SlideShare ist ein Scribd-Unternehmen logo
1 von 35
Paving the Way: CLAS & Policy,[object Object],Darci L. Graves, MA, MA,[object Object],Senior Health Education and Policy Specialist,   SRA International, Inc.,[object Object]
Paving the Way: CLAS & Policy
Overview,[object Object],Paving the Way… ,[object Object],Legislation, Policy and Health Disparities,[object Object],Cultural Competency Legislation,[object Object],Impact of Cultural Competency Legislation ,[object Object]
What do we mean by culture?,[object Object],Graves, 2001 (revised 2011),[object Object]
Cultural and Linguistic Competence in Health,[object Object],A set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations. ,[object Object]
Fiorello H. LaGuardia ,[object Object]
Policy & Publication Timeline,[object Object]
Paving the Way: CLAS & Policy
HHS Office of Minority Health: National CLAS Standards ,[object Object],The CLAS Standards were developed by OMH in December 2000 as a means to improve access to health care for minorities, reduce disparities, and improve quality of care.,[object Object],There are currently 14 standards which are divided into 3 themes. ,[object Object],The National CLAS Standards Enhancement Initiative launched in fall of 2010 and the second iteration of the Standards are due for release in Fall 2011.,[object Object]
Statewide Plans to Reduce Health Disparities ,[object Object],National Conference of State Legislatures ,[object Object]
Summary of State Law Requirements Addressing Language Needs in Health Care,[object Object],National Health Law Program,[object Object]
Legislation regarding Cultural Competency Training,[object Object],Dark Blue denotes legislation requiring (WA, CA, NJ, NM) or strongly recommending (MD) cultural competence training, which was signed into law. ,[object Object],Purple denotes legislation which has been referred to committee and is currently under consideration.,[object Object],Royal Blue denotes legislation which died in committee or was vetoed.,[object Object]
Paving the Way: CLAS & Policy
HHS Plans for AddressingHealth Disparities & Health Equity ,[object Object]
Released in Spring 2011,[object Object],THE HHS ACTION PLAN TO REDUCE RACIAL AND ETHNIC HEALTH DISPARITIES,[object Object],NATIONAL STAKEHOLDER STRATEGY FOR ACHIEVING HEALTH EQUITY,[object Object]
First Examples of Mandated Legislation,[object Object],New Jersey, California ,[object Object],and Washington,[object Object]
New Jersey – 2005 (#Bill S144),[object Object],The State Board of Medical Examiners shall prescribe the following requirements for physician training, by regulation, in consultation with the Commission on Higher Education:,[object Object],(e) A physician licensed to practice medicine in this State shall be required, as a condition of relicensure, to document completion of cultural competency training [] to the satisfaction of the board no later than three years after the effective date of this act.,[object Object]
California – 2005 (#AB 1195),[object Object],[object Object],[object Object],[object Object]
Implications of Cultural Competency Legislation: A Case Study,[object Object],New Jersey,[object Object]
Mandatory cultural competency education garners some criticism; however, many feel that it will improve patient-provider interactions, compliance, and patient satisfaction.,[object Object],New Jersey: A case study on the implications of legislation for cultural competency curricula ,[object Object],Legislative Mandates on Cultural Competency Training,[object Object]
Think Cultural Health from the HHS Office of Minority Health,[object Object],Continuing education programs that equip health professionals with awareness, knowledge, and skills to treat diverse patients,[object Object],Up-to-date information on issues related to cultural competency and health disparities,[object Object],Tracking of cultural competency legislation around the country,[object Object]
A Physician’s Practical Guide to Culturally Competent Care,[object Object],Free, online program accredited for physicians, physician assistants, and nurse practitioners,[object Object],Designed to equip physicians with the awareness, knowledge and skills to treat diverse patients and improve quality of care,[object Object]
A Physician’s Practical Guide to Culturally Competent Care,[object Object],Two-year evaluation results: Curriculum participation results in development of knowledge, awareness and skills related to cultural competency.,[object Object],The curriculum shows the potential for improving health outcomes and ultimately mitigating racial and ethnic health disparities.,[object Object]
Assessing the Impact of Cultural         Competency Mandates,[object Object],Mandatory training may be an ideal way to promote cultural competency as an effective strategy to eliminate health disparities:,[object Object],Higher exposure to cultural competency due to legislative requirements,[object Object],Higher exposure to cultural competency creates a workforce equipped to provide quality care to diverse patients,[object Object]
Assessing the Impact of Cultural         Competency Mandates,[object Object],New Jersey mandated 6 hours of cultural competency continuing education for physician relicensure.,[object Object],Examination of differences in attitudes about cultural competency between individuals who self-select to take the program and those who take it to fulfill a mandate. ,[object Object]
Assessing the Impact of Cultural         Competency Mandates,[object Object],Self-reflection components of the curriculum were compared among mandated and non-mandated individuals. ,[object Object],Physicians’ attitudes related to cultural competency were similar for mandated and non-mandated participants.,[object Object]
Assessing the Impact of Cultural         Competency Mandates,[object Object],Large increases in New Jersey physician participation in the cultural competency curriculum,[object Object],		New Jersey physician participants,[object Object]
Cultural Competency Mandates,[object Object],Mandatory cultural competency education garners some criticism, including the idea that forced training will create negative reactions to cultural differences or cross-cultural efficacy. ,[object Object],However, these concerns seem to be unfounded based on these results.,[object Object]
Implications – Potential for Cultural Competency Mandates,[object Object],Completion of the physicians’ curriculum, whether mandated or not, increases cultural competency knowledge and may improve practice behavior. ,[object Object]
Implications – Potential for Cultural Competency Mandates,[object Object],This negates criticism that mandatory cultural competency training is ineffective because mandated providers will show reluctance in grasping cultural competency concepts. ,[object Object],Mandates may be an ideal way to help improve care and ultimately help eliminate health disparities. ,[object Object]
Summary,[object Object],Cultural competency education has the potential to improve patient-provider interactions, compliance, and patient satisfaction.,[object Object],Through cultural competency education mandates, policy can play a vital role in eliminating health disparities.,[object Object]
Places to Learn More,[object Object],[object Object],www.ThinkCulturalHealth.hhs.gov,[object Object],[object Object],www.ncsl.org,[object Object],[object Object],www.healthlaw.org/,[object Object],[object Object],www.minorityhealth.hhs.gov,[object Object]
For questions or additional information, contact:,[object Object],Darci L. Graves, MA, MA,[object Object],Darci_Graves@sra.com,[object Object],www.ThinkCulturalHealth.hhs.gov,[object Object]
Paving the Way: CLAS & Policy
Paving the Way: CLAS & Policy

