstoworkwithminoritypopulations,developandsustaincommunityoutreach activitiesandbuildnetworkinginfrastructurewithArkansasagenciesofsimilarinterest. Oncefunding wassecuredthecoalitionchangeditsnameto"CoveringKidsandFamiliesCoalition." ArkansasLegislativeBlackCaucusRetreat •In2003,theArkansasLegislativeBlackCaucusconveneditsfirstretreatheldinanon-electionyearand reviewedsuccessfulandunsuccessfullegislativeinitiativesproposedinthesessionofthe84thCeneral Assembly. AnnualeventaimstoaddresstheproblemsendemictominorityArkansans,resolveissuesin planningforthenextlegislativesessionandproducealegislativeagendafortheupcomingsessionso thateachmembercaneffectivelyrepresentthepeopleoftheirrespectivedistrictaswellasthebest interestofthestateofArkansas. Thecaucus'smissionistofostereconomicgrowththroughoutArkan- sas,cultivateopportunitiesforwealthandahigherstandardoflivingforminorityandlow-income Arkansans. Italsoservestoeffectahealthierstatepopulation,encourageanactiveandinformedciti- zenryandprovideequalopportunitiesforeven'childtoreceiveaqualityeducation. ArkansasMartinLutherKingJr.LeadershipConference •AnnualeventsponsoredbytheArkansasMartinLutherKing,Jr.Commissiondesignedspecificallyto assistpresentandpotentialleadersharnessandunselfishlydirectthisinstincttoimprovetheirlives, theircommunities,andthestateofArkansas. •Programwasframedtoattractadiversecross-sectionofpeoplefromallareasofthestate. Participants rangedfromthosehavingawealthofleadershipexperiencetothosewhopossessonlythedesiretoserve andtoworkforpositivechange,butlittleornoexperience. ArkansasMinorityHealthConsortium • Identifies,reviewsanddiscussesissuesrelatedtothedeliveryofandaccesstohealthcareservicesand gapsinthehealthservicesdeliverysystems. •Consortiumalsomakespolicyandproceduralrecommendationsontheavailabilityofadequateservices forat-riskminoritypopulationswithintheparticipatingagencies. •Providesaforumforparrnerupdates,informationaldisseminationandthedeliver)'oflegislativerecom- mendations. •ConceptionanddevelopmentbySenatorTracySteele. 12 StateMinorityHealthRepresentativesLeadershipMeeting2004
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