Laura Hardcastle, Chief California Department of Public Health Department of Health Care Services

1. INNOVATIVE PRACTICES AND SOLUTIONS OF STATE OFFICES OF MINORITY HEALTHBaltimore, MarylandTuesday, October 19, 2010 Laura Hardcastle, Chief California Department of Public Health Department of Health Care Services Office of Multicultural Health

2. 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

3. 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

4. Support the development and dissemination of information and resources Advocate for policies and practices for effective services WHAT DO WE DO? • Create and strengthen information networks • Promote community participation in decision making • Capacity building

5. EXTERNAL INFRASTRUCTURE LOCAL GOVERNMENT COMMUNITY OMH STATE DEPT’S./ AGENCIES FEDERAL AGENCIES

6. Policy Strategic Planning Multicultural Information Networks Training and Technical Assistance Advocacy Data and Research OMH’S SIX PRINCIPLE FUNTIONS

7. 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 born 2000 U.S. Census/California Health Interview Survey 2007; Source: Department of Finance California Current Population Data, 2007

8. 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

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

10. 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.

11. Key Projects and Initiatives Obesity 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.

12. 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. 

13. Key Projects and Initiatives Data and Research • Developing a series of reports focused on racial and ethnic health disparities in California.

14. Contact Information Laura Hardcastle, Chief Office of Multicultural Health California Department of Public Health Department of Health Care Services www.cdph.ca.gov/programs/OMH Laura.Hardcastle@cdph.ca.gov (916) 440-7562