Weitere ähnliche Inhalte

Was ist angesagt?

Determinants of delivery of health services by community health workers a cas...
Determinants of delivery of health services by community health workers a cas...Determinants of delivery of health services by community health workers a cas...
Determinants of delivery of health services by community health workers a cas...Alexander Decker
 
Roles.Agents.Navigators.Play.In.Exchanges.Eba.Article.4.1.11
Roles.Agents.Navigators.Play.In.Exchanges.Eba.Article.4.1.11Roles.Agents.Navigators.Play.In.Exchanges.Eba.Article.4.1.11
Roles.Agents.Navigators.Play.In.Exchanges.Eba.Article.4.1.11Robert Hutt
 
Health system of Philippines ppt
Health system of Philippines pptHealth system of Philippines ppt
Health system of Philippines pptDr. Bhamini Thukral
 
Legal ways of marketing dental practice in India
Legal ways of marketing dental practice in IndiaLegal ways of marketing dental practice in India
Legal ways of marketing dental practice in IndiaDr. Ankit Mohapatra
 
Presentation on Public Health Competencies
Presentation on Public Health CompetenciesPresentation on Public Health Competencies
Presentation on Public Health CompetenciesPratikshya kisiju
 
Comments on the hhs strategic plan 2010
Comments on the hhs strategic plan 2010Comments on the hhs strategic plan 2010
Comments on the hhs strategic plan 2010The National Council
 
