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2016 Ohio Latino Health Summit “Our Children — Our Future” Summary Report

JohnKasich, Kasich,Governor Governor John Lilleana Cavanaugh, MBA ExecutiveDirector Director Lilleana Cavanaugh, MBA Executive 1


Leadership from MetroHealth Systems and the Ohio Commission on Hispanic / Latino Affairs. From left to right: MetroHealth Dan Lewis, Lourdes Negron_McDaniel, Dr. Abughali OCHLA Executive Director Lilly Cavanaugh, , OCHLA Chair Tony Ortiz, and OCHLA Community Liaison Lair Marin-Marcum.

Candid photo. Keynote Address: Nurturing Bilingual Literacy in Latino Children by Dr. Needlman.

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Table of Contents I.

Executive Summary…………………………………………5

II.

Summit Overview…………………………………………….6

III.

Summit By the Numbers……………..………………...…15

IV.

Feedback and Next Steps………………………………....17

V.

Special Thanks and Recognition (MetroHealth)…...18

VI.

2016 Ohio Latino Health Summit Steering Committee……………………………………………………..19

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Breakout Session: Reaching our Hispanic Children through MetroHealth’s School Health Program with Dr. Alexander.

Exhibitors Area: Nationwide Children’s Hospital, one of 20 exhibitors, at the 2016 Ohio Latino Health Summit.

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Executive Summary On August 26, 2016, the Ohio Commission on Hispanic / Latino Affairs hosted, in conjunction with MetroHealth Systems and other partners, the fifth annual Ohio Latino Health Summit (“the Summit”). Thanks to the generosity of MetroHealth Systems, the Summit was held in Cleveland, Ohio, where approximately 160 guests, contributors, and exhibitors joined for a very informative summit. The Latino Health Summit brings together community leaders in academia, government and the health industry to share best practices that reduce health disparities and promote health equity for the Latino community in Ohio. The theme of this year’s Summit was “Our Children ~ Our Future.” From discussions on how to deliver culturally competent care, serve disabled youth and transgendered adolescents, engage families on themes related to behavioral health and school health programs, to the impact of the Zika Virus pandemic, there were topics of interest for all. Additionally, the renowned child development expert, and co-author of the iconic parenting book Dr. Spock’s Baby and Child Care, Dr. Robert Needlman delivered the highly anticipated keynote address on nurturing bilingual literacy in Latino children. Participants, contributors, and exhibitors of the Summit were empowered with knowledge and resources to further reduce health disparities and promote health equity for children in Ohio’s Latino community. Additionally, nurses, doctors, and other licensed professionals were able to receive continuing medical education credit for attending the Summit.

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Summit Overview The 2016 Ohio Latino Health Summit was held on August 26, from 8:00 am to 4:00 pm, at Cleveland’s MetroHealth System. The theme of this year’s Ohio Latino Health Summit was “Our Children ~ Our Future.” Participants had an opportunity to choose between six morning breakout sessions focusing on how to deliver culturally competent care, how to serve disabled youth, overweight / obese children and transgendered adolescents, and how to engage families on themes related to behavioral health and school health programs.

Dr. Robert Needlman delivered an engaging keynote address on nurturing bilingual literacy in Latino children, followed by a summit presentation by Dr. Adrian Garcia on the impact of the Zika Virus pandemic. Finally, summit participants had an opportunity to reflect on the Summit and discuss next steps forward during the closing conversation session.

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2016 Ohio Latino Health Summit “Our Children – Our Future” August 26, 2016 8:00 am – 4:00 pm AGENDA 8:00 am – 8:20 am

Registration, Breakfast & Exhibitors

8:30 am – 8:50 am

Welcome

9:00 am – 11:50 am

Workshop / Breakout Sessions

Block A Scott Auditorium 9:00 am – 9:50 am Delivering Culturally Competent Care: Highlighting Best Practices at MetroHealth Oscar Hispanic Pediatric Clinic – Dr. Maria Isabel Herran and Ana Velez, MPA Language Access Services: Bridging the Communication Gap Mari Galindo-DaSilva

Block B West Dining Room 9:00 am – 9:50 am The Sexual Health of Adolescents Dr. Margaret Stager and Elise Ellick

10:00 am – 10:50 am Roots of Health, Wings of Wellness: Engaging Youth in Healthy Lifestyle Management to Counter Pediatric Overweight and Obesity Dr. Wasim Saadeh, Susie Akers RDN, LD and Janeen León, MS, RDN, LD

10:00 am – 10:50 am Reaching our Hispanic Children through MetroHealth’s School Health Program Dr. Christine Alexander-Rager and Lisa Ramirez, PhD

11:00 am – 11:50 am Health Disparities among Latinos with Disabilities Dr. Irene Cihon Dietz and Dr. Lisa Marie Torres

