U'S' DEPARTMENT OF HEALTH AND HUMAN SERVICES

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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
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Providing Culturally Competent Care A Strategic
Tool to Reduce Health Disparities Guadalupe
Pacheco, OMH

• Overview of the Office of Minority Health
• Health Divide
• Demographics and Health Professions
• CLAS Standards
• OMH Initiatives CCCMs and CCNs

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The OMH Mission

• To improve the health of racial and ethnic
  minority populations
• To close the gap in health status between
  minority and non-minority populations

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OMHs 74

• (1) Heart Disease Stroke(2) Cancer (3)
  Substance Abuse (4) Diabetes (5) Homicide,
  Suicide and Unintentional Injuries (6) Infant
  Mortality (7) HIV/AIDS.
• Crosscutting areas (1) Access to health care,
  including oral health (2) Improve Data
  Collection/Analysis (3) Health Professions
  Development and (4) Cultural Competence.

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Health Divide

• Task Force Report on Black and Minority Health
  1985.
• IOM Report on Unequal Treatment Confronting
  Racial Ethnic Disparities in Health Care -
  March 2002.

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Maryland Demographics
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Racial and Ethnic Distribution of Selected Health
Professions Source HRSA, U.S. Census 2000
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MarylandPhysicians
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MarylandRegistered Nurses
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What Does Cultural Competence Mean?

• Cultural Competence is the
• ability of health organizations and practitioners
  to recognize the cultural beliefs, attitudes,
  language preferences, and health practices of
  diverse populations, and
• apply that knowledge at the systems level or at
  the individual level, to produce a positive
  health outcome

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CLAS Standards?

• Provide a road-map for providing culturally
  competent services
• Serve as guiding principles for the delivery of
  quality health care to diverse populations
• Three themes
• Culturally Competent Care (1-3)
• Language Access Services(4-7) and
• Organizational Supports for Cultural Competence
  (8-14).

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Health Professions Education Culturally
Competent Care

• Patients and consumers receive effective,
  understandable, and respectful health care
• Language, culture, acculturation, socio-economic
  status
• Health beliefs

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Cultural Competency Curriculum Modules
(CCCMs)
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Format of CCCMs

• 9 Modules in 3 CLAS themes
• Medical conditions and approaches based on CLAS
  7 4
• Use of case studies as familiar format
  throughout curriculum
• Make the modules web-base and CME accredited

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Culturally Competent Nursing Modules(CCNMs)
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Culturally Competent Nursing Modules

• Rationale
• Nursing is the largest health care profession1
• need to equip nurses with knowledge and skills to
  facilitate more effective patient-nurse
  interaction with diverse populations
• Studies reported majority of nurses are not
  receiving education on health care needs of the
  ethnic minority groups2
• Other studies reported 88 of respondents
  expressed the desire for cultural competency
  content2

1National Sample Survey of Registered Nurses
(NSSRN), 2000
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Never doubt that a small group of thoughtful,
committed citizens can change the world
indeed, its the only thing that ever
does. Margaret Mead
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OMH Resources

• 1-800-444-6472
• www.omhrc.gov
• http//www.cultureandhealth.org/rn/npac.asp