the emergence of cultural competency and connectivity to health literacy/language access iom...
TRANSCRIPT
1
The Emergence of Cultural Competency and Connectivity to Health Literacy/Language Access
IOM Roundtable on Health LiteracyOctober 19, 2015
Guadalupe Pacheco, MSW
2
Themes of Presentation
Definition and Key Concepts of Cultural Competency
Trends/Drivers facilitating the integration of Cultural Competence, Health Literacy, and Language Access Services
✓Demographics, Health Disparities/Costs/ Legislative Authorities/Accreditation Bodies/Literature
Summary
• The ability of an organization and/or individual within the health care delivery system that provides effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs of the patient.
*Source: Adapted from the National CLAS Standards, DHHS/OMH, 2013
Cultural Competence--Definition3
4
Key Concepts of Cultural Competency
Health beliefs—lens of the patient, punishment from god, bad behavior, curses, issues death, fatalism
Addressing the communication needs of the patient, language preference and addressing health literacy issues –questioning of physicians (authority figures)
Providing Patient-Center Care—equitable care
Developing a workforce that is inclusive of the demographics of the community
Sources: The Future of Diversity and Inclusion in Health Services and Policy Research: A Report on the Academy Health Workforce Diversity 2025 Roundtable, September, 2015; Systems Change for Greater Cultural Competence in The Pennsylvania Disability Service and Support Sector, A Report to the Pennsylvania Developmental Disabilities Council, 2011; Healthcare Risk Control, ECRI, Vol,2, July 2011
5
U.S. Population Trends
*Sources: U.S. Census Bureau, Population Reference Bureau, 2008
6
America's estimated 2.5 million gay seniors are twice as likely to live alone, four times
less likely to have adult children to help them, and far more fearful of discrimination
from health care workers.
Older adults may not be aware of the services recommended for their age group or may not know that the services are covered by Medicare.
Young people from racial and ethnic minority groups in the United States suffer disproportionately from a number of preventable diseases and health problems.
American Indians and Alaska Natives have a lower life
expectancy than other Americans perhaps due to
economic adversity and poor social conditions.
Disparities in America
*Source: CDC/Kaiser Health Facts, 2008
7
Drivers of Health Care Costs
Combined cost of health inequalities and premature death in the U.S. is $1.24 trillion.
Eliminating health disparities for minorities would have reduced direct medical care expenditures by $229.4 billion in 2003-2006.
Source: LaVeist, Gaskin, Richard, 2009
8
Limited English- Proficient Populations
Approximately 35 million U.S. residents are foreign born;
Approximately 55 million people (19.7% of the U.S. population) speak a language other than English at home; and
More than 25 million people (8.7% of the U.S. population) speak English less than "very well" and are considered LEP.
Source: U.S. Census 2013, ACS
9
Legislative Authorities/Policies/Accreditatio
n BodiesIssuance of HHS National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (2000/2013)
HHS Office of Civil Rights Guidance to Federal Financial Assistance Recipients Regarding Title VI Prohibition against National Origin Discrimination Affecting LEP Persons (2000/2003)
Patient Protection and Affordable Care Act of 2010
The Joint Commission/National Committee for Quality Assurance
At least five states have passed legislation mandating some form of cultural competency requirements into their health care delivery systems*
*Source: HHS OMH Think Cultural Health, 2012
10
CLAS Awareness: State Level Cultural Competency Legislation
*Source: Think Cultural Health, 2011
11
CLAS Awareness: 2000-2012: Publications/Citations
2001 2002 2003 2004 2005 2006 2007 2008 2009 20100
500
1000
1500
2000
2500
3000
Numbers of Publications and Ci-tations
Number of Publications Number of Citations*
* Reported citations are approximated based on Web of Science® analysis reporting.
12
Summary
Addressing the needs of the patient from their lens (cultural beliefs/practices, language, health literacy) are crucial in delivery culturally appropriate care—person-centered care/equitable care.
Demographics, health disparities, costs, legislative authorities/policies, accreditation bodies and literature are drivers for the delivery of cultural competent care.
13
Contact Information:Guadalupe Pacheco, President/CEO
Pacheco Consulting Group, LLC
1516 U Street, NW
Washington, DC 20009
(202) 352-5303
(202) 387-1732 (fax)
www.pachecoconsultinggroup.com
Power-point:©Copyright 2015 All Rights Reserved, Guadalupe Pacheco