OMH National Minority Health Month Observance

OMH National Minority Health Month Observance


>>HELLO EVERYONE. GOOD AFTERNOON.
MY NAME IS DR. MATTHEW LIN. I’M THE DEPUTY ASSISTANT SECRETARY FOR
MINORITY HEALTH, DIRECTOR OF OFFICE MINORITY HEALTH AT HHS.
WELCOME TO THE 2018 OMH HEALTH OBSERVANCE. THANK YOU FOR COMING.
AND THANK YOU FOR THE PEOPLE WATCHING ON THE LIVE STREAM.
EVERY YEAR HHS OBSERVES OFFICE OF MINORITY HEALTH MONTH
TO REDUCE HEALTH DISPARITY AMONG THE RACIAL AND ETHNIC MINORITY
POPULATION.THE THEME FOR THIS YEAR IS PARTNERSHIP FOR EQUITY.
WE MENTIONED THE WORK WE DO TOGETHER FOR THE MINORITY HEALTH AND THE
PRESENT HEALTH CHALLENGES. WE WILL FOLLOW THE 2017 THEME
BRIDGING THE HEALTH EQUITY WITH THE WORK BEING DONE IN THE
COMMUNITY LEVEL TO HELP ACHIEVE THE HEALTH EQUITY.
THIS YEAR WE WILL LOOK AT SOME OF THE WAYS IT INITIALLY
INSTITUTES HEALTH DISPARITY TO IMPROVE THE HEALTH
OF THE NATION AND I’M PROUD AND HAPPY TO SAY WE ARE THE LEADER
OF EACH ORGANIZATION HERE TODAY AND IN THE PROGRAM EACH WILL
HAVE AN OPPORTUNITY TO TALK ABOUT WHAT THEY ARE DOING TO
ADVANCE HEALTH CARE. IT IS MY HONOR TO INTRODUCE THE
DEPUTY HARGAN TO THE STAGE HE WAS SWORN IN AS DEPUTY
SECRETARY IN OCTOBER OF LAST YEAR. BEFORE RETURNING TO THE HHS.
FROM 2003 TO 2007 HE SERVED AT HHS IN VARYING CAPACITY INCLUDING
THE ACTING SECRETARY AND AS DEPUTY GENERAL COUNSEL.
LADIES AND GENTLEMEN, PLEASE WELCOME DEPUTY ERIC HARGAN.
THANK YOU.>>THANK YOU DR. LIN.
I GIVE REGRETS FOR SECRETARY AZAR BUT I AM VERY HAPPY TO BE
HERE TO TALK ABOUT NATIONAL MINORITY HEALTH MONTH AND HELP
KICK OFF THE GATHERING. HHS IS COMMITTED TO IMPROVING
THE HEALTH AND WELL BEING OF EVERY AMERICAN AND THIS OFFICES
PLAY A CRUCIAL ROLE IN FULFILLING THAT MISSION.
WE KNOW WE CAN DO MORE TO REDUCE RACIAL DISPARITIES IN HEALTH
CARE IN ACCESS AND OUTCOMES. OBSERVANCES LIKE MINORITY HEALTH
MONTH ALLOWS US TO TAKE A STEP BACK AND SEE WHERE WE’RE
SUCCEEDING AND MORE WORK IS YET TO BE DONE.
WE SHOULD TAKE THE TIME TO RECOGNIZE SOME OF THE PROGRESS
WE’VE MADE OVER IN THE LAST DECADES TO ADDRESS THE MORE
SERIOUS HEALTH THREATS THE MINORITY POPULATIONS FACE.
THE LIKE EXPECTANCY GAP BETWEEN WHITE AND AFRICAN AMERICANS IS
AT IT’S NARROWEST LEVEL SINCE 1985 AND MORTALITY HAS DROPPED
28% FROM 2008 AND 2012 AND IN FACING AMERICAN INDIANS WE’VE
SEEN PROGRESS AND THERE IS MUCH TO BE DONE.
IN PART TO THE DIABETES PROGRAM, PART OF HHS, RATES OF KIDNEY
FAILURE DUE TO DIABETES HAVE DROPPED STEADILY AMONG AMERICAN
INDIANS AND ALASKAN NATIVES. THERE’S MORE TO DO.
AND AFRICAN AMERICAN FEMALE HAVE THE SHORTEST LIFE EXPECTANCY AND
THESE AND OTHERS ARE CRITICAL HATH CHALLENGES FOR THE
COMMUNITIES AND NATION AT LARGE AND THE AMERICAN PEOPLE ARE
READY TO TAKE THEM ON AND WE AT HHS, AS PART OF THE FEDERAL
GOVERNMENT ARE READY TO TAKE THEM ON.
I’D LIKE TO THANK THE ORGANIZERS AND SERVICE PROVIDERS AND
ADVOCATES IN ATTENDANCE. YOUR INPUT IS VITAL AND WE LOOK
FOR IT TO ADDRESS THE HEALTH CHALLENGES.
LAST MONTH, I HAD THE HONOR OF VISITING COMMUNITY HEALTH
CENTERS IN SAN FRANCISCO AND WAS ABLE TO GO TO SAN JUAN TO VISIT
PUERTO RICO. IN ALL THESE AREAS I WAS ABLE TO
TRY TO WORK WITH THEM TO UNDERSTAND THE ISSUES THEY FACE
ON THE GROUND. IT’S VERY EASY AT HHS TO LOOK AT
PAPERS AND NUMBERS. IT’S INTERESTING TO SEE WHAT THE
CHALLENGES ARE. FROM THE BEGINNING HEALTH
CENTERS HAVE BEEN FOCUSSED ON REGIONS AND WE HOW ESSENTIAL IT
IS TO LISTEN TO THOSE ON THE FRONT LINES OF AMERICAN HEALTH
CARE. THESE HEROES ARE THE ONES
HOLDING THEIR COMMUNITIES TOGETHER AND HELPING FAMILIES,
FRIENDS AND NEIGHBORS LIVE BETTER LIVES.
HISTORICAL PERSPECTIVE, NATIONAL MINORITY HEALTH MONTH DATES BACK
TO APRIL 1915. IS THIS OVER 100 YEARS OLD WHEN
DR. BOOKER T. WASHINGTON SET A PROPOSAL FOR PROPOSING AN
OBSERVANCE OF HEALTH CARE DISPARITY AND CALLED ON SCHOOLS,
CHURCHES, BUSINESSES, LOCAL HEALTH DEPARTMENTS, PROFESSIONAL
ASSOCIATIONS AND GROUPS TO UNITE AROUND WHAT HE CALLED ONE GREAT
NATIONAL HEALTH MOVEMENT. AND THAT’S THE SPIRIT WE
CONTINUE TODAY. AT HHS WE HAVE THE DUTY TO
TACKLE THE BIGGEST CHALLENGES FACING OUR NATION.
THE PRESIDENT AND SECRETARY AZAR HAVE MADE THE OPIOID CRISIS ONE
OF THE DEPARTMENT’S TOP PRIORITIES AND IT AFFECTS ALL
AMERICANS NO MATTER THE AGE, RACE, ETHNICITY OR WHERE YOU
LIVE, THE TRAGEDY OF OPIOID ADDICTION AND OVERDOSE IS NOT
FAR AWAY. WHAT BEGAN MOSTLY AS A CHALLENGE
FOR RURAL AND OFTEN PREDOMINANTLY WHITE AREAS HAS
BECOME A NATIONWIDE EPIDEMIC. IN FACT, IN 2016 THE MOST RAPID
INCREASE IN DRUG OVERDOSE DEATHS WERE AMONG AFRICAN AMERICANS.
WE ARE SEE A TRAGIC CONVERGENCE IN IN THE EPIDEMIC.
IT’S NO LONGER A RURAL ISSUE BUT HITTING ALL COMMUNITIES.
I’M ALSO HAPPY THAT OUR NEW ASSISTANT SECRETARY IS HERE AND
HE RUNS THE OFFICE WHICH REPRESENTS A LOT OF DIFFERENT
COMMUNITIES AND HE’S ALSO THE SECRETARY SENIOR ADVISER FOR
MENTAL HEALTH AND OPIOID POLICY. HE’S BEEN TASKED WITH LEADING
THE EFFORTS ON TACKLE THE OPIOID CRISIS.
HE HIT THE GROUND RUNNING AND I LOOK FORWARD TO THE
COLLABORATION WE CAN PRODUCE. NATIONAL MINORITY HEALTH MONTH
PLAYS AN IMPORTANT ROLE IN FINDING SOLUTIONS FOR CHALLENGES
AND IT’S A CALL TO THE PUBLIC TO REMEMBER THE FORGOTTEN MEN AND
WOMEN ACROSS THE COUNTRY AND SERVES AS A REMINDER THAT WE
MUST CONTINUE THE WORK AND THANK YOU FOR COMING AND KNOW WE ARE
COMMITTED TO WORKING WITH YOU AND ALL OF YOU ON AN ONGOING
BASIS TO FACE THE COUNTRY’S HEALTH THREATS WHILE CONTINUING
TO MAKE PROGRESS IN MEDICINE AND HEALTH CARE.
I’D LIKE TO TURN IT OVER TO DR. GIROIR ON HIS REMARKS.
I LOOK FORWARD TO WORKING WITH YOU.
[APPLAUSE]>>I HAVE TO REMEMBER TO LOWER
THE MICROPHONE AFTER THE DEPUTY SECRETARY SPEAKS.
SO THANK YOU, DEPUTY SECRETARY HARGIN FOR JOINING US TODAY.
I WANT TO RECOGNIZE DR. LIN AND THE STAFF OF THE HHS OFFICE OF
MINORITY HEALTH AND THANK YOU FOR ORGANIZING THIS OBSERVANCE
TO SHOWCASE THE WORK ACROSS HHS AND THE WORK WE DO TO IMPROVE
THE CARE AND UNDER SERVED COMMUNITIES.
DR. LIN, I KNOW YOU FEEL PASSIONATE ABOUT THIS AND YOUR
PASSION SHOWS IN EVERYTHING YOU DO INCLUDING THIS MEETING.
IT’S VERY GOOD TO SEE LEADERS AND STAFF FROM ACROSS HHS
INCLUDING OUR PARTNERS AT THE NATIONAL INSTITUTE ON MINORITY
HEALTH AND HEALTH DISPARITIES WHO ARE ALSO SUPPORTING THIS
EVENT. IN MANY WAYS, HEALTH SERVES AS
ONE OF THE MOST LITERAL YARD STICKS OF OPPORTUNITY IN OUR
COUNTRY. HEALTH IS WHERE MANY ISSUES COME
TOGETHER, SOCIAL ISSUES, ECONOMIC ISSUES, EDUCATIONAL
ISSUES, ENVIRONMENTAL ISSUES. THEY ALL CONVERGE ON THE FINAL
EQUATION OF WHAT OUR HEALTH WILL BE.
HEALTH IS WHERE THE URGENCY OF PROGRESS ISN’T JUST SEEN OR
HEARD BUT IT IS TRULY FELT. POOR HEALTH CAN AFFECT MULTIPLE
GENERATIONS. IT ROBS INDIVIDUALS AND
COMMUNITY OF THEIR POTENTIAL. POOR HEALTH CAN ALSO LEAD TO A
VICIOUS CYCLE OF ECONOMIC AND SOCIAL CONSEQUENCES THAT IS HARD
TO ESCAPE. BEFORE I CAME TO GOVERNMENT, I
HAD THE PRIVILEGE OF BEING AT PARKLAND MEMORIAL HOSPITAL IN
DALLAS AND AM PROUD TO HAVE TRAINED THERE AND AT CHILDREN’S
MEDICAL CENTER IN DALLAS. BOTH INSTITUTIONS PROVIDED CARE
AND IT WAS A GREAT HONOR TO PROVIDE CARE AND SERVICES TO
THOSE WHO HAD FEW ALTERNATIVE. ONE OF THE REASONS I RETURNED TO
PUBLIC SERVICE IS TO CHANGE THAT.
SO THAT PEOPLE HAVE MORE ALTERNATIVES.
THEY’RE HEALTH COULD BE BETTER THROUGH PREVENTION ESPECIALLY
FOR THE POOR AND UNDER SERVED. THAT IS ONE REASON I ITERATE OUR
PHILOSOPHY IN NINE WORDS. HEALTH FOR ALL, HEALTH BY ALL,
HEALTH IN ALL. HEALTH FOR ALL.
A CONCEPT I THINK EVERYONE’S FAMILIAR WITH.
WE TAKE IT AS OUR MISSION TO ASSURE EVERYONE HAS A FAIR AND
REALISTIC OPPORTUNITY TO OPTIMIZE THEIR HEALTH.
I DON’T FEEL WE SHOULD BE BIG BROTHER IN TELLING EVERYBODY
WHAT TO DO AND HOW TO BE PERFECT BUT EVERYBODY HAS TO HAVE A FAIR
AND REALISTIC OPPORTUNITY. HEALTH BY ALL.
ONE OF OUR GOALS IS TO DISTRIBUTE AND DEMOCRATIZE
HEALTH CARE KNOWLEDGE CAPABILITIES.
IF YOU’RE JUST WAITING UNTIL THE TIME YOU COME TO A PHYSICIAN’S
OFFICE, IT’S TOO LATE. IT HAS TO BE IN OUR COMMUNITIES
AND DIGITAL NETWORK AND SCHOOLS AND ALL OVER.
FINALLY, HEALTH IN ALL. WHAT WE WANT TO DO IS PRIORITIZE
HEALTH CONSIDERATIONS IN ALL SECTORS AND PUBLIC AREAS.
WHAT I MEAN BY THAT IS HEALTH IS MUCH DEEPER THAN ACCESS TO
HEALTH CARE. IF WE WANT COMMUNITY ARE HEALTHY
WE NEED TO ELIMINATE FOOD DESERTS AND HAVE TO HAVE SAFE
PLACES FOR PEOPLE TO WALK AND PLAY.
HEALTH FOR ALL, HEALTH BY ALL, HEALTH IN ALL.
SINCE THIS IS NATIONAL MINORITY HEALTH MONTH, I WANT TO NOTE
THIS OBSERVANCE COMES AFTER THE NATION COMMEMORATE THE 50th
ANNIVERSARY OF THE DEATH OF MARTIN LUTHER KING.
INEQUALITY AND INJUSTICE IS WHAT HE SPOKE ABOUT AND AFTER THE
SPEECH IN THE CONVENTION IN 1966, AS THE SECRETARY SAID, WE
HAVE MADE PROGRESS IN IMPROVING THE HEALTH OF ALL AMERICANS.
BETWEEN 1990 AND 2015, AFRICAN AMERICANS EXPERIENCED A 25% DROP
IN THEIR OVERALL DEATH RATE COMPARED TO A 14% DROP FOR WHITE
AMERICANS. AT THE SAME TIME MINORITY
POPULATIONS ARE STILL LESS LIKELY TO RECEIVE THE CARE THEY
NEED AND LESS LIKELY TO GET CARE WHEN THEY GET SICK AND MORE
LIKELY TO HAVE COMPLICATIONS AND DIE AT A YOUNGER AGE.
YOU KNOW ALL THE EXAMPLES BUT I’LL HIGHLIGHT A FEW.
