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nullOffice of Minority Health and Health Disparities (OMHD)Office of Minority Health and Health Disparities (OMHD)An OverviewCenters for Disease Control & Prevention (CDC)What is a “Health Disparity”? Conceptual IssuesWhat is a “Health Disparity”? Conceptual IssuesInequality Difference in condition, rank Lack of equality as of opportunity, treatment, or status Inequity Unfair and unjust Unnecessary and avoidablehttp://www.tjlongyuan.com 夹布胶管 橡胶管 胶管 http://www.u51688.com http://www.qiwhy.com “Health Disparity” in Public Health – Operational Definition“Health Disparity” in Public Health – Operational DefinitionQuantitative measures: rates, percents, means… The Quantity that separates a group from a reference point on a particular measure of health Calls attention to differences in health between groups regardless of cause Can be measured in absolute or relative termsHealth Disparities Communities of Color are Disproportionately AffectedHealth Disparities Communities of Color are Disproportionately AffectedRacial and Ethnic Minority PopulationsRacial and Ethnic Minority PopulationsAmerican Indian/Alaska Native (AI/AN) Asian American Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander (NHOPI)Other Populations By . . . Other Populations By . . . Socio-economic status Geography (urban or rural) Gender Age Disability status Risk status related to sex and genderCDC VisionCDC Vision CDC’s Vision for the 21st Century is “Health Protection…Health Equity”CDC MissionCollaborating to create the expertise, information, and tools that people and communities need to protect their health – through health promotion, prevention of disease, injury and disability, and preparedness for new health threatsOMHD MissionOMHD Mission The Office of Minority Health and Health Disparities (OMHD) aims to accelerate CDC’s health impact in the U.S population and to eliminate health disparities for vulnerable populations as defined by race/ethnicity, socio-economic status, geography, gender, age, disability status, and risk status related to sex and gender, among other populations identified to be at-risk for health disparities.OMHD Guiding PrincipleOMHD Guiding Principle The future health of the nation will be determined to a large extent by how effectively we work with communities to eliminate health disparities among those populations experiencing gaps in disease, disability, and death.What are OMHD Critical Goals?What are OMHD Critical Goals?Equity in health impact Diversity in customer focus Access to and participation in public health systems Participation in the conduct and use of public health research to solve community wide health problems The benefits of global health protection, especially among immigrants and border populations A verifiable commitment to operational efficiency, program effectiveness, and accountability for public resources.What are the OMHD Core Functions?What are the OMHD Core Functions?1. Maintaining core functions of the Office of Minority Health (OMH) without loss of priority, resources, or visibility 2. Developing CDC-wide health disparities elimination strategies, policies, goals, and programsWhat are the OMHD Core Functions?What are the OMHD Core Functions?3. Managing health disparities elimination goals through scanning, analysis, knowledge management, decision-support systems, and reporting Key Performance Indicators *, Government Performance and Results Act**, Program Assessment Rating Tool*** *(GPRA) **( PART) ***(KPI)What are the OMHD Core Functions?What are the OMHD Core Functions?4. Supporting internal and external partnerships to advance the science, practice, and workforce for eliminating health disparities inside and outside CDC 5. Synthesizing, disseminating, and encouraging use of scientific evidence about effective interventions to achieve health disparities elimination outcomesCDC’s Office of Minority Health (OMH), 1988 CDC’s Office of Minority Health (OMH), 1988 Established by CDC Director-- 1988 A response to Secretary Heckler’s report on excess deaths in certain groups and internal advocacy Coordination vs. program management Small staff, small budget, no large programsCDC’s OMH, 1988-1998 Major GoalsCDC’s OMH, 1988-1998 Major GoalsAssuring that policies direct activities toward minority health Enhancing research to reduce the disproportionate disease burden in minority groups Developing effective internal and external communication networksStrategic Redirection of OMH, 1998 Strategic Redirection of OMH, 1998 Executive retreat, agency-wide deliberations on draft paper on new vision/policy/strategy/action (1998) Senior Staff reviews, briefings & deliberations (1999-2001) Policy/Action items approved (Oct 2001)Action Items for Improving Minority Health: 2000 - 2005Action Items for Improving Minority Health: 2000 - 2005Cross- Cutting Actions: Activities each CIO should undertake Infrastructure: Mobilizing people, information systems, and resources Program Development and Implementation: Improving programs Monitoring and Accountability: Tracking and assuring qualityOMH Functions/Priorities 2001-2004OMH Functions/Priorities 2001-2004Strategic planning (minority health priorities) Policy initiatives (analysis, development) Leadership/coordination of minority health initiatives and Executive Branch activities Support for minority-serving institutions of higher learning Cooperative agreements to conduct research, prevention activities, student/faculty development Student traineeships Epidemiologic studies External partnerships (technical assistance/symposia) Direct support to CDC/ATSDR programs (SME)Review Questions (Developed by the Supercourse team)Review Questions (Developed by the Supercourse team) What is the definition of disparities? Why does the American Indians/Alaskan natives have a lower death rate than whites or African Americans?