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Faculty Disclosure Statement . This session will not discuss any off-label or unapproved uses of drugs or medical devices.Consultant/Speaker/Other: Cultural Competency
 
                
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2. Faculty Disclosure Statement   This session will not discuss any off-label or unapproved uses of drugs or medical devices.
Consultant/Speaker/Other: Cultural Competency & Disparities in Health & Health Care
	Network OmniMultilingual Communications; 
	MDNGLive.com, Medscape; Outcomes, Inc
 
5. What is Cultural Competence? 	The ability of systems to provide care to patients with diverse values, beliefs and behaviors including tailoring delivery of care to meet patients social, cultural, and linguistic needs. The ultimate goal is a health care system and workforce that can deliver the highest quality of care     to every patient, regardless of race, ethnicity, cultural background, [language proficiency, literacy, age, gender, sexual orientation, disability, or socioeconomic status].                                                                                                                          	
Adapted and expanded from the Commonwealth Fund. New York, NY, 2002  
7. Population Trends:   Increasing Diversity  
9. 
	Gittell R, Lord T: Profile of New Hampshires Foreign-born Population.                                                   Carsey Institute 	Issue Brief No. 8, Spring 2008
	http://www.carseyinstitute.unh.edu/publications/IB_NH_Foreign-Born_08.pdf 
10. Gittell R, Lord T: Profile of New Hampshires Foreign-born Population.                                                            Carsey Institute Issue Brief No. 8, Spring 2008http://www.carseyinstitute.unh.edu/publications/IB_NH_Foreign-Born_08.pdf 
11. Gittell R, Lord T: Profile of New Hampshires Foreign-born Population.                                                            Carsey Institute Issue Brief No. 8, Spring 2008http://www.carseyinstitute.unh.edu/publications/IB_NH_Foreign-Born_08.pdf 
12. 
http://www.accessproject.org/adobe/assessing_interpreter_capacity.pdf 
14. 
	http://www.dhhs.state.nh.us/NR/rdonlyres/efaz2xwoargnslxjxewsva2v4btho3gzt6ylysxo7xygwv5zvvnolwhy7m75ydh23dql3dtd2z3mgqkl5cnjdbttyld/guide.pdf 
15. Diversity Plan Goals- Staff Development - Community Partnering- Consumer Access      - Accountability       - Performance Outcomes                 	- Data 
17. State Cultural Competency Legislation  
23. Patient- and Family-Centered                   Care Initiatives          Picker Institute  Picker/Commonwealth Program for Patient-Centered Care
	http://www.pickerinstitute.org
Planetree Health Alliance
	http://www.planetree.org
Institute for Family-Centered Care
	http://www.familycenteredcare.org
                  
25. Patient-Centered Care in Hospitals 
29. 	The following are some of the specialty groups that have published guidelines and/or policies relating to the care of culturally diverse populations:                                                                                                                                               
Society of Teachers of Family Medicine
American Academy of Family Physicians
American Osteopathic Association
American Academy of Pediatrics
American College of Physicians
American Psychiatric Association
American College of Obstetrics and Gynecology 
American College of Emergency Physicians 
American Academy of Orthopaedic Surgeons  
34. Key Points Need to create a learning environment that fosters safety, trust, and respect
Within-group diversity is often greater than between-group diversity
There is no cookbook approach to treating patients
Avoid stereotyping and overgeneralization
An assets and strengths-based perspective is important    to maintain
Every encounter is a cross-cultural encounter
 
40. Joint Commission 
42. Improving Cultural Competency      in Childrens Health Care National Initiative for Childrens Healthcare               Quality (NICHQ)
Project Funding: The California Endowment
http://www.nichq.org/NR/rdonlyres/5B534B7B-0C38-4ACD-8996-EBB0C4CB2245/0/NICHQ_CulturalCompetencyFINAL.pdf