Maryland Office of Minority Health and Health Disparities

Maryland Office of Minority Health and Health DisparitiesOctober 2013

2

Background The Maryland Office of Minority Health and

Health Disparities was established by statute in 2004 under the Maryland Health General Article Section § 20-1001 to § 20-1007 to address minority health disparities in Maryland

3

Areas of Concentration•Health Disparities Data•Local Health Disparities Programs•Awareness and Outreach•Cultural and Linguistic Competency

4

Health Disparities DataOptimize and standardize the collection,

analysis and reporting of health data by race, ethnicity and language groups in order to:

• Identify, locate and quantify health disparities

• Understand the root causes to plan interventions

• Track progress in disparities elimination

5

Disparities in Maryland•Minority health disparities exist in Death

Rates, Disease Frequency, Risk Factor Prevalence, and Social Determinants of Health

•Approximately 2 of 3 non-elderly uninsured Maryland adults are from a racial/ethnic minority

•In 2011, Black hospital admission disparities accounted for 814 million dollars of excess hospital charges

Maryland Disparities by Race/Ethnic Group

 Infant mortality

Late pre-natal care

End-stage kidney disease

No health Insurance

New HIV case rate

Black or African American 2.8 1.8 3.0 2.1 11.8

Asian or Pacific Islander 0.8 0.9 1.3 1.4 0.5

American Indian or Alaska Native

2.2 1.1 3.0 Not Reported 2.2

Hispanic or Latino 0.9 2.1 1.3 5.4 3.6

Selected Racial and Ethnic Health Disparities in Maryland(Shows how many times higher the minority rate is compared to the White rate)

6

0

1

2

3

4

5

1.29 1.09

2.91

3.50

4.40

0.701.19

Black to White Rate Ratio for Selected Chronic Disease Metrics, Maryland SHIP data

Bla

ck to

Whi

te ra

te ra

tio

(**For % good weight, higher is better, so Blacks are 30% worse)

ED visit disparity ratios

Emergency Department Visit Rate Disparities Black vs. White

7

Maryland Office of Minority Health and Health Disparities

8

MHHD Data Publications

9

Local Health Disparities ProgramsMinority Outreach and Technical

Assistance (MOTA)•Established in 2001 to implement the

Cigarette Restitution Fund provision requiring outreach to minority communities to reduce tobacco use

•In 2010, DHMH expanded the program to beyond tobacco and cancer to address other health disparities in the state

10

Local Health Disparities Programs•In 2013 there are 15 jurisdictions with

local MOTA programs

•In 2012, local MOTA programs organized 757 events, distributed 125,123 health related materials, developed 206 partnerships and reached more than 500,000 individuals

11

Local Health Disparities ProgramsMinority Health Disparities Reduction

Demonstration Program (DEMO)

• In 2008, the Maryland General Assembly and the administration identified funds for MHHD to address adult minority health disparities and infant/toddler mortality issues

• Through cooperative agreements, MHHD assisted Local Health Departments to refine programs and strategies in working with high risk populations

12

Local Health Disparities Programs• DEMO promotes a community health

worker/perinatal navigator/health promoter model, community coalitions, and enhancement of referrals and clinical services.

• IN 2012, local demo outreach workers have reached more than 70,000 individuals, perinatal navigators have made 9,422 referrals and visited 68 obstetricians

• In 2012 Prince Georges County African American infant mortality rate was reduced by 30%.

13

Awareness and Outreach• Statewide Contact Database

▫MHHD maintains a data base of more than 5,000 diverse statewide contacts

▫Disseminates important information including disparities development,. topical news and resource opportunities to contacts regularly

• Social Media▫Facebook page www.facebook.com/MarylandMHHD▫MHHM Twitter through DHMH Twitter Profile▫MHHD Website www.dhmh.gov/mhhd▫MHHD newsletter

14

Awareness and OutreachMaryland Health Disparities Collaborative•Established in 2008 in compliance with

Maryland Health General Article, Section § 20-1006 as an advisory committee

•250 members, open to all interested individuals and organizations

•Advises the Secretary and MHHD on health equity program activities

15

Awareness and OutreachConferences•Statewide conferences aimed at

eliminating health disparities and promoting diversity in the healthcare workforce

•To date, 10 conferences held since 2004•Most recent “Health Reform to Health

Equity on Maryland’s Eastern Shore”

16

Cultural Competency and Heath Literacy InitiativeTo help eliminate racial and ethnic

disparities in healthcare by:

• increasing the number of underrepresented minorities in Maryland’s healthcare workforce

•increasing the cultural and linguistic competency of the State’s healthcare workforce

17

Cultural Competency and Heath Literacy InitiativeStrategiesCollaborated with Univ. Maryland College Park to

develop and Cultural Competency and Health Literacy Primer

Establish baseline data and monitor enrollment and graduation rates on minority students in healthcare professions

Actively promote Cultural Competency and health Literacy with professional boards, DHMH programs and health professional schools

18

Cultural Competency and Heath Literacy InitiativeCultural and Linguistic Competency and Health Literacy Training•ACA Connector Entities•Health Enterprise Zones•Hospitals, FQHC’s, PCMH’s and LHD’s

MHHD ContactOffice of Minority Health and Health Disparities

Maryland Department of Health and Mental Hygiene

201 W. Preston Street, Room 500Baltimore, Maryland 21201

410-767-7117Email: [email protected] Website: www.dhmh.maryland.gov/mhhd

Facebook: https://www.facebook.com/MarylandMHHD

Twitter: @MarylandDHMHMHHD E-Newsletter: http://bit.ly/12ECsOL

19

Maryland Office of Minority Health and Health Disparities