Cultural Competency & Health Literacy Overview

Transcription

1 December 22, 2015 Cultural Competency & Health Literacy Overview Carol Tegas Executive Director, FLPPS Lenora Reid-Rose Director of Cultural Competency, CCSI 1

2 Introductions Carol Tegas Executive Director - FLPPS 2

3 Discussion Roadmap Cultural Competency & Health Literacy Importance to DSRIP DSRIP, Cultural Competency & Health Literacy, and FLPPS Delivery System Transformation Next Steps Questions 3

4 CC & HL Importance to DSRIP Carol Tegas Executive Director - FLPPS 4

5 Cultural Competency & Health Literacy CC & HL Definitions Cultural Competence: a set of congruent behaviors, attitudes and policies, that come together in a system, agency or among professionals, and enables that system, agency or those professionals to work effectively in crosscultural situations. Cross et al Health Literacy: the degree to which individuals have the capacity to obtain, process and understand, basic health information and services needed to make appropriate health decisions. Centers for Disease Control Prevention 5

6 Cultural Competency & Health Literacy in Health Care Need to Consider Cultural Perspective in Addressing Health Care Needs and Services Health Care Providers Must Fully Understand the Relationship Between Health and Culture, the Complexity Of Culture, Culture Competence and the Ensuing Challenges We Must Therefore Be Aware of How Culture Influences Personal Understanding of Health and Illness, How This Affects Personal Health Practices, and How These Views Can Be Incorporated Into Health Promotion and Interventions 6

7 Why Cultural Competency & Health Literacy? Critical to Reducing Health Care Disparities Has a Positive Effect on Patient/Consumer Care Delivery A Way to Understand the Needs of Groups Accessing Health Information and Health Care Creates an Inclusive Partnership Where Provider and the User of the Information Meet on Common Ground A Vehicle to Improve Access to High Quality Health Care and Increase Access to Quality Care for All Patient/Consumer Populations The Ability of Systems to Provide Care to Patients/Consumers with Diverse Values, Beliefs and Behaviors, Including Tailoring Delivery to Meet Patients /Consumers Social, Cultural and Linguistic Needs Enables Systems, Agencies and Groups of Professionals to Function Effectively As a Business Strategy to Improve the Patient/Consumer Experience 7

8 Cultural Competency & Health Literacy: Implications Core Functions: Who Do We Serve and What We Do Human Resources & Staff Development: Who We Are Fiscal Resources & Allocation: Where the Money Goes Collaboration & Community Engagement: Who Our Partners Are Contracts: Who Do We Entrust to Deliver Services and Support 8

9 DSRIP, CC & HL, and FLPPS Lenora Reid-Rose Director of Cultural Competency - CCSI 9

10 NYS DOH DSRIP Milestones Milestone 1 Due December 2015 Finalize CC & HL Strategic Plan Milestone 2 Due June 2016 Develop a Training Strategy Focused on Addressing the Drivers of Health Disparities (Beyond the Availability of Language-Appropriate Material) 10

11 NYS DOH DSRIP Achievement Value for Cultural Competency & Health Literacy 11

12 Activities to Achieve Milestone 1 & Milestone 2 Identify Priority Populations Conduct CC & HL Assessment of PPS Provider Network Establish Meaningful Performance Metrics & Outline Strategy for Assessing Progress Develop Two-Way Community Communication/Engagement Strategy Identify and Assemble Tools and Resources to Support CC & HL Priorities Develop CC & HL Training Strategy 12

13 Identify Priority Populations FLPPS DSRIP Community Needs Assessment County-Level Community Needs Assessment NYS Prevention Agenda NYS Medicaid Redesign Health Disparities Team Workgroup Report Regional Data Reports Census/Public Databases Salient Databases 13

14 Vulnerable Populations Identified Individuals with Behavioral Health Condition Individuals with Developmental Disabilities Homeless Individuals Living in Poverty Maternal & Child Health African Americans Hispanics/Latinos American Indians/Alaska Natives Migrant & Seasonal Farmworkers Lesbian, Gay, Bisexual, Transgender & Questioning/Queer (LGBTQ) Deaf & Hard of Hearing 14

15 Conduct Cultural Competency & Health Literacy Assessment of PPS Provider Network Serve as a Self-Assessment: Guide an Evaluation of Cultural Competency and Health Literacy Within Your Organization Provide Essential Information Concerning the Organization s Structure and Function Serve as a Data Collection Tool Which Will Allow Database Development Provide Organizations With a Series of Questions That Can Help Continue the Performance Improvement and Management Journey Serve as a Roadmap for Organizations to Improve the Organization s Cultural Competency & Health Literacy Serve as a Process Document to Develop a Cultural Competency Strategic Plan: Short-, Medium- and Long-Term Goals 15

16 Cultural Competency & Health Literacy Organizational Self-Assessment Tool Tool Components General Information Organizational Profile Cultural Competency Information Needs Assessment Information Exchange Services Human Resources Organizational Policies and Plan Outcomes Regarding Cultural Competency Health Literacy Information 16

17 Cultural Competency & Health Literacy Organizational Self-Assessment Tool Findings Can Be Used to: Establish Baseline, Measure Current State Inform CC & HL Training Interventions and Staff Development Activities Recognize and Promote Best Clinical and Administrative Practices Identify Hidden Cross-Cultural Resources and Talents That Currently Exist Within a Given Workforce Identify Strengths and Assets of an Organization Identify Areas for Improvement 17

