KENTUCKY






 

KENTUCKY
Vivian Lasley-Bibbs, MPH
Acting Director, Office of Health Equity
Kentucky Department of Health
275 East Main Streer-Mail Stop HS1GWA
Frankfort, Kentucky 40627
Phone: (502)-564-3527 x3528
Fax: (502)-564-9377
Email:
Vivian.lasley-bibbs@ky.gov
Website:
http://chfs.ky.gov/dph/officeofminorityhealth.htm      


5 Year Strategic Plan 2010-2015

Introduction
Background
The Office of Health Equity (OHE) was established in September 2008 in the Kentucky Department for Public Health (KDPH), Cabinet for Health and Family Services (CHFS). OHE functions a part of the Commissioner’s Office and was established with funding from the Office of Minority Health (OMH), US Department of Health and Human Services (US DHHS). The Office is also supported by the University of Kentucky, College of Public Health in an effort to improve and encourage Workforce Development and Practice of Masters-level and Doctoral-level graduate students to study health disparities. The Director of the Office has a research appointment in the College to develop a research agenda relating to health disparities. Initial funding was provided to address widening racial/ethnic health disparities in infant mortality among African Americans in Kentucky. Based on March of Dimes, 2005 infant mortality data, African American infants in Kentucky were dying at a rate of 10.9 per 1000 live births compared to 6.4 per 1000 live births among white infants. Evidence suggested that low birth weight, preterm births, access to prenatal care after the first trimester, risky behaviors, and maternal age, and education factors all contributed to the disparity. Thus, the first project of the Office was to begin clarifying the reason behind the high rates. After partnering with a local Center for Health Equity in Louisville, KY in a largely African American community conducting a qualitative, focus group, approach to address the social and environmental factors of health, we learned that that factors beyond individual behaviors may have influenced the adverse health outcomes in that community. Factors such as safety, neighborhood appearance, housing, and the lack of access to healthy foods were major concerns of the focus group participants. As a result, community action coalitions are drafting policies to eliminate barriers to overcoming these factors.
Kentuckians not only suffer from infant mortality health disparities, but also from high rates of poverty and chronic disease, all of which encourage adverse health outcomes. The mission of OHE is to eliminate health disparities and promote health equity among racial and ethnic minorities, geographically isolated populations/ rural, and low-income populations for the state of Kentucky. This mission is similar to that of OMH, following the same strategic framework. Furthermore, OHE strives to complement the goals established in the Healthy People document, the framework for prevention for public health. Coinciding with Healthy People, Kentucky work with its partners to eliminate health disparities and enhance the quality of life for all Kentuckians by tackling the leading causes of death for the state and addressing the top 10 health indicators.
To systematically support the Office mission and influence all aspects of health entities in the state, OHE functionally operates and reports directly to the Commissioner of the Kentucky Department for Public Health. Currently, OHE is fully supported by funding from KDPH. OHE also has an Internal Health Equity Advisory Committee consisting of one (1) representative from each Division of the Department for Public Health (i.e. Nursing, Prevention and Quality Improvement, Women’s Health, Epidemiology and Health Planning, Maternal and Child Health and Public Health Protection and Safety) except Laboratory Services. The Advisory Committee advises OHE on issues, activities, policies, challenges, and needs as they relate to the mission of the elimination of health disparities.
The First Year
OHE has been established since 2008. While this document does identify the strategic plan for the next five years, OHE has aggressively pursued its mission of addressing health disparities. In fact, some aspects of each of the five objectives listed in this plan are currently being implemented. For example, OHE has filed an Executive Order with the Kentucky state Governor, Steve Beshear, to recognize the elimination of health disparities among racial and ethnic minorities, rural and low-income populations. Additionally, in the Fall 2009, OHE produced Kentucky’s first Minority Health Status Report, working in collaboration with KDPH epidemiologists and the Kentucky Office of Health Policy, to compile health data related to minority populations in the state. OHE has also begun to implement the Cultural and Linguistic Competency Assessment of Local Health Departments to Assure a Healthier Kentucky to enhance the ability of the public health workforce to provide culturally appropriate health services and health care. The Promoting Health Equity Project in Kentucky was also instituted to provide a sample of local health departments with funding to implement health equity projects in their own communities. OHE also serves on multiple advisory committees and coalition boards (i.e. Kentucky Health Literacy, Health Equity Network, KDPH Leadership Council) statewide to provide expertise and guidance to health professionals and community leaders on health disparities.  
OHE is currently staffed by a Director with reporting responsibility to the Commissioner. Graduate students from the University of Kentucky also have the opportunity to conduct their practicum and dissertation requirements with the Director. Since inception of the Office, two students have fulfilled their practicum, working with the Office. One doctoral level student is completing her dissertation with data from the Cultural and Linguistic Competency Assessment. All of these activities support the objectives of the OHE strategic plan.
The National Plan for Action
OHE has compiled a strategic plan for continued growth and development following the objectives set forth in The National Plan for Action document drafted by the National Partnership for Action. The National Partnership for Action is a movement/campaign instituted by the (US DHHS) Office of Minority Health consisting of a group of partner organizations working together to focus on health status and health outcomes among racial and ethnic minority populations. The National Plan for Action proposes five (5) objectives and twenty (20) strategies supported by benchmarks, actions, measures and potential data sources for the elimination of racial and ethnic health disparities. OHE will also incorporate geographically isolated and low income population groups into each objective and strategy to address the needs of all disparate populations in the state of Kentucky.
  The Plan incorporates a collaborative approach and effort of representatives from community, faith-based and non-profit organizations, academic institutions, foundations, and Federal, State, and local agencies. OHE will utilize evidence-based approaches to address contributing factors or determinants to individual, community, environmental health outcomes and health disparities. OHE will also examine and seek to influence system-level factors that influence or encourage health disparities in Kentucky. Moreover, proven evaluation methods will be implemented to measure impact, process, and outcomes of all activities. The infrastructure of the Office of Health Equity is organized to achieve the Objectives of the National Plan for Action by being divided into four (4) sections: Health Systems and Leadership; Cultural and Linguistic Competency Research and Training; Community-Based Participatory Research and Epidemiological Surveillance; and Community and Capacity Development. Each section will work to successfully meet each objective with a focus on specific strategies and actions. All activities will be overseen by the Director of the Office of Health Equity. However, specific activities will be divided among several sections to ensure a broader reach. Additionally, activities within each section may intersect with objectives that fall under a different section. OHE will determine success by producing through process, impact and outcome evaluation. The results will be disseminated in an annual report discussing action steps conducted to achieve objectives and measurable benchmarks. Below is a description of each OHE Section along with the associated objectives, strategies, benchmarks, actions, and current activities.
Health Systems and Leadership Section
The Health Systems and Leadership Section will function to meet objectives 1-3. The activities within this Section will be primarily lead by the Director of the Office. Each objective and associated action is listed below.  

