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Improving health care for immigrant and minority populations in the United States Using practice, policy, and strategic alliances to drive change Julia Puebla Fortier Resources for Cross Cultural Health Care
Resources for  Cross Cultural Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health care insurance  in the U.S. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
No insurance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Refugees and  health/social services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immigrants  and health/social services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Key forces in improving  access and quality of care  for immigrants and minorities ,[object Object],[object Object],[object Object],[object Object],[object Object]
Key players ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Service innovation: Community oriented providers ,[object Object],[object Object],[object Object],[object Object]
Service innovations for diverse populations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Power of service innovations ,[object Object],[object Object],[object Object]
Policy framework ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Offices of Minority Health ,[object Object],[object Object],[object Object],[object Object],[object Object]
Development of  National CLAS Standards ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAS Standards:  Categories of interventions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLAS Standards:  Categories of interventions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Unexpected impact ,[object Object],[object Object],[object Object],[object Object],[object Object]
NGOs and research, policy development, and advocacy ,[object Object],[object Object],[object Object],[object Object]
Research on disparities  and barriers to care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of Strategic Alliances ,[object Object],[object Object],[object Object]
Synergy and support ,[object Object],[object Object],[object Object],[object Object]
State and Federal policy level ,[object Object],[object Object]
Examples: language access ,[object Object],[object Object]
Key issues and stakeholders ,[object Object],[object Object],[object Object],[object Object],[object Object]
Influence of  quasi-regulatory agencies ,[object Object],[object Object],[object Object],[object Object]
Role of for-profit sector ,[object Object],[object Object],[object Object],[object Object],[object Object]
Foundations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Final thoughts ,[object Object],[object Object],[object Object],[object Object],[object Object]
For more information ,[object Object],[object Object],[object Object]

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Improving health care for immigrant and minority populations in the US

  • 1. Improving health care for immigrant and minority populations in the United States Using practice, policy, and strategic alliances to drive change Julia Puebla Fortier Resources for Cross Cultural Health Care
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Notas do Editor

  1. Julia Puebla Fortier Director Resources for Cross Cultural Health Care 420 rue des Ouches 01210 Versonnex FRANCE [email_address] www.diversityRx.org
  2. References for selected projects/publications: CLAS standards http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15 Research agenda on CLAS: Report highlights (without the literature abstracts and full research agendas): http:// www.ahrq.gov/research/cultural.htm Full report (online and PDF download) http:// www.omhrc.gov/templates/content.aspx?ID =86 Biennial conference series: www.diversityRxconference.org CLAS-talk listserv: http://www.diversityrx.org/HTML/NESIGN.htm Your Voice project: www.diversityRxconference.org/YourVoice
  3. US DHHS Office of Refugee Resettlement http://www.acf.hhs.gov/programs/orr/index.html
  4. Community health centers: http://www.hrsa.gov/culturalcompetence/ Public hospitals: Serving Diverse Communities in Hospitals and Health Systems www.naph.org, search publications
  5. Cross Cultural Health Care Program www.xculture.org Community Health Services Program http:// www.diversityrx.org/html/MOBISA.htm Asian Health Services www.asianhealthservices.org / National Council on Interpretation in Health Care www.ncihc.org
  6. Title VI (this is the Federal requirement for offering language access services): http:// www.usdoj.gov/crt/cor/lep/hhsrevisedlepguidance.php http://www.hhs.gov/ocr/civilrights/activities/examples/LEP/complaintcompliance.html http://www.hhs.gov/ocr/civilrights/resources/specialtopics/hospitalcommunication/index.html State activity: http://www.healthlaw.org/library/item.174993
  7. US Department of Health and Human Services Office of Minority Health www.omhrc.org
  8. CLAS Standards: http:// www.omhrc.gov/templates/browse.aspx?lvl =2&lvlID=15
  9. IOM report: “Unequal Treatment” http:// www.iom.edu /?id=16740 (you can read it online without charge)
  10. Joint Commission http:// www.jointcommission.org/PatientSafety/HLC / National Committee for Quality Assurance NCQA awards program, best practices and toolkit: http://www.ncqa.org/tabid/451/Default.aspx Proposed CLAS standards within their overall standards framework: http://www.ncqa.org/Portals/0/PublicComment/2010_Products_Update/Appendix_3_Creation_of_CLAS_Standard.pdf http://www.ncqa.org/Portals/0/PublicComment/2010_Products_Update/Appendix_2_Incorporating_Aspects_of_CLAS.pdf National Quality Forum Project summary: http:// www.qualityforum.org /projects/ongoing/cultural-comp/ Framework summary: http://www.qualityforum.org/pdf/projects/cultural-comp/txReportDraft%2002-25-09PREPUB.pdf
  11. The California Endowment: www.Calendow.org , click on: Publications -> Program Areas -> Cultural Competent Health Systems The Robert Wood Johnson Foundation www.rwjf.org Search cultural competence and interpretation for a full list of publications and projects The Commonwealth Fund: http://www.commonwealthfund.org/Grants-and-Programs/Browse-Grants.aspx?program = Health+Care+Disparities Also search cultural competence and interpretation for a full list of publications and projects The WFF Kellogg Foundation www.wkkf.org