Developing a Culturally Competent Workforce for a Culturally Diverse Population

 

Live webinar held Wednesday, March 13, 2019 (1:30-2:45 US East Time Zone)

INTENDED AUDIENCE

This training program is intended for staff and students from many levels, disciplines, and settings (both facility and community-based), including staff involved in providing long term care (e.g., nursing staff and administrators), as well as behavioral health staff who work with older adults.

Additionally, staff from Adult Protective Services, home health, adult day healthcare, respite care, area agencies on aging, Emergency Department staff of acute care hospitals, hospital discharge planners, and others serving older adults could benefit from the training.

As always, students in any field of aging are encouraged to attend!

ABOUT THE WEBINAR

Cultural competency and cultural diversity for health care organizations and residential facilities encompass a vast topic. This webinar will initiate the discussion of changing the organizational culture for providers and identify opportunities to provide culturally competent care and supports. Recent research offers a blueprint for sustainable change in diversity management and cultural competence reporting that values of leadership towards diversity increase the health care organization’s performance and quality for those served. Multiple State and Federal regulations influence health care providers and their efforts to address cultural competency. The session will address many of these, including but not limited to, Title VI, the Centers for Medicaid and Medicare (CMS) provider requirements, U.S. Department of Justice: Civil Rights Division, the Americans with Disabilities Act and as applicable the Joint Commission Requirements. Because persons with disabilities and/or cultural differences are disproportionally served in the health care setting, this webinar will provide insight into bridging the gaps and addressing the challenges faced by health care for this underserved population. Presenters will provide a variety of resources and “tools for the toolkits” for various types of providers offering ideas for changing the culture while meeting compliance.

 

LEARNING OBJECTIVES

  1. Understand the laws and requirements for healthcare operations
  2. Learn the differences between cultural awareness and cultural competency
  3. Language access and service providers
  4. “Toolbox Resources” and tips

CERTIFICATES OF ATTENDANCE

Attendees will be able to request a certificate of attendance through the webinar’s exit survey.

These certificates will then be e-mailed a week after the event.

PANEL

Susan A. Elmore, PhD, MBA/HCM, TRS, SMQT’d LTC

Panelist

Susan Elmore’s career in healthcare, includes a breadth and depth of diverse experiences: 40 years caregiving with persons with disabilities and older adults; over a decade as a Medical Facilities Inspector for the Centers for Medicare/Medicaid Services (CMS) at the Virginia Department of Health, and many years working with persons of all ages with intellectual/developmental disabilities and/or physical disabilities. She has a PHD and Masters in Business Administration/HealthCare Management, is a Qualified Intellectual Disabilities Professional (QIDP), and a Therapeutic Recreation Specialist. She is an advocate for quality of life, care and supports for the person and person centered healthcare. Many years of “lived experiences” have formulated her advocacy.

Susan holds a Doctor of Philosophy in Healthcare Management from Northcentral University, and is also an alumni of Longwood University (BS), University of Phoenix (MBA/HCM). Susan is a member of several honor societies: Delta Psi Kappa, the International Gold Key Honour Society and Delta Mu Lambda. She is on multiple statewide committees promoting and/or advancing the focus on cultural competencies, access and functional needs and/or advocacy and understanding of different needs of the person in the particular healthcare or emergency preparedness setting. Her interests include learning and respecting all persons and the factors which make their quality of life unique, including respect for those who have physical and mental challenges, brain injury, deaf, late deafened, or multiple complex challenges.

Karla Almendarez-Ramos

Panelist

Karla Almendarez-Ramos, Manager of City of Richmond’s Office of Multicultural Affairs. Her job is to oversee the City’s Language Access Plan implementation ensuring City services are accessible to diverse cultural communities and others with limited English proficiency. The plan includes development and implementation of outreach and employee trainings. She supervises a team of five, which includes two interpreter/translators, a multicultural outreach specialist, and administrative liaison and the language access coordinator.