Objective 1: Awareness
Increase awareness of the significance of health disparities, their impact on the state and the actions necessary to improve health outcomes for racial and ethnic minorities, rural, and low income populations of Kentucky.
 
Actions
 
Strategy 1: Health Agenda
Benchmark: Increase the percentage of Kentuckians who believe that ending health disparities is a local, state, and national priority.
 
1.      Establish, expand and/or strengthen county/city and local offices of health equity or establish a health equity liaison in local health departments to ensure ownership, collaborative partnerships, and decision-making power. 
2.      Create opportunities to engage stakeholders form all sectors in discussions and actions to ensure community responsiveness and accountability toward ending existing health disparities and preventing future health disparities.
3.      Create mechanisms for Kentuckians (e.g. residents, advocates) who have been affected by, or concerned with, health disparities to share their stories with the public and decision makers at local, state, and national levels.
4.      Develop or support efforts to educate legislators and elected officials about health disparities and the determinants of health.
5.      Develop an annual report for the governor and state cabinet members on the specific health and health equity efforts and outcomes affecting their constituents.
6.      Submit abstracts and present at conferences where topics related to health disparities and health equity should be on the agenda such as the Kentucky Public Health Association and the American Public Health Association Meetings.
7.      Encourage Kentucky government-funded programs to include health disparities and health equity as an action item when developing strategic plans and creating budgets.
8.      Develop a state health equity information exchange or “portal system” as the central repository of all minority health data and related information including government- and private-funded research, publications, pod casts, web-based resources, transcripts, conferences, and electronic trainings for Kentucky health professionals, community leaders, and lay citizens.  
9.      Increase health, political, housing, and education leaders’ awareness of the link among health, economic development, social development, and academic achievement in Kentucky.
 
