INNOVATIVE PRACTICES AND SOLUTIONS OF STATE OFFICES OF MINORITY HEALTH

Baltimore, Maryland Tuesday, October 19, 2010

Laura Hardcastle, Chief

California Department of Public Health

Department of Health Care Services

Office of Multicultural Health

California Office of Multicultural Health

The California Public Health Act of 2006 On July 1, 2007, the Department of Health Services was

reorganized into two separate departments OMH is a policy office located in the California Department of

Public Health (CDPH) with duties and responsibilities in both CDPH and the Department of Health Care Services (DHCS)

Authorizing Legislation, 1993-1999 Executive Order W-58-93 Assembly Bill 1107, Health and Safety Code Section 150-152

Mission Improve access to quality health care Eliminate health disparities among California's diverse racial and

ethnic populations

Council on Multicultural Health

Community Advisors to CDPH and DHCS Directors

21 representatives from multiethnic communities with diverse professional backgrounds

Provide both Departments with expert advice on health related needs and issues of the state’s diverse communities

Assist in evaluating programs in each Department to ensure that health disparities are addressed

Communicate and exchange information with communities Assist in the development of culturally competent policies and

programs Meetings convened quarterly

WHAT DO WE DO?

Create and strengthen information networks

Promote community participation in decision making

Capacity building

Support the development and dissemination of information and resources

Advocate for policies and practices for effective services

EXTERNAL INFRASTRUCTURE

OMH STATE DEPT’S./ AGENCIES

LOCALGOVERNMENT

FEDERAL AGENCIES

COMMUNITY

OMH’S SIX PRINCIPLE FUNTIONS

Policy

Strategic Planning

Multicultural Information Networks

Training and Technical Assistance

Advocacy

Data and Research

California Data Facts

California's population comprised more that 38 million

Majority minority state with 56.6% population non‑White, (35.8%) Hispanics, (11.8%) Asian, (5.9%) African American, (.6%) Native American, (.4%) Pacific Islanders, (1.6%) Multi-race, (43.4%) White

1 in 5 Californians limited English Proficient, 46.3% Hispanics, 26.5% Asians, 15.9% NHOPI

Hispanics highest “not currently insured” (21.5%), followed by NHOPI (12.6%), Asians (11.7%), African Americans (11.1%), Native Americans (9.0%), Multi-race (8.1%) and Whites (7.2%)

Leading state for immigration with 25.7% foreign born2000 U.S. Census/California Health Interview Survey 2007; Source: Department of Finance California Current Population Data, 2007

California: Ten Leading Causes of Death

Heart Disease Cancer Stroke Chronic Lower Respiratory Disease Accidents Influenza and Pneumonia Diabetes Alzheimer’s Disease Chronic Liver Disease and Cirrhosis Suicide

Source: 2007 Vital Statistics, California Department of Public Health

Prevalence of Risk Factors, Percent of Population 2007 CHIS Data*Rate Unstable

Risk FactorHispanic White

African American

AIAN Asian NHOPIMulti-Race

California Overall

High Blood Pressure

20.4 28.5 38.3 41.3 24.2 40.6 30.6 26.1

CigaretteSmoking

20.7 24.4 38.3 35.3 32.6 41.5* 36.3 25.4

High Cholesterol 20.5 22.4 22.1 25.0 25.0 5.8* 22.4 22.1

Overweight (BMI = 25.0 to 29.99)

38.6 35.1 33.0 32.6 25.6 44.9 34.1 34.9

Obesity (BMI >= 30)

27.4 19.2 33.5 32.2 6.9 32.5 23.4 21.2

No Physical Activity

15.2 12.1 16.3 20.4 17.3 11.0* 11.4 14.0

Diabetes 9.2 6.7 11.5 14.2 6.4 15.0* 6.8 7.8

Binge Drinking 32.4 32.0 19.6 32.5 18.2 31.4 32.3 29.7

Unhealthy Diet 11.6 9.1 16.1 13.4 7.8 10.7* 9.8 10.3

Stress 9.3 8.2 10.3 17.1 6.0 13.9* 13.6 8.5

Key Projects and Initiatives

Cultural Competency On-line training modules to increase awareness and

understanding of the cultural and legal context of serving Native American communities within Medicaid and public health programs Improve capacity to efficiently manage health services

aimed at this population Improve relationships between the public health

community and tribal nations Improve health outcomes for Native Americans.

Cultural competency curriculum and toolkit based on the Culturally and Linguistically Appropriate Services Standards for government and institutional use.

Key Projects and InitiativesObesity Prevention In California for 2007, African Americans, Latinos, Native Americans, and

Native Hawaiians and Other Pacific Islanders had the highest rates of obesity.

Physicians have the greater influence in changing the behaviors. Collaboration with the California Medical Association Foundation to strengthen the capacity of healthcare providers to address overweight and obesity in clinical practice.

Obesity screening/counseling covered preventive services for children under Affordable Care Act in addition Medi-Cal Managed Care adopting new HEDIS measure on childhood obesity.

California has largest Native Hawaiian Pacific Islander population in the continental United States.

Combined overweight/obesity prevalence rate of 74% for Pacific Islander children in San Mateo County ages 5 to 19.

Collaboration to adapt CHDP curriculum for obesity to be culturally appropriate for Pacific Islander teens.

Disseminate statewide to CHDP providers as culturally appropriate obesity prevention tool for Pacific Islander adolescents.

Key Projects and Initiatives

Information Dissemination California government website entitled California Health

Information, Resources and Publications at CHIRP.ca.gov. Help users access quality, multilingual health information,

resources and publications in electronic and print formats developed by CDPH, DHCS, and other departments under the California Health and Human Services Agency. 

Allow users to search for trusted materials developed by State, Federal, and other Local health agencies.

Feature quick access to current health news, health policies and data, and provide a health directory to locate health organizations, centers, providers, and services. 

Key Projects and Initiatives

Data and Research Developing a series of reports focused on racial and

ethnic health disparities in California.

Contact Information

Laura Hardcastle, ChiefOffice of Multicultural Health

California Department of Public HealthDepartment of Health Care Serviceswww.cdph.ca.gov/programs/OMHLaura.Hardcastle@cdph.ca.gov

(916) 440-7562