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)
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MyHHQI Blog http://hhqi.wordpress.com
LiveChats under Network tab on HHQI website
THANK YOU!
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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