National Latino Health Leadership 2011

Key Trends Latinos are the majority ethnic group in America  By 2042, one out of four Americans will be Hispanic/Latino  Immigrants and mixed families with strong cultural values Our nation is undergoing a major transformation :  Cultural Competence & language requirements in hospitals, medical education, & CME  Health care reform expands health care coverage to Hispanic populations and increasing the need for education and outreach efforts  Quality and value payments for care that is patient centered in medical homes  Health IT links providers, payers and patients  New demand for community health prevention and research NHMA/NHHF seeks to cultivate public and private partnerships to make a positive impact promoting prevention awareness & good will in new and growing Latino communities and markets around the nation

Hispanics and Health Policy Access: High rates of uninsured & problems with disparities in health care according to US DHHS Disparities Reports Systems: Cultural competence, language services in services, community, media & communications – outreach, socialmedia, IT Research: Hispanic community-based prevention research & clinical trials Workforce: Hispanic researchers, providers and leaders in public health/private agencies Training: Need for cultural competence training about Latinos – disciplines, settings (home care)

Health Insurance Exchange and Medicaid State Exchange is a marketplace for those individuals and small businesses above Medicaid, seamless, essential benefits, QI, pt satisfaction States can have more than one, leverage Federal and other states resources Patient Navigator grants to educate about the health plans and benefits (language) Plans, network design, marketing

National Quality Strategy To focus on quality outcomes: Better Care: Improve the overall quality, by making health care more patient-centered, reliable, accessible, and safe. Healthy People/Healthy Communities: Improve the health of the U.S. population by supporting proven interventions to address behavioral, social and, environmental determinants of health in addition to delivering higher-quality care. Affordable Care: Reduce the cost of quality health care for individuals, families, employers, and government.

National Quality Priorities Making care safer by reducing harm caused in the delivery of care. Ensuring that each person and family are engaged as partners in their care. Promoting effective communication and coordination of care. Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting with cardiovascular disease. Working with communities to promote wide use of best practices to enable healthy living. Making quality care more affordable for individuals, families, employers, and governments by developing and spreading new health care delivery models. NHMA works with National Quality Forum, RWJF

Value Based Purchasing In 2013, for the first time, the Hospital Value-Based Purchasing program authorized by the Affordable Care Act will pay hospitals’ inpatient acute care services based partially on care quality, not just the quantity of the services they provide. Following, will be physician reimbursement – on outcomes of your patients, not on services provided. Physician reimbursement – NHMA involved with now to demand Congress focus and not hold hostage the Prevention Fund plus health care reform

Allignment Initiative An effort to more effectively integrate benefits under Medicare and Medicaid for 9 million Dual Eligibles. Federal Coordinated Health Care Office – at CMS to coordinate care, decrease costs Care coordination, fee-for-service benefits, prescription drugs, cost sharing, enrollment, and appeals.

Prevention Strategy 2011 Healthy and Safe Community Environments: Create, sustain, and recognize communities that promote health and wellness through prevention. Clinical and Community Preventive Services: Ensure that prevention-focused health care and community prevention efforts are available, integrated, and mutually reinforcing. Empowered People: Support people in making healthy choices. Elimination of Health Disparities: Eliminate disparities, improving the quality of life for all Americans.

Community Transformation and Prevention Priorities 2011 Community Grants that address Prevention National Prevention Council – across Fed agencies tobacco-free living; active living and healthy eating; evidence-based quality clinical and other preventive services, HTN and high cholesterol; social and emotional wellness; healthy and safe physical environments. $100M for 75 grants - announced May 13 th

Minority Health 2011 ACA: OMH, NIMHD, HHS Agencies National Partnership for Action: Awareness of health disparities Leadership to address health disparities at all levels Health System and Experience Cultural Competence & Diversity of Workforce Data, Research and Evaluation Federal Interagency Team - NEW Regional Advisory Councils – NHMA nominees. HHS Strategic Action Plan to Reduce Racial and Ethnic Disparities in Health; Tricaucus New Bill coming Sept.

