1. J. Nadine Gracia, MD, MSCE Deputy Assistant Secretary for Minority Health (Acting) Office of Minority Health U.S. Department of Health and Human Services Secretary’s Advisory Committee on Infant Mortality November 15, 2012

2.  Overview of the HHS Action Plan to Reduce Racial and Ethnic Health Disparities  Implementation and Evaluation of the HHS Disparities Action Plan  Synergy between SACIM and the HHS Disparities Action Plan 2

3. Awareness Data Partnerships and Networks Policies, Programs, and Practices Research, Demonstrations, and Evaluation 3 OMH MissionOMH Functions  To improve the health of racial and ethnic minority populations through the development of health policies and programs that will help eliminate health disparities.

4. 4 FOCUS: Translating core minority health and health disparities programs on the ground into strategic activities and policies.

5. 5 HHS Action Plan to Reduce Racial and Ethnic Health Disparities Vision: “A nation free of disparities in health and health care.”

6. Represents the largest federal commitment on disparities reduction and achieving health equity Leverages provisions from the Affordable Care Act for a coordinated and impactful effort HHS Health Disparities Council oversees the Disparities Action Plan implementation 6

7. U. S. Department of Health and Human Services Health Disparities Council HHS Staff Divisions Assistant Secretary for Administration (ASA) Assistant Secretary for Legislation (ASL) Assistant Secretary for Planning and Evaluation (ASPE) Assistant Secretary for Preparedness and Response (ASPR) Assistant Secretary for Public Affairs (ASPA) Center for Faith-Based and Neighborhood Partnerships (CFBNP) Intergovernmental and External Affairs (IEA) National Vaccine Program Office (NVPO) Office for Civil Rights (OCR) Office of the General Counsel (OGC) Office of Health Reform (OHR) Office of Minority Health (OMH)* Office of the National Coordinator for Health Information Technology (ONC) HHS Operating Divisions Administration for Children and Families (ACF) Administration for Community Living (ACL) Agency for Healthcare Research and Quality (AHRQ) Centers for Disease Control and Prevention (CDC) Centers for Medicare & Medicaid Services (CMS) Food and Drug Administration (FDA) Health Resources and Services Administration (HRSA) Indian Health Service (IHS) National Institutes of Health (NIH) Substance Abuse and Mental Health Services Administration (SAMHSA) *Executive Secretariat 7

8.  HHS OMH – J. Nadine Gracia, MD, MSCE, Acting Director, Office of Minority Health  AHRQ – Francis Chesley, Jr., MD, Director, Office of Extramural Research, Education, and Priority Populations  CDC – Leandris Liburd, PhD, MPH, Director, Office of Minority Health and Health Equity  CMS – Cara James, PhD, Director, Office of Minority Health  FDA – Jonca Bull, MD, Director, Office of Minority Health  HRSA – Michelle Allender-Smith, MS, RN, Director, Office of Health Equity  NIH – John Ruffin, PhD, Director, National Institute on Minority Health and Health Disparities  SAMHSA – Larke Huang, PhD, Director, Office of Behavioral Health Equity 8

9. I.Transform Health Care II.Strengthen the Nation’s Health and Human Services Infrastructure and Workforce III.Advance the Health, Safety, and Well-Being of the American People IV.Advance Scientific Knowledge and Innovation V.Increase Efficiency, Transparency, and Accountability of HHS Programs 9

10.  Strategies: 1)Reduce disparities in health insurance coverage and access to care. 2)Reduce disparities in access to primary care services and care coordination. 3)Reduce disparities in the quality of health care. 10

11.  Health Resources and Services Administration New Access Point Awards  In June 2012, more than $128 million awarded to 219 health centers to help expand access to care for more than 1.25 million additional patients. 11

12. 12 http://challenge.gov/ONC/402-reducing-cancer-among-women-of-color

13.  Strategies: 1)Increase the ability of all health professions and the healthcare system to identify and address racial and ethnic health disparities. 2)Promote the use of community health workers and Promotoras. 3)Increase the diversity of the healthcare and public health workforces. 13

14. 14 http://www.acf.hhs.gov/programs/ofa/programs/hpog

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16.  Strategies: 1)Reduce disparities in population health by increasing the availability and effectiveness of community-based programs and policies. 2)Conduct and evaluate pilot tests of health disparity impact assessments of selected proposed national policies and programs. 16

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19.  Strategies: 1)Increase the availability and quality of data collected and reported on racial and ethnic minority populations. 2)Conduct and support research to inform disparities reduction initiatives. 19

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21.  Strategies: 1)Streamline grant administration for health disparities funding. 2)Monitor and evaluate implementation of the HHS Disparities Action Plan. 21

22.  Percentage of the U.S. nonelderly population (0-64) with health coverage  Percentage of people who have a specific source of ongoing medical care  Percentage of infants born at low birthweight  Percentage of adults and adolescents who smoke cigarettes 22 *Appendix C of HHS Disparities Action Plan

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24. 24 RECOMMENDATIONS FOR A NATIONAL STRATEGY I.Improve the health of women. II.Assure safety and high-quality, patient-centered services along the continuum of perinatal care. III.Redeploy key evidence-based, highly effective preventive interventions to a new generation of consumers and their providers. IV.Reduce racial/ethic and income disparities, influence social determinants, and increase health equity through place-based initiatives in higher risk communities and other investments to reduce poverty. V.Invest in adequate data, monitoring, and surveillance systems nationwide (national, regional, state, and local levels) to measure access, quality, and outcomes. VI.Optimize the potential of interagency, public-private, and multi-disciplinary collaboration. 24

25. Office of Minority Health U.S. Department of Health and Human Services www.minorityhealth.hhs.gov (800) 444-6472 25