Transcript CASA of Maryland, Inc. Strategic Plan Update Goals and

Diversity RX: 7th National Conference on Quality Health Care for
Culturally Diverse Populations
October 20, 2010, 2:00-4:00 PM, Guilford Room
Baltimore, Maryland
Translating Findings from Health
Needs Assessment to Action:
A Five Year Strategic Plan
Jamie Lok Weng, MPH, CHES
Asian American Health Initiative (AAHI)
Department of Health and Human Services
Montgomery County, Maryland
Overview
Demographics
Needs Assessments
Strategic Plan Development
Strategic Targets
Targets in Action: An Innovative Program Model
Asian American Community
State of Maryland
Asian Americans
account for ~ 5.1% of
MD population
46% of MD Asian/Pacific
Islanders live in
Montgomery County
2005-2007 American Community Survey, 3 year estimates
Asian American Community
Montgomery County, Maryland
Other Asian
12.9%
Japanese
4.1%
13.3%
of County
residents
identify as
Asian American
Chinese 30.1%
(except Taiwanese)
Filipino
7.0%
Vietnamese
8.4%
Korean
15.0%
2006 American Community Survey
Asian Indian
22.3%
Asian American Community
Montgomery County, Maryland
2006 American Community Survey
Asian American
Health Initiative (AAHI)



Established FY 2005
Montgomery County Department of Health and Human Services
Steering Committee of 15 members: Assist - Advise - Advocate

Mission: To develop appropriate health programs that meet the
need of a diverse group of Asian Americans living in
Montgomery County

Programs:

Disease Specific Programs

Health Promoters Program (HPP)

