Cultural Competencies Panel

Cultural Competencies Panel

Ricardo Garay, BBAErika Brown-Binion, MAAimmee Mullendore, RN

10,000 constituents

Founded in 1984

Oldest clinical network serving the mobile poor

MCN’s primary constituents• Federally funded Migrant &

Community Health Centers• State and local health departments

Photo © Alan Pogue

MCN’s Health Network provides continuity of care to mobile patients and their providers

Health Network

History and Mission:The Refugee Development Center started in 2002 with the mission of providing the educational and social support refugees need to become self-sufficient members of society.

RDC ProgramsYouth: After-school tutoring and mentoring, GLOBE Camp, Newcomers Soccer Program, Nutrition and Health Education, Girls Group

Adult: ESOL Classes, Home Visits, Parent Nights, Parent/Teacher Conference Support, Women’s Sewing Circle, Nutrition Education.

Outreach: Advocacy, resource matching, community partnerships and education

BRANCH-HILLSDALE-ST. JOSEPH COMMUNITY HEALTH AGENCY

BRANCH-HILLSDALE-ST. JOSEPH

COMMUNITY HEALTH AGENCYAimmee Mullendore, Clinic Coordinator and CD Nurse St. Joseph County

WHERE WE ARE & WHO WE ARE…..

570 Marshall StreetColdwater, MI517-279-9561

20 Care Drive, Hillsdale, MI

517-437-7395

1110 Hill StreetThree Rivers, MI

269-273-2161

www.bhsj.orgBRANCH-HILLSDALE-ST. JOSEPH

COMMUNITY HEALTH AGENCY

BHSJ CHA ORGANIZATIONAL CHART

OUR MISSION…

We promote optimal health to prolong life by preventing disease

and assuring the protection of the public’s health

in our community and environment

OUR VISION…

We envision positively impacting the health of individuals, families,

communities and the environment through responsiveness, competence and

collaboration

PREVENTION SERVICES…



▪ Monthly Food Package:▪ Fresh fruits and vegetables▪ Whole grain cereals, breads, brown rice, and

tortillas▪ Low fat dairy products, including milk, cheeses, and

eggs▪ Formula, baby foods, including cereal, fruits,

vegetables, and meats▪ Canned fish, peanut butter and juices

▪ Project Fresh▪ Provides coupon booklet that has ten $2 coupons

▪ Must be used at an approved Michigan’s Farmer Market or similar venue

▪ Must be used between June 1 and October 31

▪ WIC Peer Breastfeeding Support

87% 82% 84%75%

% of Births Paid By Medicaid with Moms Receiving WIC Benefits

Branch Hillsdale

WIC PROGRAMWomen, Infants & Children

IMMUNIZATIONSInfants to Adult

▪ Provide Immunizations from Birth through Adult:▪ Childhood Immunizations

▪ Required for school entry▪ Travel Immunizations▪ Flu Shots

▪ Vaccine for Children Program▪ Medicaid ▪ Uninsured▪ Children who lack vaccine coverage

▪ Provider Education

▪ Immunization Recalls

▪ Work with Schools to assure adequate immunization status

▪ Issue Waivers

85% 80% 82% 75%

% of 19-36 Month Olds Fully Immunized - 4:3:1:3:3

Branch Hillsdale

COMMUNICABLE DISEASESInfants to Adult

▪ Disease Surveillance:▪ Michigan Disease Surveillance System▪ MI HAN (Michigan’s Health Alert Network)▪ Local Reporting

▪ Providers▪ Online CD Reporting - Schools

▪ Health Alert Team

▪ Tuberculosis

▪ STD Testing and Contact Follow-up

▪ HIV/AIDS Testing and Contact Follow-up

▪ Emerging Diseases

6,241

4,184 4,026

Total # of Diseases Reported, 2014

Branch Hillsdale St. Joseph

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://pixshark.com/communicable-diseases-examples.htm&ei=ZgtuVY6QJczPsAXOioGYBA&bvm=bv.94911696,d.aWw&psig=AFQjCNFrbcIjjr6r5tU1EuMokxyl5G4Yeg&ust=1433361579862854

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://pixshark.com/communicable-diseases-examples.htm&ei=ZgtuVY6QJczPsAXOioGYBA&bvm=bv.94911696,d.aWw&psig=AFQjCNFrbcIjjr6r5tU1EuMokxyl5G4Yeg&ust=1433361579862854

HEALTH EDUCATION SERVICES…



http://www.jenksps.org/vnews/display.v/ART/4e7373a614e2e


http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://blog.healthjobsnationwide.com/tag/healthcare-insurance-navigator-jobs/&ei=OOttVcbzMYuMsAXqyIPQDQ&bvm=bv.94455598,d.b2w&psig=AFQjCNGSC6m_dIUnsQH298obD5TGWneMhA&ust=1433353391151201

