16. Using Cultural Competence to Improve the Health of Low Income Beneficiaries Presented by: Sheryl Stohs Prepared for: HCFA Region X Customer Service Branch Seattle, WA
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18. The health of a baby symbolizes the health of our future...
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23. Steps to Cultural Competence… adapted from Cultural Competency Continuum by T. Cross (1989) Cultural Destructiveness Cultural Incapacity Cultural Obscurity Cultural Open Cultural Competence Cultural Proficiency Culture Cultural Competence Steps to Cultural Competence
07/16/96 ## * * Give Story: A baby is born to a young woman. It seems to be a pretty normal delivery. The baby is full term. A few months later the baby is brought to the hospital. Their managed care organization is notified and the baby is admitted to the hospital and placed in intensive care. After some time the baby is well enough to be discharged and goes hom.. Less than a month later the baby is backi in the hospital, again the MHO is called; baby is admitted and again ploaced in intensive care. This or a similar episode happens five times. Do you think cultural competence has a place here?
07/16/96 ## * * Just as we observe the every day signs the lives of the people we servemust be considered: We serve the young:he health of a baby symbolizes the health of our future.. But we serve people through out life’s continuim Tell Story of baby in intensive care End story with… Do you think Cultural Competence coould play a role with this situation? If so …why should it?
07/16/96 ## * * 2000 - 25% of U.S. will be of minority groups 2050 - 47.5% of U. S. will be ethnic sub-populations 2050 - 22.9% of population will be elderly 2056 - whites will probably be a minority group sub-populations represented in low-income groups
07/16/96 ## * * Immigrant ant refugee populations are increasing Consider why a people m have to leave their homeland Immigrant - nonresident alien, admitted for permanent residence Refugee admitted outside normal quota restrictions based on fear of persecution because of race, religion, nationalistic, social or political reasons. Example Kosovars - 20,000 entering at Ft Diggs Undocumented persons ( illegal aliens) possess no documentation that allow them to reside legally. Migration - to find work Native American, African American Japanese etc
07/16/96 ## * * Managed Care brought aboutor the Medicaid population n the way we do business to provide health care Intervention - advocates family, decision makers R esponsibility prenatal bare, prventio member educ. All of this to Change behavior chemical depen. Diabetes cancer teen pregnancy
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07/16/96 ## * * Just as we observe the every day signs the lives of the people we servemust be considered: We serve the young:he health of a baby symbolizes the health of our future.. But we serve people through out life’s continuim Tell Story of baby in intensive care End story with… Do you think Cultural Competence coould play a role with this situation? If so …why should it?