Strategy 2: Partnerships
Benchmark: Increase an active Kentucky and regional partnerships with representation from key public and private sectors.
 
1.      Identify and assess existing formal partnerships on the state, county, and local levels that have the potential for impacting health disparities to determine gaps, opportunities for new partnerships, and the prospects for coordinating or integrating the work of existing partnerships.
2.      Identify and engage community leaders, members of existing local coalitions, and non-traditional partners in Neighborhood Associations/Community Health Equity Planning Units focused on ending health disparities; provide infrastructure support, coordinate activities, and minimize unnecessary duplication of efforts across these groups.
3.      Connect Kentucky stakeholders and community partners with the National Partnership for Action to adopt joint priority actions for ending racial and ethnic health disparities.
4.      Strengthen county and local partnerships across the public and private sectors where gaps exist or that would benefit from coordination between hospitals, community health centers, academic health institutions, private physician practices, civil rights advocacy groups, and other community organizations.
5.      Create regional coordination bodies to implement the National Plan for Action and develop annual reports.
6.      Encourage state and local agencies to develop multi-agency, and public/private collaborative to promote health equity and to serve as models for other states and communities.
7.      Support routine conversations and communications among state, county, and local partners to share data, best practices and achievements.
8.      Ensure that representatives of the KDPH and other members CHFS are involved in the National Plan for Action.
 
Strategy 3: Media
Benchmark: This strategy requires leveraging local, regional and national media outlets using traditional and new media approaches to reach target audiences to action and accountability.
 
1.      Encourage public and private partners to develop and support a public relations/social marketing infrastructure for health disparities and health equity that serves as a platform for state, regional, national, and local information campaigns.
2.      Work with health disparity advocates and organizations in pitching their stores to community-based media outlets and new media.
3.      Create Health Disparities/Health Equity Speakers Bureau of individuals from the state, county, regional, and national levels.
4.      Diffuse information about and encourage the use of the National Minority Health Information Exchange to facilitate access to comprehensive, real-time data.
5.      Create relevant social marketing messages for use by local and community leaders, and partners and train them on how to effectively deliver the messages to respective target communities.
6.      Develop editorial and newsworthy stories that link health inequities and disparities to social and economic well-being of all.
7.      Maintain a media spotlight on health disparities by providing data and information to health reporters and inviting them to meetings or hearings that will help them craft stories.
8.      Identify and deliberately involve minority, disability and other community-based media.
 
Strategy 4: Communication
Benchmark: This strategy requires creating messages targeted towards and appropriate for audiences across their life spans that compel individuals and organizations to take action and to reinvest in public health.
1.      Establish common messages about ending racial and ethnic health disparities that can be used by all organizations supporting the National Plan for Action.
2.      Create and disseminate health disparity/health equity data briefs based on age, gender, race/ethnicity, health issues, civil rights, socioeconomic status, environmental hazards and geographic location of the targeted population.
3.      Use data briefs to educate community, opinion, and policy leaders about preventing chronic and infectious disease, the consequences of health disparities, models and best practices for ending health disparities.
4.      Use social networking, and media technology to engage diverse populations in Kentucky in conversation and forums on prevention chronic and infections disease.
5.      Facilitate community conversations.
6.      Execute an organized state campaign for National Minority Health Month and other specific heritage celebration months.
 