AFRICAN AMERICAN ARE ALMOST 18 TIMES AS LIKELY TO DIE FROM
HIV/AIDES AS WHITE WOMEN AND HISPANIC CHILDREN ARE TWICE AS
LIKELY TO BE OVERWEIGHT. SUICIDE RATES FOR ALASKAN
NATIVES ARE TWICE AND ANOTHER ISSUE DR. LIN FEELS PASSIONATE
ABOUT IS PACIFIC ISLANDERS REPRESENT HALF THE PEOPLE OF
HEPATITIS B DESPITE THEY’RE A PORTION OF THE POPULATION.
THESE ARE HEALTH DISPARITIES FOR THE NATION AS A LARGE.
CURRENTLY, WE’RE ALSO FACING THE WORST PUBLIC HEALTH EPIDEMIC OF
OUR TIME, THE OPIOID EPIDEMIC. UNFORTUNATELY, THIS HAS NO
BARRIERS TO GEOGRAPHY, ECONOMY, RACIAL, OR ANY OTHER BARRIERS.
NEARLY 47,000 PEOPLE LAST YEAR DIED OF AN OVERDOSE AND NEARLY
67,000 PEOPLE DIED OF SUBSTANCE USE OVERDOSE.
IT REPRESENTS 2.4% OF DEATH IN A PARTICULAR PERIOD.
AND WE’RE ADDRESSING DRUG
PRESCRIPTION AND EVIDENCE TO THIS TYPE OF TREATMENT AND WE’RE
SEEING THE INCREASE IN THE USE OF MEDICATED-ASSISTED TREATMENT
ACROSS ALL COMMUNITIES AND SEEING DECREASES IN PRESCRIPTION
OPIOIDS. WHY IS THAT IMPORTANT?
BECAUSE THREE OF FOUR PEOPLE WHO USED HEROIN LAST YEAR STARTED ON
PRESCRIPTION OPIOIDS. THIS IS IN CONTRAST TO THE 1970s
WHERE THREE OUT OF FOUR PEOPLE ON HEROIN STARTED DIRECTLY WITH
HEROIN. WITH REGARD TO CHILDHOOD OBESITY
AND THE LIFE-LONG COMPLICATIONS THAT STEM FROM IT THIS IS
ANOTHER ISSUE WE’RE ADDRESSING. I FOUND IT REMARKABLE THE LATEST
ESTIMATES FROM THE AMERICAN ACADEMY OF PEDIATRICS IS
APPROXIMATELY 60% OF TODAY’S 2-YEAR-OLDS WILL BE CLINICALLY
OBESE BY THEIR FIFTH BIRTHDAY. WE KNOW OBESITY LIMITS OUR
QUALITY OF LIFE AND ALSO CAUSES TYPE 2 DIABETES AND ONE OF THE
LEADING CAUSES OF CANCER AND SUFFERED BY THE POOR AND
MINORITY. I’M EXCITED�– AND IF YOU
HAVEN’T HAD THIS HIGHLIGHTED YOU LOOK AT IT, THE PRESIDENT
RECENTLY ISSUED AN EXECUTIVE ORDER THAT EMPHASIZES A
NATIONAL STRATEGY TO ENCOURAGE CHILDREN TO BE ACTIVE MORE TO
TEAM SPORTS AND THIS IS TARGETED TO THE UNDER SERVED COMMUNITIES
AND WHEN FUNDING IS SHORT GIRLS SPORTS IS THE FIRST TO GO.
THERE’S A NATIONAL STRATEGY TO ENCOURAGE PHYSICAL ACTIVITY AND
PROMOTE PROPER NUTRITION. THIS IS PARTICULARLY AIMED AT
UNDER SERVED COMMUNITIES. IT’S AN UNPRECEDENTED
OPPORTUNITY TO NOT ONLY PROMOTE TEAM SPORTS BUT ENCOURAGE
PHYSICAL FITNESS AND NUTRITION, SELF ESTEEM AND COMMUNITY
EMPOWERMENT. THEY CAN BE DONE WITHIN THE
CONTEXT OF THE EXECUTIVE ORDER. THE POSSIBILITY NEARLY ENDLESS
BUT WE HAVE TO SEIZE THE OPPORTUNITY.
THE WORK IS CRITICAL IN LEADING AND COORDINATING THESE AND ALL
THE HEALTH CHALLENGES WE FACE. AS WE FOCUS ON PARTNERING FOR
HEALTH EQUITY I WANT TO MAKE A FEW ADDITIONAL POINTS YOU
PROBABLY HEARD ME SAY BEFORE. FIRST OF ALL, AMONG THE MOST
EFFICIENT WAYS TO TACKLE HEALTH DISPARITIES AND HEALTH
INEQUALITIES IS THROUGH COLLABORATION.
BECAUSE WE KNOW INEQUALITIES IN HEALTH ARE NOT CAUSED ONLY BY
WHAT HAPPENS IN THE HEALTH CARE SETTING.
IF YOU LOOK AT WHAT MAKES UP OUR HEALTH OUTCOMES AND ABOUT 10% IS
THE QUALITY OF THE HEALTH CARE WE PROVIDE.
IF WE ONLY FOCUS ON THE 20% THAT OCCURS BETWEEN A DOCTOR, NURSE,
PHARMACIST AND PATIENT, WE’LL MISS THE WHOLE BOAT.
SOCIAL DETERMINATES MAKE UP THE PREDOMINANT CAUSE OF GOOD AND
POOR HEALTH. THESE ARE THE CONDITIONS IN
WHICH PEOPLE ARE BORN WHERE WE GROW, WHERE WE LIVE, HOW WE GET
EDUCATED, WHERE WE WORK. THESE THE ISSUES THAT HAVE THE
MOST IMPORTANT INFLUENCES ON OUR HEALTH AND WE AT HHS CAN MAKE A
BIG IMPACT ON IT BUT WE CAN’T DO IT ALL.
WE NEED TO WORK ACROSS AGENCIES BECAUSE IF WE JUST FOCUS ON THE
NARROW HEALTH ASPECT WE’LL MISS OUR GOALS.
WE HAVE TO DO BROADER THAN THAT. WHEN FAMILIES STRUGGLE IN
POVERTY AND CHILDREN DON’T HAVE ACCESS TO HIGH QUALITY
EDUCATION, WHEN COMMUNITIES FACE A LACK OF JOB OPPORTUNITIES,
RESIDENTS FACE ALL THE DISADVANTAGES THAT WILL IMPACT
THEIR HEALTH. ALL THESE NEED TO BE PART OF OUR
UMBRELLA. THE NEED FOR COLLABORATION AND
WORKING ACROSS SECTORS IS ALSO BROUGHT INTO FOCUS WHEN WE LOOK
AT A CHILD’S ENVIRONMENT WHICH IS OF COURSE INEXTRICABLY LINKED
TO HEALTH. WHEN A CHILD STRUGGLES WITH
WEIGHT ISSUES THERE COULD BE NON-HEALTH ISSUES CONTRIBUTING.
NEIGHBORS NOT DESIGNED TO PROMOTE SAFE WALKING OR OTHER
FORMS OF EXERCISE. THE LACK OF ABILITY TO HAVE
CHILDHOOD SPORTS PARTICIPATION. IT’S IMPORTANT TO HAVE OTHER
SECTORS PARTICIPATE AND ONE OF OUR MISSIONS IS TO DO THAT.
SECOND, IT IS VITALLY IMPORTANT TO LISTEN TO THE CONCERNS OF
THOSE ON THE FRONT LINES ADDRESSING THE HEALTH NEEDS OF
THEIR COMMUNITY. I WAS A PEDIATRICIAN.
I WORKED IN A HOSPITAL AND IN THE COMMUNITY EVERY DAY.
WHAT YOU LEARN BEING ON THE FRONT LINES IS SOMETHING THAT
YOU WILL NEVER BE ABLE TO TRANSLATE TO BEHIND THE WALLS AT
HHS AND I KNOW WE’RE BUILDING THOSE BRIDGES IN MANY OF THE
OFFICES OF THE MINORITY HEALTH AND FOCUSSED WITH COMMUNITY
EMPOWERMENT AWARDS. I WOULD LIKE TO FINISH UP BY
SAYING A COUPLE THINGS, FIRST, AND I HOPE I’VE MADE MY OFFICE
DIRECTORS A LITTLE BIT UNCOMFORTABLE AND I WANT THEM TO
BE UNCOMFORTABLE BECAUSE I WANT THEM TO CHALLENGE.
I WANT TO CHALLENGE THEM ALL TO DO MORE THAN WE’RE DOING NOW AND
WE’RE ALL ON THE SAME PAGE BY THAT AND WHAT I MEAN BY THAT IS
THAT I WANT OUR OFFICE– AND I PARTICULARLY SEE THE OFFICE OF
MINORITY HEALTH AS HAVING THIS OPPORTUNITY, TO HAVE NON LINEAR
AFFECTS. IF WE PUT A DOLLAR IN I DON’T
WANT A DOLLAR OF BENEFIT. I WANT $100 OF BENEFIT.
WE NEED PROGRAMS TO EXPAND IF SUCCESSFUL.
SO WHAT CAN WE DO ON THE COMMUNITY LEVEL WHAT CAN WE
BRING TO THE GAME WITH A LIMITED BUDGET AND THE C.D.C. OR OTHERS
CAN EXPAND THEM? WE DO THIS BY CREATING NEW
PARTNERSHIPS AND NEW AND NOVEL PROGRAMS AND TESTING THEM,
EVALUATING THEM AND SENDING THEM TO OTHER AGENCIES WHERE THEY CAN
BE EXPANDED. I THINK YOU ALL KNOW I’M
INVOLVED IN SICKLE CELL DISEASE. IT’S A PERSONAL PASSION OF MINE
AND I HOPE TO DEVELOP THESE PATIENT AND LOOK TO INTERACTION
AND CATALYTIC CHANGE BY FOCUSSING ON THE DISEASE.
IT’S SUFFERED BY 100,000 AMERICANS AND NEARLY ALL OF THEM
ARE AND AMERICANS BUT THERE ARE A FEW THAT ARE NOT BUT ALMOST
ALL ARE AFRICAN AMERICANS AND IF YOU KNOW THIS DISEASE, IT IS
ACCOMPANIED BY SEVERE UNREMITTED PAIN, MULTIPLE HOSPITALIZATION
AND DEATH IN THE EARLY 30s AND 40s.
THERE’S MUCH YOU CAN DO BY SUFFERING AND COORDINATION AND
IMPROVING INFRASTRUCTURE AND IMPROVING PHYSICIAN PRACTICES
AND MY COLLEAGUES HAVE CONVINCED ME A CURE FOR SICKLE CELL IS IN
THE NEXT 10 YEARS. HOW CAN WE ACCELERATE THAT MORE
AND CAN WE BUILD DATABASES AND CLINICAL TRIAL NETWORKS TO
ACCELERATE THE CURE. AND WE NEED TO TALK ABOUT WHEN
THE GENETIC CURES ARE HERE, HOW ARE WE GOING TO PAY FOR IT AND
ASSURE EVERY ONE OF THOSE PATIENT SUFFER WITH THIS DISEASE
CAN BE CURED IF THE SCIENCE IS AVAILABLE?
SO I LOOK FORWARD TO CONTINUING THIS WORK WITH YOU OVER THE NEXT
COMING MONTHS AND YEARS TO ENSURE ALL AMERICANS ACHIEVE
THEIR POTENTIAL FOR A HEALTHY LIFE.
WHAT I WANT TO LEAVE WITH YOU TODAY IS A PERSONAL MODEL OF
MINE THAT I HOPE YOU TIKE HEART AND– YOU TAKE TO HEART AND
THAT IS DOING GOOD IS NOT GOOD ENOUGH.
WE HAVE TO DO MORE. WE HAVE TO EXPAND THAT BECAUSE
WE HAVE A UNIQUE POSITION HERE AT HHS.
WE TOUCHED SO MANY LIVES AND ORGANIZATIONS THAT WE SHOULDN’T
SETTLE FOR JUST DOING GOOD. WE NEED TO MAXIMIZE WHAT WE DO
SO WE CAN BRING HEALTH TO POPULATIONS THAT NEED IT.
I LOOK FORWARD TO WORKING WITH YOU.
DR. LIN, THANK YOU FOR THE OPPORTUNITY TO BE HERE.
>>I’LL INTRODUCE A PROGRAM TO YOU.
IT’S VERY SPECIAL AND ONE THAT NEVER HAPPENED BEFORE.
EIGHT OF THE OMH DIRECTOR WITH C.D.C. AND FDA AND WE’RE GOING
TO PRESENT IT AS WE LEARN THE LAST YEAR AND FIRST OF ALL I’D
LIKE TO INTRODUCE A MODERATOR. THAT’S VERY SPECIAL TOO.
OUR MOD RATER DIRECTOR IS– MODERATOR DIRECTOR IS MICHAEL
D.WEAHKEE WITH THE HUMAN HEALTH SERVICES AND THE PRINCIPLE
HEALTH CARE ADVOCATE AND PROVIDER OF HEALTH CARE SERVICE
FOR AMERICAN INDIAN AND ALASKAN NATIVES.
AS DIRECTOR, HE ADMINISTRATES A NATIONWIDE HEALTH CARE DELIVERY
PROGRAM RESPONSIBLE FOR PRESIDING PREVENTIVE, CURATIVE
HEALTH CARE FOR AMERICAN INDIAN AND ALASKAN NATIVES IN SETTINGS
THROUGHOUT THE UNITED STATES. AND I WENT TO SOUTH DAKOTA
IN APRIL AND I WENT WITH HIS
ASSISTANT AND SAW THE NAVAJO NATION
AND LET ME GIVE A GOOD HAND TO MICHAEL.
>>GOOD AFTERNOON. THANK YOU, DR. LIN, FOR THAT
GREAT INTRODUCTION. IF YOU WANT A GREAT TRAVEL
PARTNER, DR. LIN IS ONE TO GO WITH.
I THINK I GAINED FIVE POUNDS ON THE TRIP.
I’M PLEASED TO JOIN YOU AND EXCITE TO HEAR FROM OUR
PANELISTS. WE HAVE TWO PANELISTS THAT WILL
BE WITH US WITH THE OFFICES OF MINORITY HEALTH AND THE NATIONAL
INSTITUTE OF MINORITY HEALTH AND HEALTH DISPARITY.
AT THE END OF EACH PANELLED SESSION I’LL POSE SOME QUESTIONS
TO SPEAKERS. OUR FIRST PANELIST WILL BE DR. HUANG
THE DIRECTOR OF OFFICE OF BEHAVIORAL HEALTH EQUITY AT THE SUBSTANCE ABUSE
AND MENTAL HEALTH SERVICES ADMINISTRATION. SECOND WILL BE DR. LIBURD THE DIRECTOR OF
THE OFFICE OF MINORITY HEALTH AND HEALTH EQUITY AT THE CENTERS
OF THESE CONTROL AND PREVENTION NEXT DR. FRANCIS CHESLEY JR. AND
DIRECTOR OF THE OFFICE OF MINORITY HEALTH AND CAPTAIN
RICHARDAE ARAOJO THE DIRECTOR OF THE MINORITY HEALTH AT THE FOOD
AND DRUG ADMINISTRATION. WITH THAT INTRODUCTION WE’LL
START WITH OUR FIRST PANELIST, LARK HUANG TO GET US STARTED.
