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Project Name: National Training and Technical Assistance Partner (NTTAP) Cooperative Agreements (U30)
Applicant Title: ASSOCIATION OF ASIAN/PACIFIC COMMUNITY HEALTH ORGANIZATIONS
Abstract Text: Health centers play a vital role in improving access to comprehensive care for special and other priority populations, including Asian American, Native Hawaiian, and Pacific Islanders (AA&NHPIs). In 2021, Health Center Program grantees authorized under section 330 of the Public Health Service Act served more than 30.1 million patients across the United States and its territories. More than 1.3 million of the total health center patient population were AA&NHPIs, demonstrating a growth of more than 57,000 patients from 2017. AA&NHPIs are the fastest-growing racial/ethnic group with over 23 million residents living in the continental U.S., Hawai’i, U.S. Territories, and Compacts of Free Association (COFA) nations as of 2020. AA&NHPIs are projected to triple in size between 2005 and 2050 and within this group, the NHPI population has experienced growth by 40% between 2000 and 2010. As the number of AA&NHPI-serving health centers continues to increase, the delivery of training and technical assistance (T/TA) to these organizations is crucial for strengthening their capacity to better serve AA&NHPI patients. AA&NHPIs are diverse in their culture and language, where approximately two-thirds of AA&NHPIs are foreign-born and represent more than 50 ethnic groups and over 100 languages. Additionally, AA&NHPIs face unique and significant social, behavioral, and physical health burdens due to deficits in many social determinants of health (e.g., poverty, limited English proficiency, health insurance status). Social determinants of health within AA&NHPIs are not well understood due to the aggregation of AA&NHPI race-ethnicity data that masks their health and social care disparities. Therefore, AA&NHPI-serving health centers require access and delivery models that are culturally and linguistically appropriate, cost-efficient, and able to positively impact health outcomes for all sub-populations. The Association of Asian Pacific Community Health Organizations (AAPCHO) is a national association that supports increased access to quality, affordable health care for nearly three-quarters of a million underserved AA&NHPIs. AAPCHO is a non-profit, membership-based organization dedicated to promoting advocacy, collaboration, and leadership that improves the health status and access of AA&NHPIs in the United States, its territories, and freely associated states. AAPCHO aims to provide national T/TA activities to support the needs of health centers, primary care associations, and health center networks to increase access to care, improve health outcomes, and promote health equity. AAPCHO’s organizational structure includes experienced program staff committed to value-based health care transformation and quality improvement with extensive experience and a niche perspective on the unique assets of AA&NHPI-serving health centers and their patients with diverse culture and language access needs. Through a National Health Center Training and Technical Assistance Partners (NTTAP) Cooperative Agreement with the Bureau of Primary Health Care, AAPCHO will continue to deliver high quality T/TA to all organizations seeking section 330 resources, and will include, (a) documentation and dissemination of promising practices, facilitation of training, coordination of stakeholder meetings, and other T/TA activities relevant to AA&NHPIs; (b) support of AA&NHPI-serving health centers to implement evidence-based practices to address HRSA priorities for special and other health center populations (e.g., access to comprehensive care, emerging issues in workforce development, preparedness for emergencies and environmental impacts of health, advancing health equity, chronic disease management, preventative services outcomes, social risk factors); (c) support of health care transformation through enhancement of standardized data collection for enabling services and social determinants of health; and (d) collaboration with and resource building across all NTTAP T/TA