 Objective 2: Leadership
Strengthen and broaden leadership for addressing health disparities at all levels of Kentucky Department for Public Health and associated entities.
Strategy 5: Capacity Building
Benchmark: This strategy requires supporting capacity building activities at all levels of the decision-making process as a means of promoting community solutions for ending health disparities.
1.      Establish and expand access to regional leadership trainings to equip local leaders to:
a.       Guide prevention and wellness activities;
b.      Engage the community as equal partners in conducting local assessments; and
c.       Partner effectively with government, academic, and private institutions on health disparity activities that are relevant to their communities.
2.      Provide technical assistance, funding, and other resources to improve capacity of community organizations to collect, analyze, report, and use data for competitive submissions to obtain more funding.
3.      Develop or make available planning, operational, and/or leadership tools to assist community in effectively messages.
4.      Develop or make available tools to assist communities.
5.      Develop a network of communities, state agencies, academic institutions, and organizations in the nonprofit and public sectors to share best practices and expertise.
6.      Create protocols for Kentucky agencies and organizations to engage community representatives.
 
Strategy 6: Funding and Research Priorities
Benchmark: This strategy requires improving coordination, collaboration, and opportunities for soliciting community input on funding priorities and involvement in research is important.
1.      Provide funding and other resources to help community-based organizations write and submit      quality grant proposals.
2.      Include community partners in eligibility decision-making for grants and other funding.
3.      Work with funders to include racial, ethnic, and culturally diverse individuals in funding and research related programs where they may have historically been excluded.
4.      Seek opportunities for community representatives to be appointed to federal, state, and local agency advisory committees and to boards of private and non-profit organizations to solicit meaningful input on operational, programmatic, and funding priorities.
5.      Encourage funders to support multi-agency, public/private collaborative efforts that engage community-based organizations as equal partners.
6.      Encourage state leaders to make strategic financial and resource investments in local health disparities elimination that build on federal programmatic and resource investments.
7.      Incentivize Kentucky state partners that collaborate with community-based organizations as an equal or lead partner.
8.      Establish regional consortia to connect researchers and evaluators with community-based organizations to use research and evaluation information to inform the development and implementation of projects to end health disparities and promote health equity.
9.      Establish Centers of excellence that focus on concerns, strategies, and solutions informed by community leaders.
 
Strategy 7: Youth
Benchmark: Increase the percentage of Kentucky youth coordinating bodies for the National Partnership for Action.
1.      Educate youth about health disparities, health equity, civil rights, determinants of health, and other related topics.
2.      Involve and engage diverse populations of youth in community assessments, planning efforts, and implementation of initiatives.
3.      Seek opportunities to appoint youth to local, state, regional and national advisory committees and boards to solicit meaningful input on operational programmatic and funding priorities.
4.      Train youth to become advocates for their health and well-being
5.      Work with the Kentucky Department of Education to introduce concepts of health disparities, health equity and determinants of health as part of the K-12 curriculum in schools.
6.      Conduct “Train the Trainer” youth session.
7.      Encourage investment in strategies to decrease academic achievement gaps among minority and low-income students.
8.      Improve the health career pipeline by providing health career-related courses, seminars, and workshops to minority and low-income students.
 
Objective 3: Health and Health System Experience
Improves health and healthcare outcomes for racial and ethnic minorities and for underserved populations and communities in Kentucky.
Strategy 8: Ensure access to quality health care for all
Benchmark: Decrease the prevalence of health conditions for which racial and ethnic disparities exist in Kentucky, and re-evaluate every five years.
1.      Conduct a community assessment to determine the unmet needs of target populations and the capacity to provide the intended services.
2.      Coordinate with appropriate state entities to identify and implement a centralized electronic medical records system that is highly compatible with other systems, enables information sharing, includes availability and allows Limited English Proficiency populations, and people with disabilities to access individual medical records.
3.      Work with appropriate healthcare partners to encourage prevention and health promotion.
4.      Work with Community Health Workers to ensure comprehensive support to health consumers.
5.      Assess the affordability of out-of-pocket healthcare costs for the low-income and underserved populations and develop strategies for reducing costs.
6.      Work with Kentucky state entities to provide continuous, coordinated care.
7.      Adhere to quality improvement standards.
8.      Work with appropriate entities to improve access to medical information.
 