>>GOOD AFTERNOON. I AT FROM THE BEHAVIORAL HEALTH
EQUITY ADMINISTRATION AND THE MISSION IS TO PREVENT AND TREAT
HEALTH DISORDERS. SOME OF OUR PRIORITY DEALING
WITH THE OPIOID CRISIS THROUGHOUT THE COUNTRY RIGHT NOW
AND FIND FOCUS ON PEOPLE WITH SERIOUS ILLNESS AND DISORDER AND
HOW BEST TO GET PREVENTION, TREATMENT AND RECOVERY SERVICES
TO THESE POPULATIONS. IN OUR OFFICE OF BEHAVIORAL
HEALTH WITH THE WE WANT — HEALTH EQUITY WE WANT TO ADDRESS
THIS ACROSS THE COUNTRY. I WAS ASKED TO TELL A LITTLE BIT
WHAT WE DO IN THE OFFICE AND CONNECT IN PARTNERSHIP.
WE USE A BETA, POLICY, INITIATIVES AND WORKFORCE
DEVELOPMENT AND PRACTICE IMPROVEMENT STRATEGIES AND
COMMUNICATION AND TECHNICAL ASSISTANCE AND CUSTOMER SERVICE.
IN EACH ONE OF THESE AREAS, PARTNERSHIPS ARE CRITICAL FOR
ADDRESSING THE ISSUES AROUND HEALTH EQUITY AND LOOK FOR
RESOLUTIONS TO ADVANCE HEALTH EQUITY.
WE USE DATA. SAMSA DOES A SURVEY OF 70,000
PEOPLE IN THE YEAR AROUND SUBSTANCE USE.
IF YOU LOOK AT PAST YEAR DEPRESSION TREATMENT AMONG
ADOLESCENTS AROUND RACIAL ETHNIC GROUPS.
YOU CAN SEE THERE’S A DISPARITY IN TERMS OF THE RECEIPT OF
TREATMENT. WE OFTEN ACKNOWLEDGE IN TERMS OF
A BEHAVIORAL HEALTH ISSUES IS NOT A WIDE DISPARITY IN TERMS OF
PREVALENCE OR RATE FOR THOSE ISSUES ACROSS COMMUNITIES BUT
THERE IS A WIDE DISPARITY IN OUTCOMES RELATED TO THE
CONDITIONS. THE RED BAR SHOWS 71% OF BLACK
ADOLESCENTS DID NOT RECEIVE TREATMENT.
63% OF LATINO COMPARED TO 58% OF WHITE ADOLESCENTS WHO DID NOT
RECEIVE TREATMENT FOR THIS CONDITION WHICH IS ONE OF THE
MOST PREVALENT IN TERMS OF MENTAL HEALTH IN ADOLESCENTS.
WE DON’T JUST COLLECT DATA TO COLLECT IT.
WE WANT TO PUT IT TO ACTION. THIS IS WHERE PARTNERSHIPS WITH
COMMUNITY AND AGENCIES AND NATIONAL REGIONAL ORGANIZATIONS
IS CRITICAL. ONE OF THE REASONS FOR ACCESS TO
TREATMENT IS COST OF SERVICES AND LACK OF INSURANCE.
SO WE WORKED WITH OUR ETHNIC PARTNERS ACROSS THE COUNTRY TO
LOOK AT OUTREACH, ENGAGEMENT AND RECRUITMENT AND ENROLLMENT AND
WE DID A ROAD MAP TO BEHAVIORAL HEALTH TO HIT HEALTH LITERACY
AND EXPLAIN WHAT BEHAVIORAL HEALTH IS AND WHAT INSURANCE IS.
WE ALSO PARTNER WITH OTHER SERVICE SYSTEMS IN TERMS OF
BEHAVIORAL HEALTH MESSAGES. MATERNAL DEPRESSION IS
PARTICULARLY HIGH AFFECTING 20% TO 30% IN THE PERINATAL AGE.
AND WE HAVE WORKED WITH ORGANIZATIONS IN TERMS OF THE
HOME VISITING PROGRAM AND U.S.DEPARTMENT OF AGRICULTURE
IN TERMS OF THE NUTRITION PROGRAM WHICH TOUCHES 50% OF ALL
NEWBORNS BORN AND HEAD START PROGRAMS TO BRING INFORMATION
ABOUT SCREENING FOR DEPRESSION AND BRIEF INTERVENTIONS FOR
WOMEN PARTICULARLY VULNERABLE, PARTICULARLY WOMEN OF COLOR.
THOSE ARE IMPORTANT PARTNERSHIPS WITH NOT THE SYSTEMS WE WORK
WITH AS MENTAL HEALTH AND SUBSTANCE USE.
BUT SYSTEMS THAT WERE AFFECTED BY THE CONDITIONS THAT WE ARE
MANDATED TO ADDRESS. THE REQUIRED COLLECTION TO THE
REQUIREMENTS THEY’RE SUPPOSED TO COLLECT.
SO WE WANTED THEM TO LOOK AT WHO IS ENROLLED IN YOUR GRANT
PROGRAMS WHAT KIND OF INTERVENTIONS ARE THEY GETTING
AND WHAT ARE THE OUTCOMES FOR THE ENROLLEES.
SO THIS LED TO OUR PARTNERSHIPS GENERATING SOLUTIONS TO ADDRESS
THE POPULATIONS THEY ARE MISSING.
IT’S EASY TO SERVE PEOPLE THAT COME RIGHT INTO YOUR CLINICS BUT
THOSE ARE NOT OFTEN THE UNDER SERVED OR THE PEOPLE WHO HAVE
LESS TRUSTED RELATIONSHIPS WITH DIFFERENT KINDS OF FACILITIES.
AND WE OFTEN TIMES SEE PART OF
THE GOVERNANCE STRUCTURE IN SPECIFIC GRANTS.
FINALLY, ANOTHER PARTNERSHIP WE’VE BEEN CULTIVATING IS OUR
NATIONAL NETWORK TO ELIMINATE DISPARITIES AND BEHAVIORAL
HEALTH. IT’S A PARTNERSHIP WITH
COMMUNITY-BASED ORGANIZATIONS TO BE PART OF THE NETWORK THAT’S
FOCUSSED ON SERVING DIVERSE, RACIAL ETHNIC POPULATIONS AND
COMMUNITY ACROSS– COMMUNITIES ACROSS THE COUNTRY
AND NOW WE’RE OVER 1,000 COMMUNITY-BASED
ORGANIZATIONS ARE PART OF THE NETWORK.
WE LOOK AT THE NETWORK AS THE EMBODIMENT OF COLLECTIVE IMPACT.
AND WITH LOOK AT THE SOCIAL DETERMINATES OF HEALTH THAT
CONTRIBUTE MORE THAN OTHER SYSTEMS AND BUILDING
PEER-TO-PEER STRATEGIES AND HAVE ADOPTED EVIDENCE-BASED PRACTICES
AND NOW PARTNERING WITH DIFFERENT ACADEMIC SETTINGS TO
GENERATE EVIDENCE AROUND COMMUNITY AND CULTURALLY
DEVELOPED INVENTIONS. I ENCOURAGE YOU TO LOOK AT IT.
AND IT’S AN OPPORTUNITY FOR INFORMATION SHARING AND
PEER-TO-PEER EXCHANGE. I THINK THAT’S MY SEVEN MINUTES.
I’LL TURN IT OVER TO ANDREA.>>GOOD AFTERNOON, EVERYONE.
I ALSO WANT TO ADD MY THANKS TO DR. LIN AND
ORGANIZING AND FOR THE OPPORTUNITY TO BE HERE IN
THE YEAR OF THE 30th ANNIVERSARY OF C.D.C.’S OFFICE OF MINORITY
HEALTH AND HEALTH EQUITY. OUR WORK IS DEDICATED ACHIEVING
FOUR PRIORITIES. ONE OF THEM IS WE’RE FOCUSSED ON
SOLUTION. WE ALWAYS ASSOCIATE C.D.C. WITH
DATA COLLECTION AND WE WANT TO PUSH TO IMPROVE WOMEN’S HEALTH
AND TO ENSURING A DIVERSE AND INCLUSIVE PUBLIC HEALTH
WORKFORCE. WE ALSO HAVE A PRIORITY TO
FACILITATE THE IMPLEMENTATION OF POLICIES AND STRATEGIES ACROSS
THAT — C.D.C. THAT ADVANCE THE SCIENCE AND THE PRACTICE OF
HEALTH EQUITY ACROSS THE LENS OF CONDITIONS AND WE IS A PRIORITY
TO COLLABORATE WITH NATIONAL AS WELL AS GLOBAL PARTNERS TO
PROMOTE THE REDUCTION OF HEALTH INEQUALITY.
THE PARTNERSHIP I’D LIKE TO HIGHLIGHT THIS AFTERNOON, AS
THAT IS OUR THEME, IS INTENDED TO INCREASE THE PARTICIPATION OF
RACIAL AND ETHNIC GROUPS IN THE PUBLIC HEALTH AND HEALTH CARE
WORKFORCE. WE ALL KNOW RACIAL AND ETHNIC
MINORITY GROUPS REPRESENT A PORTION OF THE POPULATION AND
PREDICT 2042 THE COUNTRY WILL BE A MINORITY MAJORITY NATION AND
YET RACIAL MINORITY GROUPS REMAIN UNDER REPRESENTED IN THE
HEALTH CARE WORKFORCES. AS THE UNITED STATES GROWS
DIFFERS IT’S LIKELY THE HEALTH DISPARITIES WILL INCREASE IF THE
HEALTH CARE AND HEALTH CARE WORKFORCE DOESN’T EVOLVE TO
MATCH THE DIVERSITY AND KEEP PACE WITH IMMINENT DEMOGRAPHIC
CHANGES. IN OUR OFFICE WE HAVE IDENTIFIED
THE WORKFORCE DIVERSITY AS A SOCIAL DETERMINATE OF HEALTH.
OUR RESPONSE TO INCREASING DIVERSITY AND PUBLIC HEALTH AND
MEDICINE AND RELATED HEALTH FIELDS IS THROUGH OUR PROGRAM.
THIS WITH US LAUNCHED WITH THE GOAL OF EXPOSING UNDERGRADUATE
AND HAVE CAREERS IN PUBLIC HEALTH.
THE PROGRAM IS OPEN TO ANY STUDENT WHO IS INTERESTED IN
MINORITY HEALTH ISSUES IN PUBLIC HEALTH AND MEDICINE AND HEALTH
AREAS. WE’RE PARTNERING WITH
INSTITUTIONS TO IMPLEMENT THE NATIONAL PROGRAMS AT COLUMBIA
UNIVERSITY AND KENNEDY KRIEGER UNIVERSITY AND SINCE THE LAUNCH
THE PROGRAM HAS BECOME INCREASINGLY POPULAR AND
SELECTIVE. IN FY13 THERE WERE 2000
APPLICANTS AND WE WERE ABLE TO SUPPORT STUDENTS SELECT TO
PARTICIPATE. LAST YEAR, LAST YEAR OVER 4,000
STUDENTS APPLIED TO THE PROGRAM AND WE WERE ABLE TO SUPPORT 170
OF THOSE SELECT. THIS YEAR, WILL BE THE FIRST
YEAR WE LOOK FORWARD TO WHAT THEY WILL ADD TO THE SCOPE AND
REACH OF THE PROGRAM. TO DATE, WE HAVE ACHIEVED
DIVERSITY AMONG THE STUDENTS WHO HAVE PARTICIPATED AND YOU CAN
SEE THAT REFLECTED IN THE SLIDE. AND THESE ARE WHO DECLINED TO
INDICATE THEIR ETHNICITY. STUDENTS WHO ARE SELECTED SPEND
EIGHT TO TEN WEEKS IN THE SUMMER PURSUING RESEARCH PROJECTS,
WORKING IN COMMUNITIES OR WORKING CLOSELY WITH MENTORS IN
CLINICAL SETTINGS AND LABORATORIES AND IN ROLES WHERE
THEY’RE EXPOSED TO POLICY AND LEADERSHIP.
THERE WAS THE JAMES A. FERGUSON EMERGING INFECTIOUS DISEASE
GRADUATE FELLOWSHIP WHICH ARE
INVOLVED IN RESEARCH I’VE SEEN TO BE VERY PROMISING IN TERMS OF
WHAT THEIR CONTRIBUTION. THESE ARE IMPLEMENTED IN
UNIVERSITIES AND GOVERNMENTAL DEPARTMENTS OF PUBLIC HEALTH
INCLUDING AT C.D.C. AS WELL AS IN COMMUNITY SETTINGS.
AND LOOKING TO INCREASE WORKFORCE DIVERSITY AND PUBLIC
HEALTH CARE. WE FOLLOW STUDENTS WHO
PARTICIPATE IN THE PROGRAM FOR TWO YEARS AND FOLLOWING THEIR
GRADUATION AND WE ARE AT A POINT NOW WHERE WE CAN ACTUALLY
AND WHAT THE NEXT STEPS HAVE BEEN.
I LOOK FORWARD TO ANSWERING ANY
QUESTIONS YOU MIGHT HAVE. THANK YOU VERY MUCH.
>>GOOD AFTERNOON. THANK YOU.
I DIRECT THE OFFICE OF MINORITY HEALTH AND CURRENTLY SERVE AS
THE ACTING DEPUTY DIRECTOR FOR THE AGENCY.
I WANT TO ALSO JOIN MY COLLEAGUES ON THE STAGE IN THANK
DR. LIN AND HHS LEADERSHIP FOR ORGANIZING THIS OBSERVANCE AND
THE OPPORTUNITY TO SHARE WHAT WE’RE DOING AT THE OFFICES.
IT’S A CHALLENGE TO CONSTRAIN OUR COMMENTS TO SEVEN MINUTES.
I WAS EXPECTING AN HOUR AND I REALIZE WE’D BE HERE ALL DAY.
WE LOOK TO MAKE EVIDENCE HIGHER QUALITY AND ACCESSIBLE AND
EQUITABLE AND WORK WITH PARTNERS TO MAKE SURE THIS EVIDENCE IS
UNDERSTOOD AND USED. OUR OFFICE OF MINORITY HEALTH
WAS CONVENED IN 2010 AND ESTABLISHED WITHIN THE AGENCY IN
ORDER TO HAVE A DIRECT LINK ACROSS ARC AND TO BE LINKED TO
THE DIRECTOR OF OUR AGENCY. I SERVE AS THE OFFICE DIRECTOR
AND AMONG THE STAFF WE HAVE A SENIOR ADVISER FOR MINORITY
HEALTH. SO HOW DOES AR
Q MAKE A DIFFERENCE? BY CREATING MATERIALS TO TEACH
AND TRAIN SYSTEMS AND PROFESSIONALS TO CATALYZE IN
IMPROVEMENT IN CARE. I’LL TALK ABOUT PARTNERSHIPS
THROUGH DATA. WE HAVE A
REPORT PRODUCED IN PARTNERSHIP AND LED BY AHRQ AND
INTERAGENCY WORKING GROUP THAT PULLS DATA ACROSS THE
DEPARTMENT. IT’S BASED ON MORE THAN 250
MEASURES OF QUALITY AND DISPARITIES COVERING A BROAD
AWAY OF SETTINGS AND LEVERAGES THE HHS DATA SOURCES AT ARHQ AND
HHS DATA SOURCES. ONE IS THE MEDICAL EXPENDITURE
SURVEY. IT MEASURES HOW MILES AN HOUR
USE AND PAY FOR MEDICAL CARE. THEY’RE OUT-OF-POCKET SPENDING
IN THE UNITED STATES. THIS IS A FAMILY OF SURVEYS
INCLUDE HOUSEHOLD AND PROVIDER AND INSURANCE COMPONENT.
