National Vaccine Plan Elena Rios, MD, MSPH Stakeholder Summit Philadelphia, PA

Key Trends Minorities face disparities in immunization rates in America  By 2042, over half of Americans will be minority populations  Latinos – immigrants, mixed families with strong cultural values will be 1 out of 4 Americans Our nation is undergoing a major transformation :  Cultural Competence & language requirements in hospitals/clinics and for future providers in medical education and public health  Health care reform expands health care coverage to Hispanics and African Americans and increases the need for education and outreach efforts  Quality and value payments for care that is patient centered in medical homes  Disparities in immunization rates for minority populations remain high  New demand for community-based health prevention and research NHMA/NHHF seeks to cultivate public and private partnerships to make a positive impact promoting prevention awareness & good will in new and growing Latino communities and markets around the nation

Prevention Strategy 2011 Healthy and Safe Community Environments: Create, sustain, and recognize communities that promote health and wellness through prevention. Clinical and Community Preventive Services: Ensure that prevention-focused health care and community prevention efforts are available, integrated, and mutually reinforcing. Empowered People: Support people in making healthy choices. Elimination of Health Disparities: Eliminate disparities, improving the quality of life for all Americans. Immunizations – especially through States (ACA) and with Federal and State and Local public health infrastructure

National Vaccine Plan – Awareness & Programs Health Communications for informed decision-making – patients,community, policymakers  Messages that are culturally competent, language and literacy appropriate, social media, portals, minority populations  Community– schools, parents, leaders  Educate policymakers on prevention benefits, for population based programs

National Vaccine Plan - Access Develop, implement, and evaluate population based campaign efforts through safety-net (clinics, doctors, nurs homes, caregivers, hospitals) Collaborate with health sector partners (pharmacy, insurance company, etc.) and community leaders State coalition building needed for preparedness activities in communities

NHMA/NMA/OMH Experience Advisory Committee for OMH targeted 8 cities effort Increased awareness of HHS Flu Campaign thru blasts, list serves, mailings and CDC link to website/newsletters to networks – 15,000 + Regional Forums – Houston - Congresswoman Jackson Lee; NY; Atlanta; Kansas City – with Regional Directors, RHAs, OMH, CDC, local PH leaders & providers from hospitals, med & public health schools, clinics, practices and media and CBOs – and info sent to other 4 cities Press releases – hundreds of thousands Media interviews – TV, radio Identified physicians interested in research activities

Minority Health 2011 ACA: OMH, NIMHD, HHS Agencies National Partnership for Action: Awareness of health disparities Leadership to address health disparities at all levels Health System and Experience Cultural Competence & Diversity of Workforce Data, Research and Evaluation Federal Interagency Team - NEW Regional Advisory Councils – NHMA nominees. HHS Strategic Action Plan to Reduce Racial and Ethnic Disparities in Health; Tricaucus New Bill coming Sept.

NHMA & NHHF– Who are We? Established in 1994 in DC, NHMA is a non-profit 501c6 association representing 45,000 Hispanic physicians in the U.S. Mission: to empower Hispanic physicians to improve the health of Hispanic populations with Hispanic medical societies, residents, students and public and private partners. Established in 2002, NHMA’s foundation, National Hispanic Health Foundation, a non- profit 501c3 foundation for research & education activities – affiliated with NYU Wagner Graduate School of Public Service

NHMA Board of Directors Kathy Flores, MD, Chairwoman, Director, UCSFresno Latino Research Center Ciro Sumaya, MD, MPHTM, Past Chairman, founding Dean, Texas A&M Rural public Health School Louis Aguilar, MD, Treasurer, Tucson, AZ Sam Arce, MD, ViceChair, NYC Onelia Lage, MD, Secretary, Professor, Pediatrics, U of Miami Elena Rios, MD, President/CEO Washington, DC Carol Brosgart, MD, San Francisco, CA Emilio Carrillo, MD, MPH, Professor, Cornell Weill School of Medicine Jorge Girotti, PhD, Assoc. Dean, U of Illinois, Chicago Medical School Paloma Hernandez, MPA, CEO, Urban Health Inc. Leonora Lopez, MD, Chairwoman, Council of Medical Societies, Alb, NM Jorge Puente, MD, Regional President of Asia, Pfizer Joan Reede, MD, MPH, Associate Dean, Harvard School of Medicine Jaime Rivera, MD, Consultant, DE Richard Zapanta, MD, Monterey Park, CA Vanessa Salcedo, MD, Chairwoman, Council of Residents Ray Morales, Coordinator, Latino Medical Students Association

NHHF Board of Directors Mark Diaz, MD Chairman, Principal, Alivio Medical Group, Sacramento, CA Conchita Paz, MD Secretary -Treasurer, Principal, Family Care Associates, Las Cruces, NM Elena Rios, MD, MSPH President, NHHF, NY Jo Ivey Boufford, MD President, New York Academy of Medicine Gary Pelletier Director, Pfizer Helpful Answers Miguel Sanchez, MD Professor, Dermatology NYU School of Medicine Yasmine Winkler, United Healthcare

National Hispanic Medical Association – what do we do? Serve as a resource for White House, Congress, and Federal agencies on health policies and programs Support Hispanic physician leadership at national and state level Provide networking opportunities for advancement of Hispanic health

National Hispanic Medical Association Programs Resource:  Federal government Capitol Hill Briefings on Hispanic health Issues to eliminate health disparities (10/12) Programs such as Flu Campaign with OMH and NMA Nominate members to Federal advisory commissions  Private sector Provide technical assistance to corporate health programs Nominate members to corporate boards Leadership Development:  NHMA Leadership Fellowship  NHMA Resident Leadership Program  National Hispanic Health Professions and Medical Societies Leadership Institutes Networking:  NHMA 16 th Annual Conference, Apr , 2012  Regional Health Reform Events – NYC, Los Angeles, Miami, DC, El Paso.

NHMA Network 2011 Hispanic State and Regional Medical Societies National Hispanic Health Professional Leadership Network  National Association of Hispanic Nurses  Hispanic Dental Association  Latino Caucus of APHA  Latino Forum of Health Executives  Assoc of Hispanic Health Execs of NY  Regional Mental Health Associations Latino Medical Student Association

National Hispanic Health Foundation – what we do? Education Research Support Hispanic health professionals and health professional students

NHHF Selected Programs Education  Kellogg Foundation Child Obesity in CA and NY Research  Policy research, eg. Increasing Diversity for Title VII at HRSA, Summit Report supported by the Josiah Macy, Jr. Foundation  National Center for Hispanic Community Health Research (in progress) Training and Recruitment of Hispanic researchers Clinical Trials – future Health Professional Student Scholarship Fund

How to contact NHMA & NHHF NHMA NHHF Portal Hispanic Health Professional Student Scholarship Galas  Santa Monica-Nov.10 th /NYC-Dec.1 st NHMA 16 th Annual Conference – “Innovations that Improve Hispanic Health” Washington, DC, Apr , 2012