Workshop D-7 Affordable Care Act and Opportunities for Advancing Equity for Racially and Ethnically Diverse Communities: Taking Vision and Promise to Reality

Affordable Care Act and Opportunities for Advancing Equity for Racially and Ethnically Diverse Communities: Taking Vision and Promise to Reality
Wednesday, March 13, 2013: 01:45 PM - 03:45 PM, OAK, Junior Ballroom 2,3
The enactment of the Affordable Care Act (ACA) of 2010 offered for the first time in almost 50 years an unprecedented opportunity to significantly advance health equity. To that end, numerous provisions in the ACA target explicit support for redressing longstanding racial/ethnic disparities through programs and requirements for cultural competence, language assistance, workforce diversity, data collection and disparities research.

In 2012, the Texas Health Institute received support from The California Endowment, W.K. Kellogg Foundation and Kaiser Permanente to monitor and analyze the implementation status and progress of over 60 provisions in ACA specific to race, ethnicity and language as well as broader provisions with significant implications for diverse populations.  Through a mixed-qualitative approach involving a review of literature, in-depth program and policy analysis and interviews, for each provision we are tracking funding, timeline, federal agency roles and responsibilities, issuance of federal rules, creation of taskforces and advisory groups, funding opportunity announcements, as well as related national, state and local guidance, programs, lessons learned and barriers to implementation.

This presentation will provide attendees with an in-depth understanding of where we are in the implementation of ACA’s provisions for diverse communities.  It will highlight, in particular, opportunities, challenges and crucial next steps for achieving racial/ethnic equity objectives of ACA following outcomes from the U.S. Supreme Court decisions and 2012 presidential elections. Attendees will obtain a knowledge base to fully take advantage of new programs and funding opportunities and advocate for implementation where legislative efforts fall short.

Presentation Information:

Program: Special Session (Main Conference)
Primary Category: Policy
Subtopics: Health reform/health systems innovations, Implementation of ACA, Implementing disparity reduction programs

Region Addressed by Presentation: National
Organization: Non-Profit Organization/Association


Dennis Andrulis, PhD, MPH , Texas Health Institute, Austin, TX
    Senior Research Scientist
    Texas Health Institute
    8501 N. MoPac Expressway
    S. 300
    Austin TX, USA 78759

    Phone: 512-279-3911
    Email Address: dpandrulis@gmail.com

    Biographical Sketch:
    Dennis is a Senior Research Scientist at the Texas Health Institute, a non profit policy research organization, and is an Associate Professor at the University of Texas School of Public Health. In his current roles and previous positions as Research Dean at the Drexel University School of Public Health and Director of its Center for Health Equality, Dennis has led the development of numerous ninitiatives on racial and ethnic disparities and cultural competence, working at the community level, for states, and nationally. His recent work includes the development of assessment tools on emergency preparedness for primary care sites with a special emphasis on addressing the challenges of engaging racially and ethnically diverse communities; analyzing Republican and Democratic presidential candidate health reform platforms, related legislation and the enactment of the Patient Protection and Affordable Care Act, creation of a cultural competence self-assessment tool for health care organizations; and serving as co-founder of a national conference series on quality health care for culturally diverse populations, now in its 12th year. He previous work he has developed a compendium and analysis of national data sources on the nationís 100 largest cities and their surrounding areas, entitled The Social and Health Landscape of Urban and Suburban America; assisting in the implementation of a HRSA CAP grant for Nassau County, NY focusing on program evaluation and integrating cultural competence into the intervention strategies and the overall program; and assisting the Health Research and Education Trust in creating a cultural competence curriculum for health care leaders. Dr. Andrulis was part of the core faculty for the NIH award to the Arthur Ashe Institute and Downstate Medical Center to address cardiovascular disparities, and was charged with the responsibility of curriculum development. He also has participated in and/or chaired numerous national committees and advisory groups addressing disparities, communication and cultural competence, including efforts convened by the Joint Commission, the National Institute for Child Health Quality, The American Medical Association and the National Quality Forum and Pfizer (health literacy). His recent and forthcoming publications include: Suburban poverty, diversity and health in megacities: a case study of Los Angeles, Integrating racially and ethnically diverse communities into planning for disasters: the California experience; Preparing racially and ethnically diverse communities for public health emergencies; Reducing racial and ethnic disparities in disease management to improve health outcomes; Moving beyond the status quo in reducing racial and ethnic disparities in childrenís health; and a book entitled Managed Care in the Inner City: the Uncertain Promise for Providers, Plans and Communities, published by Jossey-Bass. He has a Ph.D. in Educational Psychology from the University of Texas at Austin and a Masters of Public Health from the University of North Carolina at Chapel Hill.