IT’S A LARGE SCALE SET OF SURVEYS OF INDIVIDUALS AND
FAMILIES AND HEALTH CARE PROVIDERS AND EMPLOYERS AND
PROVIDES DATA ON HEALTH, USE OF MEDICAL SERVICES, CHARGES,
MEDICAL COVERAGE AND SATISFACTION WITH CARE.
A COMPANION SOURCE THAT UNDERPINS OUR WORK IN MINORITY
HEALTH AND UNDERPINS THE REPORT IS THE HEALTH CARE COST AND
UTILIZATION PROJECT. IT’S THE NATION’S MOST
COMPREHENSIVE SOURCE OF SURGERY
AND SERVICES AND EMERGENCY ROOM ENCOUNTERS.
IT’S A TRUSTED SOURCE WHICH DEVELOPS SOFTWARE TOOLS AND
PRODUCTS THROUGH FEDERAL, STATE AND INDUSTRY PARTNERSHIP.
I WANT TO HIGHLIGHT A COUPLE FINDINGS FROM THE MOST RECENT
DISPARITIES REPORT. WE FOUND OVERALL, QUALITY HEALTH
CARE IN THE UNITED STATES CONTINUES TO IMPROVE AND THIS
HAS BEEN MEASURED FROM 2000 TO 2015.
WE’VE MADE INCREMENTAL REPORT BUT IT HAS OPPORTUNITIES FOR
IMPROVEMENT. SOME OF THE MOST NOTABLE GAINS
OCCURRED IN PERSON SAFETY AND INSURANCE COVERAGE, EXPANDED FOR
ADULTS UNDER 65 YEARS OF AGE AND AFFORDABILITY REMAINS AN ISSUE.
QUALITY OF CARE WAS OFTEN UNEVEN WHEN MEASURED BETWEEN RACIAL AND
INCOME GROUPS AND DISPARITIES IN QUALITY AND ACCESS TO CARE AMONG
WHITES AND HISPANICS DECLINED IN ABOUT 20% OF THE MEASURES
INCLUDED IN THE REPORT. KEY FINDINGS ARE HOW SOME
DISPARITIES HAVE DECREASED BETWEEN 2000 AND 2015 AND
DISPARITIES PERSIST FOR POOR AND UNINSURED POPULATIONS AND THE
DISPARITY GETTING SMALLEST FOR BLACKS AND HISPANICS.
MOST DISPARITIES HAVE NOT CHANGED IN LARGE AMOUNTS FOR ANY
GROUP AND SHOW LOW AND POOR-INCOME HOUSEHOLDS HAVE
WORSE CARE AND FOR UNINSURED
PEOPLE HAD WORSE CARE THAN PRIVATELY INSURED PEOPLE.
IT SHOWS WE’RE MAKING PROGRESS AS A NATION INCREMENTALLY AND
CHALLENGE US TO DEVELOP IMPROVEMENT IN QUALITY AND
DISPARITIES. I WANT TO HIGHLIGHT FOUR
PARTNERSHIP ACTIVITIES. FIRST IS THE HIGHLIGHT THE
NATIONAL PAIN STRATEGY WHICH SERVES AS THE FEDERAL
GOVERNMENT’S FIRST COORDINATED PLAN TO PRODUCE THE BURDEN OF
CHRONIC PAIN AND ENSURING THEY RECEIVE EVIDENCE-BASED PAIN CARE
AND THIS STRATEGY DATA FROM THE SURVEY ADDRESS THE OPIOID CRISIS
IN PARTICULAR. SECOND IS THE COLLABORATION THE
HEALTH EQUITY COLLABORATIVE FOR ETHNIC AND MINORITY POPULATION
AND DATA IS USED IN TO INFORM AND PRIORITIZE EFFORTS TO
IMPROVE QUALITY OF CARE AND CONDITIONS PREVALENT IN
VULNERABLE POPULATION. AND LAST, ONE OF THE PRODUCTS IS
SOMETHING CALLED THE STATE SNAPSHOT.
IT ALLOWS THE STATE TO DRILL DOWN AND LOOK AT DATA FOR THEIR
STATE AND NEIGHBORING STATES TO IDENTIFY AREAS OF IMPROVEMENT
AND HAVE CONVERSATION WITH STATE PARTNERS WITH ISSUES THAT HAVE
BEEN SOLVED AND ONE INCLUDES THE USE OF DATA TO SUPPORT
LEGISLATION TO IMPROVE PRIMARY AND PREVENTIVE CARE TO PROVIDE
SELF-MANAGEMENT PROGRAMS TO MEDICATE RECIPIENTS.
AND THIS WAS FROM THE UNIVERSITY OF CHICAGO AND ARC SUPPORTED
GRANTS FOCUSSED ON UNDERSTANDING THE ROLE OF SHARED DECISION
MAKING AND PROMOTING EQUITY. KEY FINDINGS INCLUDING
DISSEMINATION AND MODELS OF SHARED DECISION MAKING.
MAKING POWERFUL TOOLS TO GUIDE CULE– CULTURALLY APPROPRIATE
DECISIONS AND FINDINGS SHOWS 64% OF OBESE WHITE, BLACK AND
HISPANIC PATIENT MOTIVATE TO LOSE WEIGHT WHEN PRIMARY CARE
PROVIDERS PRACTICED KEY TENANTS OF DECISION MAKING.
I’LL STOP THERE. THANK YOU VERY MUCH.
>>I’LL BRING IT DOWN TO MY LEVEL.
MY NAME IS CAPTAIN ARAOJO AND I WANT TO THANK DR. LIN FOR
ORGANIZING THE HAVEN’T AND WANT TO SHARE HOW WE AT FDA HAVE
LOOKED AT HEALTH EQUITY. THE FDA IS RESPONSIBLE FOR
PROTECTING PUBLIC HEALTH BY ENSURING THE SAFETY AND SECURITY
OF HUMAN AND VETERINARY DRUGS, BIOLOGICAL DRUGS AND DEVICES AND
ENSURING THE SAFETY OF OUR FOOD SUPPLY AND PRODUCTS THAT EMIT
RADIATION AND TOBACCO PRODUCT. WE’RE A CONSUMER PROTECTION
AGENCY AS WELL AS A CONSUMER RESOLUTION.
IN 2010 THE FDA ESTABLISH THE OFFICE OF MINORITY HEALTH.
SINCE THEN THE OFFICE HAS BEEN WORKING TO PROTECT AND PROMOTE
THE HEALTH OF DIVERSE POPULATIONS THROUGH RESEARCH AND
COMMUNICATION THAT ADDRESS HEALTH DISPARITY.
THROUGH OUR WORK, WE REMAIN COMMITTED TO STRENGTHENING FDA’S
ABILITY TO RESPOND TO CONCERN AND THE CREATE A WORLD WHERE
HEALTH EQUITY REALITY FOR ALL. WE LOOK AT RESEARCH AND
COLLABORATIONS PROGRAM THAT LOOK TO ADVANCE HEALTH FOCUS RESEARCH
AND HELP WORK WITH ETHNIC POPULATIONS AND LOOK TO RAISE
EFFORTS. IN ONE OF OUR KEY EFFORTS IS TO
PROMOTE THE INCLUSION OF UNDER REPRESENTED POPULATIONS AND
CLINICAL TRIALS. FOLLOWING THE SAFETY AND
INNOVATION ACTED OF 2012, SPECIFICALLY SECTION 907 THE FDA
OFFICE OF MINORITY HEALTH AND OTHERS ACROSS THE AGENCY HAVE
CONTINUED EFFORTS THROUGH MEETINGS AND ISSUING GUIDANCE
DOCUMENTS TO SUPPORT THE CLINICAL TRIAL.
CLINICAL TRIALS PRODUCE A CRUCIAL BASE OF EVIDENCE FOR
EVALUATING WHETHER A PRODUCT IS EFFECTIVE.
WE KNOW THE OFFICE CONTINUED A CAMPAIGN THAT AIMED TO PROVIDE
POSITIVE REINFORCEMENT THROUGH EDUCATION AND MULTIMEDIA TO LOOK
AT THE BARRIERS THAT PREVENTED MINORITY FROM PARTICIPATING IN
CLINICAL TRIALS. WE KNOW WE CAN’T DO THE WORK
ALONE AND A PARTNERSHIP ARE NEED TO RAISE AWARENESS AROUND THE
INCLUSION AND CLINICAL TRIALS. I’M EXCITE TO HIGHLIGHT ONE OF
THE OUR MOST RECENT PARTNERSHIPS TO ADVANCE THIS EFFORT.
WE ARE PARTNERING WITH THE VETERANS HEALTH ADMINISTRATION.
IT SERVES A PATIENT POPULATION INCREASINGLY DIVERSE.
BASED ON PROJECTIONS, MINORITY VETERANS ARE EXPECTED TO
INCREASE FROM 2017 TO 32.8% IN 2027 AND HISPANIC POPULATION
WILL ALSO INCREASE. LIKE THE OFFICE OF MINORITY
HEALTH THE OFFICE OF HEALTH EQUITY CHAMPIONS EFFORTS TO
ADDRESS HEALTH DISPARITIES. WE KNOW VETERANS HAVE UNIQUE
EXPOSURES THAT LEAD TO CHALLENGES AND DISPARITIES.
WE PARTNERED TO PRODUCE AND LAUNCH A CAMPAIGN ON THE
IMPORTANCE OF VETERAN PARTICIPATION IN CLINICAL
TRIALS. ONE OF OUR FIRST ACTIVITIES, THE
CHIEF OFFICER FOR THE V.A. OFFICE OF HEALTH EQUITY PROVIDED
A LECTURE THAT WAS AVAILABLE TO THE PUBLIC ON HEALTH DISPARITIES
AMONG VETERANS AND HOW TO INCREASE DIVERSE PARTICIPATION
IN CLINICAL TRIALS. WE CONTINUE TO ADVANCE OUR
PARTNERSHIP BY DEVELOPING TWO VIDEOS THAT FEATURE TWO
U.S.ARMY RETIRED VETERANS WHO PARTICIPATED AND THEY HIGHLIGHT
THE IMPORTANCE OF VETERAN PARTICIPATION FOR THEIR
COMMUNITY AS WELL AS THE PUBLIC. OUR VETERANS WANTED TO CONTINUE
TO SHARE WHY THEY THOUGHT IT WAS IMPORTANT TO PARTICIPATE.
SO WE DEVELOPED A HEALTH EQUITY PODCAST SERIES AND OUR VETERANS
WERE FEATURED TO SHARE THEIR EXPERIENCES FROM PARTICIPATING
IN CLINICAL RESEARCH. HERE ARE OUR VIDEOS FEATURING
OUR VETERANS. I’D LIKE TO SHARE ONE VIDEO WITH
YOU TODAY.>>WE ARE ENSURING MEDICAL
PRODUCTS ARE SAFE AND EFFECT PITCH OUR PARTICIPATION IS
IMPORTANT BECAUSE SOME PRODUCTS WORK DIFFERENTLY BETWEEN MEN AND
WOMEN AND PEOPLE OF DIFFERENT RACE AND ETHNICITIES.
ALSO OUR PARTICIPATION MAY HELP SCIENTISTS PRODUCE SOLUTIONS AS
A RESULT. OF COURSE, BEFORE YOU DECIDE TO
ENROLL, IT’S IMPORTANT YOU UNDERSTAND THE RISK AND BENEFITS
INVOLVED AND THERE ARE LAWS TO PROTECT US.
OUR PARTICIPATION IS COMPLETELY VOLUNTARY.
WE ALL DESERVE THE BEST POSSIBLE CARE AND PARTICIPATING IN A
CLINICAL TRIAL GETS US CLOSER TO THAT.
SERVING NOW IS AS IMPORTANT AS IT WAS THEN. WE CANNOT THANK OUR VETERANS
ENOUGH TO HELP ADVANCE DIVERSITY IN OUR CLINICAL TRIALS AND MORE
CAN BE FOUND ON THE OFFICE OF MINORITY WEBSITE AND IN KEEPING
WITH OUR THEME IT WOULDN’T BE POSSIBLE ONE INVESTMENT FROM
STAKEHOLDERS. CONTINUE TO PARTNER WITH US TO
ADVANCE HEALTH EQUITY. THANK YOU.
>>I WANT TO THANK OUR PANELISTS AND IF YOU WOULD JOIN ME IN
THANKING THEM FOR THE GREAT WORK BEING CONDUCTED BY THEIR
OFFICES. I GUESS TO ASK WHATEVER QUESTION
I WANT. THAT COULD IN DANGEROUS.
WE DO HAVE A FEW QUESTIONS.>>THANK YOU FOR THE QUESTION.
I MENTIONED IN MY PRESENTATION THIS NETWORK OF COMMUNITY-BASED
ORGANIZATIONS AND THE NATIONAL NETWORK TO ELIMINATE
DISPARITIES. THAT’S A COMMUNITY-BASED
NETWORK. IT’S NOT A GRANTEE OR STATE
PROGRAM BUT AN OPPORTUNITY FOR PEOPLE IN LOCAL COMMUNITIES TO
GET ENGAGED WITH THIS NETWORK WHICH DOES TRAINING, PROVIDES
RESOURCES AND DOES PARTNERING ON SPECIFIC INITIATIVES.
WHEN WE DO OUR MATERIALS DEVELOPMENT WE OFTEN GO TO THE
COMMUNITIES WE’RE FOCUSSING ON SO THEY HAVE INPUT INTO IT.
A LOT OF THAT ENGAGEMENT CAN BE DONE THROUGH THE NATIONAL
NETWORK. WE ALSO FIND MANY OF OUR
COMMUNITIES, PARTICULARLY AROUND MENTAL HEALTH.
IT’S OFTEN EMBEDDED IN OTHER COMMUNITY MULTISERVICE AGENCIES.