18 Cultural Competency & Health Literacy Organizational Self-Assessment Tool Progress to Date Beta Partner Group 35 Partners Completed CC & HL Assessment Returned 12/7/15 Remaining PPS Partners Readiness Questionnaire Sent Out 12/16/15 Questionnaire Due 1/11/16 18

19 Establish Meaningful Performance Metrics & Outline Strategy for Assessing Partners Encourage and Work with Partners to Implement a Continuous Quality Improvement (CQI) Process That Addresses the Identified Disparities and Publicly Report on Progress Identify Community-Based Interventions to Eliminate Disparities and Improve Outcomes 19

20 Develop Two-Way Communication/Engagement Strategy Community Insight Community Engagement Forums Community Coalitions & Workgroups, i.e. FLHSA Latino Health Coalition, African-American Health Coalition, and the Partnership for the Uninsured Future Community Engagement Forums in Urban and Rural Settings Patient/Consumer Perspective Patient/Consumer Focus Groups and Case Studies Community Outreach Program and Poverty Simulation Workshop for FLPPS Central Team Patient/Consumer Advisory Council 20

21 Identify & Assemble Tools & Resources to Support CC & HL Principles Review Literature on Best/Promising Practices, Training and Technical Assistance, for Integrating Health Care Disparity Elimination Strategies and CC & HL into Ongoing Practices Identify Patient/Consumer-Focused and Partner-Focused Resources that will be Most Helpful in Addressing Identified Priorities Develop an Efficient Way to Catalogue and Access Resources to CC & HL Create a Repository on FLPPS Website that is Easily Accessible By Partners and Patients/Consumers Engage CBOs, the CC & HL Committee and the Patient Advisory Committee, on How Best to Inform and Educate Patients/Consumers of Available Resources that Will Aid in their Wellness Self-Management Explore/Evaluate Opportunities to Make Resources Also Available Via Smartphone or Tablet to be More Easily Incorporated Into Daily Practices 21

22 Develop Cultural Competency & Health Literacy Training Strategy Draft a Multi-Year Plan to Deliver CC & HL Training, Technical Assistance and Other Resources Needed to Ensure the Partners Progress in the Areas of CC & HL in a Way that Supports FLPPS Goals and Eliminate Disparities Training Strategy Will be Informed by, But Not Limited to, Available Data Sources, Partner Feedback Through CC & HL Assessment and Readiness Questionnaires, Identified Priority Populations, Consumer Feedback from Stakeholder Forums and the CC & HL Committee 22

23 Delivery System Transformation Carol Tegas Executive Director - FLPPS 23

24 Ongoing Learning Process CC & HL is an Ongoing Learning Process In Order to Increase the CC & HL of the Health Care Delivery System, Health Professionals Must Be Supported in Order to Provide Culturally Appropriate and Relevant Services and the Infrastructure Must Be in Place to Support the Delivery of These Services 24

25 A Transformed Delivery System Transform the Way Health Care is Delivered to More than 300,000 Medicaid Beneficiaries in the Finger Lakes Region through: Improved Access To Quality Primary, Behavioral Health and Preventative Health Care Reduction in Unavoidable Emergency Room Visits Addressing and Eliminating Health Disparities It s About the Patients/Consumers The Right Care, at the Right Time, by the Right Provider In an Integrated, Coordinated, Culturally Competent Manner In Order to: Improve Outcomes Improve Patient/Consumer Experience Reduce Costs 25

26 Ultimate Goal The Ultimate Goal is a Health Care System and Workforce that Can Deliver the Highest Quality of Care to Every Patient/Consumer, Regardless of Race, Ethnicity, Cultural Background or English Proficiency 26

27 FLPPS Cultural Competency & Health Literacy Activities to Date FLPPS CC & HL at the Executive Level of the Organization Created CC & HL Committee DSRIP Funds Budgeted for CC & HL to Partners FLPPS CC & HL Project Manager Selected CC & HL Vendor: CCSI Assembled FLPPS CC & HL Project Team 27

28 Next Steps Carol Tegas Executive Director - FLPPS 28

29 FLPPS Cultural Competency & Health Literacy Timeline November Beta Group of Partners Selected December Full CC & HL Assessment Completed by Beta Group 12/7/15 CC & HL Overview Webinar 12/22/15 Finalize CC & HL Strategic Plan January FLPPS Partner Readiness Questionnaire Hold Community Stakeholder Engagement Forums Dates TBD Submit CC & HL Strategy to NYS March Continue Work to Inform Training Strategy June Finalize FLPPS CC & HL Training Strategy July CC & HL Training Strategy Implementation for Partners and FLPPS Central Submit CC & HL Training Strategy to NYS 29

30 Partner Readiness Questionnaire 12/16/15 Survey Link ed to Partners 1/11/16 Deadline for Survey Completion Questions/Help with Survey: Nancy Shelton - CCSI NShelton@ccsi.org (585) Questions Regarding CC & HL Juanita Lyde - FLPPS juanita_lyde@flpps.org (585)

31 It is much more important to know what sort of a Patient has a disease, than what sort of disease a Patient has. -William Osler 31

32 Thank You & Questions 32