Workforce 2011 Major changes: primary care extension ctrs, teams, advanced nurses, dental careers, integrated care and community clinic GME training with residency programs CDC = HHS lead agency for new public health pipeline HRSA supports NHMA Leadership Fellowship for midcareer physician leaders, NHMA Resident Leadership Program in CA and NY Health IT and NHMA partners – increasing adoption. CMS Innovation $1B to physicians, hospitals – pt safety, quality, community transition to home care and decrease readmissions OMH Promotores de Salud Initiative

NHMA & NHHF– Who are We? Established in 1994 in DC, NHMA is a non-profit 501c6 association representing 45,000 Hispanic physicians in the U.S. Mission: to empower Hispanic physicians to improve the health of Hispanic populations with Hispanic medical societies, residents, students and public and private partners. Established in 2002, NHMA’s foundation, National Hispanic Health Foundation, a non- profit 501c3 foundation for research & education activities – affiliated with NYU Wagner Graduate School of Public Service

NHMA Board of Directors Kathy Flores, MD, Chairwoman, Director, UCSFresno Latino Research Center Ciro Sumaya, MD, MPHTM, Past Chairman, founding Dean, Texas A&M Rural public Health School Louis Aguilar, MD, Treasurer, Tucson, AZ Sam Arce, MD, ViceChair, NYC Onelia Lage, MD, Secretary, Professor, Pediatrics, U of Miami Elena Rios, MD, President/CEO Washington, DC Carol Brosgart, MD, San Francisco, CA Emilio Carrillo, MD, MPH, Professor, Cornell Weill School of Medicine Jorge Girotti, PhD, Assoc. Dean, U of Illinois, Chicago Medical School Paloma Hernandez, MPA, CEO, Urban Health Inc. Leonora Lopez, MD, Chairwoman, Council of Medical Societies, Alb, NM Jorge Puente, MD, Regional President of Asia, Pfizer Joan Reede, MD, MPH, Associate Dean, Harvard School of Medicine Jaime Rivera, MD, Consultant, DE Richard Zapanta, MD, Monterey Park, CA Vanessa Salcedo, MD, Chairwoman, Council of Residents Ray Morales, Coordinator, Latino Medical Students Association

NHHF Board of Directors Mark Diaz, MD Chairman, Principal, Alivio Medical Group, Sacramento, CA Conchita Paz, MD Secretary -Treasurer, Principal, Family Care Associates, Las Cruces, NM Elena Rios, MD, MSPH President, NHHF, NY Jo Ivey Boufford, MD President, New York Academy of Medicine Gary Pelletier Director, Pfizer Helpful Answers Miguel Sanchez, MD Professor, Dermatology NYU School of Medicine Yasmine Winkler, United Healthcare

National Hispanic Medical Association – what do we do? Serve as a resource for White House, Congress, and Federal agencies on health policies and programs Support Hispanic physician leadership at national and state level Provide networking opportunities for advancement of Hispanic health

National Hispanic Medical Association Programs Resource:  Federal government Capitol Hill Briefings on Hispanic health Issues to eliminate health disparities (10/12) Develop cooperative agreements with Federal agencies Nominate members to Federal advisory commissions  Private sector Provide technical assistance to corporate health programs Nominate members to corporate boards Leadership Development:  NHMA Leadership Fellowship  NHMA Resident Leadership Program  National Hispanic Health Professions and Medical Societies Leadership Institutes Networking:  NHMA 16 th Annual Conference, Apr , 2012  Regional Health Reform Events – NYC, Los Angeles, Miami, DC, El Paso.

NHMA Network 2011 Hispanic State and Regional Medical Societies National Hispanic Health Professional Leadership Network  National Association of Hispanic Nurses  Hispanic Dental Association  Latino Caucus of APHA  Latino Forum of Health Executives  Assoc of Hispanic Health Execs of NY  Regional Mental Health Associations Latino Medical Student Association

National Hispanic Health Foundation – what we do? Education Research Support Hispanic health professionals and health professional students

NHHF Selected Programs Education  Kellogg Foundation Child Obesity in CA and NY  White Papers Research  Policy research, eg. Increasing Diversity for Title VII at HRSA, Summit Report supported by the Josiah Macy, Jr. Foundation  National Center for Hispanic Community Health Research (in progress) Training and Recruitment of Hispanic researchers Clinical Trials training and recruitment CA Hispanic Health Professional Student Scholarship  Casa Del Mar Hotel, Nov. 10 th Gala

Outcomes Improved Federal/State health policies and programs targeting Latinos – eg. Health Reform, Child Obesity Leadership training of 120 fellows, 80 residents, presidents of medical societies, LMSA National/State Hispanic Health Summits – 2002, 2009 – access, prevention, health workforce diversity 15 Annual Conferences Regional Networking Forums – mentoring, membership monthly newsletter, 40,000 mailing list, databases Millions - media outreach, websites

How to contact NHMA & NHHF NHMA NHHF Portal CA Hispanic Health Professional Student Scholarship Gala  Casa Del Mar Hotel, Nov. 10 th NHMA 16 th Annual Conference – “Innovations that Improve Hispanic Health” Washington, DC, Apr , 2012