Patient Navigator Program (PNP)
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Community Outreach
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Health Education Material Development
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Social Media
Needs Assessment
Conducted in 2007-2008 in partnership with University of
Maryland College Park School of Public Health
One of the first health needs assessments for Asian
Americans in Montgomery County, Maryland
Focus groups with 13 different Asian American subgroups
including several under-represented communities
Identified a wide array of health needs, barriers to health care
utilization, and provided priorities and recommendations that
the County might consider for improving existing programs
and future planning.
Recommendations
Increase knowledge and raise awareness of health
promotion and disease prevention measures
Continue to expand access to quality health care
services
Invigorate and expand partnerships and collaborations
Data collection and reporting
Other Topics of Concern
Preferences in health services
Lack of preventive services
Mental health help seeking behavior
Senior isolation & depression
Emergency preparedness and response
Specific needs of young adults, women, seniors
Strategic Plan Development
Rapid growth of Asian Americans in Montgomery County
Widening of health disparities
MC DHHS Strategic Plan
AAHI Steering Committee
Establishment of Asian American Health Initiative
Community Health Needs Assessments (2005 & 2008)
Disease Specific Programs
Cancer, Hepatitis B, Diabetes,
Tobacco, Osteoporosis
Education/Screening Programs
Asian American Health Conference Proceedings
(2006 & 2009)
Health Promotion and Increasing
Access
Health Promoters Program
Patient Navigator Program
Health Equity Through Action:
AAHI Strategic Plan
2011-2015
Other Projects
Health Education Materials
AAHI Web Site
MCDHHS Workgroups
Program Evaluation Data
Strategic Plan 2011-2015
Established five strategic targets and corresponding action plans
to guide the next five years
Embedded in a framework rooted in a health equity paradigm
To address health inequities and social determinants of health to
improve health outcomes for Asian Americans in Montgomery
County
Source: "Caprio, S., Daniels, S.R., Drewnowski,
A., Kaufman, F.R., Palinkas, L.A., Rosenbloom,
A.L., & Schwimmer, J.B. (2008). Influence of
race, ethnicity, and Culture on Childhood
Obesity: Implications for Prevention and
Treatment. Obesity, 16(12), 2566–2577.
Strategic Targets
A: Enhance Access to Culturally & Linguistically
Competent Care
B: Promote Community Mobilization & Empowerment
C: Strengthen Partnerships & Collaborations
D: Enhance Data Collection & Reporting
E: Establish Organizational Sustainability
Targets in Action:
An Innovative Program Model
Hepatitis B Education, Screening,
& Vaccination Program:
A Pilot Project in the Chinese American Community
in Montgomery County, Maryland
Burden of Disease
Hepatitis B virus (HBV) causes 80% of all primary liver
cancer worldwide and is the 3rd leading cause of cancer
death among Asian Americans
Prevalence rates of HBV among Asians around 10-15%
compared with less than 1% among mainstream US
population
Of 1.5 million HBV carriers in US, approx. half are Asian
Hepatitis B is the most common chronic infectious disease
in the world and is considered 50-100 times more infections
than AIDS
Sources: World Health Organization, http://www.who.int/mediacentre/factsheets/fs204/en/. Asian Liver Center,
http://liver.stanford.edu/Media/articles/filipinas.pdf. Office of Minority Health Services
http://www.omhrc.gov/templates/content.aspx?ID=7240&lvl=2&lvlid=190 . Surveillance, Epidemiology and End Results
Community Need
Recommendation from 2008 Needs Assessment:
•
Expand health promotion and disease prevention
programs to raise awareness and level of knowledge of
health issues that disproportionately affect Asian
Americans, including hepatitis B
Service gaps in County
Lack of screening, education, vaccination, and treatment
options
•
•
Only screening option is through an STD Clinic
Services underutilized by Asian Americans (< 5%)
Inadequate physician knowledge about hepatitis B
screening and vaccination
Purpose and Goals
Education • Screening • Vaccination • Treatment Referral
Purpose: To provide hepatitis B education, screening and referrals
to vaccination or treatment for Asian American adults through a pilot
project with the Chinese American community in Montgomery
County, MD
Goals:
1.
2.
3.
4.
To increase knowledge and awareness about hepatitis B among
Chinese American adults
To increase access to hepatitis B screening and vaccination for
Chinese American adults
To engage the community and strengthen capacity to address
hepatitis B-related issues
To enhance data collection of hepatitis B among Chinese
Americans
Partnership & Collaboration
Strengthening existing partnerships and initiating new collaborations with
key stakeholders and groups (Strategic Target C)
Local Government
Community Organizations
Physicians
Allied Health Professionals
Community Clinics
Laboratory
Community Volunteers
Community Empowerment
Empowering and mobilizing communities to articulate and address
their own defined health concerns (Strategic Target B)
Media Campaign
– Launched culturally sensitive community outreach and media
campaigns that include ethnic newspapers and radio stations
Outreach & Education
– Developed and translated educational, advertising and clinical
materials
Health Promoters
Patient Navigators
Access to Care
Optimizing access opportunities to quality health services and
culturally- and linguistically- competent care (Strategic Target A)
Screening
Clinical Evaluation & Follow-up Counseling
Infected
Immune
Treatment
(NIH clinical trials,
Frederick clinic,
private provider)*
At-risk
Vaccination
*Options varied with
insurance status
(Community clinics,
PAVHC, provide
provider)*
Data Collection & Reporting
Enhancing data collection strategies and reporting of information to
multiple stakeholders committed to improving Asian American health
(Strategic Target D)
Health Education Presentation Pre and Post Tests
– Assess knowledge, attitudes, beliefs of hepatitis B
Screening and Education Day Feedback Survey
Final Program Feedback Survey
In-Depth Interviews with Key Stakeholders
Evaluation Report
Presentation of Findings at Local, State, and National
Levels
Acknowledgements
Montgomery County DHHS Leadership
AAHI Staff
AAHI Steering Committee Members
Asian American CBOs and FBOs
Health Promoters and Patient Navigators
Other AAHI Partners (locally, statewide and nationally)
Contact
Jamie Lok Weng, MPH, CHES
Asian American Health Initiative
Montgomery County, Maryland
Department of Health and Human Services
1335 Piccard Drive
Rockville, MD 20850
Tel: 240.777.4517
[email protected]
www.AAHIinfo.org | [email protected]