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://blog.healthjobsnationwide.com/tag/healthcare-insurance-navigator-jobs/&ei=OOttVcbzMYuMsAXqyIPQDQ&bvm=bv.94455598,d.b2w&psig=AFQjCNGSC6m_dIUnsQH298obD5TGWneMhA&ust=1433353391151201

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://trustsandestatesblog.com/three-types-of-special-needs-trusts/&ei=T-xtVdydJ8XxsAW2noHIBw&bvm=bv.94455598,d.b2w&psig=AFQjCNFZNpLupYX-dzNHWfeMxN0Ti9kDAQ&ust=1433353665535518

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://trustsandestatesblog.com/three-types-of-special-needs-trusts/&ei=T-xtVdydJ8XxsAW2noHIBw&bvm=bv.94455598,d.b2w&psig=AFQjCNFZNpLupYX-dzNHWfeMxN0Ti9kDAQ&ust=1433353665535518

HEARING & VISIONSCREENINGSPreschool to High School

▪ Vision Screening:▪ Preschool & Kindergarten▪ 1st , 3rd, 5th, 7th & 9th Grades

▪ Hearing Screening:▪ Preschool & Kindergarten▪ 2nd and 4th Grades

▪ Screen Children in ▪ Public/Privates Schools, ▪ Daycares and Head Starts

▪ Performs Rescreens

▪ Follow-ups with Parents Whose Children Did Not Pass

5,266 5,428

9,675

Total # of Hearing & Vision Screens, 2014




CSHCSChildren’s Special Health Care Services

▪ Diagnosis-based Program▪ More than 2,600 eligible diagnoses▪ Asthma▪ Blood Disorders▪ Cancers▪ Congenital Anomalies▪ Metabolic Diseases▪ And many more

▪ Not Income-based

▪ Children up to age 21 years▪ Some adults who have certain eligible

conditions such as hemophilia or cystic fibrosis

223 220293

Total # of CSHCS Enrollees, 2015


CSHCSChildren’s Special Health Care Services

▪ Pays for specialty medical bills

▪ Helps find specialty services

▪ Helps family with language and cultural services

▪ Connects families to community-based services

▪ 2/3rds of our enrollees receive Medicaid Insurance

“[CSHCS] …is better than what I had originally thought… the more I learned about it, the more I couldn’t believe there was something so fabulous.”

2014 Focus Group Participant

▪ Certified Navigators

▪ Marketplace ▪ Answering questions

▪ Establishing an electronic account & completing application

▪ Assistance in understanding their healthcare needs

▪ Assistance with filing grievances and/or appeals

▪ Assistance in understanding the penalties

▪ MDHHS Bundled Benefits▪ Medicaid

▪ State Emergency Relief (SER)

▪ Food Stamps

▪ Cash Assistance

▪ Child Care

IN-PERSONASSISTERSIndividuals, Families & Small Businesses

2,293 2,519

3,486

Total # of Healthy Michigan Plan Enrollees, 2015


http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://blog.mass.gov/blog/tag/masshealth/&ei=JzNuVaTuCcK8sAX8j4KYAw&bvm=bv.94911696,d.b2w&psig=AFQjCNGJ4bJMzRIE1rpu_wHDQUUBy85iSQ&ust=1433371481993920

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://blog.mass.gov/blog/tag/masshealth/&ei=JzNuVaTuCcK8sAX8j4KYAw&bvm=bv.94911696,d.b2w&psig=AFQjCNGJ4bJMzRIE1rpu_wHDQUUBy85iSQ&ust=1433371481993920

OTHER HEALTH EDUCATION SERVICES

▪ Tobacco Reduction Coalition

▪ SAFE KIDS ▪ Car Seat Checks/Installations▪ Safe Sleep

▪ Health Demography & Performance Indicators

▪ Wellness Presentations

▪ School Presentations▪ STD/AIDS/HIV▪ Reproductive Health

▪ Health Fairs

▪ Pamphlets & Newsletters

▪ Program & Administration Support▪ Customer Satisfaction▪ Quality Improvement ▪ Accreditation▪ Strategic Planning▪ Grant/Report Writing

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://pslmc.com/service/community-car-seat-checks&ei=0zhuVaTNCYfnsAXFzYG4Aw&bvm=bv.94911696,d.b2w&psig=AFQjCNG7vxsyNrp6niFM-bkxAEEny8-JcQ&ust=1433373234101744

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://pslmc.com/service/community-car-seat-checks&ei=0zhuVaTNCYfnsAXFzYG4Aw&bvm=bv.94911696,d.b2w&psig=AFQjCNG7vxsyNrp6niFM-bkxAEEny8-JcQ&ust=1433373234101744

