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HHS Plan for Asian American, Native Hawaiian and Pacific Islander (AANHPI) Health

Align the healthcare workforce with needs of the AANHPI communities

 
 
HHS Plan for AANHPI Health
 
 

Background and Overview:

Recent Asian immigrants and NHPIs are underrepresented in the health care professions. Contrary to public perception, AANHPI populations represents a diverse group of communities and suffer barriers to quality health care because of immigration status, lack of culturally and linguistically competent services, and lack of access to affordable health coverage. Data from various studies document that AANHPI patients confront cultural and linguistic barriers in health care, resulting in worsening clinical outcomes.

The 2004 IOM report titled "In the Nation's Compelling Interest: Ensuring Diversity in the Health Care Workforce," recommended the need to increase diversity in the health professions in the U.S. because of the rapid demographic changes with increase in non-white populations and those with limited English proficiency (LEP). The IOM reported that the new underrepresented minorities in the health professions include subpopulations of AANHPI.

Summary of Strategies:

  • Identify AANHPIs to train and educate peers on health issues pertaining to this population using existing HHS infrastructures and innovative outreach.
  • Include a clause to emphasize outreach to NHPI populations in the SAMHSA's Minority Fellows Program (MFP), which provides stipends to doctoral level students to increase the number of culturally competent behavioral health professionals.
  • Work with AANHPI communities to increase applications from AANHPIs in the National Institutes of Health (NIH) and Health Resources and Services Administration (HRSA) Loan Repayment Programs (LRP).
  • Support community-based participatory research on cultural and linguistic competency training for the health care workforce and effects on health care quality and patient satisfaction.
  • Support research on the association between health care workforce composition with respect to race, ethnicity, and language spoken and patient satisfaction of AANHPI and study the effects of adjustments to workforce composition on the health care quality and patient satisfaction of AANHPI and to ascertain additional ways to enhance the quality of health care and patient satisfaction.
Align the healthcare workforce with needs of the AANHPI communities
Workforce Goals Strategies Lead Agencies Benchmarks/Measurable
Outcomes

Goal 1: As part of a national program on prevention education, train AANHPIs to become ambassadors in their communities using the "train the trainer" model for prevention education.

Identify AANHPIs to train and educate peers on health issues pertaining to this population using existing HHS infrastructures.

OWH, HRSA

Support community ambassadors using the "train the trainers" model. Ambassadors will coordinate educational classes for peers in the community taking baseline health screenings such as weight, height, BMI, blood pressure, cholesterol, and glucose.

Goal 2: Improve the AANHPI professional pipeline into the mental health and substance use fields with a specific focus on Native Hawaiians and Pacific Islanders (NHPI) who are not well-represented in the behavioral health workforce; and to address mental health disparities related to AANHPI elderly/women and school bullying.

1. Include a clause to emphasize outreach to NHPI populations in the SAMHSA's Minority Fellows Program (MFP), which provides stipends to doctoral level students to increase the number of culturally competent behavioral health professionals who teach, administer, conduct services research, and provide direct mental health/substance abuse services to underserved minority populations, especially within the public and private non-profit sectors, for those pursuing doctoral degrees in psychology, psychiatry, nursing, social work, and marriage and family therapy.

OMH, SAMHSA

1. Increased number of SAMHSA MFP applications from NHPI populations.

2. Work with AANHPI communities to increase applications from AANHPIs in the NIH and HRSA Loan Repayment Programs (LRP) .

NIH, HRSA

2. Increased number of NIH and HRSA LRP applications from health professionals from AANHPI populations.

Goal 3: Expand translation capacity to additional languages for Affordable Care Act consumer resources.

Expand product offerings beyond English and Spanish by adding new languages every year.

CMS

Expanded languages for 2011: Chinese, Vietnamese, Korean, and Tagalog.

Promote outreach and efforts to increase AANHPI workforce and leadership in public health.

 

OMH

 



Content Last Modified: 1/13/2012 4:06:00 PM
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