NEW-COMER SERVICES AND AGENCIES THAT PROVIDE HOUSE AS WELL AS
HUGE ISSUES, ENROLLMENT AND OTHER SERVICES ARE PART OF THE
NETWORK. IT’S NOT EXCLUSIVELY MENTAL
HEALTH ORGANIZATIONS. WE ENCOURAGE PEOPLE TO DO THAT
BECAUSE IT GIVES US A WAY TO LINK COMMUNITY TO A COMMUNITY
THROUGH THE NETWORK.>>IN TERMS OF THE PROGRAM I
DESCRIBED AND INDICATED WE’RE WORKING THROUGH ACADEMIC
INSTITUTION AND SETTINGS WHERE THEY OCCUR, THERE’S COMMUNITY
AND ACADEMIC SETTINGS, THEY’RE GOVERNMENTAL PUBLIC HEALTH
SETTINGS BECAUSE WARE INTERESTED IN HAVING A COMMUNITY-BASED
HEALTH EQUITY AND HEALTH DISPARITY EXPERIENCES TO THE
EXTENT PEOPLE ARE ENGAGED AT THE LOCAL LEVEL AND HAVE A PROJECT
THEY COULD ACTUALLY PITCH IT TO THE ACADEMIC INSTITUTION THOUGH
THE INSTITUTIONS ARE IN PARTICULAR PLACES, SAY IN NEW
YORK WHY COLUMBIA UNIVERSITY IS AND ALL THE PROJECTS HAPPEN IN
NEW YORK CITY AND I CAN’T THINK OF A RICHER PUBLIC HEALTH
SETTING THAN DOING WORK IN NEW YORK CITY FOR DIVERSITY.
AND KENNEDY KRIEGER HAS STUDENTS AND
MOOREHOUSE COLLEGE HAS SOME IN LOCATIONS LIKE MORGANTOWN,
VIRGINIA. AND WE’RE WHITING TO SEE WHERE
UCLA WILL PLACE THEIR STUDENTS. IF YOU ARE IN L.A., APP– ANN
ARBOR OR NEW YORK CITY OR ATLANTA, PLEASE LET US KNOW.
>>AT ARHQ WE HAVE DEVELOPED AN STARBUCKS
DEVELOPED STRATEGIES AND TO CONNECT COMMUNITIES TO THE
RESOURCES. AND AT ARHQ OUR OFFICE OF
COMMUNICATION PLAYS AN IMPORTANT ROLE IN PARTNERSHIP TO MAKE OUR
DISSEMINATION AND IMPLEMENTATION ACTIVITIES WORK AND I’LL PUT A
PLUG IN ACROSS THE WAY WHERE YOU CAN FIND SOME OF THE INFORMATION
RESOURCES YOU HAVE AVAILABLE.>>WAVE YOUR HAND IN THE MIDDLE.
THANK YOU, SIR.>>FROM THE FDA OFFICE OF
MINORITY HEALTH, ONE THING I HIGHLIGHTED WAS MINORITIES IN
CLINICAL TRIALS CAMPAIGN. I THINK IT’S REALLY IMPORTANT.
AS FAR AS CONNECTING WITH OUR COMMUNITY, WE DEVELOPED A NUMBER
OF RESOURCES THAT CAN BE USED AND DOWNLOAD FROM THE WEBSITE
AND USE THEM AT COMMUNITY EVENT. WE HAVE BROCHURES AND FACT
SHEETS AVAILABLE IN MULTIPLE LANGUAGES AND WE PROVIDE
INFORMATION TO INFORM YOU BEFORE RESEARCH, RISK AND BENEFITS AS
WELL AS OPPORTUNITIES FOR PARTICIPATION WITHIN RESEARCH.
WE ENCOURAGE EVERYONE TO USE THE MATERIALS WE DEVELOPED.
THE OTHER THING I WOULD SAY IS THAT WE WANT YOU TO CONNECT WITH
US. THERE MAY BE INFORMATION YOU
THINK WOULD BE HELPFUL. WE WANT TO KNOW.
SO AT THE END OF MY PRESENTATION I SAID PLEASE CONNECT WITH US
AND REACH OUT TO US AND I’LL PUT
A PLUG IN FOR OUR TABLE WHICH IS OVER THERE AND A PLUG FOR OUR
TABLE OVER THERE WITH ADDITIONAL RESOURCES AVAILABLE.
>>ROUND TWO QUESTION, WE ALL AGREE IF WE’RE GOING TO ACHIEVE
HEALTH EQUITY WE HAVE TO BE EFFECTIVE ACROSS ALL SECTORS.
WHAT ARE SECTORS YOU THINK WE’RE DOING WELL IN RECOGNIZING THIS
AND WHERE DO YOU THINK WE CAN DO BETTER.
STARTING WITH DR. HUANG AND WORKING OUR WAY DOWN.
>>LET ME FIRST BEGIN BY PLUGGING MY TABLE OVER THERE.
RISE OF HANDS. THANK YOU.
I THINK ONE SECTOR WHERE WE’RE NOT DOING TO WELL AND I OVERSEE
OUR GRANT PROGRAM PORTFOLIO OF WORK AND CRIMINAL JUSTICE SYSTEM
AND WE KNOW PEOPLE WHO ARE INVOLVED IN THE CJ SYSTEM HAVE
POOR HEALTH. POOR HEALTH OUTCOMES THEY HAVE
HIGHER RATES OF CHRONIC DISEASES WHEN THEY’RE IN JAILS AND
PRISONS AND WHEN THEY COME OUT. AND WE ALSO KNOW THAT THERE’S A
DISPROPORTIONATE NUMBER OF PEOPLE IN COLOR IN THE CRIMINAL
JUVENILE JUSTICE SYSTEM AND WE FIND A DIVIDED PATHWAY IN SOME
POPULATIONS GET DIRECTED TO TREATMENT, OTHERS GET DIRECTED
INTO JAIL. I THINK WE SPEED HAVE
SPEND TIME THINKING ABOUT THAT DISPARITY.
>>I’D LIKE TO INTRODUCE OUR TABLE WITH JENNY KINKAID ONE OF
OUR HEALTH COMMUNICATIONS SPECIALIST.
WHEN I THINK ABOUT THE WORK THE’S BEEN DOING WHERE WE’RE
MAKING PROGRESS IS IN TERMS OF THE HOUSING SECTOR AND EXPLORING
RELATIONSHIPS THAT CAN BE BUILT IN TERMS OF REDUCING HEALTH AND
INSECURITY AND WE’RE MAKING GOOD PROGRESS WITH THAT SECTOR.
WHERE WE HAVE MORE WORK TO DO IS WITH THE PRIVATE SECTOR AND THE
BUSINESS SECTOR. AND HOW WE CAN CREATE
OPPORTUNITIES TO INFLUENCE LIVING WAGES AND REDUCING
UNEMPLOYMENT. AND INCREASING ACCESS
TO HEALTHY FOOD.
THAT’S WHERE WE HAVE OPPORTUNITIES TO WORK.
>>THANK YOU SO MUCH. DR. CHESLEY.
>>WE’VE LOOKED AT HEALTH SYSTEMS AND CONSUMERS MUCH
HEALTH INFORMATION. I’D ADD THAT I THINK THE SECTORS
WE CAN DO IMPROVEMENT ARE OUTSIDE THE HEALTH DOMAIN.
IT’S HUMAN SERVICES, PUBLIC HEALTH AND SOCIAL SERVICES AND
FAITH-BASED ORGANIZATIONS. I ALSO WANT TO ECHO WHAT WE
HEARD FROM LARKE.>>I THINK
WE HAVE WORKED WELL WITH AM– ACADEMIA AND WE’RE
ALL TRYING TO FIND WAYS TO CONNECT WITH THE COMMUNITY AND
IN DIVERSIFYING CLINICAL TRIALS AND WE ARE WORKING WITH YALE TO
HELP ADVANCE DIVERSITY EFFORTS WHERE THEY’RE TRYING TO CONNECT
INVESTIGATORS AND WORKING THROUGH PROGRESSIVE ACTION TO
CONNECT INVESTIGATORS TO THE LATINO COMMUNITY AND RELIGIOUS
ORGANIZATIONS AND THE CHURCH CONNECTING THEM TO THE AFRICAN
AMERICAN COMMUNITY. WE’RE TRYING TO FIND WAYS TO
CONNECT WITH THE COMMUNITY ITSELF.
>>THANK YOU SO MUCH. AGAIN, I’D LIKE TO ASK YOU JOIN
ME IN THANKING THE PANELISTS IN TRANSITION THEM OFF THE STAGE
AND THE NEXT PANEL ONTO THE
STAGE.>>I HAVE A
MODERATOR PREROGATIVE.
WE LOOK TO INCREASE THE SOCIAL HEALTH OF AMERICAN NATIVES TO
THE HIGHEST LEVEL. ONE OF THE WAYS WE’RE WORKING TO
DO THAT IS THROUGH INNOVATIVE PARTNERSHIPS WITH COLLEGE AND
UNIVERSITY TO BUILD THE FUTURE WORKFORCE AND RECRUITMENT OF
HEALTH CARE PROFESSIONALS IS ONE OF OUR BIGGEST CHALLENGES.
I WANT TO TAKE A SMALL SAMPLING TO GIVE YOU A SNAPSHOT OF WHAT
SOME PROGRAMS ARE DOING. AND IN OUR NAVAJO AREA THE
NAVAJO NATION IS COLLABORATE THE UNIVERSITY OF CALIFORNIA SAN
FRANCISCO. AND
WE’RE NOT AT THE CLINICAL SITES AND SOME THAT WOULD
OTHERWISE NOT SERVE IN THESE SERVICES.
AND INNOVATION OF THE PROGRAM IS A COMMUNITY MEMBER FROM EACH
PARTNER SITE PAIRS WITH EACH FELLOW TO OBTAIN AN MPH WITH THE
INCREASE OF LOCAL WORKFORCE CAPACITY.
THAT’S AN EXAMPLE. ANOTHER EXAMPLE IS THE
UNIVERSITY OF WASHINGTON GLOBAL AND RURAL HEALTH FELLOWSHIP.
THIS SIGH– IS A TWO-YEAR FELLOWSHIP FOR EMERGENCY MEDICAL
PHYSICIAN. FELLOWS ATTEND A ONE-MONTH
GLOBAL HEALTH FORCE AT THE UNIVERSITY WASHINGTON IN SEATTLE
AND SPEND THE REMAINDER OF THE YEAR AT THE PINE RIDGE INDIAN
HEALTH HOSPITAL IN SOUTH DAKOTA OR IN ALASKA.
AND THE SECOND YEAR IS SPENT ABROAD WHERE INTERNISTS ENGAGE
IN CLINICAL EDUCATION OR RESEARCH AND EMERGENCY
PHYSICIANS PARTICIPATE IN RURAL HEALTH OR HUMANITARIAN
EMERGENCIES. OUR HOSPITAL IN SOUTH DAKOTA IS
PARTNERING IN RURAL HEALTH LEADERSHIP.
THIS IS A TWO-YEAR PROGRAM FOCUSSED ON PRIMARY CARE AND
PRIMARY MEDICINE. NON-CLINICAL TIME, THE FELLOWS
PARTICIPATE IN ON-SITE COURSE WORK FOR AN MPH DEGREE AND
STUDENTS ROTATING THROUGH THE SITE AND PARTICIPATE IN
COMMUNITY-DRIVEN PROJECTS. AND IN THE OKLAHOMA CITY AREA
WHICH IS EXPANDED IT’S COLLABORATIVE RELATIONSHIP WITH
THE COLLEGE OF MEDICINE. THIS PROGRAM SPONSORS MEDICAL
STUDENTS RESIDENTS IN EXCHANGE FOR A SERVICE OBLIGATION.
A SMALL SAMPLING OF THE IMPORTANCE OF THE UNIVERSITY
RELATIONSHIPS WITH US AS AN AGENCY THAT PROVIDES DIRECT
HEALTH CARE FOR AMERICAN INDIANS AND ALASKAN NATIVES.
IT’S MY HONOR TO INTRODUCE OUR SECOND PANEL.
MATTHEW LIN WHO YOU HEARD FROM PREVIOUSLY.
HE’S OUR DEPUTY ASSISTANT SECRETARY FOR MINORITY HEALTH
AND THE DIRECTOR OF THE HHS OFFICE OF MINORITY HEALTH.
MS. MICHELLE ALLENDER AT THE HEALTH RESOURCES ADMINISTRATION.
DR. PEREZ-STABLE IS A DIRECTOR OF THE NATIONAL INSTITUTE ON
MINORITY HEALTH AND HEALTH DISPARITIES AND CARA JAMES AT
THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.
SO THANK YOU FOR JOINING US UP ON THE STAGE AND WITH THAT I
WILL TURN IT OVER FIRST TO DR. MATTHEW LIN TO GET US STARTED.
THANK YOU.>>THANK YOU.
FOR YOUR KIND INTRODUCTION AND THANK YOU TO THE STAFF AND
DIRECTORS FOR THE WORK YOU DO I PRESENT A CHART WITH A LONG
STANDING CHALLENGE FROM THE HEALTH EQUITY REPORT.
IT SHOWS CARDIOVASCULAR DISEASE MORTALITY HAS DECLINED FOR ALL
MAJOR RACE AND ETHNIC GROUPS. IT ALSO SHOWS THE GAP DISPARITY
DID NOT CHANGE FROM 2009 TO 2015.
THE DESPAIRS BETWEEN RACES REMAINS CONSTANT OVER 65 YEARS.
THIS CHART SHOWS A LOT OF WORK TO DO AND I LOOK FORWARD TO
ADDRESSING THESE CHALLENGES. COLLABORATION HAS BEEN A KEY
RESOURCE SINCE THE BEGINNING OF THE OFFICE 32 YEARS AGO.
WE NOW HAVE REACHED 10 REGIONS. WE HAVE FOCUSSED ON PARTNERSHIPS
THIS MONTH. THE PROGRAM I’M HIGHLIGHTING
THIS AFTERNOON IS PART OF HHS’S COMMUNITY INITIATIVE.
THE INITIATIVE SUPPORTS WORK BY 15 ORGANIZATIONS ADDRESSING
CHILDHOOD OWES — OBESITY. I’M FOCUSSING ON THE OPIOID
EPIDEMIC WHICH IS A PRIORITY FOR THE ADMINISTRATION AND HHS.
SIX OF THE INITIATIVE PROGRAMS FOCUS ON THIS ISSUE.
WE ARE LEARNING MORE AND MORE ABOUT THE IMPACT ON THE WIDE
RANGE OF POPULATION AND COMMUNITY.
THE INCREASE IN OPIOID DEATHS YOU SEE HERE IS SKYROCKETING
FROM 2015 TO 2016. 58% FOR THE BLACK COMMUNITY.
IT AFFECTS OTHER AREAS AND IT’S HIGHEST AMONG THE BLACK
COMMUNITY AND HAS A GREAT INCREASE IN OPIOIDS LIKE
FENTANYL. AND THERE’S SUPPORT FOR A QUICK
RESPONSE TEAM THAT HAS BEEN ESTABLISHED TO ADDRESS THE
PROBLEMS IN THE COUNTRY. WE VISITED TO WEEKS AGO AND WHAT
THE PEOPLE ARE DOING FOR THEIR COMMUNITY IS REMARKABLE.
THE RESPONDER JOB GIVEN THE DOSE OF NALOXONE.
FOR THE RESPONSE TEAMS THIS IS WHERE THE JOB BEGINS.
THEY PARTNER FROM DIFFERENT SECTORS AND WORK TO PROVIDE
PREVENTION, TREATMENT AND RECOVERY.
IF YOU HAVE NEVER SEEN THEM, THEY ARE GREAT PEOPLE.
