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Additional Resources

Look here for additional resources that help promote Health Equity!

 

Care Management Entities: Improving Quality, Outcomes, and Racial and Ethnic Disproportionality for Children and Youth With Serious Behavioral Health Challenges and Their Families

The Care Management Entity (CME) model is a promising approach that is now included in the Federal Centers for Medicare and Medicaid's quality improvement grant program. The presentation describes the application of the model in different states and communities and its potential to serve as a sustainable "health home" for children and youth with serious behavioral health challenges relevant to national health reform. Children, youth, and families served through CMEs typically are involved in multiple systems and often have experienced poor outcomes, restrictive services, high costs, and racial and ethnic disproportionality. The CME model shows promise in reversing these experiences with care. This presentation was delivered at the Summer System of Care Conference in 2011. To access this document, please click here

 

Eliminating Health Care Disparities: Implementing the National Call to Action Using Lessons Learned

A coalition of health care organizations is highlighting how collecting patients' demographic data, expanding cultural competency training and diversifying health leadership can help reduce care disparities.

The United States is becoming more diverse demographically, with racial and ethnic minorities projected to become the majority of the U.S. population by 20421. Nearly 47 million people—18 percent of the U.S. population—speak a language other than English at home2. There is evidence that the health care system is not meeting the needs of the changing communities it serves, contributing to disparities in care. Research shows that disparities in health care can lead to increased medical errors, prolonged length of stays, avoidable hospitalizations and readmissions, and over- and under-utilization of procedures3. While this issue is not new to health care leaders, there is now legislation in place that has the potential to address some of the underlying issues that lead to disparities in care.

The Affordable Care Act not only enacted comprehensive health care reform but also addressed health care disparities in critical ways. Included in the final law are provisions that increase access to and the affordability of care in underserved populations, develop community-based strategies to eliminate local barriers to health care, and improve both the diversity of the health care workforce and its competency in treating patients from different cultural and linguistic backgrounds.

The American Hospital Association, the Association of American Medical Colleges, American College of Healthcare Executives, Catholic Health Association of the United States, and National Association of Public Hospitals and Health Systems, as part of a national call to action, have defined three goals for hospitals and health systems to eliminate health care disparities. These goals focus on data collection and use, cultural competency training, and leadership diversity. This guide is not intended to be definitive or representative of all types of hospitals and approaches. The purpose is to highlight best practices and lessons learned from several organizations that have implemented strategies to improve their performance in one of these three areas.

To access this document, please click here

 

Healing the Hurt: Trauma-Informed Approaches to the Health of Boys and Young Men of Color

This paper was commissioned by The California Endowment to inform their Building Healthy Communities strategic plan. The purpose of this paper is to promote understanding of the role of trauma and adversity in the lives of Latino and African American boys and young men and to examine trauma-informed approaches to improving their health.

The project is founded on the understanding that trauma and adversity have a direct impact on health. We also understand that African-American and Latino young men are disproportionately affected by various forms of trauma and adversity including violence, poverty, incarceration, lack of access to health care, marginalization and low social status. 

The project has two main goals:

  • To identify, analyze and synthesize existing knowledge about the health status of boys and men of color across disciplines, and interpret it through the lens of trauma.
  • To identify promising trauma-informed models and approaches to addressing the health needs of boys and young men of color.

To access this document, please click here


Racial and Ethnic Differences in Access to Care and Service Use for Children with Coverage through Medicaid and the Children's Health Insurance Program – Urban Institute

By 2010, Medicaid and CHIP covered 36 percent of all children in the U.S. and over half of all Hispanic and black children, as reported in a new study by Kenney, Coyer and Anderson. Generally, Hispanic, black and white children served by Medicaid and CHIP appear to have high levels of access to care along a number of dimensions. Black and Hispanic children with Medicaid/CHIP coverage, however, may have more problems accessing care relative to their white counterparts in two areas: specialty care and mental health care. While overall levels of care are similar among the different racial and ethnic groups examined, the magnitude of difference in specialty care warrants further study to explore both the reasons behind and the potential implications of the finding. To read more, please click here


Subjective and Objective Indicators of Racial Progress

Progress in closing differences in many objective outcomes for blacks relative to whites has slowed, and even worsened, over the past three decades. However, over this period the racial gap in wellbeing has shrunk. In the early 1970s data revealed much lower levels of subjective well-being among blacks relative to whites. Investigating various measures of well-being, we find that the well-being of blacks has increased both absolutely and relative to that of whites. While a racial gap in well-being remains, two-fifths of the gap has closed and these gains have occurred despite little progress in closing other racial gaps such as those in income, employment, and education. Much of the current racial gap in well-being can be explained by differences in the objective conditions of the lives of black and white Americans. Thus making further progress will likely require progress in closing racial gaps in objective circumstances. To access this document, please click here
 

Summarizing Social Disparities in Health

Reporting on health disparities is fundamental for meeting the goal of reducing health disparities. One often overlooked challenge is determining the best way to report those disparities associated with multiple attributes such as income, education, sex, and race/ethnicity. This article proposes an analytical approach to summarizing social disparities in health, and we demonstrate its empirical application by comparing the degrees and patterns of health disparities in all fifty states and the District of Columbia (DC). To access this document, please click here

 

The Waiting Room

The Waiting Room is a character-driven documentary film that uses extraordinary access to go behind the doors of an American public hospital struggling to care for a community of largely uninsured patients. The film – using a blend of cinema verité and characters’ voiceover – offers a raw, intimate, and even uplifting look at how patients, staff and caregivers each cope with disease, bureaucracy and hard choices.To learn more, please click here

 

Health Equity Provisions in the Health Reform Law

Daniel E. Dawes, J.D. founded and chaired the National Working Group on Health Disparities and Health Reform to ensure that health reform legislation included health equity provisions to reduce disparities in health status and health care among vulnerable populations. To access his HEP Matrix, please click here

 

Full Service Partnership FSP Culturally Relevant Toolkits

Under the Community Services and Supports component of the California Mental Health Services Act (MHSA), funding is available to support Full Service Partnerships (FSP).  An FSP is defined as “the collaborative relationship between the County and the client, and when appropriate the client’s family, through which the County plans for and provides the full spectrum of community services so that the client can achieve the identified goals.

This Tool Kit presents guidelines and practical tools to assist counties and providers in improving the quality of and access to care for unserved, underserved, and inappropriately served ethnic and cultural groups.