NATIONAL COUNCIL OF ASIAN PACIFIC ISLANDER PHYSICIANSNATIONAL COUNCIL OF ASIAN PACIFIC ISLANDER PHYSICIANS

Council of Asian American, Native Hawaiian and Pacific Islander (AANHPI) Council of Asian American, Native Hawaiian and Pacific Islander (AANHPI) physicians that advocate for health and well being of their patients and communities.physicians that advocate for health and well being of their patients and communities.

ObjectivesObjectives

- Advocate for adequate and equitable public and private funding for initiatives and programs to - Advocate for adequate and equitable public and private funding for initiatives and programs to improve access to, and quality of, linguistically and culturally competent health care serviceimprove access to, and quality of, linguistically and culturally competent health care service

- Advocate for adequate and equitable public and private resources for AANHPI focused - Advocate for adequate and equitable public and private resources for AANHPI focused research and data collection and dissemination; and research and data collection and dissemination; and

- Foster professional development for AANHPI health professionals to enhance representation at - Foster professional development for AANHPI health professionals to enhance representation at leadership and governmental levels of health care policy and service delivery systems.leadership and governmental levels of health care policy and service delivery systems.

STRUCTURE: STRUCTURE: PHYSICIAN ORGANIZATIONS & INDIVIDUAL PHYSICIAN MEMBERSPHYSICIAN ORGANIZATIONS & INDIVIDUAL PHYSICIAN MEMBERS BOARD OF DIRECTORSBOARD OF DIRECTORS: 22 PHYSICIANS: 22 PHYSICIANS

PRESIDENT/CEO: PRESIDENT/CEO: Dr. Ho Luong TranDr. Ho Luong TranCHAIR: CHAIR: Dr. Dexter LouieDr. Dexter LouieTHREE VICE CHAIRS: THREE VICE CHAIRS: Dr. Wilson Ko, Dr. Winston Wong, and Dr. Karen KimDr. Wilson Ko, Dr. Winston Wong, and Dr. Karen KimTREASURER: TREASURER: Dr. Edward Chow Dr. Edward Chow SECRETARY: SECRETARY: Dr. Jhemon Lee Dr. Jhemon Lee

STANDING COMMITTEESSTANDING COMMITTEES::

- EXECUTIVE COMMITTEE – GOVERNANCE COMMITTEE- EXECUTIVE COMMITTEE – GOVERNANCE COMMITTEE

- POLICY COMMITTEE – CHAIR: Dr. Winston Wong - POLICY COMMITTEE – CHAIR: Dr. Winston Wong

- FUND DEVELOPMENT – CHAIR: Dr. Daisy Saw- FUND DEVELOPMENT – CHAIR: Dr. Daisy Saw

- WORKFORCE & LEADERSHIP DEVELOPMENT – CHAIR: Dr. Arthur Chen- WORKFORCE & LEADERSHIP DEVELOPMENT – CHAIR: Dr. Arthur Chen

OFFICESOFFICES: WASHINGTON D.C. – SAN FRANCISCO – : WASHINGTON D.C. – SAN FRANCISCO – WWW.NCAPIP.ORGWWW.NCAPIP.ORG

Control Cost

Improve Quality

Improve Access

HEALTH

Insurance regulationInsurance regulation State Insurance ExchangesState Insurance Exchanges SubsidiesSubsidies Medicaid ExpansionMedicaid Expansion Individual Mandate and Employer Individual Mandate and Employer

ResponsibilityResponsibility Primary Care and Health Care Primary Care and Health Care

WorkforceWorkforce PreventionPrevention Delivery system changesDelivery system changes

NCAPIP supports theNCAPIP supports the Affordable Care Act (ACA) and Affordable Care Act (ACA) and

additional national and state reforms which address the additional national and state reforms which address the

disparities AANHPIdisparities AANHPI populations face in accessing quality populations face in accessing quality

care, and which would improve the overall health care care, and which would improve the overall health care system in the U.S. system in the U.S. NCAPIP holds the beliefNCAPIP holds the belief that being a physician in America that being a physician in America

is ais a privilege and with this privilege, comes a privilege and with this privilege, comes a

responsibility to the patients we serve, and we must take responsibility to the patients we serve, and we must take an active role in the implementation of the ACA and any an active role in the implementation of the ACA and any national and state reforms.national and state reforms.

