THE CULTURAL COMPETENCYINITIATIVE
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
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.
WHY CULTURAL COMPETENCY?
Improve service delivery and reduce health disparities by …
Increasing understanding and the practice of cultural competency in nonprofit health and human service organizations.
INITIATIVE GOAL
• 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
INITIATIVE STEERING COMMITTEE
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.]
WORKING DEFINITION
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.
INITIATIVE OUTCOMES
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.
OUTCOMES (cont)
Lead by Example
Organizational Sustainability
Infrastructure Development
Diversity Integration Organization Inclusiveness
Community Driven
INITIATIVE OVERVIEW
• 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
TECHNICAL ASSISTANCE
Board
Employee
Workplace
Community
Service
Incorporate Inclusion and Diversity as an Organizational Value
Workforce with Best Talent / Increased Staff Satisfaction
Integrated Inclusive Work Environment
Positive ReputationIn all Communities
Integrated and Diverse Organization
Integration of Inclusion and Diversity in Decision Making / Organizational Development
Retention / Diverse Workforce
Increased Performance & Innovation / Flexibility
Community Partnerships and Involvement
Inclusive Policy and Service / Increased Access to Diverse / Underserved Consumers / Clients
To Organizational Outcomes
To Diversity OutcomesFrom Current
INITIATIVE BENEFITS
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.
PROGRESS INDICATORS
Desired outcomeService providers are culturally competent
Preconditions that support this outcomePolicies Direct ServicesProcedures Leadership SupportPlanning/Service Design
Indicators of success identified for each precondition
INDICATORS (cont)
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 PROCESS
Application Consists of:
1. Cover Page
2. Statement of Commitment
3. Narrative Statement of Request
4. Copy of Organization’s IRS Letter
APPLICATION PACKAGE
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.
NARRATIVE STATEMENT
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.
SELECTION CRITERIA
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
APPLICATION TIMELINE
• Carla Gibson – Initiative Lead, Program Officer REACH Healthcare Foundation (913) 432-4196 / [email protected]
• Adriana Pecina – Program OfficerHealth 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]
CONTACTS