Strategy 9: Health Communication
Benchmark: This strategy requires enhancing and improving health services experiences through improved health literacy, communications, and interactions. are important.
1.      Develop health education materials in primary languages spoken by diverse Kentucky communities.
2.      Develop and implement communication strategies for individuals with low-level or marginal literacy skills using culturally appropriate avenues.
3.      Expand the use of eHealth marketing, and social media for disease prevention, health promotion and protection.
4.      Enhance and disseminate guidelines for effective health literacy efforts.
5.      Establish and disseminate guidelines for effective healthcare encounters and patient provider communication.
6.      Develop strategies for demonstrating Kentucky state government’s commitment to quality health care and services.
 
Strategy 10: Education-Promote School Readiness
Benchmark: Increased high school graduation rates in Kentucky and local coalitions working to promote holistic school readiness.
1.      Work with the Kentucky Department of Education to encourage and promote school readiness.
2.      Collaborate with Kentucky Department of Education and other interested parties to support and promote health through age 18.
3.      Offer trainings and professional development to education and school officials and community agencies, health providers, and public health providers on the importance of physical education and healthy nutrition on learning readiness of children.
4.      Develop and implement strategies to reduce health and environmental conditions that affect school attendance and chronic absenteeism of Kentucky children.
5.      Develop effective strategies for supporting Kentucky parents in addressing the social determinants that impact their children’s lives.
6.      Provide children and families information on how to obtain primary care services
7.      Work with the Kentucky Department of Education to improve school climate and culture to support children’s readiness and ability to learn.
 
Strategy 11: Children
Benchmark: This strategy requires ensuring the provision of needed services for at-risk children.
1.      Assist the KDPH with programs that establish a regular source of care for mental, physical, and dental care and for establishing a medical and a dental home.
2.      Assist the KDPH collaborate with health service providers to assure children have adequate access to healthcare.
3.      Work with appropriate entities in Kentucky state government to provide on-going health communication to educate at-risk children and their parents about healthy nutrition and physical activity and their impact on their child’s life and functioning.
4.      Collaborate with appropriate entities in Kentucky state government to track and disseminate child health outcomes among hard-to-reach populations.
5.      Promote linkages between medical, preventive interventions, and other social support systems for families and children.
6.      Ensure safe, healthy, and equitable environments for children and families.
7.      Promote collaboration among health care providers in Kentucky to ensure school readiness.
8.      Disseminate information to the public on prevention of barriers to receiving equal access to quality care.
9.      Encourage access to health provider expertise.
 
Strategy 12: Older Adults
Benchmarks: Increased provision and utilization of coordinated, holistic care for and by older adults.
1.      Increase the number of older adults who are appropriately immunized through health fairs, community-based and clinical partnerships, and other innovative approaches.
2.      Establish and collaborate with partners to ensure that all older adults have access to appropriate medical and dental services, as well as nutritional and social services.
3.      Increase the use of preventive health screenings.
4.      Enhance access to evidence-based, self-management programs for older adults.
5.      Work with appropriate Kentucky entities to increase the number of community-based provider caregiver training programs.
6.      Move toward establishment of Naturally Occurring Retirement Communities (NORCS) within urban and underserved areas of the state.
7.      Increase the number of older adults living in disparate areas of Kentucky communities who have access to core services.
8.      Support collaboration between state agencies on aging.
 