11:00 am – 11:50 am LGBT: Transgender Adolescent Care Dr. Henry Ng, MPH, FAAP, FACP

12:00 pm – 12:50 pm

Networking Lunch & Exhibitors Scott Auditorium

1:00 pm – 2:00 pm

Keynote Address – Scott Auditorium Dr. Robert D. Needlman “Nurturing Bilingual Literacy in Latino Children”

2:10 pm – 3:15 pm

Summit Presentation – Scott Auditorium Dr. Adrian Garcia “The Zika Virus Pandemic: A Lesson in Epidemiology and Global Health”

3:15 pm – 4:00 pm

Closing Conversation “Bringing It All Together: Next Steps”

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Delivering Culturally Competent Care: Highlighting Best Practices at MetroHealth

Dr. Herran

Ana Velez

Language Access Services: Bridging the Communication Gap

Mari Galindo-DaSilva

Block A / 9:00 am – 9:50 am Scott Auditorium

Block A / 9:00 am – 9:50 am Scott Auditorium

The importance of delivering culturally competent care was addressed by highlighting the history of the Oscar Clinic, its services to a diverse and changing population, the importance of bilingual staff, and its impact on patients and the medical system.

This presentation highlighted the Language Access Communication Services Center (“LACS”) Initiative in promoting safe, high quality care by providing language and communication services and practical solutions to bridge the language and cultural barriers and improve outcomes for patients with Limited English Proficiency, hearing or sight impairments, and those requiring literacy support.

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Roots of Health, Wings of Wellness: Engaging Youth in Healthy Lifestyle Management to Counter Pediatric Overweight and Obesity

Dr. Saadeh

Susie Akers

Block A / 10:00 am – 10:50 am Scott Auditorium Childhood overweight and obesity continues to be a significant concern locally as well as across the globe. MetroHealth's Pediatric Weight Management and Wellness Program has developed a unique and effective multifaceted program to provide handson learning opportunities for children and families to engage in healthier eating, and increased physical activity. This session provided practical examples and focused on providing “how-to’s” to better address weight management for youth.

Janeen León

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Health Disparities among Latinos with Disabilities

Dr. Dietz

Dr. Torres

The Sexual Health of Adolescents

Dr. Stager

Elise Ellick

Block A / 11:00 am – 11:50 am Scott Auditorium

Block B / 9:00 am – 9:50 am West Dining Room

Many barriers stand in the way of people with disabilities of color having access to quality health care. This presentation discussed those barriers to health care in the Latino community with disabilities. The session also discussed the prevalence of chronic diseases and disabilities that affect the Latino community and how culture and lifestyle may affect these conditions. MetroHealth also shared how to remove obstacles that affect outcomes for Latinos with chronic conditions and disabilities.

Adolescents are a special population requiring a unique approach both in education and medical evaluation and management. This session reviewed adolescent growth & psychosocial development as it relates to their emerging sexuality and sexual decision making. An overview of the Ohio Youth Risk Behavior Survey and its findings on the sexual behaviors and contraceptive practices of teens was provided. Additionally, there was a discussion on why adolescents may engage in high risk behaviors that have potential for serious consequences.

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Reaching our Hispanic Children through MetroHealth’s School Health Program

Dr. Alexander

Dr. Ramirez

LGBT: Transgender Adolescent Care

Dr. Ng

Block B / 10:00 am – 10:50 am West Dining Room

Block B / 11:00 am – 11:50 am West Dining Room

This session reviewed MetroHealth’s school health program and described specific efforts to address issues facing children in Cleveland, including Hispanic patients.

This session reviewed core constructs of sexuality, the health concerns of sexual and gender minority youth (especially Hispanic and Latino youth) and provided resources for their care.

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~ KEYNOTE SPEAKER ~ Nurturing Bilingual Literacy in Latino Children

Dr. Needlman 1:00 pm — 2:00 pm Scott Auditorium Dr. Needlman delivered a dynamic and engaging keynote address on nurturing bilingual literacy in Latino children. The keynote address aimed to provide evidence-based information for laying a strong foundation for literacy and bilingualism. It also aimed to advocate for programs that support early childhood literacy, and to share insights as to the role of healthcare providers and institutions on engaging parents to develop literacy and bilingualism with their Latino children. Overall, Dr. Needlman laid out that Latino literacy is the challenge and bilingualism is the goal (for many reasons), but that it takes a community of parents, preschools, doctors, libraries, advocates and policy makers to effect the necessary change for Latino children.