WA DOH State Plan for Healthy Communities Recommended Changes - PowerPoint - ...
WA DOH State Plan for Healthy Communities Recommended Changes - PowerPoint - ...WA DOH State Plan for Healthy Communities Recommended Changes - PowerPoint - ...
WA DOH State Plan for Healthy Communities Recommended Changes - PowerPoint - ...James Harvey, Ed.S., BCPC, AAC
 
Christopher p digiulio md - building integrated health service networks
Christopher p digiulio md -  building integrated health service networksChristopher p digiulio md -  building integrated health service networks
Christopher p digiulio md - building integrated health service networksChristopherp3
 
Public Healthcare vs Private Healthcare in India A Systematic Review
Public Healthcare vs Private Healthcare in India   A Systematic Review Public Healthcare vs Private Healthcare in India   A Systematic Review
Public Healthcare vs Private Healthcare in India A Systematic Review Unnati Kalwani
 
Lesson3 Components
Lesson3  ComponentsLesson3  Components
Lesson3 Componentsguest96d5da
 
Improving the accessibility of heath services in urban and regional settings ...
Improving the accessibility of heath services in urban and regional settings ...Improving the accessibility of heath services in urban and regional settings ...
Improving the accessibility of heath services in urban and regional settings ...Dr Lendy Spires
 
Health sector decentralization in Nepal report
Health sector decentralization  in Nepal reportHealth sector decentralization  in Nepal report
Health sector decentralization in Nepal reportrakshya sharma
 
6.utilization of dental care
6.utilization of dental care6.utilization of dental care
6.utilization of dental careAESHA ZAFNA
 
Public Health Functions
Public Health FunctionsPublic Health Functions
Public Health FunctionsCepal & Co.
 
Keller (Bellevue/NYU) - Health and Human Rights
Keller (Bellevue/NYU) - Health and Human RightsKeller (Bellevue/NYU) - Health and Human Rights
Keller (Bellevue/NYU) - Health and Human Rightsguestc7da32
 

Was ist angesagt? (20)

crackers
crackerscrackers
crackers
 
Determinants of delivery of health services by community health workers a cas...
Determinants of delivery of health services by community health workers a cas...Determinants of delivery of health services by community health workers a cas...
Determinants of delivery of health services by community health workers a cas...
 
Roles.Agents.Navigators.Play.In.Exchanges.Eba.Article.4.1.11
Roles.Agents.Navigators.Play.In.Exchanges.Eba.Article.4.1.11Roles.Agents.Navigators.Play.In.Exchanges.Eba.Article.4.1.11
Roles.Agents.Navigators.Play.In.Exchanges.Eba.Article.4.1.11
 
Health system of Philippines ppt
Health system of Philippines pptHealth system of Philippines ppt
Health system of Philippines ppt
 
Legal ways of marketing dental practice in India
Legal ways of marketing dental practice in IndiaLegal ways of marketing dental practice in India
Legal ways of marketing dental practice in India
 
Presentation on Public Health Competencies
Presentation on Public Health CompetenciesPresentation on Public Health Competencies
Presentation on Public Health Competencies
 
Health Care Reform
Health Care ReformHealth Care Reform
Health Care Reform
 
Comments on the hhs strategic plan 2010
Comments on the hhs strategic plan 2010Comments on the hhs strategic plan 2010
Comments on the hhs strategic plan 2010
 
WA DOH State Plan for Healthy Communities Recommended Changes - PowerPoint - ...
WA DOH State Plan for Healthy Communities Recommended Changes - PowerPoint - ...WA DOH State Plan for Healthy Communities Recommended Changes - PowerPoint - ...
WA DOH State Plan for Healthy Communities Recommended Changes - PowerPoint - ...
 
Christopher p digiulio md - building integrated health service networks
Christopher p digiulio md -  building integrated health service networksChristopher p digiulio md -  building integrated health service networks
Christopher p digiulio md - building integrated health service networks
 
Access to Health Care
Access to Health CareAccess to Health Care
Access to Health Care
 
Public Healthcare vs Private Healthcare in India A Systematic Review
Public Healthcare vs Private Healthcare in India   A Systematic Review Public Healthcare vs Private Healthcare in India   A Systematic Review
Public Healthcare vs Private Healthcare in India A Systematic Review
 
Lesson3 Components
Lesson3  ComponentsLesson3  Components
Lesson3 Components
 
Improving the accessibility of heath services in urban and regional settings ...
Improving the accessibility of heath services in urban and regional settings ...Improving the accessibility of heath services in urban and regional settings ...
Improving the accessibility of heath services in urban and regional settings ...
 
