Transcript Slide 1
THE CULTURAL COMPETENCY INITIATIVE The REACH Healthcare Foundation is a nonprofit charitable organization dedicated to improving access to health care for poor and medically underserved children and adults through financial support of effective programs. Region … Six counties spanning two-state region in Kansas and Missouri Funding Areas … Oral Health, Mental Health, Safety Net Health Services HCF is dedicated to our mission of providing leadership, advocacy, and resources to eliminate barriers and promote quality health for uninsured and underserved in our service area. Region … Six counties spanning two-state region in Kansas and Missouri Funding Areas … Healthy Lifestyles, Mental Health, Safety Net Health Care WHY CULTURAL COMPETENCY? Growing diversity across the region, including in suburban communities. Patients bring various perspectives about health based on their social and/or cultural backgrounds. Cultural competence can improve provider-service recipient communication, trust and adherence to medical instructions – leading to better health outcomes. INITIATIVE GOAL Improve service delivery and reduce health disparities by … Increasing understanding and the practice of cultural competency in nonprofit health and human service organizations. INITIATIVE STEERING COMMITTEE • Cathy Anderson, Jewish Vocational Services • Lt. Commander Tracy Branch, U.S. Department of Health and Human Services • Dr. Karen Dace, UMKC • Darryck Dean, Harmony • Micah Flint, Institute for International Medicine • Randy Lopez, REACH Healthcare Foundation • Eve McGee, REACH Healthcare Foundation • Joseph Palm, Office of Minority Health, MDHSS • Manuel Perez, Jr., KCMO Health Department • Adriana Pecina, Health Care Foundation of Greater Kansas City • Theresa Reyes-Cummings, Jackson County Community Mental Health Fund • Carlos Salazar, United Way of Greater Kansas City • Dr. Susan Wilson, Health Care Foundation of Greater Kansas City WORKING DEFINITION Cultural and linguistic competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations. 'Culture' refers to patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. 'Competence' implies the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities. [Adapted from Cross, T., Bazron, B., Dennis K., & Isaacs, M., 1989.] INITIATIVE OUTCOMES 1. Build understanding of national best practices in cultural competency. 2. Strengthen awareness of how cultural competence, access and delivery of health services connects with health outcomes. 3. Enable health and human service providers to recognize and respond to the needs of their target populations. OUTCOMES (cont) 4. Engage the region’s foundations in supporting efforts to strengthen cultural competency. 5. Build the capacity of local providers to lead future cultural competency efforts. INITIATIVE OVERVIEW Lead by Example Organizational Sustainability Infrastructure Development Diversity Integration Organization Inclusiveness Community Driven TECHNICAL ASSISTANCE • Organizational Focus • Organizational Structure • Cultural Competence Sustainability • Diversity Integration • Policy Review • Assessment / Survey • Development of Program Indicators • Sustainability Plan • Training • Evaluation BOARD OF DIRECTORS MANAGEMENT STAFF VOLUNTEERS INITIATIVE BENEFITS From Current To Diversity Outcomes To Organizational Outcomes Board Incorporate Inclusion and Diversity as an Organizational Value Integration of Inclusion and Diversity in Decision Making / Organizational Development Employee Workforce with Best Talent / Increased Staff Satisfaction Retention / Diverse Workforce Workplace Integrated Inclusive Work Environment Increased Performance & Innovation / Flexibility Community Positive Reputation In all Communities Community Partnerships and Involvement Service Integrated and Diverse Organization Inclusive Policy and Service / Increased Access to Diverse / Underserved Consumers / Clients PROGRESS INDICATORS Focus on organizational cultural competence … o Increasing diversity of health care workforce and leadership. o Strengthening organizational capacities, such as diversity in leadership of health care delivery systems (including trustees and senior management). o Increasing diversity among staff, providers. o Strategies for diversity in hiring practices. INDICATORS (cont) Desired outcome Service providers are culturally competent Preconditions that support this outcome Policies Procedures Planning/Service Design Direct Services Leadership Support Indicators of success identified for each precondition APPLICATION PROCESS Up to 10 organizations will be selected. Technical assistance term runs 12 months. Organizations must meet Foundation’s general eligibility criteria. Completed application can be mailed or emailed. APPLICATION PACKAGE Application Consists of: 1. Cover Page 2. Statement of Commitment 3. Narrative Statement of Request 4. Copy of Organization’s IRS Letter NARRATIVE STATEMENT Should address (within four pages): 1. Describe organization, and your experience with diversity and inclusion. 2. Describe conditions in your organization and/or community that explain your interest in cultural competency. 3. Discuss level of commitment of board of directors and capacity to sustain efforts. 4. Describe organization’s ability to dedicate staff resources and capacity to continue efforts beyond the TA period. SELECTION CRITERIA Evidence of organizational readiness (including commitment of the board). Demonstrated understanding of the barriers affecting culturally competent delivery of services. Evidence of commitment to sustain efforts beyond the TA period. APPLICATION TIMELINE Application Deadline: Friday, December 16, 2011 @ 4:00 p.m. Notification of Awards: Friday, February 10, 2012 T.A. Period: March 1, 2012 – February 28, 2013 CONTACTS • Carla Gibson – Initiative Lead, Program Officer REACH Healthcare Foundation (913) 432-4196 / [email protected] • Adriana Pecina – Program Officer Health Care Foundation of Greater Kansas City (816) 241-7006 / [email protected] • Dr. Walter Boulden – Lead Evaluator Resource Development Institute (816) 221-5000 / [email protected] • Dr. Jose Reyes – Lead Consultant Cultural Competency Consulting (720) 394-1378 / [email protected]