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~ SUMMIT PRESENTATION ~ The Zika Virus Pandemic: A Lesson in Epidemiology and Global Health

CLOSING CONVERSATION Bringing It All Together: Next Steps 3:15 pm – 4:00 pm Scott Auditorium

Dr. Garcia 2:10 pm — 3:15 pm Scott Auditorium Zika has been identified since the 1950's as a viral pathogen, but only recently has it come to the public's attention. This presentation examined the history and epidemiology of the Zika virus, focusing on the current pandemic, its association with microcephaly, and the most current recommendations for individuals that are pregnant or attempting to conceive.

This session provided an opportunity for reflection and discussion on the core areas addressed at the Ohio Latino Health Summit. Participants were asked to convene in “Conversation Tables” for 15 minutes. Thereafter each group was asked to report back to the larger group on one of these three questions: 1. What valuable new information did we learn today? 2. What specific issue regarding children’s health is of critical importance to the community? 3. What should be our next steps?

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Presentation: The Zika Virus Pandemic: A Lesson in Epidemiology and Global Health with Dr. Garcia.

Session: Closing Conversation Bringing It All Together / Next Steps.

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Summit By the Numbers The 2016 Ohio Latino Partners: Health Summit was made Participants possible by the generosity of eight community partContributors: ners, which included BuckExhibitors: eye Health Plan, La Mega 87.7, MetroHealth Systems Counties Represented: (Host), LEON, LULAC States Represented: Ohio, Molina Healthcare, Mujer Latina Today E-zine, and the Ohio Commission on Minority Health.

8 160 15 20 14 2

Through these collaborative efforts, over 136 guests, contributors, and exhibitors from 14 total counties (13 Ohio / 1 Kentucky) gathered to learn about reducing health disparities and promoting health equity County Representation among children in Ohio’s Latino community. 3% 11%

Cuyahoga (71)

5%

Franklin (40) Hamilton (6) 52%

29%

Lorain (4) Other (15)

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Candid photo. Welcome by Ohio Commission on Hispanic / Latino Affairs Chair Tony Ortiz.

Candid group photo. Breakout Session: Transgendered Adolescent Care by Dr. Ng.

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Feedback and Next Steps The Ohio Commission on Hispanic / Latino Affairs received commendations for a job well done in executing the 2016 Ohio Latino Health Summit (“the Summit”). Ninety percent of survey respondents indicated they would recommend the Summit to another person. One survey respondent wrote in the comment section, “Year after year this conference continues to grow and excel. I’ve attended a majority and this has been the best.” Another indicated, “Overall, a great program. I’m glad I came.” Recommendations for future summits include working towards growth, providing more notice or advertisements about the Summit, and providing some workshops in Spanish. Individual presenters also received high praise from survey respondents. The most helpful part of the breakout sessions cited by survey respondents was the use of statistics and practical examples. Overall, the biggest opportunity for individual presenters would be to provide handouts of their respective PowerPoint presentations or appropriately accommodate for notetaking.

As planning for next year’s summit moves forward, there is a desire to continue the discussion towards emphasizing health empowerment and shared responsibility amongst the Latino community. Participants to the summit feel that through this paradigm shift we will successfully build a heathier Latino community.

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Special Thanks and Recognition

MetroHealth Senior Leadership: Akram Boutros, MD, FACHE, President & CEO Daniel Lewis, Senior Vice President, Chief Operating Officer Dr. Maria Jose Pujana, Director, MetroHealth Foundation Board MetroHealth Latino Summit Co-Chairs: Dr. Nazha Abughali, Executive Director and Chair, Pediatrics Lourdes Negron-McDaniel, Director, Inclusion & Diversity MetroHealth Inclusion & Diversity Office: Lourdes Negron-McDaniel, Director Carole Becerra, Manager Margarita Diaz, Manager, Health Equity Initiatives Myles Pettus- Training & Program Specialist MetroHealth Departments: Inclusion & Diversity Employee Advisory Council Hispanic Forum Employee Resource Group Marketing & Communications Environmental Services Volunteer Services

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2016 Ohio Latino Health Summit Steering Committee Elizabeth Guzman-Bowman OCHLA Commissioner Dr. Nazha Abughali MetroHealth Executive Director & Chair, Pediatrics Dr. Maria Pujana MetroHealth Foundation Board Lilly Cavanaugh Executive Director, OCHLA Lourdes Negron-McDaniel MetroHealth Director, Inclusion & Diversity Laura Moese LULAC Ohio Director Lourdes Ribera LULAC Immediate Past Ohio Director

Dan Almaguer LULAC Ohio Health Director LaVone Caldwell Nationwide Children’s Director of Health Equity Lair Marin-Marcum OCHLA Community Liaison

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HOST

PARTNERS

Program booklets were made possible by funding from the Ohio Commission on Minority Health. Front page photo courtesy of Hepingting. 20


2016 OLHS Summary Report