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Cultural Competence Exchange Newsletter

November 1999

One important goal in the effort to make health services in this country culturally competent is the infusion of cultural competence into policy at every level. The efforts within MCHB and across HRSA have paid off in changes in several important policy areas.

1. The MCHB has released its 1998-2003 strategic plan. Four objectives, under two of three goals are related to cultural competency and culturally diverse populations.

GOAL 2. ASSURE QUALITY OF CARE - To assure the highest quality of care through the development of practice guidance, data monitoring, and evaluation tools; the utilization of evidence based research; and the availability of a well trained, culturally diverse workforce.

2.1 Assure that 50 percent of all infants and children (ages 0 to 22), including CSHN, are enrolled in a medical home. (One of the elements of a medical home as defined by the American Academy of Pediatrics is "culturally competent care.")

2.3 100 percent of all MCHB long-term training grantees, and selected other appropriate grantees, will include cultural competency training as part of their curriculum.

GOAL 3. IMPROVE THE HEALTH INFRASTRUCTURE AND SYSTEM - To facilitate access to care through the development and improvement of the MCH health infrastructure and systems of care to enhance the provision of the necessary coordinated, quality health care.

3.9 Increase the percentage of states that implement cultural competency policies, procedures and practices to 100 percent.

3.10 Increase the percentage of states that demonstrate family/professional partnerships in policy development and program implementation to 100 percent. (Measure of this objective includes an indicator for families of diverse cultural groups.)

2. The DSCSHN has developed "Measuring Success for Healthy People 2010 (HP 2010) - A Working Document" which includes six core measures related to CSHN and will be responsible for developing a CSHN publication to accompany the HP 2010 document. We are in the process of forming workgroups around each of the core measures in order to develop a long term plan. Two core measures, "Services Are Organized in Ways that Families Can Use Them Easily" and "Families Are Decision Makers and Satisfied with Services", include issues involving cultural competence and diversity.

3. With consultation from the NCCC, MCHB has included a standard definition of cultural competence in guidance to Special Programs of Regional and National Significance (SPRANS) grantees and for state Title V Block Grant Applications for 2000.

4. HRSA now has a Cultural Competence Workgroup with representatives from all four Bureaus: BPHC, MCHB, Bureau of Health Professions and the HIV/AIDS Bureau. June Horner, Director of the Office of Minority Health and her staff coordinate the workgroup. Among its accomplishments is implementing cultural competence as a component of senior staff?s training.

5. The next annual Association of Maternal and Child Health Programs meeting (March 4-8, 2000 in Washington D.C.) will have a skills building session regarding reducing ethnic and racial disparities.

6. The White House Initiative on Excellence in Education for Hispanic Americans will be holding regional conferences for providers, community based organizations and Hispanic families in Chicago, IL on Nov. 5-6 and in Miami, FL on Dec. 3-4. If you are in those areas and would like to attend, please e-mail Diana Denboba Ddenboba@hrsa.gov with your name, title, agency and address so that you can receive an invitation.

7. Phoenix Pediatrics, a medical home SPRANS grant, is assisting Tsunami parents (an Arizona parent group that works with Title V programs) to develop indicators for the elements of a medical home as defined by the American Academy of Pediatrics. Indicators from a family perspective for the element of cultural competence will be forthcoming.

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Page last modified January 2000

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