Health sector decentralization in Nepal report
Health sector decentralization  in Nepal reportHealth sector decentralization  in Nepal report
Health sector decentralization in Nepal report
 
Equity & access
Equity & accessEquity & access
Equity & access
 
6.utilization of dental care
6.utilization of dental care6.utilization of dental care
6.utilization of dental care
 
Public Health Functions
Public Health FunctionsPublic Health Functions
Public Health Functions
 
Keller (Bellevue/NYU) - Health and Human Rights
Keller (Bellevue/NYU) - Health and Human RightsKeller (Bellevue/NYU) - Health and Human Rights
Keller (Bellevue/NYU) - Health and Human Rights
 
Cphc hwc
Cphc hwcCphc hwc
Cphc hwc
 

Andere mochten auch

Sustaining Agility
Sustaining AgilitySustaining Agility
Sustaining AgilityTrent Hone
 
Future of Learning CPA Educators Public v2
Future of Learning CPA Educators Public v2Future of Learning CPA Educators Public v2
Future of Learning CPA Educators Public v2Michael H. Walker, SPHR
 
sdishkov-CCNP-certificate
sdishkov-CCNP-certificatesdishkov-CCNP-certificate
sdishkov-CCNP-certificateSlavey Dishkov
 
Building Better Battleships @ Agile Ashburn
Building Better Battleships @ Agile AshburnBuilding Better Battleships @ Agile Ashburn
Building Better Battleships @ Agile AshburnTrent Hone
 
The saga of deir yassin-Palestine
The saga of deir yassin-PalestineThe saga of deir yassin-Palestine
The saga of deir yassin-PalestineMohammad Ihmeidan
 
La licencias de blogs
La licencias de blogs La licencias de blogs
La licencias de blogs Cesar Diaz
 
Rebecca Grant & Dolores Grant - Data Archiving for the Irish Record Linkage P...
Rebecca Grant & Dolores Grant - Data Archiving for the Irish Record Linkage P...Rebecca Grant & Dolores Grant - Data Archiving for the Irish Record Linkage P...
Rebecca Grant & Dolores Grant - Data Archiving for the Irish Record Linkage P...dri_ireland
 
Cultural Competency and Evaluation of Children from Diverse Backgrounds
Cultural Competency and Evaluation of Children from Diverse BackgroundsCultural Competency and Evaluation of Children from Diverse Backgrounds
Cultural Competency and Evaluation of Children from Diverse BackgroundsBilinguistics
 
Chu cho ngồi sau xe dạp vượt qua cả nghin cay số
Chu cho ngồi sau xe dạp vượt qua cả nghin cay số
Chu cho ngồi sau xe dạp vượt qua cả nghin cay số
Chu cho ngồi sau xe dạp vượt qua cả nghin cay số bobbie0stein10
 
Indian cultural heritage
Indian cultural heritageIndian cultural heritage
Indian cultural heritageDkapoorIB
 
Characteristic of Babyhood
Characteristic of BabyhoodCharacteristic of Babyhood
Characteristic of BabyhoodMichelle Abustan
 
SDL Vision for Digital Experience - Arjen van den Akker at SDL Connect 16
SDL Vision for Digital Experience - Arjen van den Akker at SDL Connect 16SDL Vision for Digital Experience - Arjen van den Akker at SDL Connect 16
SDL Vision for Digital Experience - Arjen van den Akker at SDL Connect 16SDL
 

Andere mochten auch (17)

OCP
OCPOCP
OCP
 
Sustaining Agility
Sustaining AgilitySustaining Agility
Sustaining Agility
 
Future of Learning CPA Educators Public v2
Future of Learning CPA Educators Public v2Future of Learning CPA Educators Public v2
Future of Learning CPA Educators Public v2
 