THEY’RE SERVING AND CHANGING LIVES.
AND THEY LEARNED IT FROM THE ABOUT TWO YEARS AGO.
AT THAT TIME, THEY HAD MADE NATIONAL HEADLINES WHEN 26
OVERDOSE WERE REPORTED. BY THEN THE NUMBER WAS OVER
100,000. FROM THE BEGINNING, THE TEAM WAS
LIMITED BY A LACK OF FUNDS. IN LAST SEPTEMBER THE PROGRAM
RECEIVED SUPPORT FROM MY OFFICE AND THE DEPARTMENT OF JUSTICE.
TODAY, THE HEADLINE IS A DIFFERENT STORY ABOUT
HUNTINGTON. THE QRT WAS MAKING NEWS WHEN WE
WERE THERE WITH THE ANNOUNCEMENT THEY HAD EXPERIENCED 55%
DECREASE IN OVERDOSE PER MONTHS. WE HEARD REPEAT LID THE QRT IS
OFFERING HOPE TO MANY PEOPLE. THE PROGRAM IS WORKING.
THEY NEVER HAVE LOWER THAN 100 IN THE LAST THREE YEAR.
THE PROGRAM COULD BE PROOF OR ONE OF THE MOST EFFECTIVE WAYS
TO FIGHT THE OPIOID EPIDEMIC AND ARE PROUD TO ABLE TO HELP THE
COMMUNITY. THANK YOU VERY MUCH.
>>NEXT WE’LL HAVE MS. ALLENDER. GOOD AFTERNOON.
I’M THE DIRECTOR FOR THE OFFICE OF HEALTH EQUITY.
AND THOUGH MY OFFICE WORKS TO REDUCE INEQUITIES SO INDIVIDUAL
CANS ACHIEVE THE HIGHEST LEVEL OF HEALTH.
WE ACCOMPLISHED THIS THROUGH THE DEVELOPMENT AND MAINTENANCE OF
STRATEGIC PARTNERSHIPS WITH HEALTH EQUITY CONCEPTS, QUALITY
AND PROGRAMMING ACROSS ALL OF THE BUREAUS AND OFFICES TO
POSITIVELY IMPACT THE PEOPLE WE SERVE WITHIN THREE KEY AREAS.
THE FIRST IS ADVANCING HEALTH EQUITY CONCEPTS AND ACHIEVEMENTS
AND CULTURAL COMPETENCE. THE SECOND IS DEVELOPING AND
SUSTAINING INTERNAL AND EXTERNAL STRATEGIC PARTNERSHIPS AND THE
THIRD IS POLICY CONSULTATION AND RESEARCH.
SO WHILE EACH OF THESE KEY AREAS ARE INTERCONNECTED, TODAY I’LL
FOCUS ON THE IMPORTANCE OF PARTNERSHIPS AND POLICY
CONSULTATION AND RESEARCH AND HOW THESE TWO KEY AREAS WERE
VITAL IN THE DEVELOPMENT AND LAUNCH OF THE 2017 HEALTH EQUITY
REPORT. THE REPORT WAS A YEAR IN THE
MAKING. IT’S THE FIRST COMPREHENSIVE
REPORT RELIEVED IN 18 YEARS. THE LAST REPORT WAS IN 2018.
IT PROVIDES AN ANALYSIS OF DEMOGRAPHIC HEALTH AND HEALTH
CARE DATA FROM VARIOUS PROGRAMS SUCH AS OUR HEALTH CENTER
PROGRAM AND THE HOME VISITING PROGRAM AND THE RYAN WHITE
HIV/AIDS PROGRAM. THE COMPLETION COULD NOT BE
ACHIEVED WITHOUT THE SKILLFUL AND PRODUCTIVE PARTNERSHIP WITH
EACH OF OUR BUREAUS AND OFFICES. WE WERE ABLE TO GENERATE SUPPORT
FROM OUR ADMINISTRATOR. THE PROCESS
AND TO CREATE A TIME LIMITED REPORT WORK GROUP THAT
PROVIDED WITH US THE FEEDBACK AND DESIGN IDEAS THAT HELPED US
TO IDENTIFY THE RELEVANT DATA AND DATA SOURCES FOR THE REPORT.
WE CONTINUED WITH MONTHLY MEETINGS AND CALLS WEDGE OUR
CONTRIBUTORS AND NEAR DAILY FUNCTIONAL MEETINGS TO DISCUSS
AND HELP KEEP US ON TRACK. ONCE DRAFTED THIS WORK GROUP
REVIEWED THE INITIAL CONTENT AND PROVIDED FEEDBACK FROM THE
PERSPECTIVE OF EACH OF OUR BUREAUS AND OFFICES THAT HELP
EXPEDITE THE EDITING OF THE REPORT.
THE END RESULT IS A REPORT THAT PROVIDES COMPARISON OF PROGRAM
DATA AND NATIONAL DATA IN IDENTIFYING IMPORTANT HEALTH
EQUITY PROGRAMS AND HELP IMPROVEMENT THE HEALTH EQUITY
REDUCTION AND IT’S CLEAR WITHIN A FEW WEEK OF THE PUBLICATION,
IT ALREADY HAS MULTIPLE CITINGS AND CITATIONS AND HAS BEEN
INCLUDED ON THE HEALTH EQUITY LIST SERVE WHICH WE’RE PROUD.
THE 2017 HEALTH EQUITY REPORT COVERS VARIOUS AREAS OF PUBLIC
HEALTH RESEARCH AND POLICY WHICH INCLUDES THE SOCIAL DETERMINATES
OF HEALTH AND PRIMARY CARE ACCESS, EQUALITY, MENTAL AND
BEHAVIORAL HEALTH, CHRONIC DISEASE PREVENTION AND HIV/AIDS
WORKFORCE AND THERE’S TREND DATA AND INFORMATION WE HOPE PROGRAMS
AND ORGANIZATIONS WILL FIND USEFUL IN EVALUATING ASSESSMENTS
AND INFORMING FURTHER INFORMATION EFFORTS TO HELP
GUIDE FUTURE DIRECTIONS ON HOW AND WHERE TO DEDICATE TARGET
RESOURCES ESPECIALLY IN THOSE AREAS RELATED TO ACHIEVING
HEALTH EQUITY. WE ARE PARTICULARLY PROUD OF HOW
THE EVIDENCE-BASED ANALYSIS SHOWS HOW WE’VE OUTPERFORMED
WHEN IT COMES TO PROVIDING ACCESS TO PREVENTIVE HEALTH AND
SOCIAL SERVICE AND NEEDED MEDICAL CARE TO THE UNDERSERVED
AND SOCIALLY DISADVANTAGED POPULATIONS.
THE IMPROVEMENTS MADE IN MANY AREAS ARE SIGNIFICANT AND STAFF
ARE COMMIT TO SEN IR– SYNERGIZING THE EFFORTS IN
WORKING WITH OUR COMMUNITY PARTNERS AND ACROSS ALL OF HHS
TO ADDRESS AND POSITIVELY IMPACT EXISTING INEQUITIES.
IN THE COMING MONTHS WE’LL PROVIDE A SERIES OF REPORTS
WHERE WE WILL EXPLORE SELECT FINDINGS IN THE REPORT AND
HIGHLIGHT THE WORK OF EACH BUREAU AND OFFICES AND PERHAPS
IDENTIFY SOLUTIONS TO OUR MORE CHALLENGING BARRIERS.
LATER THIS YEAR, WE WILL ALSO BE FORMING A NEW EXPANDED
INTERAGENCY WORK GROUP TO WORK ON THE NEXT VERSION OF THE
REPORT WHERE WE WILL MAGNIFY KEY AREAS OF HEALTH INEQUITIES.
TO READ THE FULL REPORT YOU CAN VISIT THE TABLE BEING MANNED BY
CAPTAIN ELIJAH MARTIN. WE HAVE COFFEES THERE AND VISIT
OUR WEBSITE AND GO TO THE HEALTH EQUITY PAGE WHERE YOU CAN FIND
THE FULL REPORT TO DOWNLOAD. IN CLOSING, I WOULD LIKE TO
THANK DR. LIN AND OF COURSE ALL OF YOU FOR ALLOWING ME TO SPEAK
WITH YOU TODAY AND WE CAN WORK FURTHER TO PARTNER ON EFFORTS IN
THE FUTURE. THANK YOU.
>>NEXT WE’LL HAVE DR. PEREZ’ TABLE.
>>THANK YOU FOR COORDINATING THIS MINORITY HEALTH MONTH.
I’M PROUD TO BE PART OF THE GROUP.
WE UNOFFICIALLY REPRESENT THE HEALTH DISPARITY AT THE NATIONAL
INSTITUTES OF HEALTH BUT EACH OF THE OR MOST ACTUALLY HAVE
OFFICES OF HEALTH EQUITY OR MINORITY HEALTH OR HEALTH
DISPARITIES. AND WE’RE ONE OF THE SMALLEST
ENTITIES AT NIH. WE DO SERVE A COORDINATING AND
LEAD ROLE IN DEFINING THE SCIENCE OF MINORITY HEALTH
OFFICE DISPARITIES. WE HAVE THE FUNDAMENTAL APPROACH
THAT FOR ALL HEALTH RELATED ISSUES WE LOOK AT RACE ETHNICITY
AND SOCIOECONOMIC STATUS AS TWO PILLARS OF LENSES BY WHICH WE
LOOK AT ALL OUTCOMES AND QUESTIONS.
WE ALSO BELIEVE THAT WITH INCLUDING DIVERSE POPULATION IN
STUDY SAMPLES ONE IS ABLE TO MAKE SCIENTIFIC DISCOVERIES THAT
WOULD OTHERWISE NOT BE POSSIBLE IF THESE WERE NOT INCLUDED AND
THERE’S MULTIPLE EXAMPLES IN THE SCIENTIFIC LITERATURE IN THE
LAST COUPLE DECADES. OUR MISSION INVOLVES SCIENCE AND
AWAY ALSO HAVE PROGRAMS IN TRAINING FOR THE SCIENTIFIC
WORKFORCE AND DO COMMUNICATION TO THE PUBLIC AND COLLEAGUES.
TODAY’S THEME WAS ON PARTNERSHIPS.
I WANT TO HIGHLIGHT FOUR INTERNAL PARTNERSHIPS WITHIN THE
NIH AND IN THE COMMUNITY. FIRST, MANY HAVE HEARD OF THE
ALL OF US PROGRAM WHICH IS SOON TO HAVE THE OFFICIAL PUBLIC
LAUNCH. WE RECRUIT UP TO 1 MILLION
VOLUNTEERS FOR DATA COLLECTION FROM THE SELF-REPORTED SURVEYS
AND ELECTRONIC MEDICAL REPORTS AND BIOLOGICAL SPECIMENS.
I LOOK FORWARD TO SEEING THIS CONTRIBUTE.
THE NEXT PROJECT IS THE ABCD STUDY LED BY THE NATIONAL
INSTITUTE OF DRUG AND ALCOHOL ABUSE THAT OTHER INSTITUTES
INCLUDING, OUR OWN, RECRUITING AT YOUTH AGE 9 TO 10.
NOT QUITE HALF ARE TO BE RACE, ETHNIC MINORITIES THROUGHOUT THE
UNITED STATES. THE GOAL IS TO FOLLOW THEM OVER
THE COURSE OF 10 YEARS WITH INTENSIVE EVALUATIONS INCLUDING
BRAIN IMAGES AS TO ADDRESS WHAT HAPPENS IN THE ADMINISTRATION
FROM CHILDHOOD TO ADOLESCENCE. THE EMPHASIS IS OFTEN ON MENTAL
HEALTH AND DRUG USE BUT IT’S NOT THE EXCLUSIVE FUNCTION OF THE
STUDY AND WE’RE EXCITED ABOUT THE KIND OF DISCOVERY THAT WILL
BE POSSIBLE THROUGH THE COLLABORATION.
THE STRATEGIC PLAN IS BEING LED AND IT’S SOMETHING THAT’S NOT
BEEN DONE IN SEVERAL YEARS. WE BELIEVE IT’S AN OPPORTUNE
TIME TO TAKE THE TEMPERATURE OF WHERE WE ARE IN WHAT WE HAVE
DONE SO FAR WE’RE IN THE MIDST OF COMMUNITY LISTENING SESSIONS
AND LOOKING AT REPRESENTATIVES ACROSS THE INSTITUTES TO
FINALIZE THE PLAN. AND FINALLY INTERNALLY AT NIH,
WE ARE WILLINGLY PARTICIPATE IN THE SCHOLARS PROGRAM WHICH IS A
SPECIAL PROGRAM FOR MEDICAL STUDENTS TO SPEND ONE
RESIDENTIAL YEAR AT NIH. THIS IS OFTEN THE THIRD YEAR BUT
COULD BE AFTER THE SECOND OR FOURTH YEAR DEFERRING A YEAR OF
RESIDENCY FOR THE FOLLOWING YEAR AND FOR THE STUDENTS TO DO
MENTORED RESEARCH WITH A LAB. YOU CAN IMAGINE BOTH
OPPORTUNITIES WERE IN BASIC SCIENCE AND SOME CLINICAL
PROTOCOLS BUT THERE’S AN EMERGING NUMBER OF INVESTIGATORS
DOING POPULATION OR INVESTIGATOR SCIENCE AND WE HAVE LATCHED ON
TO THAT AND HAVE HAD GOOD COLLABORATION AND SUPPORT.
ON THE COMMUNITY SIDE, ONE IS WE
HAD COLLABORATED WITH A FRATERNITY ON A PROGRAM CALLED
BROTHER, YOU’RE ON MY MIND WHICH IS WORKSHOPS AND MEDIA
ENGAGEMENT AND DEVELOPED A TOOL KIT TO ADDRESS ISSUES OF MENTAL
HEALTH, PARTICULARLY DEPRESSION FOR AFRICAN AMERICAN MEN.
MEN IN GENERAL ARE LESS INSIGHTFUL ABOUT EMOTIONAL
ISSUES INDEPENDENT OF RACE ETHNICITY.
AMONG AFRICAN AMERICAN MEN THERE’S DATA TO INDICATE THIS IS
PARTICULARLY PROBLEMATIC AND IN THIS COMMUNITY PARTNERSHIP WE’VE
MADE REAL PROGRESS IN BEING ABLE TO WORK IN COLLABORATION WITH
OUR PARTNERS. THE SECOND IS WITH THE SPANISH
VERSION OF THE FUEL UP THE PLACE 60 WHICH IS DESIGNED TO EDUCATE
AND OUR LATINO STUDENTS ABOUT THE IMPORTANCE OF HEALTHY EATING
AND PHYSICAL ACTIVITY. IN THINKING ABOUT COPING,
EVERYONE HAS STRESS AND FREQUENTLY ONE WILL SAY, WELL,
YOU’LL COPE BY DOING SOMETHING THAT’S NOT GOOD FOR YOU LIKE
COMFORT FOOD OR SMOKE OR DO OTHER SUBSTANCES.
INSTEAD WE NEED TO PROMOTE OUR HEALTHY COPING MECHANISMS SUCH
AS PHYSICAL ACTIVITY OR MEDITATION OR PRAYER AND SUCH AS
BETTER SLEEP AND HEALTHY NUTRITION.