Cultural and Linguistic Competency Research and Training Section
The Cultural and Linguistic Competency Research and Training Section will function to meet objective 4 implement the associated strategies listed below. The activities within this Section will be overseen by the Director of the Office. However a Team/Section Leader will implement activities reporting to the Director.
Objective 4: Cultural and Linguistic Competency
Improve cultural and linguistic competency.
KDPH Internal Strategies
1.      Hire a Health Systems Specialist who would be responsible for conducting further research in this area and developing community partnerships to enhance the cultural and linguistic competency of health professionals across the state.
2.      Work with the Office of Refugee Health, Language Access Division to improve language access and community initiatives to immigrant and non-English speaking populations within the state.
3.      Conduct a Cultural and Linguistic Competency Assessment of Kentucky Local Health Department infrastructure.
4.      Work with KDPH Training and Workforce Development Division to create trainings and Continuing Education courses based on best practice models in federal, tribal, state, and local public health agencies to educate health professionals (i.e. nurses, physicians, pharmacists, public health practitioners) on delivering culturally and linguistically appropriate services.  
5.      Assist public health clinics and healthcare organizations, community clinics, and other providers implement effective language access policies, practices, and procedures that comply with Title VI of the Civil Rights Act of 1964.
6.      Create a Community Voice Newsletter with statewide reach to update the state on programs, policies, education, and programs, relating cultural and linguistic competency.
7.      Assist the state in meeting Public Health Accreditation Standards.
8.      Serve in an advisory role to all Divisions across state government and to community organizations to ensure a focus on cultural and linguistic competency standards.
Strategy 13: Workforce Training
Benchmark: This strategy  requires the development and support of broad availability of cultural and linguistic competency training for physicians, other health professionals, and administrative workforces that are sensitive to the cultural and language variations of racially and ethnically diverse community.
1.      Collaborate with the non-profit and private sectors to influence employers to encourage continuing education in cultural and linguistic competency for health professionals and administrative staff who participate in their purchased health insurance plans including nondiscrimination requirements under Title VI .
2.      Use telecommunications, videoconferencing, and other technology to deliver services to people who live in geographically isolated places, limited or no access to transportation, and/or speak limited or no English.
3.      Create and expand resource centers and publicize the availability of these centers.
4.      Establish a regional report card on adoption of culturally and Linguistically Appropriate Services (CLAS) standards.
 
Strategy 14: Diversity
Benchmark:Increase the diversity of leadership in Kentucky on the local and state levels of health care professional associations.
1.      Develop policy agenda to expand the diversity and cultural and linguistic competency of the healthcare workforce.
2.      Recruit racially, ethnically, and culturally diverse individuals through faith-and community-based organizations and ethnic media.
3.      Build relationships and collaborate with higher learning institutions, including minority-serving institutions to increase recruitment of minorities into public health and environmental-related programs.
4.      Work with high schools and colleges to fund programs that support the early recruitment of racially, ethnically, and culturally diverse youth into the health professions.
5.      Increase the number of bridge programs between institutions of higher education and employers in the health sector to provide greater opportunities for racially, ethnically, and culturally diverse students to enter the healthcare workforce.
6.      Work with professional medical public health and environmental health associations to increase inclusion.
Strategy 15: Standards
Benchmark: Increase number of National Council on Interpreting in Health Care (NCIHC) certified interpreters.
1.      Promote the NCIHC Code of Ethics and Standards of Practice
2.      Develop a comprehensive plan to comply with the NCIHC Code of Ethics and Standards of Practice.
3.      Collaborate with state, local, and federal, health care financing entities, and managed care organizations to develop a standard template that complies with the NCIHC Code of Ethics and Standards of Practice.
4.      Collaborate with accrediting bodies for healthcare organizations
5.      Collaborate to promote assessment of compliance of NCIHC.
6.      Require that OHE provide oversight and documentation of the rate of compliance with NCIHC.
Strategy 16: Interpretation Services
Benchmark: Increase the percent of Kentucky insured populations whose public and private health insurers offers full reimbursement for medical interpretation costs.
1.      Work with the CHFS to establish an appropriate interpreter to client ratio to guide healthcare providers in assuring access to quality interpretation services.
2.      Work with the CHFS to adopt the availability of trained certified interpreters as a quality improvement indicator for appropriate reimbursement.
3.      Work with the CHFS to monitor availability, accessibility, and consumer satisfaction with the quality of interpretation services.
Research, Evaluation, Epidemiological Surveillance Section
The Research, Evaluation, and Epidemiological Surveillance Section will function to meet objective 5 and implement the associate strategies listed below. The activities within this Section will be overseen by the Director of the Office.  However, it is the intent to hire a Health Behavior Epidemiologist with an interest in health disparities, social determinants of health, and community health to facilitate and implement activities. The Epidemiologist would report to the Director of the Office.
Objective 5: Research and Evaluation
Improve coordination and utilization of research and evaluation in Kentucky.
Strategy 17: Data
Benchmark:  Institute standard race and ethnicity categories in all national healthcare-related databases.
1.      Support targeted population and sub-population studies that provide disaggregated data to more accurately explain the health status of all groups in Kentucky.
2.      Develop and evaluate a framework for information sharing for systems and data policy organizations on the collection, reporting, and use of race/ethnicity, health disparities, and health equity related data in Kentucky.
3.      Establish and disseminate information about publicly available surveillance systems to track the cultural, linguistic, environmental, and socioeconomic factors of disease that can be causal, contributory, or protective in relation to health in Kentucky.
4.      Work with Kentucky Department of Educationand State Data Center to create educational tools for community members to readily access state-level surveillance health information.
5.      Apply existing qualitative and quantitative methodologies to increase the sample size and improve the collection of data and data analysis on small racial and ethnic sub-populations.
6.      Improve current data collection systems and efforts to increase the accuracy and consistency for how data about race, ethnicity, effects of racism, and categorization of people are gathered, analyzed, reported and used in Kentucky.
7.      Support diverse community stakeholders in all aspects of the research process.
 