OCA
OCAOCA
OCA
 
Tercer parcial
Tercer parcialTercer parcial
Tercer parcial
 
sdishkov-CCNP-certificate
sdishkov-CCNP-certificatesdishkov-CCNP-certificate
sdishkov-CCNP-certificate
 
Building Better Battleships @ Agile Ashburn
Building Better Battleships @ Agile AshburnBuilding Better Battleships @ Agile Ashburn
Building Better Battleships @ Agile Ashburn
 
Evidencia collage
Evidencia collageEvidencia collage
Evidencia collage
 
from TDMM
from TDMMfrom TDMM
from TDMM
 
The saga of deir yassin-Palestine
The saga of deir yassin-PalestineThe saga of deir yassin-Palestine
The saga of deir yassin-Palestine
 
La licencias de blogs
La licencias de blogs La licencias de blogs
La licencias de blogs
 
Rebecca Grant & Dolores Grant - Data Archiving for the Irish Record Linkage P...
Rebecca Grant & Dolores Grant - Data Archiving for the Irish Record Linkage P...Rebecca Grant & Dolores Grant - Data Archiving for the Irish Record Linkage P...
Rebecca Grant & Dolores Grant - Data Archiving for the Irish Record Linkage P...
 
Cultural Competency and Evaluation of Children from Diverse Backgrounds
Cultural Competency and Evaluation of Children from Diverse BackgroundsCultural Competency and Evaluation of Children from Diverse Backgrounds
Cultural Competency and Evaluation of Children from Diverse Backgrounds
 
Chu cho ngồi sau xe dạp vượt qua cả nghin cay số
Chu cho ngồi sau xe dạp vượt qua cả nghin cay số
Chu cho ngồi sau xe dạp vượt qua cả nghin cay số
Chu cho ngồi sau xe dạp vượt qua cả nghin cay số
 
Indian cultural heritage
Indian cultural heritageIndian cultural heritage
Indian cultural heritage
 
Characteristic of Babyhood
Characteristic of BabyhoodCharacteristic of Babyhood
Characteristic of Babyhood
 
SDL Vision for Digital Experience - Arjen van den Akker at SDL Connect 16
SDL Vision for Digital Experience - Arjen van den Akker at SDL Connect 16SDL Vision for Digital Experience - Arjen van den Akker at SDL Connect 16
SDL Vision for Digital Experience - Arjen van den Akker at SDL Connect 16
 

Ähnlich wie Paving the Way: CLAS & Policy

Moving towards health equity in ky update
Moving towards health equity in ky updateMoving towards health equity in ky update
Moving towards health equity in ky updateVivian Lasley-Bibbs
 
Respecting cultural needs.docx
Respecting cultural needs.docxRespecting cultural needs.docx
Respecting cultural needs.docxwrite5
 
Multicultural health standards around the world
Multicultural health standards around the worldMulticultural health standards around the world
Multicultural health standards around the worlddiversityRx
 
Sheet1Year of ImplementationStrategies for Implementation and Anti.docx
Sheet1Year of ImplementationStrategies for Implementation and Anti.docxSheet1Year of ImplementationStrategies for Implementation and Anti.docx
Sheet1Year of ImplementationStrategies for Implementation and Anti.docxmaoanderton
 
Running head WELLNESS EDUCATION PROGRAM 1 Copyright ©2017.docx
Running head WELLNESS EDUCATION PROGRAM 1 Copyright ©2017.docxRunning head WELLNESS EDUCATION PROGRAM 1 Copyright ©2017.docx
Running head WELLNESS EDUCATION PROGRAM 1 Copyright ©2017.docxrtodd599
 
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Sea Mar Community Health Centers
 
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Sea Mar Community Health Centers
 
Summary Various industries, including health care, have adop.docx
Summary Various industries, including health care, have adop.docxSummary Various industries, including health care, have adop.docx
Summary Various industries, including health care, have adop.docxpicklesvalery
 
Nursing workforce diversity updates and anticipated trends
Nursing workforce diversity updates and anticipated trendsNursing workforce diversity updates and anticipated trends
Nursing workforce diversity updates and anticipated trendsJulia Michaels
 