ENVIRONMENTAL HEALTH SERVICES…



http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://smallbusinessbc.ca/article/changes-food-inspection-coming-2015-says-cfia/&ei=zextVdr1BsW8sAWB9YKIDQ&bvm=bv.94455598,d.b2w&psig=AFQjCNEi_sCxgORr2ca4PwqGUlNoFLdytQ&ust=1433353774979425

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://smallbusinessbc.ca/article/changes-food-inspection-coming-2015-says-cfia/&ei=zextVdr1BsW8sAWB9YKIDQ&bvm=bv.94455598,d.b2w&psig=AFQjCNEi_sCxgORr2ca4PwqGUlNoFLdytQ&ust=1433353774979425

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.civilsiteandsoil.com/well/&ei=nu1tVaS7D4mWsAXZooGoDg&psig=AFQjCNHGFwVbp7L_kzWUn_Q_h9k40-VdAg&ust=1433353996531730

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.civilsiteandsoil.com/well/&ei=nu1tVaS7D4mWsAXZooGoDg&psig=AFQjCNHGFwVbp7L_kzWUn_Q_h9k40-VdAg&ust=1433353996531730

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.integrahi.com/&ei=JfBtVdT0NsGmsQX3hwI&psig=AFQjCNFnJoQ7VSxcRQx7aBh8bDYxIsQ4Ng&ust=1433354602127669

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.integrahi.com/&ei=JfBtVdT0NsGmsQX3hwI&psig=AFQjCNFnJoQ7VSxcRQx7aBh8bDYxIsQ4Ng&ust=1433354602127669

FOOD PROTECTIONIndividuals, Families & Communities

▪ Inspect Food Facilities Twice a Year per Michigan Food Law

▪ Conduct Food Service Plan Reviews

▪ Inspect and Issue Temporary Food Permits

▪ Provide Food Manager/Employee Classes

▪ Issue Certificates of Excellence Awards

▪ Publish & Distributes Annual ‘Food for Thought’ Newsletter

▪ Work Collaboratively with Prevention Services and Emergency Preparedness on Foodborne Illness Complaints/Investigations

967

89 282

Total # of Food Inspections, 2014

Food Service FacilitiesVending

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://accu-tab.com/Resources/Certifications&ei=WzpuVZWANIrDsAX45oP4BA&bvm=bv.94911696,d.b2w&psig=AFQjCNHeDKq5zPyfREKtqBxgioZZj-1C6Q&ust=1433373655418236

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://accu-tab.com/Resources/Certifications&ei=WzpuVZWANIrDsAX45oP4BA&bvm=bv.94911696,d.b2w&psig=AFQjCNHeDKq5zPyfREKtqBxgioZZj-1C6Q&ust=1433373655418236

OTHER ENVIRONMENTAL HEALTH SERVICES

▪ Well and Septic Permits

▪ Septage truck and disposal site inspections

▪ Free Radon Test Kits

▪ Nuisance Complaints

▪ Campground Inspections

▪ Swimming Pool Inspections

▪ Body Art Facility Inspections

▪ Medical Waste Inspections

▪ Meth Lab Clean-up Oversight

▪ Housing Complaint Investigations

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://hsc.unm.edu/research/info/EHSP/index.shtml&ei=UkFuVcmDMIS_sAXg64GgBA&bvm=bv.94911696,d.b2w&psig=AFQjCNFW9LxeKM9MnhyPgZEWbRNwZR650w&ust=1433375432334858

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://hsc.unm.edu/research/info/EHSP/index.shtml&ei=UkFuVcmDMIS_sAXg64GgBA&bvm=bv.94911696,d.b2w&psig=AFQjCNFW9LxeKM9MnhyPgZEWbRNwZR650w&ust=1433375432334858

AREA AGENCY ON AGING SERVICES…



http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=xjI_qFemJJqLpM&tbnid=HpfemJY94fW2xM:&ved=0CAUQjRw&url=http://mortgage-rate-review.blogspot.com/2012/08/are-older-americans-at-greater-risk-of.html&ei=bYh4UaWlF6WD0QHumYCAAg&bvm=bv.45645796,d.dmg&psig=AFQjCNGg2OcGX0SWpud2y7hA4i0SMj5Dgw&ust=1366939740065099

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=xjI_qFemJJqLpM&tbnid=HpfemJY94fW2xM:&ved=0CAUQjRw&url=http://mortgage-rate-review.blogspot.com/2012/08/are-older-americans-at-greater-risk-of.html&ei=bYh4UaWlF6WD0QHumYCAAg&bvm=bv.45645796,d.dmg&psig=AFQjCNGg2OcGX0SWpud2y7hA4i0SMj5Dgw&ust=1366939740065099