Strategy 18: Authentic Community Based-Research [and Action] and Community-Originated Intervention Strategies.
Benchmark: This strategy requires investing in authentic community-based participatory research and evaluation is important.
1.      Conduct community inventory and evaluate the importance of prevention, primary health, health promotion and Title VI compliant interventions
2.      Promote and disseminate evidence-based practices
3.      Identify community-based programs to determine best practices.
4.      Establish a Community-Based Evaluation Support Network to develop and guide evaluation of research programs.
5.      Work with researchers and evaluators to develop practical models.
6.      Engage community members and enhance their capacity
7.      Form sustainable partnerships among academic and research communities.
8.      Strengthen community ownership of data, research, and evaluation products.
9.      Integrate Title VI protocols into proposals and funded projects
10. Create a formally recognized community-based participatory research panel.
11. Disseminate the Minority Health Status Report every other year. 
 
Strategy 19: Coordination of Research
Benchmark: Increased cross-disciplinary and cross-agency supported research at the state and local level.
1.       Improve integrated research to understand the reasons for systemic and continuous disparities in targeted health conditions
2.       Evaluate "best practices" occurring at multiple levels of public health systems to identify practices and their components that have contributed to improved health outcome
3.      Increase collaborations and improve communication for health disparities research across the public/private sectors
4.      Design research and evaluation methods for health disparities interventions-with the inclusion of community stakeholders.
5.      Develop teaching modules that educate researchers and communities on how to develop and implement successful collaborative, health promotion and prevention research projects which address health disparities that comply with the nondiscrimination requirements of Title VI.
 
Strategy 20: Knowledge Transfer
Benchmark: This strategy requires expansion and enhancement of knowledge transfer regarding successful programs that are addressing social determinants of health is important (e.g. housing, education, poverty).
1.      Facilitate the efficient translation and dissemination of compliant culturally and linguistically appropriate interventions that have been shown to improve health.
2.       Provide training and technical assistance to community stakeholders on the use, interpretation, and transmission of data.
3.      Provide Title VI compliant training and technical assistance to researchers and evaluators on how to appropriately engage communities in research.
4.      Provide training and technical assistance to researchers and evaluators on how to make their findings useful to policy and other decision-makers.
5.       Assist with the translation of National Plan for Action findings into innovative promising community practices and the wide scale promotion of their use.
.
 
Reference
 
National Partnership for Action. (2010) The National Plan for Action: Chapter 3: Strategies, Benchmarks, Actions, and Measures. Washington, DC.
 
March of Dimes. Peristats: Infant Mortality (2003-2005). Retrieved on June 14, 2010, from  https://www.marchofdimes.com/PeriStats/level1.aspx?reg=21&top=6&stop=105&lev=1&slev=4&obj=1&dv=cr.