THIS IS IN LINE WITH THAT EFFORT.
I WANT TO HIGHLIGHT TWO ACTIVITIES WE’RE INVOLVED WITH.
ONE IS HAPPENING WHERE THERE’LL BE 500 HIGH SCHOOL STUDENTS
COMING THE CAMPUS FOR ONE DAY. I CAN IMAGINE THEM GETTING
THROUGH THE SECURITY GATE. I’LL BE THERE TO GREET THEM AT
THE NLM. THERE’LL BE NUMEROUS SCIENTISTS
FROM NIH AND ALL THE INSTITUTES IN TRYING TO GUIDE THEM TO THE
JOY AND EXCITEMENT TO A CAREER IN SCIENCE.
AND I’VE BEEN WORKING WITH STAFF WITH THE ASSOCIATION OF MEDICAL
COLLEGES AROUND THE ISSUES OF MINORITY PHYSICIANS.
THE MEDICAL ASSOCIATION AND HISPANIC MEDICAL ASSOCIATION AND
PACIFIC ISLANDER AND AMERICAN INDIAN AND BLACK CARDIOLOGISTS
AND OTHER GROUPS HAVE POTENTIALLY JOINED US.
THIS IS STILL IN DEVELOPMENT AS TO WHAT WE WOULD DO AND WORK ON.
I THINK PRIMARILY WE’RE GOING TO FOCUS ON DIVERSITY IN THE
PIPELINE AND THE WORKFORCE SINCE WE’RE AT A CRITICAL JUNCTION IN
OUR SOCIETY. OVER 30% OF THE POPULATION IS A
RACE ETHNIC MINORITY GROUP IN THE FUTURE IT WILL BE A MINORITY
MAJORITY NATION. IT’S ACTUALLY NOT FAR AWAY.
RIGHT NOW 50% OF CHILDREN IN THIS COUNTRY ARE RACE ETHNIC
MINORITY. THE TIME IS HERE.
YET ONLY 12% OF PHYSICIANS GRADUATING IN 2017 WHERE EITHER
LATINO OR AFRICAN AMERICAN. THIS SAY CRISIS.
IN BIOMEDICAL SCIENCE IT’S WORSE.
THANK YOU FOR YOUR ATTENTION AND THANK YOU DR. LIN FOR
COORDINATING AND HOSTING THIS. THANKS.
>>LAST BUT NOT LEAST, MS. JAMES.
>>I SEE OUR CLOSING SPEAKER IS HERE SO I’M GOING TO DO THIS
BRIEFLY TO STAY ON SCHEDULE. I’M THE DIRECTOR OF THE CMS
OFFICE OF MINORITY HEALTH AND I WANT TO LEAVE YOU WITH TWO
THINGS. ONE IS A WEBSITE WHICH IS
GO.CMS.gov/OMH. THE OTHER IS AN E-MAIL ADDRESS
WHICH IS [email protected]
I GIVE YOU THOSE TWO THINGS BECAUSE WE ARE ALL CHALLENGED TO
GET THROUGH OR WORK IN SEVEN MINUTES.
WE HAVE SOME OF IT PRESENTED HERE AT THE TABLE WITH ASHLEY
AND SANTIAGO BUT YOU CAN GO TO THE WEBSITE AND LEARN MORE ABOUT
THE THINGS WE HAVE GOING ON. WE’RE ONE OF NEWER OFFICES AND
AND WE FOCUS ON GEOGRAPHICALLY UNDER SERVED COMMUNITIES AND
WORK TO ENSURE THE VOICES WE REPRESENT ARE PRESENT IN
DEVELOPING PROGRAMS AND POLICIES AND WORKING TOWARDS THE
SITUATION WHERE BENEFICIARIES ACHIEVE HEALTH AND DISPARITIES
AND HEALTH CARE INEQUALITIES ARE ELIMINATED.
AND WE FOCUS IN THREE AREAS. WE LOOK TO INCREASE OUR
AWARENESS OF DISPARITIES AND IMPLEMENT SUSTAINABLE ACTS TO
OUR PARTNERS AND HOW TO MAKE HEALTH EQUITY STANDARD OPERATING
PROCEDURES WITHIN THE ORGANIZATION.
I’LL HIGHLIGHT THREE PARTNERSHIPS AND ENCOURAGE TO
YOU GO THROUGH THE WEBSITE TO LEARN MORE AND HOW TO PARTNER
WITH US. THE FIRST IS OUR COVERAGE TO
CARE INITIATIVE TO EDUCATE CONSUMERS TO HOW TO CONNECT WITH
SERVICES. DR. HUANG TOUCHED ON OUR
BEHAVIORAL HEALTH ROAD MAP AND WE HAVE WORKED WITH OUR CONSUMER
FINANCIAL PROTECTION BUREAU TO DEVELOP RESOURCES TO MANAGE
HEALTH CARE COSTS AND TRANSLATED THEM WORKING WITH COMMUNITY
PARTNERS TO ENSURE THE TRANSLATION CULTURALLY
APPROPRIATE AND DEVELOP OTHER PARTNERSHIP RESOURCES.
WE DID NOT HAVE AN ADVERTISING BUDGET BUT WE’VE HAD MORE THAN 3
MILLION RESOURCES SHARED IN EVERY COUNTY OF COUNTRY TO HELP
EDUCATE CONSUMERS AND YOU CAN ORDER MORE FOR FREE AT OUR
WEBSITE. ANOTHER WE’VE DONE IS OUR
CONNECTED CARE CAMPAIGN. THIS IS TO HELP EDUCATE
CONSUMERS AS WELL AS PROVIDERS ABOUT THE BENEFIT OF CHRONIC
AREA MANAGEMENT SERVICES. WE HAVE SERVICES FOR OUR
PARTNERSHIPS WITH COMMUNITY GROUPS FOR PATIENTS AS WELL AS
FOR PROVIDERS. AND WE’VE BEEN SHARING THOSE.
YOU CAN ORDER THOSE. WE HAVE VIDEO TESTIMONIALS FROM
PROVIDERS WHO HAVE BEEN ENGAGED IN OTHER MINORITY COMMUNITIES.
WE HAVE TWO OPPORTUNITIES IN WHICH WE PARTNER WITH OUR
RESEARCH COMMUNITIES TO HELP UNDERSTAND OUR DISPARITIES
THROUGH DATA. THE FIRST IS THE GRANT PROGRAM
WHERE WE PARTNER WITH BLACK COLLEGES AND HISPANIC SERVING
OPPORTUNITIES AND PACIFIC ISLANDER INSTITUTIONS AND TRIBAL
COLLEGES AND UNIVERSITIES TO INCREASE THE ACCESS AND RESEARCH
RELATED TO HEALTH DISPARITIES AND OUR UNDERSTANDING.
THE OTHER IS OUR HEALTH EQUITY ACCESS PROGRAM.
THIS IS IMPORTANT BECAUSE WE ARE EXPECTING PROPOSALS FOR THE
PROGRAM AND WE WORK IN
PARTNERSHIP WITH RESEARCH INSTITUTIONS TO EXPAND THAT
DATA. AND THEN LASTLY, WE HAVE OUR
HEALTH EQUITY TECHNICAL ASSISTANCE.
THIS IS ONE WHICH WE WORK WITH QUALITY IMPROVEMENT
ORGANIZATIONS TO HELP IDENTIFY AND UNDERSTAND THEIR PARTICULAR
NEEDS AND DISPARITIES THEY’RE TRYING TO WORK ON.
THIS CAN BE SIMPLE QUESTIONS IN TERM OF RESOURCES AROUND HOW DO
YOU PROVIDE INFORMATION IN THE APPROPRIATE MANNER, RESOURCES TO
IMPROVE DATA COLLECTION SUCH AS RACE, ETHNICITY OR DISABILITY
AND IMPROVING ACCESSIBILITY TO
HEALTH CARE FACILITIES IS HELPING TO IMPROVE EDUCATION
ACROSS THE BOARD. AGAIN, JUST CLOSING OUT, YOU CAN
GO TO OUR WEBSITE TO LEARN MORE ABOUT WHAT WE’RE DOING AND
PARTNER WITH US TO SHARE RESOURCES AND TELL US WHAT
YOU’RE NEEDS ARE AND HOW TO HELP YOU ON THE PATH TO HEALTH
EQUITY. AGAIN, I WANT TO THANK DR. LIN
IN THE OFFICE OF MINORITY HEALTH FOR BEING HERE AND ALLOWING US
THE OPPORTUNITY AND WE LOOK FORWARD TO THE QUESTIONS.
THANK YOU.>>THANK YOU.
WE ARE GOING TO CUT DOWN TO ONE QUESTION.
>>WITH COMMUNITY SUPPORT YOU CAN HELP MAKE THE COMMUNITY
HEALTHIER.>>THAT WAS SHORT.
>>WE’RE SHORT ON TIME.>>AND IN THE REPORT, MANY OF
OUR PROGRAMS IMPACT THE COMMUNITY AND MANY OF THE
PROGRAMS PARTICULARLY THROUGH OUR HEALTH CARE THAT MANAGES THE
HEALTH CENTERS, WE’RE DOING A LOT OF WORK IN THAT AREA WITH
THE COMMUNITY. YOU DON’T THINK EVERYONE
UNDERSTANDS THE IMPACT THE SOCIAL DETERMINATES OF HEALTH
PLAY ON A PERSON’S HEALTH. I THINK THAT’S WHERE WE NEED TO
WORK MORE IN HELPING THE COMMUNITY UNDERSTAND THAT AND
OTHERS UNDERSTAND WHAT THAT MEANS AND WHAT WE CAN DO TO
HELP.>>THANK YOU SO MUCH.
DR. PEREZ’ TABLE.>>SO MY COMMENT ON THIS WILL BE
MORE GLOBAL NOT NIH SPECIFIC BUT WHAT I HAVE SEEN OVER THE LAST
30 YEARS, HOW CLINICAL MEDICINE IN PUBLIC HEALTH HAVE COME
TOGETHER MORE. SO WHEN I WAS IN MEDICAL SCHOOL
THERE WERE PAIR �– COMPETITION AND
THE HIV CRISIS BROUGHT US TOGETHER IN MANY WAYS AND THE
MENTAL STUDENTS CHANGE. THEY’RE NOW INTERESTED IN THE
SOCIAL DETERMINATES AND POPULATION HEALTH NOT JUST THE
PATIENT IN FRONT OF THEM THOUGH IT’S THE MOST IMPORTANT THING
THEY’RE DOING AT THAT MOMENT. AND PERHAPS NOW WITH THIS OPIOID
EPIDEMIC CRISIS WE’LL SEE A LOGARITHMIC SHIFT IN ATTITUDES
AND MOVING FORWARD AS WE CONTINUE TO MAKE PROGRESS.
THANK YOU.>>DR. JAMES
>>I’M TRYING TO THINK ABOUT SOMETHING THAT HASN’T ALREADY
BEEN SAID FROM COLLEAGUES IN THE PREVIOUS PANEL AND I THINK
THERE’S TWO I WILL SAY. ONE, THAT’S PROBABLY MORE UNIQUE
THAT IS TRYING TO CONTINUE TO DO MORE INTEGRATING THE PATIENT
VOICE INTO THE WORK WE’RE DOING TO HELP DRIVE SOME OF THOSE
AREAS WHICH ARE MOST IMPORTANT TO THE PATIENTS AND WE’RE SEEING
A BIG SHIFT IN OUR AGENCY WITH THAT BUT I THINK WE CAN STILL DO
A BETTER JOB. THE OTHER IS A GLOBAL COMMENT TO
HOW WE CAN ADVANCE OUR EFFORTS TO ACHIEVE HEALTH EQUITY.
I THINK THAT FOCUSES IN HOW WE CAN INCORPORATE MORE OF THE
BUSINESS SECTOR. WE TALK ABOUT HOW WE BUILD THAT
BUSINESS CASE FOR HEALTH EQUITY. FROM A NUMBER OF SPEAKERS YOU
HEARD WE HAVE SMALL RESOURCES AND HOW DO WE MAKE THAT CASE TO
GET MORE SUPPORT TO BE ABLE TO ACHIEVE OUR MISSION AND GOALS
BECAUSE DR. GIROIR TALKED ABOUT THE ONE DOLLAR AND THE HUNDRED
ON THE RETURN BUT THE ONE DOLLAR GETS OUT START SOD– STARTED
CAN HELP MAKE THE CASE.>>THANK YOU SO MUCH.
PLEASE, AGAIN JOIN ME IN CONGRATULATIONS AND THANKING OUR
PANELISTS FOR THEIR WORK TODAY. I’M GOING TO INVITE THEM TO EXIT
THE STAGE AS WE INTRODUCE OUR CLOSING SPEAKER FOR THE DAY.
NEXT IT’S MY PLEASURE TO INTRODUCE VICE ADMIRAL JEROME
ADAMS. HE WAS SWORN IN BY VICE
PRESIDENT MIKE PENCE ON SEPTEMBER 5, 2017.
HE IS THE 20th UNITED STATES SURGEON GENERAL.
DR. ADAMS MOTTO IS BETTER HEALTH THROUGH BETTER PARTNERSHIPS.
AND HE HAS APPROXIMATELY 6500 UNIFORMED HEALTH OFFICERS TO
PROMOTE, PROTECT AND ADVANCE THE HEALTH AND SAFETY OF OUR NATION
AND OUR WORLD. JOIN ME IN WELCOMING OUR SURGEON
GENERAL.>>GOOD AFTERNOON.
EVERYONE HANGING IN THERE. I KNOW IT’S BEEN A LONG DAY BUT
IT’S BEEN A GREAT DAY. I’VE BEEN GETTING FEEDBACK ON
SOME OF THE SESSIONS YOU’VE HAD AND THE LAST PANEL WAS GREAT.
I’M DONE. NO, I’LL HIGHLIGHT A FEW POINTS
BUT THEY DID HIGHLIGHT POINTS. THANK YOU FOR THE KIND
INTRODUCTION AND FOR YOUR INCREDIBLE LEADERSHIP AT IHS.
YOU’RE WORKING EVERY DAY TO LOWER DISPARITY AND I WANT TO
THANK THE OFFICES OF MINORITY HEALTH AND THE NATIONAL
INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES FOR GATHERING
SUCH A GREAT GROUP OF INDIVIDUALS.
I WAS GLAD TO HEAR THE THEME FOR THE EVENT WAS PARTNERING FOR
HEALTH EQUITY BECAUSE STRENGTHENING RELATIONSHIPS
WITHIN OUR COMMUNITIES IS KEY TO IMPROVING HEALTH.
MY MOTTO IS BETTER HEALTH THROUGH BETTER PARTNERSHIP.
