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Massachusetts Health Professions Workforce Diversity: Update. Executive Office of Health and Human Services. Health Professions Diversity: Why It Matters. Research demonstrates that addressing health workforce diversity may help reduce disparities. ¹ - PowerPoint PPT Presentation
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Massachusetts Health Professions Workforce Diversity: Update
Executive Office of Health and Human Services
EOHHS Office of Health Equity 2
Health Professions Diversity: Why It Matters
Research demonstrates that addressing health workforce diversity may help reduce disparities.¹
Addresses objectives of Massachusetts Health Disparities Framework to:Promote Institutional TransformationPromote Provider Transformation Improve Access to and Quality of Healthcare
and Health Outcomes
EOHHS Office of Health Equity 3
Health Professions Diversity: Why It Matters
HDC & Office of Health Equity have convened workforce diversity presentations & funded workforce diversity “pipeline” projects
Ties into Massachusetts Health Care Quality and Cost Council’s Roadmap to Cost Containment recommendations: health resource planning capabilities – ensure workforce is well-
matched to population system-wide redesign – ensure culturally and linguistically
appropriate care - Health Disparities Council Legislative Work Group
EOHHS Office of Health Equity 4
Collecting Race, Ethnicity and Language (REL) on licensed health professionals –
Different Jurisdictions
Health & Human Services DPH
Division of Health Professions Licensure & BORIM
MDs
RNs
Dentists
PAs
Pharmacists
Housing & Economic Development- OCA
Division of Professional Licensure
OTs
PTs
Psychologists
Allied Mental Health (social workers, etc)
EOHHS Office of Health Equity 5
Current Suggested Approaches
Collect Race, Ethnicity and Language (REL) on licensed health professionals.
Require health care professionals licensing boards to develop regulations which ensure that licensed health care professionals receive specific cultural competency training and education. Thus linking licensure to the demonstration of specific cultural competencies and understanding of health disparities.
EOHHS Office of Health Equity 6
Progress on REL Data Collection
Health & Human Services: Primary Care Office, Division of Health
Professions Licensure, & Board of Registration in Medicine have begun to collect REL data from new and renewing applicants in fields they regulate via online databases
EOHHS Office of Health Equity 7
Progress on REL Data CollectionProfession Timeline Notes
RN Begun 10/09
50% complete est. 12/10
100% complete c 12/13
via on-line renewal
Dentistry Begun 1/10
Complete est. 12/13
via on-line renewal
Pharmacist, LPNs, PAs
Begin est. 10/10
RPh compete 1/11
LPN complete 2/12
PAs complete 4/11
via on-line renewal
MDs Begin est. 1/11
75% complete 12/11
100% complete 12/12
via on-line renewal
EOHHS Office of Health Equity 8
Primary Care Organization Core Data Set Questions1) Are you Hispanic/Latino/Spanish? (Yes/No/Decline to answer)2) What race do you most identify with? (American Indian/Alaska
Native, Asian, Black, Nat. Hawaii/Pacific Islander, White, Decline to answer).
3) What ethnicity do you most identify with? Check all that apply. (c. 30 options including “decline to answer”.)
4. Without using a translator, in which language(s) (other than English), are you fluent enough to provide adequate care to and speak with patients? Check all that apply. (Arabic, Albanian, Korean, American Sign Language (ASL), Portuguese, Cape Verdean, Russian, Somali, Chinese, Spanish, Haitian Creole, Vietnamese, Khmer, Other, None)
EOHHS Office of Health Equity 9
Challenges to REL data collection
Division of Professional Licensure has identified obstacles to collecting REL on the mental health & allied health professions it regulates
Cultural competency is broader than race, ethnicity and language.
The professions certify special competencies, while states license broadly
EOHHS Office of Health Equity 10
Addressing Challenges to REL data collection – possible actions
DPH shares REL data collection best practices with OCA Division of Professional Licensure
HDC initiates efforts with health professions to offer cultural competence certification and/or training
HDC gathers examples of licensing and certification requirements related to cultural competency for further study and possible action
EOHHS Office of Health Equity 11
Health Workforce Diversity Endnotes
¹Grumbach, Kevin and Mendoza, Rosalia, Disparities in Human Resources: Addressing the Lack of
Diversity in the Health Professions, Health Affairs, Vol. 27, No. 2, March/April 2008
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