Addressing culture in health care delivery: policy, practice and research
Addressing culture in health care delivery: policy, practice and researchAddressing culture in health care delivery: policy, practice and research
Addressing culture in health care delivery: policy, practice and researchdiversityRx
 
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...Plain Talk 2015
 
Physician Leadership Development_Final
Physician Leadership Development_FinalPhysician Leadership Development_Final
Physician Leadership Development_FinalEric Cybulski
 
Office of Health Equity Goals Draft 10
Office of Health Equity Goals Draft 10Office of Health Equity Goals Draft 10
Office of Health Equity Goals Draft 10Honolulu Civil Beat
 
Bostick- HPOE Eliminating Health Care Disparities
Bostick- HPOE Eliminating Health Care DisparitiesBostick- HPOE Eliminating Health Care Disparities
Bostick- HPOE Eliminating Health Care DisparitiesNathan (Andy) Bostick
 
Milbank presentationfinal cr 11 10-14
Milbank presentationfinal cr 11 10-14Milbank presentationfinal cr 11 10-14
Milbank presentationfinal cr 11 10-14Carl Rush
 

Ähnlich wie Paving the Way: CLAS & Policy (20)

Moving towards health equity in ky update
Moving towards health equity in ky updateMoving towards health equity in ky update
Moving towards health equity in ky update
 
Respecting cultural needs.docx
Respecting cultural needs.docxRespecting cultural needs.docx
Respecting cultural needs.docx
 
Multicultural health standards around the world
Multicultural health standards around the worldMulticultural health standards around the world
Multicultural health standards around the world
 
Sheet1Year of ImplementationStrategies for Implementation and Anti.docx
Sheet1Year of ImplementationStrategies for Implementation and Anti.docxSheet1Year of ImplementationStrategies for Implementation and Anti.docx
Sheet1Year of ImplementationStrategies for Implementation and Anti.docx
 
Running head WELLNESS EDUCATION PROGRAM 1 Copyright ©2017.docx
Running head WELLNESS EDUCATION PROGRAM 1 Copyright ©2017.docxRunning head WELLNESS EDUCATION PROGRAM 1 Copyright ©2017.docx
Running head WELLNESS EDUCATION PROGRAM 1 Copyright ©2017.docx
 
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
 
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
Utilizing National CLAS Standards (Cultural and Linguistic Appropriate Servic...
 
Summary Various industries, including health care, have adop.docx
Summary Various industries, including health care, have adop.docxSummary Various industries, including health care, have adop.docx
Summary Various industries, including health care, have adop.docx
 
Nursing workforce diversity updates and anticipated trends
Nursing workforce diversity updates and anticipated trendsNursing workforce diversity updates and anticipated trends
Nursing workforce diversity updates and anticipated trends
 
NIH HLResearch Proposal
NIH HLResearch ProposalNIH HLResearch Proposal
NIH HLResearch Proposal
 
Addressing culture in health care delivery: policy, practice and research
Addressing culture in health care delivery: policy, practice and researchAddressing culture in health care delivery: policy, practice and research
Addressing culture in health care delivery: policy, practice and research
 
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
Hector Ortiz - Creating Health Equity by Implementing Culturally and Linguist...
 
Physician Leadership Development_Final
Physician Leadership Development_FinalPhysician Leadership Development_Final
Physician Leadership Development_Final
 
Office of Health Equity Goals Draft 10
Office of Health Equity Goals Draft 10Office of Health Equity Goals Draft 10
Office of Health Equity Goals Draft 10
 
06chap ppt
06chap ppt06chap ppt
06chap ppt
 
Bostick- HPOE Eliminating Health Care Disparities
Bostick- HPOE Eliminating Health Care DisparitiesBostick- HPOE Eliminating Health Care Disparities
Bostick- HPOE Eliminating Health Care Disparities
 
PRIMARY HEALTH CARE
PRIMARY HEALTH CAREPRIMARY HEALTH CARE
PRIMARY HEALTH CARE
 
Essay On AAPA
Essay On AAPAEssay On AAPA
Essay On AAPA
 
Milbank presentationfinal cr 11 10-14
Milbank presentationfinal cr 11 10-14Milbank presentationfinal cr 11 10-14
Milbank presentationfinal cr 11 10-14
 
2016 National Academies of Practice Presentation
2016 National Academies of Practice Presentation2016 National Academies of Practice Presentation
2016 National Academies of Practice Presentation
 

Paving the Way: CLAS & Policy

  • 1.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 9.
  • 10.
  • 11.
  • 12.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.

