A Nat. Assessment of Culturally and Linguistically Appropriate Serv. in Managed Care Organizations Serving Racially and Ethnically DIv. and Vul. Pops.

This project will conduct a survey of a national random sample of managed care organizations (MCOs) serving racially/ethnically diverse communities. The survey will identify the nature and extent of culturally and linguistically appropriate services (CLAS) being provided by these health plans. It is intended to inform and educate health service executives and managers about the nature and importance of CLAS, encourage policies and practices in support of CLAS for all Americans, and establish meaningful national baseline data on the nature and extent of CLAS being provided across the country. This is especially important in communities where language and cultural differences create access barriers and barriers to quality of care. It is expected that the end products will include an analysis and report of the range of such services, an identification of best practices and model approaches, and an explication of the community and organizational factors conducive to the provision or inhibition of CLAS.

AGENCY SPONSOR: Office of Minority Health

FEDERAL CONTACT: Hawks, Betty
301-443-5084

PIC ID: 6674

PERFORMER: Cosmos Corporation
7474 Bethesda, MD

EXPECTED DATE OF COMPLETION: 04/30/2001

Assessment of State/Territorial Minority Health Infrastructure and Capacity to Address Issues of Health Disparity

This project will: (1) examine the nature and extent of the minority health infrastructure within State public health agencies; (2) determine those factors that contribute to, or detract from, establishment and sustained support for such entities; and (3) assess the viability of and effects on State capacity to address the needs of racial and ethnic minorities in carrying out the essential services of public health and issues of disparities in health status and risks to health.

AGENCY SPONSOR: Office of Minority Health

FEDERAL CONTACT: Maccannon, Gerrie
301-443-5084

PIC ID: 7014

PERFORMER: Office of Minority Health
Rockville, MD

EXPECTED DATE OF COMPLETION: 02/29/2000

Data Analysis and Support for the President's Initiative on Race

The President's Advisory Board on Race submitted a report of its deliberations to the President in the Summer of 1998. A "chart book" on the state of race relations formed the introductory chapter(s) of the Advisory Board's report. In addition, the White House commissioned the National Academy of Sciences to prepare detailed summaries of the research literature related to race and health. To support the Department's Initiative to Eliminate Racial and Ethnic Disparities in Health community demonstration grant program, the project will identify relevant departmental data systems and perform preliminary analyses to support the grant program.

AGENCY SPONSOR: Office of Minority Health

FEDERAL CONTACT: Carter-Pokras, Olivia
301-443-9923

PIC ID: 7014

PERFORMER: Office of Minority Health
Rockville, MD

EXPECTED DATE OF COMPLETION: 09/30/2000

Development of Uniform Information/Data Set and Collateral Products for Assessing Impacts of OMH-funded Activities

The contractor will conduct a comprehensive analysis of past and current Office of Minority Health (OMH) funded activities including OMH grant programs, cooperative agreements, and personal services contracts to determine the current types of information/data collected and available from them. The contractor will then develop a uniform set of information/data elements that OMH grantees/partners could be encouraged to collect for OPHS and OMH GPRA performance measurement purposes. A project advisory group of Federal and non-Federal individuals will be utilized. This project will identify a uniform set of information/data that should be provided by the recipients of OMH funding in order for OMH to be able to demonstrate the "returns for the public's investment." The project is to include, but is not limited to, examinations of the findings of the recently completed evaluation of OMH's Bilingual/Bicultural Services Demonstration Program, work being done within OMH to develop a statistical data progress report, and the related experiences and successes of other DHHS entities–building upon these efforts rather than "reinventing the wheel." OMH anticipates that as a result of this contract, it will be able to implement a process for obtaining the information/data necessary to demonstrate that the various grant/funded programs supported by OMH make a difference that matters to and resonates with policy and budget decision makers. Collateral technical assistance documents related to the uniform data/information set will also be developed.

AGENCY SPONSOR: Office of Minority Health

FEDERAL CONTACT: Woo, Violet
301-443-9923

PIC ID: 7097

PERFORMER: Development Services Group, Inc.
Bethesda MD

EXPECTED DATE OF COMPLETION: 09/30/2001

Establishment of National Standards for Culturally and Linguistically Appropriate Health Services

In 1997, the Office of Minority Health, Office of Public Health and Science, U.S. Department of Health and Human Services, recognized the need for dialogue to address the issues of quality assurance, efficiency, and outcome measures related to the delivery of culturally and linguistically appropriate services. Specifically, OMH contracted with the Center for the Advancement of Health, Inc. (CAH), in partnership with the Resources for Cross Cultural Health Care (RCCHC), to: (1) examine completed and ongoing efforts that measure culturally and linguistically appropriate services (CLAS) in health care and that link the resulting measurement with patient and/or health outcomes. (2) propose a research agenda to strengthen the science in support of CLAS health care. As a result, 14 proposed standards were developed with input from a national advisory committee of policymakers, health care providers, and researchers with expertise in cultural competency. Examples of proposed standards include: the promotion and support of attitudes, behaviors, knowledge, and skills necessary for staff to work respectfully and effectively with patients and each other in a culturally diverse work environment and the ongoing education and training of all staff in CLAS delivery. A fuller description of the completed project may be obtained from PIC ID # 6675. This project seeks to further refine these draft standards through a public comment period to include opportunities for feedback from additional experts and the general public. Comments will be accepted via the Internet, by mail ,and at regional meetings that will be held in San Francisco, CA; Chicago, IL; and Washington, DC. At the conclusion of the public comment period, comments will be analyzed and integrated into the development of a final set of standards that will be national in scope and have national applicability, acceptability, and utility.

AGENCY SPONSOR: Office of Minority Health

FEDERAL CONTACT: Pacheco, Guadalupe
301-443-5084

PIC ID: 7260

PERFORMER: IQ Solutions, Inc.
Rockville, MD

EXPECTED DATE OF COMPLETION: 09/30/2000

Evaluation of the Office of Minority Health Resource Center--Phase I, Phase II and Phase III

The purpose of Phase I of this project is to develop and field test a research protocol including an information collection method and instrument that could be used to evaluate the Office of Minority Health Resource Center (OMHRC). Phase II of this project is to implement the research protocol developed in Phase I, intended to evaluate OMHRC. The Phase III of this project analyzed data and prepared analytical reports on data from a survey of actual and potential users of the OMHRC. Specifically, Phases I, II and III of this project collected, analyzed and reported data concerning: (1) the functions of OMHRC; (2) target audiences and services provided to these audiences; (3) how OMHRC assesses user and target audience needs, ability of the center to meet those needs, and satisfaction of users with center services, and ways to improve these assessments; (4) how OMHRC relates to other Federal and nonfederal information sources, including Federal clearinghouses, Federally supported health or human service offices, and Federal, State and local minority health offices; and (5) gaps in information dissemination that are not being addressed by Federal information sources. High percentages of consumers completing the survey instrument found the matters from the Resource Center use (96.1%) and a large majority (92.6%) were satisfied with the services received from the Center.

AGENCY SPONSOR: Office of Minority Health

FEDERAL CONTACT: Kelley, Howard L., D.D.S.
301-443-5224

PIC ID: 6244

PERFORMER: Research Triangle Institute
Research Triangle Park, NC

EXPECTED DATE OF COMPLETION: 03/31/2000