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Plenary Panel Presentation:
Federal, State, and Non-Governmental Policy Initiatives
Affecting Diverse Populations
This presentation will offer conference attendees insights
that focus on the challenges of developing cultural competency initiatives
in the federal government. The discussion will explore HCFA’s effort
to overcome cultural and linguistic barriers encountered by Medicare and
Medicaid beneficiaries. In particular, the presentation will examine the
shifting roles of the government from a public sector health insurer to
a value-based, beneficiary-focused purchaser of health care services.
Areas of future HCFA efforts include: the creation of standards for monitoring
and enforcement of plan quality objectives; the development and testing
of information strategies; the improved use of market information to provide
timely information for the development of culturally competent programs;
the establishment of effective partners within minority advocacy communities;
and the continued integration and measurement of culturally competent
programs.
Michael M. Hash
Deputy Administrator
Health Care Financing Administration
U.S. Department of Health and Human Services
200 Independence Ave., SW
Washington, DC
Michael M. Hash joined the Health Care Financing
Administration as Deputy Administrator on April 30, 1998. From 1995 until
joining HCFA, Mr. Hash was a principal with Health Policy Alternatives,
Inc. (HPA), a Washington-based consulting firm that specializes in health
care financing and related policy areas.
Mr. Hash served from 1990 to 1994 as Senior Staff Associate at
the Subcommittee on Health and the Environment of the House Energy and
Commerce Committee. In this capacity, he worked on Medicare, health care
reform, health care quality assurance, health care workforce issues, organ
transplants, clinical laboratories, and health services research.
From 1980 to 1990, Mr. Hash was with HPA, where he provided policy
analysis and strategic advice on health care financing and organization
for a wide array of HPA clients, including providers, practitioners, payers,
and patients. From 1973 to 1980, Mr. Hash was employed by the American
Hospital Association, with progressive responsibilities that led to his
position as Deputy Director of the Washington Office, and responsibility
for management of the Association’s government relations program.
Mr. Hash is a graduate of Washington and Lee University with a
major in political science. He continued his postgraduate studies in political
science at Vanderbilt University. Michael has been a visiting professor
at Johns Hopkins University School of Hygiene and Public Health and in
the Georgetown University School of Nursing. He has held board positions
at Providence Hospital in Washington and the District of Columbia Hospital
Association.
Cultural Competence, Medicaid And You:
What Is The Connection? How Is It Being Made?
The Commonwealth of Massachusetts, Division of Medical Assistance
(DMA), is engaged in a unique, multi-year initiative to identify, develop
and sustain a culturally competent system of care for its members. This
effort is grounded in the belief that for care to produce the most effective
outcomes, it must be delivered in the context of the beliefs and values
of its recipients; and, in a manner and language that they understand.
The foundation of this initiative lies in the level of organizational
commitment within DMA, and a strong public academic liaison with the University
of Massachusetts Medical School and its affiliates.
This presentation will provide a practical view of some
of the organizational and operational components of this initiative. A
selection of specific tools, methods and materials used to develop, implement
and maintain this initiative will be shared with participants including:
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A description of the infrastructure used to direct
this initiative;
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Strategies for promoting organizational change and
external acceptance;
- A description of the processes and outcomes used to collect data about
providers and members including:
- Capacity of providers to meet the needs of diverse populations
- The disparate health outcomes among various Massachusetts populations
- Demographic characteristics of members;
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The human and financial resource benefits realized
through a public academic liaison with the UMASS Medical School.
Russell Kulp
Assistant Commissioner
Member Services
Massachusetts Division of Medical Assistance
600 Washington Street
Boston, Massachusetts 02111
Telephone (617) 210-5311
Fax (617) 210-5823
rkulp@nt.dma.state.ma.us
Russ Kulp began working for the Department of Public Welfare
in 1987 as a Program Manager in Medicaid. In 1993 he became the Assistant
Commissioner for Primary and Senior Care Plans for the Division of Medical
Assistance. He is currently the Assistant Commissioner for Member Services.
He graduated from Dartmouth College with a BA in Government, and from
the University of Pennsylvania with a Masters in City and Regional Planning.
Prior to joining state government, he served as Assistant Deputy Commissioner
for Emergency Services for the City of Boston’s Department of Health
and Hospitals and then as a private consultant focusing on medical systems
development and implementation. The Member Services Unit in the Division
of Medical Assistance focuses on providing services to the Division’s
member clients. The unit includes Eligibility Operations, the Health Benefits
Management Program (a managed care enrollment brokerage), and sponsorship
of the Cultural Competency Initiative.
Esta-Lee Stone, MS OTR/L
Director Clinical Projects
Massachusetts Division of Medical Assistance
600 Washington Street
Boston, Massachusetts 02111
Telephone (617) 210-5694
Fax (617) 210-5865
estone@nt.dma.state.ma.us
Experience:
Initiative Leader: Initiative for Cultural Competency at DMA. Participated
in the development and implementation of the cultural competency vision
statement, including the goals, objectives, infrastructure, and projects
at the Division of Medical Assistance and at the Medicaid Access Program
at the University of Massachusetts Medical Center. Project includes 1200
site survey of providers, a variety of interpreter service projects, cultural
competency component of the Hospital Quality Project, Health Outcome Project.
Project Manager: Psychiatric Residency Training Programs
at Department of Mental Health in Massachusetts. Developed goals,
indicators and performance measures dealing with cultural competency for
psychiatric residency training contracts; participated in the development
of the curriculum for cultural competency for psychiatric residency training
programs. NEXT >
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