Percentage of U.S. Percentage of U.S. Physicians By Physicians By Race/EthnicityRace/Ethnicity

Hispanic6%

White74%

Black4%

AA and NHPI16%

Ref: Year-end AMA Masterfile (2006)

BACKGROUND ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND BACKGROUND ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIESPACIFIC ISLANDER COMMUNITIES

2010 U.S. Census: Asian Americans are 5.6% of the U.S. 2010 U.S. Census: Asian Americans are 5.6% of the U.S. population = 17.3 million persons population = 17.3 million persons

1.2 million Native Hawaiians and Pacific Islanders in the U.S 1.2 million Native Hawaiians and Pacific Islanders in the U.S

2000 –10: Asian Americans were the fastest growing racial or 2000 –10: Asian Americans were the fastest growing racial or ethnic population (43%) ethnic population (43%)

2010: Largest Asian Americans populations:2010: Largest Asian Americans populations:Chinese (3.5 million) - Asian Indian (2.9 million) - Filipino (2.6 Chinese (3.5 million) - Asian Indian (2.9 million) - Filipino (2.6 million) million) Vietnamese (1.6 million) - Korean (1.5 million) - Japanese (0.8 Vietnamese (1.6 million) - Korean (1.5 million) - Japanese (0.8 million)million)

BACKGROUND ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND BACKGROUND ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIESPACIFIC ISLANDER COMMUNITIES

TTen states with largest Asian populations in 2010:en states with largest Asian populations in 2010:

CA: 5.6 million – NY: 1.6 million – TX: 1.1 million – NJ: 0.8 million – CA: 5.6 million – NY: 1.6 million – TX: 1.1 million – NJ: 0.8 million – HI: 0.8 million – IL: 0.7 million – Washington: 0.6 million – FL: 0.6 HI: 0.8 million – IL: 0.7 million – Washington: 0.6 million – FL: 0.6 million – VA: 0.5 million - Pennsylvania: 0.4 millionmillion – VA: 0.5 million - Pennsylvania: 0.4 million

Native Hawaiians and Pacific Islanders are concentrated in HI - Native Hawaiians and Pacific Islanders are concentrated in HI -

CA and WashingtonCA and Washington

IMPACT OF HEALTH REFORM ON ASIAN AMERICAN, NATIVE HAWAIIAN, IMPACT OF HEALTH REFORM ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIESAND PACIFIC ISLANDER COMMUNITIES

BBenefit from the implementation of both the Health Information Technology for enefit from the implementation of both the Health Information Technology for Economic and Clinical Health (HITECH) Act and the Patient Protection and Economic and Clinical Health (HITECH) Act and the Patient Protection and Affordable Care Act (ACA): Affordable Care Act (ACA):

18.1% of Asian Americans and Pacific Islanders are uninsured (16.3% of all 18.1% of Asian Americans and Pacific Islanders are uninsured (16.3% of all Americans), with considerable variances: 25.5% for Koreans, 19.8% for Americans), with considerable variances: 25.5% for Koreans, 19.8% for Vietnamese, and 16.7% for NativeVietnamese, and 16.7% for Native Hawaiians and Pacific Islanders. Hawaiians and Pacific Islanders.

2016: 2.0 million Asian Americans will be eligible for coverage through the 2016: 2.0 million Asian Americans will be eligible for coverage through the expansion of Medicaid eligibility and the creation of Affordable Insuranceexpansion of Medicaid eligibility and the creation of Affordable Insurance Exchanges, or newly covered by their employers as a result of the ACA. Exchanges, or newly covered by their employers as a result of the ACA.

