Office of Minority Health and Disparities Elimination Rural Health Association of Tennessee West Tennessee Regional Meeting May 12, 2017

Tennessee OMHDE Mission & Vision Promote polices, programs and services designed to improve health and quality of life by preventing and controlling disproportionate burden of disease, injury and disability among disparities populations, particularly racial and ethnic minorities Serve as a leader throughout the state through partnering and engaging to recognize and address health disparities

Public Health: Protecting people from having to walk through the Front Door of Healthcare

Funding Opportunities

2017-2018 Community-Based & Faith-Based Initiatives Request for Application (RFA) Soliciting applications from Community-based and Faith-based organizations that will produce innovative strategies to help improve the health of local communities by incorporating Social Determinants of Health (SDOH) into implementation strategies. Up to thirty-five (35) grants for a maximum amount of $10,000 will be awarded to Community-based or Faith-based organizations which are chartered in the State of TN as organizations or businesses (including but not limited to those designated as 501c3 organizations). Anticipated Contract Period: July 1, 2017 – June 30, 2018

Social Determinants of Health

Social Determinants of Health Availability of resources to meet daily needs (e.g., safe housing and local food markets) Access to educational, economic, and job opportunities Access to health care services Quality of education and job training Availability of community-based resources in support of community living and opportunities for recreational and leisure-time activities Transportation options Public safety Social support Social norms and attitudes (e.g., discrimination, racism, and distrust of government) Exposure to crime, violence, and social disorder (e.g., presence of trash and lack of cooperation in a community) Socioeconomic conditions (e.g., concentrated poverty and the stressful conditions that accompany it) Residential segregation Language/Literacy Access to mass media and emerging technologies (e.g., cell phones, the Internet, and social media) Culture

Health Outcomes Infant Health (Breastfeeding/Infant Mortality) Obesity/Physical Activity Human Immunodeficiency Virus/Sexually Transmitted Infections (HIV/STIs) Tobacco/Smoking Cessation Emergency Preparedness

Community Engagement

Lessons Learned from Haywood County Challenges Communication barriers Institutional and Systematic barriers Institutional trust issues Process of engagement as barrier Systemic issues Knowledge issues Public health and Health Care Management issues Bright spots Community Engagement and Partnerships Mini Grant Funding Internship Program Special Projects Safety Net Statewide Big 3 Plus one Opportunities Community

Addressing Health Disparities: Know Your Community

ASTHO Breast Cancer Project

Project Overview ASTHO Breast Cancer Learning Community: Using Data to Address Disparities in Breast Cancer Mortality at the State Level Purpose: “to strengthen the ability of state public health departments to mobilize data resources more effectively to address breast cancer mortality” Priority Areas Screening: Decrease Barriers to Screening Follow Up: Patient Navigation (Memphis**)

Survey Development Program Design and Structure Management Structure Navigator Description Patient Populations Patient Navigator: Background and Competencies Background Training Patient Navigator: Services and Responsibilities Defining Navigation and Program Outcomes Services Patient and Navigator Relationships Tracking Evaluation Methods Successes and Challenges

Survey Metrics

THANK YOU Monique Anthony, MPH, CHES Director of Capacity Building Office of Minority Health and Disparities Elimination Monique.Anthony@tn.gov