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=yB2-_aHnnXFLdM&tbnid=zA6FxAwQvr_6ZM:&ved=0CAUQjRw&url=http://penn-medicine-focus-on-cancer.blogspot.com/2012/04/cancer-and-older-adults-meeting-unique.html&ei=w5B4UdLZAoeH0QGYvYEQ&bvm=bv.45645796,d.dmg&psig=AFQjCNGiSrlAc4iErvlYLT_pkOSPQ1moxA&ust=1366942249091031

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=yB2-_aHnnXFLdM&tbnid=zA6FxAwQvr_6ZM:&ved=0CAUQjRw&url=http://penn-medicine-focus-on-cancer.blogspot.com/2012/04/cancer-and-older-adults-meeting-unique.html&ei=w5B4UdLZAoeH0QGYvYEQ&bvm=bv.45645796,d.dmg&psig=AFQjCNGiSrlAc4iErvlYLT_pkOSPQ1moxA&ust=1366942249091031

AREA AGENCY ON AGING SERVICES…

▪ Assessing Community Needs & Funding Services▪ Options Counseling▪ In-Home Services▪ Nutrition Services▪ Community-based Services▪ Assistive Devices & Technology▪ Legal Assistance▪ Transportation▪ Medicare/Medicaid Assistance Program▪ Grandparents Raising Grandchildren

▪ Housing Options & Guides▪ Benefits & Services for Veterans▪ Senior Centers & Volunteer

Opportunities

▪ Advocacy

▪ Information & Assistance

▪ Community Living Program

▪ Health & Wellness Programs

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=https://www.123rf.com/photo_25216464_happy-senior-citizen-woman-at-home-looking-at-her-daughter.html&ei=ikRuVfmXHoyxsAW2y4OIBA&bvm=bv.94911696,d.b2w&psig=AFQjCNHYqFBSJqhpNnXaTui0LmStPHyZ5w&ust=1433376244096589

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=https://www.123rf.com/photo_25216464_happy-senior-citizen-woman-at-home-looking-at-her-daughter.html&ei=ikRuVfmXHoyxsAW2y4OIBA&bvm=bv.94911696,d.b2w&psig=AFQjCNHYqFBSJqhpNnXaTui0LmStPHyZ5w&ust=1433376244096589

MY COMMUNITY DENTAL CENTERS



https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=https://twitter.com/midentalclinics&ei=PvRtVbe5B4bJtQXbh4HoDA&bvm=bv.94455598,d.b2w&psig=AFQjCNFdN0qbVGh7v7U7TNbfr5nLiCpSCg&ust=1433355696449346

https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=https://twitter.com/midentalclinics&ei=PvRtVbe5B4bJtQXbh4HoDA&bvm=bv.94455598,d.b2w&psig=AFQjCNFdN0qbVGh7v7U7TNbfr5nLiCpSCg&ust=1433355696449346

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.warwickpediatricdental.com/&ei=vPRtVZWFE4XysAWZy4GoDQ&bvm=bv.94911696,bs.1,d.b2w&psig=AFQjCNGcCwHoO8-6Wqb14IvkrgEmDMMySA&ust=1433355826925663

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.warwickpediatricdental.com/&ei=vPRtVZWFE4XysAWZy4GoDQ&bvm=bv.94911696,bs.1,d.b2w&psig=AFQjCNGcCwHoO8-6Wqb14IvkrgEmDMMySA&ust=1433355826925663

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.thewhitedentalcompany.com/news/free-dental-care-for-children/&ei=DvZtVYfUK8zXsAWdngE&bvm=bv.94911696,bs.1,d.b2w&psig=AFQjCNEvinGjcQtWr257UI6IkJCfDJIGpg&ust=1433356163883158

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://www.thewhitedentalcompany.com/news/free-dental-care-for-children/&ei=DvZtVYfUK8zXsAWdngE&bvm=bv.94911696,bs.1,d.b2w&psig=AFQjCNEvinGjcQtWr257UI6IkJCfDJIGpg&ust=1433356163883158

MY COMMUNITY DENTAL CENTERS

▪ Contracted through Michigan Community Dental Clinics, Inc.

▪ Provides:▪ Oral Exam/Cleaning▪ Fillings▪ Tooth Removal▪ Teeth Replacements including dentures

and partials▪ Emergency Treatment▪ Fluoride Treatment

▪ 2 Dental Clinics▪ Hillsdale: 20 Care Drive, Suite D▪ Three Rivers: 721 6th Avenue, Suite B

▪ Accepts:▪ Children on Medicaid (including Healthy

Kids Dental and MI Child)▪ Adults on Medicaid and Healthy Michigan

Plan▪ Low income, uninsured adults with incomes

below 200% of the Federal Poverty Line

▪ Fees reduced for eligible uninsured

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Documents

Cultural Competencies Panel