WE SHARE MORE IN COMMON THAN WE DO THAN DIFFERENCES THAT
SEPARATE US AND CAN ONLY CHANGE OUR SELECTIVE FUTURES BY WORKING
TOGETHER AND WHETHER WE’RE LOOKING TO IMPROVE OUR HEALTH
OUTCOMES OR IMPROVE OUR NATION’S ECONOMIC PROSPERITY OR NATIONAL
SECURITY. WE ALL NEED PARTNERSHIPS AND
COLLABORATION. AS SURGEON GENERAL, I’M
COMMITTED TO USING MY PLATFORM TO STRENGTHEN THE PUBLIC HEALTH
COMMUNITIES AND FORGE NEW PARTNERSHIPS WITH
NON-TRADITIONAL PARTNERS AND I ENCOURAGE EACH OF YOU TO THINK
OF HOW DO TO THE SAME. I’M OFTEN ASKED TO SPEAK AT
LARGE CONFERENCES LIKE THIS I’M IN NOW AND HAVE GIVEN THREE
TALKS TODAY TO BIG GROUPS, BUT I HAVE THE BIGGEST IMPACT WHEN I
CAN HELP FACILITATE LOCAL DISCUSSIONS.
JUST LIKE POLITICS ALL HEALTH IS LOCAL AND WE CAN ONLY MEANINGFULLY
AND SUSTAINABLY CHANGE HEALTH WHEN WE HELP LOCAL PARTNERS
COME TOGETHER TO CREATE LOCAL SOLUTIONS.
SO HOW DO YOU DO IT? I WANT TO GIVE YOU PRACTICAL TIPS
FOR GATHERING THOSE NON TRADITIONAL PARTNERS TO THE TABLE.
NUMBER ONE, INVUTE THEM TO YOUR TABLE BUT DON’T JUST EXPECT THEM
TO COME TO YOU. YOU HAVE TO GO TO THEIR TABLE AND MEET THEM WHERE THEY ARE.
LAW ENFORCEMENT’S A GREAT EXAMPLE.
WE SHOULD INVITE LAW ENFORCEMENT TO THE DEPARTMENT OF JUSTICE AND
FBI AND CIA TO BE HERE AND WE WILL LISTEN TO WHAT THEIR
CONCERNS ARE. NUMBER TWO, AND IT LEADS INTO
THAT, SHOW THEM YOU CARE. NOBODY CARES WHAT YOU KNOW
UNTIL THEY KNOW THAT YOU CARE. IT’S OUR RESPONSIBILITY AS
PUBLIC HEALTH PROFESSIONALS TO SHOW COMMUNITIES THAT WE CARE
ABOUT THEIR PRIORITIES RATHER THAN SIMPLY TRYING TO PUSH OUR
MESSAGE DOWN THEIR THROAT. YOU HEARD THE LAST PANEL TALK ABOUT
THE NEED TO LISTEN TO COMMUNITIES AND HELP THEM FIGURE OUT HOW WE
CAN ADDRESS WHAT THEY ARE MOST PASSIONATE ABOUT.BECAUSE IT MAY NOT
BE WHAT WE ARE MOST PASSIONATE ABOUT. NUMBER THREE, IDENTIFY YOUR TARGET
AUDIENCE AND ADJUST YOUR MESSAGE ACCORDINGLY. WE NEED TO GET MUCH BETTER
AT THE SCIENCE OF EFFECTIVE COMMUNICATION. JUST LIKE GOING TO A DIFFERENT COUNTRY
EFFECTIVE COMMUNICATION STARTS WITH KNOWING WHAT LAND YOU ARE IN
AND WHAT LANGUAGE THEY SPEAK. AND FAR TOO OFTEN AS WE GO AROUND
THE COUNTRY WE ARE IN THE EQUIVALENT OF A FOREIGN LAND SPEAKING A FOREIGN
LANGUAGE AND WONDERING WHY PEOPLE ARE NOT UNDERSTANDING WHAT WE ARE SAYING.
I WANT TO FINISH BY TALKING A LITTLE BIT ABOUT THE OPIOID EPIDEMIC
BECAUSE TO HAVE YOU ALL HERE AND NOT TALK ABOUT IT WOULD MEAN
I AM NOT DOING MY JOB. TODAY IN AMERICA ADDICTION IS A
PUBLIC HEALTH CRISIS WITH AN ESTIMATED 2.1 MILLION PEOPLE
IN THE UNITED STATES STRUGGLING FROM OPIOID USE DISORDER. THERE IS A
PERSON DYING OF OPIOID USE DISORDER AND OPIOID OVERDOSE EVERY 12.5 MINUTES.
AND HERE IS THE SHOCKING PART MORE THAN HALF OF THOSE INDIVIDUALS
ARE DYING AT HOME. THAT MEANS THERE IS SOMEONE ON THE OTHER SIDE OF THE
BEDROOM WALL BATHROOM WALL KITCHEN WALL THAT COULD HAVE INTERVENED TO
SAVE THEIR LIFE. OPIOID ADDICTION IMPACTS OUR FRIENDS AND FAMILY MEMBERS
IN EVERY COMMUNITY. FROM THE HIGH SCHOOL ATHLETE RECOVERING FROM AN INJURY
ON THE FIELD WHO WAS OVER PRESCRIBED TO THE STAY-AT-HOME MOM, WHO HAD
A C SECTION AND UNFORTUNATELY BECAME DEPENDENT ON OPIOIDS
AFTER SHE WENT HOME, FROM THE BLACK WOMAN IN DOWNTOWN
BALTIMORE TO THE WHITE MAN IN RURAL SCOTT COUNTY, INDIANA.
EVEN AFFECTED ME. MY OWN BROTHER PHILIP IS IN
STATE PRISON ABOUT TEN MILES FROM WHERE WE ARE NOW.
HE WAS ARRESTED AND GIVEN A TEN-YEAR SENTENCE FOR STEALING
$200 TO SUPPORT HIS ADDICTION. THE ONE SAVING GRACE ABOUT HIM
BEING IN JAIL IS THAT HE’S NOT DEAD.
FAR TOO MANY FOLKS OUT THERE CAN’T SAY THAT ABOUT THEIR LOVED
ONES. THAT’S WHY I RECENTLY ISSUED THE
FIRST SURGEON GENERAL’S ADVISORY IN OVER TEN YEARS.
THAT ADVISORY IS EMPHASIZING THE IMPORTANCE OF UNDERSTANDING AND
CARRYING THE OVERDOSE DRUG NALOXONE.
WE MUST SHOW HOW TO USE IT AND KEEP IT IN REACH, PARTICULARLY
IF WE ARE THE FAMILY MEMBER OF A LOVED ONE AT HIGH RISK FOR
OPIOID OVERDOSE. ANY ONE OF US, ANY ONE OF YOUR
PARTNERS CAN SAVE A LIFE. WITH OVER HALF THESE PEOPLE
DIAGNOSE AT HOME, WE SIMPLY CANNOT RELY ON CALLING 911 AS
THE SOLUTION TO THIS PROBLEM. THEY ARE AN IMPORTANT PART OF
IT, BUT THEY AREN’T GOING TO GET THERE IN TIME FOR FAR TOO MANY
FOLKS. WHEN YOU THINK ABOUT WHY YOU ARE
HERE TODAY, I WANT YOU TO UNDERSTAND THE OPIOID EPIDEMIC
IS A TRAGEDY, BUT IT PROVIDES AN INCREDIBLE OPPORTUNITY TO
AMPLIFY THE MESSAGING THAT YOU ALL ARE CARRYING FORWARD, TO
AMPLIFY THE INITIATIVE YOU ARE WORKING ON EACH AND EVERY DAY.
THE REALITY IS THE COMMUNITIES THAT ARE MOST IMPACTED BY THE
OPIOID EPIDEMIC ARE ALSO THE COMMUNITIES IMPACTED BY LOW
GRADUATION RATES, BY HIGH INCARCERATION RATES, BY HIGH
INCIDENCES OF TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES.
WE KNOW UPSTREAM INTERVENTIONS WOULD NOT ONLY HELP US ADDRESS
THE OPIOID EPIDEMIC, BUT HELP US PREVENT OR MITIGATE ALL THESE
OTHER ISSUES. SO REALLY FIGURING OUT HOW YOU
CAN PLAY APART IN ADDRESSING THE OPIOID EPIDEMIC WILL ALSO HELP
YOU, NO MATTER WHAT YOU ARE PASSIONATE ABOUT.
LOOKING AT OPIOIDS IN THE AFRICAN-AMERICAN AND MINORITY
COMMUNITIES, IT’S BEEN SEEPING INTO COMMUNITIES OF COLOR, WHERE
HEROIN OVERDOSE RATES OVER DOUBLED, BUT HAVE LARGELY GONE
OVERLOOKED BY THE MEDIA, IF WE ARE BEING HONEST ABOUT IT.
THE INVISIBILITY OF BLACK AND LATINOS REFLECTS A CULTURAL
DIVIDE AND LACK OF ATTENTION TO THE PLIGHT OF SO MANY IN OUR
COUNTRY, AND I RECEIVED THIS QUESTION TWICE TODAY AT TWO
DIFFERENT TALK US. HOW COME THEY ARE PAYING
ATTENTION OR IT NOW? DOES PIT MAKE YOUR ANGRY,
SURGEON GENERAL ADAMS THEY ARE PAYING ATTENTION TO IT NOW?
WELL, AS I HAVE SAID TO MANY AUDIENCES, WHAT IS STIGMA?
IT’S WHEN YOU CAN TAKE A GROUP OF PEOPLE AND SEPARATE THEM INTO
US AND THEM. WHAT’S HAPPENED WITH THE OPIOID
EPIDEMIC, THERE IS NO MORE US AND THEM.
DOESN’T MATTER IF YOU ARE BLACK OR WHITE, RICH OR POOR, DOESN’T
MATTER IF YOU YEAR RURAL OR URBAN.
EVERYONE’S BEEN AFFECTED BY THE OPIOID EPIDEMIC.
THE FACT IS WE HAVE BEEN TRYING FOR YEARS, DECADES, SOME OF US
MOST OF OUR LIVES TO GET PEOPLE TO PAY ATTENTION NOT JUST TO
ADDICTION, BUT MENTAL HEALTH, ADVERSE CHILD EXPERIENCES AND
THE SOCIAL DETERMINANTS THAT EXIST IN ALL COMMUNITIES, BUT
PARTICULARLY IN COMMUNITYS OF COLOR.
OUT OF THIS TRAGEDY, THERE’S TREMENDOUS CURRENT.
IF WE COULD FOCUS MORE ON LOOKING FORWARD AND MAKING SURE
RESOURCES ARE APPLIED IN AN EQUITABLE WAY THAT FUNDING GETS
TO ALL COMMUNITIES, VERSUS LOOKING BACKWARDS.
IF WE MAKE SURE ALL COMMUNITIES ARE LIFTED UP BY OUR RESPONSE TO
THE OPIOID EPIDEMIC. IN CLOSING, I WANT TO SAY THAT
EVERY SINGLE ONE OF YOU HERE IN THIS AUDIENCE IS SEEN AS A
LEADER IN YOUR COMMUNITY. THAT MEANS YOU HAVE AN
OPPORTUNITY, NOT JUST AN OPPORTUNITY, BUT A
RESPONSIBILITY TO LEAD BY EXAMPLE.
I DON’T MEAN JUST IN YOUR DAY JOB, I DON’T MEAN JUST AT WORK.
I MEAN AT THE SOCCER FIELD, IN THE GROCERY STORE, AT CHURCH, AT
COMMUNITY MEETINGS. IT’S IMPERATIVE ALL OF US USE
OUR PLATFORMS TO MAXIMUM EFFECT, AND THAT STARTS WITH HUMILITY
AND WITH SERVANT LEADERSHIP. I CHALLENGE EACH AND EVERY ONE
OF YOU TO THINK OF AT LEAST ONE NEW PARTNER YOU COULD INVITE TO
YOUR TABLE AND WHOSE TABLE YOU CAN GO TO.
I CHALLENGE YOU TO STOP, STOP THE NEXT TIME YOU ARE ABOUT TO
ASK SOMEONE TO DO SOMETHING THAT YOU KNOW IS SCIENTIFICALLY VALID
AN YOU KNOW WILL IMPROVE INDIVIDUAL OR COMMUNITY HEALTH.
WHY DO I ASK YOU TO STOP? WELL, I ASK YOU TO STOP AND HAVE
THE COURAGE TO INSTEAD ASK THAT PERSON OR THAT GROUP WHAT THEIR
GOALS AND DESIRES ARE, BEFORE YOU SEEK TO TRY TO TELL THEM
WHAT YOU WANT THEM TO DO. SHOW THEM THAT YOU CARE BEFORE
YOU TRY TO SHOW THEM WHAT YOU KNOW.
FINALLY, I CHALLENGE YOU TO THINK ABOUT HOW EACH OF YOU CAN
BE A MORE EFFECTIVE COMMUNICATOR.
OTHERWISE, YOU’RE LIKELY TO FIND YOURSELF SPEAKING A FOREIGN
LANGUAGE IN A FOREIGN LAND. AGAIN, MY MOTTO IS BETTER HEALTH
FOR BETTER PARTNERSHIPS. NO MATTER WHAT AREA OF HEALTH,
HEALTH CARE OR PUBLIC HEALTH YOU ARE PASSIONATE ABOUT, IF YOU
COMMIT TO FORGING BETTER PARTNERSHIP AND-BACK A BETTER
PARTNER, BETTER HEALTH IS SURE TO FOLLOW.
THANK YOU TO THE OFFICES OF MINORITY HEALTH AND THE NATIONAL
INSTITUTE OF MINORITY HEALTH FOR GATHERING THIS GROUP OF
INDIVIDUALS. IT’S BEEN A PLEASURE TO ADDRESS
YOU ALL. IT IS THE HONOR OF MY LIFE TO
SERVE AS YOUR UNITED STATES SURGEON GENERAL AND TO CLOSE
THIS GATHERING TODAY. GO FORTH, COMMUNICATE, BE GOOD
SERVANT LEADERS, PARTNER, FIGURE OUT HOW WE CAN ALL GET ON THE
SAME PAGE, BECAUSE I LOVE SEEING YOU ALL.
I DO, BUT I DON’T WANT TO KEEP COMING HERE AND TALKING ABOUT
HOW BAD THINGS ARE. I WANT TO TALK ABOUT PROGRESS
WE’VE MADE. I WANT TO TALK ABOUT HOW WE’VE
BEEN ABLE TO USE THE TRAGEDY THAT IS THE OPIOID EPIDEMIC TO
LIFT UP THE WORK THAT YOU ARE DOING, TO HELP DECREASE
DISPARITIES, INSTEAD OF WATCH THEM CONTINUE TO INCREASE.
AND I’M CONVINCED, ABSOLUTELY CONVINCED, I KNOW MOST OF YOU IN
THE CROWD — I’M CONVINCED WE HAVE THE RIGHT PEOPLE TO DO IT
IF WE HAVE THE RIGHT MIND SET, SO THANK YOU AGAIN AND HAVE A
WONDERFUL AFTERNOON. [APPLAUSE]
>>THAT CONCLUDES OUR FORMAL EVENT TODAY.
I DO WANT TO INVITE EVERYBODY HERE IN THE AUDIENCE TO TAKE
ADVANTAGE OF THE BOOTHS THAT ARE SET UP, TO LEARN MORE ABOUT THE
INFORMATION THAT YOU HEARD TODAY, AND WITH THAT, WE’LL
CLOSE. THANK YOU ALL SO MUCH FOR BEING
HERE. [APPLAUSE]

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