governor’s interagency council on health disparities emma medicine white crow association of...
TRANSCRIPT
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GOVERNOR’S INTERAGENCY COUNCIL ON HEALTH
DISPARITIES
Emma Medicine White CrowAssociation of Public Hospital Districts,
Membership Meeting June 24, 2013
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Presentation Overview
• About the Council
• Rural Health Disparities
• Selected Activities and Recommendations
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About the Council
• Charged with creating a state policy action plan to eliminate health disparities by race/ethnicity and gender
• Facilitate communication and coordination among health disparities activities
• Improve language access
• Assess potential impacts of state government actions on health disparities
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Council Membership
Chair & two public members appointed by the Governor
Representatives from 14 agencies, boards, & commissions
Governor’s Appointee (Chair)Consumer Representatives (2) Commission on African American Affairs Commission on Asian Pacific American AffairsCommission on Hispanic AffairsGovernor’s Office of Indian AffairsDepartment of AgricultureDepartment of CommerceDepartment of Early LearningDepartment of EcologyDepartment of HealthDepartment of Social and Health ServicesHealth Care Authority Office of Superintendent of Public InstructionState Board of Health Workforce Training and Education Coordinating Board
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2010 Action Plan
Five Priorities• Education• Health Insurance
Coverage• Healthcare Workforce
Diversity• Obesity• Diabetes
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2012 Action Plan
Three Priorities• Behavioral Health • Environmental
Exposures and Hazards• Poverty
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Behavioral Health
• Education Pipeline• Workforce Diversity• Cultural Competency
Workforce Developme
nt
• Data Disaggregation• Health Homes• Culturally Competent Care• Community Access and
Engagement
Health Reform
Implementation
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Environmental Exposures &Hazards
• Institutional Awareness and Diversity
• Service Equity, Accountability, and Metrics
Environmental Justice
• Community Capacity• Community Engagement
Community Capacity
Building & Involvement
• Precautionary Approach• Reducing Harmful Exposures• Children’s Health and
Development
Precautionary Approach
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Poverty
• Workforce Diversity• Cultural Competency
Early Learning
• 2012 Rural Health Care Strategic Plan for Washington State
Rural Health Care
• Food System Roundtable• Diversity• Community Engagement
Healthy Foods in Diverse
Communities
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Rural-Urban Areas in Washington
Source: Washington State Department of Health
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Washington Demographics
White, 72.7%Black, 3.4
AIAN, 1.3
API, 7.7
2+ Races, 3.6
Hispanic, 11.2%
Population by Race (Non-Hispanic) and Hispanic Origin (2010)
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Counties Ranked by % MinorityCounty % Total
Minority% Minority (Non-Hispanic)
% Minority(Hispanic)
Statewide 27.3 16.1 11.2
Adams 61.1 1.9 59.3
Franklin 56.6 5.4 51.2
Yakima 52.1 7.1 45.0
Grant 42.5 4.2 38.3
King 35.0 26.1 8.9
Douglas 32.0 3.3 28.7
Okanogan 31.5 14.0 17.6
Pierce 29.5 20.4 9.2
Chelan 29.2 3.4 25.8Office of Financial Management: 2012 Population Trends
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Rural Health Disparities
Rural Areas have a higher:• % of overweight adults• % of adults who smoke• % of women who smoke
during pregnancy• Rate of teenage births• Rate of children hospitalized
for unintentional injuries• % of adults who delay seeing
a doctor due to cost
Rural Ares have a lower:• % of adults who receive
yearly dental care• % of adults/children with
health insurance• % of adults with a personal
health care provider• % of pregnant women who
receive prenatal care.• % of adults who eat 5+
servings of fruits/vegetables each day
Department of Health Fact Sheet - Rural Washington: Closing Health Disparities, 2010 Update
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Rural Health Disparities
People who live in rural areas have less access to health care. They are:
• Less likely to have health care coverage
• More likely to delay a medical visit due to cost
• Less likely to have an annual dental visit
• Less likely to be screened for cervical, breast, and colorectal cancers Source: Washington
State Department of Health
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Rural Health Disparities
Rural residents have a higher risk of preventable deaths.
Death rates (per 100,000):• 713 in urban areas• 774 in large town rural areas• 762 in small town/isolated rural areas
Causes of death where rural-urban disparities are the greatest:
• Heart disease• Cancer• Unintentional injury• Suicide
Department of Health Fact Sheet - Rural Disparities in Mortality
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Council Activities
• Rural representation on advisory committees
• Recommendations to improve health of rural communities – Poverty Recommendations• Legislature should support the 2012 Rural Health
Care Strategic Plan• Ensuring rural communities are represented on the
Food System Roundtable
• Support health fairs and other community events
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Council Activities
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Health Care Authority Activities
• The Medicaid Outreach program – Supports Medicaid outreach to improve enrollment across the state, including in rural communities.
• Washington Collaborative Medicaid Outreach meetings devoted to enrollment, outreach, new Medicaid eligibility and the Exchange.
• Medicaid Administrative Match
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Department of Health Activities
• Washington State Office of Community Health Systems, Rural Health section, helps rural and underserved communities have access to health services.
www.doh.wa.gov/PublicHealthandHealthcareProviders/RuralHealth.aspx
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Department of Health Activities
• Healthy Community Program – Community Transformation Grants
• Medical Homes
• Maternal Child Health Programs
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DSHS Activities
• Chronic Disease Self-Management Education
• Health Homes
• Medically Intensive Children’s Program
• Nurse Delegation
• Individual Providers
• Regional Support Networks
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Health Benefit Exchange Activities
• In-Person Assistance
• Customer Support
• Media Outreach
• Direct Mail
• Partnerships
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Closing Comments
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Contact:
Governor’s Interagency Council
on Health Disparities
www.HealthEquity.wa.gov