Hinweis der Redaktion

  1. Paving the way… because it truly is a journey… sometimes smooth… sometimes bumpy… sometimes fast and sometimes very, very slow. Sometimes we find ourselves asking “Are we there yet?” “Was that my exit?”
  2. We are in search of what is equitable. A health disparity is a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.Health equity is the attainment of the highest level of health for all people. Achieving health equity requires everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities. Adopted from the OMHNPA
  3. Culture is the integrated pattern of thoughts, communications, actions, customs, beliefs, values and institutions associated wholly or partially on racial, ethnic, religious, spiritual, linguistic, biological, socioeconomic, geographical or sociological characteristics. --Racial and ethnic groups include, but are not limited to, those defined in the US census and other communities. Religious and spiritual characteristics include beliefs, practices and support systems related to how an individual finds and defines meaning in their life.Biological characteristics include age, sex, sexual orientation, gender identity and physical ability or limitations. Geographical characteristics include where one resides, whether it be urban, rural or suburban, one’s country of origin or one’s environment and surroundings. Language characteristics – what language, what dialect, when and where did they learn it? What do they speak at home? Who do they speak Sociological characteristics include length of residency in the US, generation, gender, gender expression, political beliefs, perceptions of family and community, perceptions of health and well-being, perceptions/beliefs around diet and nutrition, occupational groups, military affiliation, education level, and family and household composition.
  4. Today’s presentation will focus on the policy portion of this definition…
  5. Cultural and linguistic competence – providing language access services – isn’t new…
  6. So we have been talking about our journey and paving the way…
  7. And why are we on this journey? because Communication is complicated… even when we speak the same language… Jay/Evan Fib & LieHoney, the trash is full.Doctor/Patient  Do you drink alcohol, no, but sometimes I drink beer.Unfortunately we don’t all have capes or magic wands or even super powers to suddenly become “MEDICAL DE-JARGONIZERS” What we do have are policies, guidelines and best and promising practices.
  8. This map comes from the National Conference of State Legislatures. I have included their website at the end of this presentation for those who are interested in exploring more. Since 2005, 35 states have created statewide strategic plans to address health disparities. Of the 35 states with plans:18 are legislative initiatives 16 states have plans that are initiatives of the Department of Health State of Pennsylvania has a plan created by a governor’s taskforce.
  9. This is a table of contents from a document produced by the National Health Law Program. 50 states plus the District of Columbia all have legislation or policy in place in regards to language access services.
  10. We are in search of what is compassionate – respectful - equitable.
  11. The State Board of Medical Examiners shall prescribe the following requirements for physician training, by regulation, in consultation with the Commission on Higher Education: The curriculum in each college of medicine in this State shall include instruction in cultural competency designed to Completion of cultural competency instruction [] shall be required as a condition of receiving a diploma from a college of medicine in this State. A college of medicine which includes instruction in cultural competency [] shall offer for continuing education credit, cultural competency training which is provided through classroom instruction, workshops or other educational programs [] A person who received a diploma from a college of medicine in this State prior to the effective date of regulations [], as a condition of initial licensure by the board, to document completion of cultural competency training … A physician licensed to practice medicine in this State shall be required, as a condition of relicensure, to document completion of cultural competency training [] to the satisfaction of the board no later than three years after the effective date of this act.I will share some preliminary results from a New Jersey case study that illustrates some of the impact that this legislation has had.
  12. This 2009 legislation adds a fifth mandate for continuing medical education in the area of cultural competency for licensing and renewals after Oct. 1, 2010. As now in effect: A licensee applying for license renewal shall earn a minimum of fifty contact hours of continuing medical education within the preceding twenty-four-month period.