Before, she was a Multicultural Outreach Specialist in the Public Affairs Division at the Virginia Department of Emergency Management (VDEM); her job was to function as a liaison and spokesperson for the Ready/Listo Virginia emergency preparedness campaign. She helped in the development of targeted marketing and communications campaigns and tools directed to the Hispanic and other diverse communities.

During state emergencies, Karla became a spokesperson from the state of Virginia and assisted in the translation and distribution of information in Spanish from the Virginia Emergency Response Team as well as production and distribution of Sign Language content. She maintained the Listo Virginia Twitter and Facebook pages as part of the preparedness and response role.

With her help, VDEM was able to support local Emergency Managers in their outreach to Latino groups within their communities by applying cultural competence knowledge into their outreach campaigns.

She graduated from University of Phoenix, with a degree in Business and Marketing and has taken Hispanic Marketing Communication courses at Florida State University.

She is bilingual/bicultural, Spanish and English and trained interpreter.

Inker

Jennifer Inker, PhD, MBA, MSG

Panelist

Dr. Jennifer (Jenny) Inker received her Bachelors degree in Art History from George Washington University, Washington, DC After completing her undergraduate degree, Jenny lived and worked for 21 years in the United Kingdom where she gained a Postgraduate Diploma in Housing Management and a Masters in Science in Strategic Housing Management. She worked in various leadership roles in the affordable housing sector in England and Wales, including non-profit operations management and local government.

Jenny returned to the United States in 2007 and received an MBA in Healthcare Administration from George Washington University in 2011, a Masters in Science in Gerontology from Virginia Commonwealth University in 2013, and a PhD in Health Related Sciences (Gerontology) from Virginia Commonwealth University in 2018. In the U.S. she has worked as an executive director for non-profit and for-profit assisted living providers. Jenny is a licensed assisted living facility administrator in the Commonwealth of Virginia and a certified Myers-Briggs Type Inventory Practitioner (Step I and Step II).

Jenny has been an instructor in the Department of Gerontology at VCU since 2014. She teaches Sociology of Aging, Aging and Human Values, and Long Term Care Administration. Jenny’s research interests include ageism and attitudes to aging, long-term care workforce training, and the development of elderhood.

EVENT RECORDING & RESOURCES

OTHER RESOURCES

People First Language

OTHER FEDERAL REGULATIONS TO REVIEW

Title VI of the Civil Rights Act of 1964, as amended (42 USC § 2000d), prohibits discrimination on the basis of race, color, or national origin 45 CFR 80.

Section 504 of the Rehabilitation Act of 1973, as amended (29 USC § 794), prohibits discrimination against otherwise qualified individuals on the basis of disability in:

Programs and activities receiving financial assistance from HHS 45 CFR 84;

Programs or activities conducted by HHS 45 CFR 85.

Title IX of the Education Amendments of 1972, as amended, (20 USC § 1681) prohibits discrimination on the basis of sex (gender) in Federally-Assisted Education Programs 45 CFR 86.

The Age Discrimination Act of 1975, as amended (42 USC § 6101), prohibits discrimination on the basis of age in:

Programs or activities receiving Federal financial assistance 45 CFR 90; and

Programs or services receiving HHS financial assistance 45 CFR 91.

Titles VI and XVI of the Public Health Service Act (42 USC §§ 291 – PDF and 300) require health facilities that received certain Federal funds (“Hill-Burton” funds) to provide certain services to members of its designated community 42 CFR 124, Subpart G.