Nadia Siddiqui, MPH , Texas Health Institute, Aust, TX
    Senior Health Policy Analyst
    Texas Health Institute
    8501 North MoPac Expressway Suite 300
    Aust TX, USA 78759

    Phone: 281-692-2420
    Email Address: nsiddiqui@texashealthinstitute.org

    Biographical Sketch:
    Nadia Siddiqui, MPH, is Senior Health Policy Analyst at the Texas Health Institute, where she conducts research and evaluation of national, state and local public health needs, programs and policies. She serves as project manager and lead analyst on multiple initiatives at THI, including: a series of analyses on the implementation and implications of health care reform law for racial/ethnic populations; a multi-year policy initiative on advancing public health preparedness for diverse communities; a national study on racial/ethnic health disparities in climate change; a series of local and community health assessments targeting underserved populations; and research on issues of the safety net, suburban health care, and regionalization of care. Ms. Siddiqui holds a Master of Public Health in Health Policy and Management from the University of Arkansas for Medical Sciences and a Bachelor of Arts in Economics-Honors from the University of Texas at Austin.

Maria Cooper, MA , Texas Health Institute, Austin, TX
    Health Policy Analyst
    Texas Health Institute
    8501 North MoPac Expressway Suite 300
    Austin TX, USA 78759

    Phone: 512-636-4001
    Email Address: mcooper@texashealthinstitute.org

    Biographical Sketch:
    Cooper is a magna cum laude graduate of The University of Texas with a double bachelorís in communications science and disorders and Hispanic linguistics. She received a masterís degree from UT in speech-language pathology and has extensive experience in developing, conducting and presenting clinical research projects. She spent four years in speech pathology in acute care, outpatient rehabilitation and public education facilities. Cooper has also previously worked as a research specialist at a hospital association where she managed programs in patient safety and quality improvement. At the Texas Health Institute, Cooper performs qualitative and quantitative analysis for research projects that examine policies related to diverse and/or vulnerable populations in areas such as health care reform and emergency preparedness. She currently is pursuing a Ph.D. in epidemiology at The University of Texas School of Public Health where her research interests include health disparities and evidenced-based practices in rehabilitation.

Lauren Jahnke, MPAff , LRJ Research & Consulting, Austin, TX
    Consultant
    LRJ Research & Consulting
    Austin TX, USA
    Phone: 512-899-8844
    Email Address: lauren@lrjconsulting.com

    Biographical Sketch:
    Lauren Jahnke has been a freelance health policy consultant and researcher/writer since 1997, working mainly on state and federal health care issues including Medicaid and Medicare policy, the uninsured, public health and local health departments, mental health care, U.S.-Mexico border health, cross-border health insurance, federal health care reform, and health care disparities. She is currently working with the Texas Health Institute on a grant-funded project led by Dr. Dennis Andrulis involving research and reporting on the implementation of the federal health care reform provisions on cultural and linguistic competency. Lauren has a Masterís degree in Public Affairs (from the LBJ School of Public Affairs) and a B.A. in Biology, both from The University of Texas at Austin.

Ebbin Dotson, PhD , University of Texas School of Public Health, Houston, TX
    Adjunct Professor
    University of Texas School of Public Health
    Houston TX, USA
    Email Address: Ebbin.D.Dotson@uth.tmc.edu

    Biographical Sketch:
    Ebbin Dotson, PhD, MHSA is the Executive Director of the Health Professions Pathway Program at the City Colleges of Chicago (CCC) where he provides strategic leadership and vision to the future of the Health Professions programs at CCC. In addition, he is an Adjunct Professor at the University of Texas School of Public Health. His research topics include healthcare management, policy, leadership, diversity, health disparities, and the macro-micro management nexus in healthcare organizations. In emergency preparedness research, Dr. Dotson is focused on effective coordination of organizations and the influence of diversity on decision-making. Dr. Dotson received his PhD from the University of California at Berkeley School of Public Health, and earned a MHSA from the University of Michigan School of Public Health.