Underserved Population Networking Event
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Transcript Underserved Population Networking Event
April 22, 2015: UP Network Webinar
Chronic Health Issues
Affecting Hispanic Patients
Guest Speaker: Viviana Lozano, BSN, RN
Hospice Case Manager, VNA Health Group; Chairperson of Marketing and Public
Relations, National Association of Hispanic Nurses (NAHN), Garden State Chapter
Health Care Issues
Among Hispanic
Patients, Barriers to
Care; Where have they
been falling behind? …
Health Care Issues Among Hispanic Patients, Barriers
to Care; Where have they been falling behind? …
By : Viviana Lozano,BSN, RN.
Presenters Biography
Viviana Lozano
Born in Colombia
Immigrated to the
U.S.A in 1998
Working in the
health care field
since 1999
Currently working
for Visiting Nurse
Association Health
Group (VNAHG)
Hospice Nurse
Garden State NAHN
Chair of Marketing
and Public
Relations
Introduction
Working with the Hispanic Community and elderly
population for 15 years
Fields of practice:
Cardiology
Primary Care
Ophthalmology
Acute and long term care
Main Goal:
to show a clear picture and shed some understanding of some
of the most serious issues affecting underprivileged and
minority communities
create consciousness among healthcare providers
present possible solutions as to how we can approach the
disparities among the Hispanic population
What could we do as community members, as leaders, as
health care provider and as consumers?
Definition of Target
Population
As defined by the office of Management and Budget (OMB) a
Hispanic or Latino is a person of:
•
Mexican
•
Cuban
•
Puerto Rican
•
Central or South American
•
Other Spanish culture or origin regardless of race
Federal agencies require the use of two ethnicities in data
collection and presentation
•
“Hispanic or Latino” and “Non Hispanic or Latino”
Demographics
According to the last U.S. Census from 2013 there is an
estimated 54 million Hispanics living in the United States
It is estimated that by the year 2060 the U.S Hispanic
population will reach 128.8 million
This represents 17% of the U.S. total population
This would constitute an approximate 31% of the U.S.
population
Up to the year 2012
23.3% of elementary and high school students were Hispanic
However, only 6.8% went onto college
As of 2014 an approximate 24% of Hispanics still remain without
health insurance coverage
Leading Chronic Diseases
Among Underserved Hispanics
1.
Cancer
2.
Two leading cancers are
Prostate in Men: In 2012 an estimated 15,700 men
were diagnosed with prostate cancer
Breast in Women: In 2012 an estimated 17,100
women were diagnosed with breast cancer
Heart Disease
According to a recent survey from the CDC 26.1
percent of Hispanics reported having high blood
pressure
Nearly a third (30.4 percent) of these people with
high blood pressure weren’t taking any medication
to reduce their risk of a stroke or heart attack
Leading Chronic Diseases Among
Underserved Hispanics (cont.)
3.
Stroke
4.
Directly correlated to Hypertension, heart disease
and obesity which are predominant among
Hispanics
Diabetes
A study conducted by the American Diabetes
Association found that 16.9 percent both men and
women had type 2 diabetes compared to 10.2 percent in
non Hispanic whites
Points of Discussion
Communication
Barriers
Increasing Population
and Constant
Migration into the
U.S.
Small percentage of
Hispanic Health Care
Workers
Nurses
Doctors
Low level of health
care literacy among
the Hispanic
population
Low income and
lack of resources
Not enough support
for both
communities as well
as health care
providers
Points of Discussion
Inappropriate
linguistic abilities
from health care
providers
Socioeconomic risks
Lack of cultural
competence and
awareness among the
healthcare community
(cont.)
Lack of interpersonal
relationships among
patient and
healthcare providers
due to language
barriers
Lack of family and
friend support during
times of illness
Cultural education for
current and future
health care provider
(most importantly
nurses, doctor,
specialist)
Changes to Improve
Healthcare Barriers
Provide more
education and training
in linguistics to all
healthcare providers
serving the
underserved
populations
Develop proper
training throughout
education for
healthcare providers
focusing in the needs
of underserved
communities
Create more
education
opportunities for
Hispanic students and
encouraging them to
become healthcare
providers to serve
their communities
Initiate more
community programs
focusing on educating
the underserved
population’s needs
and disease prevention
Changes to Improve Healthcare
Barriers (cont.)
Increase educational
material to the public
focusing on their needs
and their literacy level
Incorporate health links
in popular magazines
and Hispanic channels
which can get the word
out to the community
Create leadership
opportunities and
develop partnerships
between the community
and healthcare providers
Create more programs
to provide supports to
families with sick
individuals so that
they can provide the
necessary support to
family members
Support advocacy
efforts for those
looking to improve
the well being of the
Hispanic Community
References
Alexandria, v. (2014, July 24). Diabetes Among Hispanics:
All Are Not Equal. Retrieved April 15, 2015, from
http://www.diabetes.org/newsroom/pressreleases/2014/diabetes-among-hispanics-all-are-notequal.html
Hispanic or Latino Populations. (2014, September 15).
Retrieved April 16, 2015, from
http://www.cdc.gov/minorityhealth/populations/REMP/
hispanic.html
Hispanics and Heart Disease, Stroke. (2014, September
30). Retrieved April 7, 2015, from
http://www.heart.org/HEARTORG/Conditions/More/MyH
eartandStrokeNews/Hispanics-and-Heart-DiseaseStroke_UCM_444864_Article.jsp
The Affordable Care Act and Latinos. (2014, November
5). Retrieved April 11, 2015, from
http://www.hhs.gov/healthcare/facts/factsheets/2012/
04/aca-and-latinos04102012a.html
Thank you
www.gardenstate-nahn.org
[email protected]
Questions?
HHQI Resources
Cardiovascular Health: At-Risk Populations
Focused Best Practice Intervention Package
(BPIP)
– Coming May 1, 2015
– Race/Ethnicity Cardiovascular Risk Factors clinician
video
Other BPIPs
– Many Spanish language resources
– Translations of key HHQI patient resources
HHQI Spanish Translated Tools
How to find
– Click on HHQI News
– Type on search “Spanish”
– Look under appropriate
BPIP page and
look for Spanish
versions
More coming
HHQI University
Current courses available
– Blood Pressure Control & Smoking Cessation
(1.5 Nursing CEs)
– Lifestyle Management for Cardiovascular Health
(1.0 Nursing CEs)
– The State of Cardiovascular Health
(1.0 Nursing CEs)
– Tobacco Effects & Cessation
Medications (1.0 Nursing CEs)
– Cardiovascular Health for
Underserved Populations
(2.15 Nursing CEs – beginning 05/01/15)
Connect with HHQI
Facebook www.facebook.com/myHHQI
Twitter www.twitter.com/HHQI
Pinterest www.pinterest.com/myHHQI
LinkedIn www.linkedin.com/comapny/hhqi-national-campaign
MyHHQI Blog http://hhqi.wordpress.com
LiveChats under Network tab on HHQI website
THANK YOU!
Please complete the webinar evaluation as you exit.
This material was prepared by Quality Insights, the Medicare Quality Innovation Network-Quality Improvement Organization supporting the Home Health
Quality Improvement National Campaign, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of
Health and Human Services. The views presented do not necessarily reflect CMS policy. Publication number 11SOW-WV-HH-MMD-042215