Section 1557 of the Patient Protection and Affordable Care Act (42 USC § 18116 – PDF), which provides that an individual shall not be excluded from participation in, be denied the benefits of, or be subjected to discrimination on the grounds prohibited under Title VI of the Civil Rights Act of 1964, 42 USC § 2000d et seq. – PDF (race, color, national origin), Title IX of the Education Amendments of 1972, 20 USC § 1681 et seq. – PDF (sex), the Age Discrimination Act of 1975, 42 USC § 6101 et seq. (age), or Section 504 of the Rehabilitation Act of 1973, 29 USC § 794 – PDF(disability), under any health program or activity, any part of which is receiving Federal financial assistance, or under any program or activity that is administered by an Executive Agency or any entity established under Title I of the Affordable Care Act or its amendments. OCR has enforcement authority with respect to health programs and activities that receive Federal financial assistance from the Department of Health and Human Services (HHS) or are administered by HHS or any entity established under Title I of the Affordable Care Act or its amendments.

Section 1553 of the Patient Protection and Affordable Care Act (42 USC § 18113) – PDF prohibits discrimination against individuals or institutional health care entities that do not provide assisted suicide services. See the Section 1553 webpage for more information.

Title II of the Americans with Disabilities Act

28 CFR Part 35: Nondiscrimination on the Basis of Disability in State and Local Government Services

2010 ADA Standards for Accessible Design

Federal Health Care Conscience Protection Statutes: Prohibits recipients of certain Federal funds from discriminating against certain health care providers who refuse to participate in certain health care services on religious or moral grounds.

Church Amendments – PDF (42 USC § 300a-7)

Public Health Service (PHS) Act – PDF (42 USC § 238n)

Weldon Amendment – PDF(Continuing Appropriations Resolution, Pub. L. No. 113-164, Sec. 101(a) (Sept. 19, 2015)

Regulation for the Enforcement of Federal Health Care Provider Conscience Protection Laws – PDF

 

Section 508 of the Rehabilitation Act of 1973, as amended, (29 USC § 794(d)) prohibits discrimination on the basis of disability in electronic and information technology as they relate to programs and activities conducted by HHS.  See the Accessibility Board 508 Homepage for more information.  (See additional notes in the next slide_)

Section 1808(c) of the Small Business Job Protection Act of 1996 (42 USC § 1996b) prohibits covered agencies and entities from discriminating on the basis of race, color and national origin in child placement decisions in adoption and foster care.

Sections 794 and 855 of the Public Health Service Act, (42 USC §§ 295m – PDF and 296g) prohibits discrimination on the basis of sex (gender) in Federally-Assisted Health Training Programs (45 CFR 83).

Section 508 of the Social Security Act (42 USC § 708) prohibits discrimination on the basis of age, race, color, national origin, disability, sex (gender), or religion in the Maternal and Child Health Services Block Grant .

Section 533 of the Public Health Service Act (42 USC § 290cc-33) prohibits discrimination on the basis of age, race, color, national origin, disability, sex (gender), or religion in Projects for Assistance in Transition from Homelessness.

Section 1908 of the Public Health Service Act (42 USC § 300w-7 – PDF) prohibits discrimination on the basis of age, race, color, national origin, disability, sex (gender), or religion in programs, services, and activities funded by Preventative Health and Health Services Block Grants.

Section 1947 of the Public Health Service Act prohibits discrimination on the basis of age, race, color, national origin, disability, sex (gender), or religion in programs and activities funded by Community Mental Health Services Block Grant and Substance Abuse Prevention and Treatment Block Grants (42 USC § 300x-57).

The Family Violence Prevention and Services Act (42 USC § 10406) prohibits discrimination on the basis of age, race, color, national origin, disability, sex (gender), or religion in programs and activities funded under this Act.

The Low-Income Home Energy Assistance Act of 1981 (42 USC § 8625) prohibits discrimination on the basis of race, color, national origin, or sex (gender) in programs and activities funded under this Act.

The Community Services Block Grant Act prohibits discrimination on the basis of race, color, national origin, or sex (gender) in programs and activities funded under this Act (42 USC § 9918).

The Communications Act of 1934 (47 USC § 398), as amended, has Equal employment Opportunity provisions that prohibit employment discrimination on the basis of race, color, religion, national origin, or sex (gender) by Federally-funded public telecommunication entities.