APIAHF: one in ten Asian Americans - more than one in eight Native Hawaiians andAPIAHF: one in ten Asian Americans - more than one in eight Native Hawaiians and Pacific Islanders - More than two in five Bangladeshis and Tongans will gain Pacific Islanders - More than two in five Bangladeshis and Tongans will gain Medicaid coverage through the ACA Medicaid coverage through the ACA

NCAPIP RECOMMENDATIONS POST MAY 2012 CONFERENCENCAPIP RECOMMENDATIONS POST MAY 2012 CONFERENCE

HEALTH INSURANCE REFORM/HEALTH CARE REFORMHEALTH INSURANCE REFORM/HEALTH CARE REFORM

Priority issuesPriority issuesEducation: AANHPI consumers and providers Education: AANHPI consumers and providers Access to culturallyAccess to culturally and linguistically competentand linguistically competent providers providers Have seat at table for policyHave seat at table for policy decisions, regulations, and legislationdecisions, regulations, and legislation

Recommendations to federal governmentRecommendations to federal governmentPublicize benefits of health reform with appropriate outletsPublicize benefits of health reform with appropriate outletsCreate AANHPI committee to advise federal government/ensure voice at Create AANHPI committee to advise federal government/ensure voice at tabletableInclude essential AANHPI providers in addition toInclude essential AANHPI providers in addition to FQHCsFQHCs

Recommendations to other stakeholdersRecommendations to other stakeholders

Get seat at table at state level - collaborate with others - Engage CBOsGet seat at table at state level - collaborate with others - Engage CBOs

HEALTH CARE DELIVERY SYSTEM REFORMHEALTH CARE DELIVERY SYSTEM REFORM

Priority issuesPriority issuesHealth information technologyHealth information technologyPatient-centered medical homesPatient-centered medical homesAccountable care organizationsAccountable care organizations

Recommendations to federal governmentRecommendations to federal governmentONCHIT to focus on disparities reduction - Federal government should use ONCHIT to focus on disparities reduction - Federal government should use HITECH Act incentive funding to develop one system - to providers for freeHITECH Act incentive funding to develop one system - to providers for free

Recommendations to otherRecommendations to other stakeholdersstakeholders

PCMH evaluations to include AANHPI populations or providersPCMH evaluations to include AANHPI populations or providersEHR in future practice: privacy/security issues with medical EHR in future practice: privacy/security issues with medical training/supervision of students/residents?training/supervision of students/residents?Are current/available decision-support algorithms appropriate for AANHPIsAre current/available decision-support algorithms appropriate for AANHPIs

COMMUNITY ENGAGEMENTCOMMUNITY ENGAGEMENT

Priority issuesPriority issuesImprove relationship, communication among health care providers and Improve relationship, communication among health care providers and patientspatientsDisaggregate data to understand diversity of AANHPI communitiesDisaggregate data to understand diversity of AANHPI communitiesIdentify and address health literacy, translation, transportationIdentify and address health literacy, translation, transportationAccurate information to communities; counter mis-information; engage Accurate information to communities; counter mis-information; engage ethnic mediaethnic mediaAANHPI voices, especially Native Hawaiian and Pacific Islander AANHPI voices, especially Native Hawaiian and Pacific Islander community representationcommunity representation

Recommendations to federal governmentRecommendations to federal governmentInformation about health care reform available in plain language, Information about health care reform available in plain language, translated translated Include (enhanced) National Standards for Culturally and Linguistically Include (enhanced) National Standards for Culturally and Linguistically Appropriate Standards as requirements in all federal funding Appropriate Standards as requirements in all federal funding announcements for applications for fundingannouncements for applications for funding

THANK YOU FOR YOUR VALUABLE TIME THANK YOU FOR YOUR VALUABLE TIME

Winston Wong, M.D., M.S.Winston Wong, M.D., M.S.Vice ChairVice Chair

NCAPIPNCAPIP