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 13th
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 nonprofit 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




Private sector



Provide technical assistance to corporate health programs
Nominate members to corporate boards
Leadership Development:




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
NHMA Leadership Fellowship
NHMA Resident Leadership Program
National Hispanic Health Professions and Medical Societies Leadership Institutes
Networking:


NHMA 16th Annual Conference, Apr. 26-29, 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



Research



Kellogg Foundation Child Obesity in CA and NY
White Papers
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. 10th 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
5000 - monthly newsletter, 40,000 mailing list, databases
Millions - media outreach, websites
How to contact NHMA & NHHF



NHMA - www.nhmamd.org
NHHF - www.nhmafoundation.org
Portal - www.hispanichealth.info

CA Hispanic Health Professional Student
Scholarship Gala
Casa Del Mar Hotel, Nov. 10th

NHMA 16th Annual Conference – “Innovations
that Improve Hispanic Health” Washington, DC,
Apr. 26-29, 2012