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Preparing for the Next Generation. California State Rural Health Association's 7th Annual Rural Health Conference December 5, 2007. Lupe Alonzo-Diaz, Executive Director. Latino Coalition for a Healthy California. LCHC Priority Areas. 1. Access to Healthcare.

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Preparing for the Next Generation

California State Rural Health Association's 7th Annual Rural Health Conference

December 5, 2007

Lupe Alonzo-Diaz, Executive Director

Latino Coalition for a Healthy California


LCHC Priority Areas


Access to Healthcare

Issue: Latinos are the majority of California’s uninsured. Focus: Strategies that work to increase access to high quality, culturally and linguistically appropriate care in a timely manner


Health Disparities

Issue: Less than 5% of all actively practicing physicians in California are Latino.Focus: Work to develop a diverse, culturally and linguistically competent health care work force


Community Health

Issue: Nearly one in five Latino adults over the age of 50 report that they are diabetic, twice the rate of Whites Focus: Need to build healthy communities through collaborative, multi-sect approaches to prevent disease


Opportunities on Horizon

2007: Year of Health Care Reform




Public Support


Shortages in Health Profession

Nurses: need 47,600 by 2010;

Physicians: estimated to need between 5-17,000 by 2015;

Pharmacists: CA ranks 43rd in number of pharmacist per capita (22,460 pharmacist for 34 million CAs or 66:100,000);

Dentistry: no numeric shortage although distribution is an issue (Over 4 million CAs live in areas w/shortage of dental providers);

Public Health: need for clinicians, microbiologists, program administrators and dieticians;

Allied Health: 7 of top 25 need in allied health (home health aides, dental hygienists, dental assistants, physician assistants, medical assistants, occupational therapists, and physical therapists).

University of California Office of Health Affairs, Advisory Council on future Growth in the Health Professions 2007



1 in 8 Americans lives in CA;

CA has more residents 65+ than any other state; A 73% expected increase in this population between 2000 - 2020

1 in 4 CA’s born outside the US vs. 1 in 10 national avg;

Californians are more diverse; By 2040, half of the state’s pop. will be Latino


Diversity in the Health Professions

*Aggregated data can be misleading

Source: 2005 American Community Survey, Public Use Microdata Sample for California; UCSF Center for Health Profession; 2006 BRN Survey of Registered Nurses


Allied Health


Estimated 200 different allied health professions, 60% of the health care workforce

Estimated 11 million workers

Diversity varies across profession

Entry level, lower paid health care jobs more diverse

Projected Shortages:

Source: U.S. Census 2000, UCSF Center for Health Professions


Need for Diversity in the Health Profession

Combining supply with demand

Economic and Workforce Need

Aging population will place new demands on long-term care

Workforce is over 60% of the cost of care

Top 30 fastest growing jobs through 2010 in the U.S. expected to be in allied health jobs

Opportunity to match (and educate) next generation of Latinos with demand

Continued projections on healthcare workforce ‘shortages’

Source: UCSF Center for Health Professions

Impacting increasing cost in healthcare

Patients’ perceived treatment (“concordance”) may positively impact

and reduce ongoing healthcare disparities in treatment & outcomes

Goal: to curb or decrease skyrocketing healthcare cost; Decreased

cost(s) could enable more to be covered

Source: Commonwealth Fund, Disparities in Patient





URM Students

Health Profession School

High School



Health professionals

Inadequate educational programs

Drop Out

No Applications


Financial difficulty

Academic Difficulty

Source: Developing the CA Health Care Workforce of Tomorrow, CA Wellness Found.


Healthcare Workforce Policy

AB 269 (Eng) requires R/E and language proficiency data collection of dentists SIGNED

AB 365 (Portantino) requires CPEC to convene Task Force to determine state’s workforce needs VETOED

AB 428 (Carter) requires schools to provide annual notice on admissions reqs to CA universities SIGNED

AB 1540 (Bass) establishes Cash for College Pgms to support workshops for low-income and first generation SIGNED

AB 1559 (Berryhill) requires CCC to change program selection for nursing programs to merit-based SIGNED

SB 1 (Cedillo) California Dream Act OPPOSED

SB 139 (Scott) develops a health care workforce data clearinghouse SIGNED

SB 615 (Oropeza) develops a loan-repayment program for pharmacy technicians VETOED


Healthcare Workforce Diversity

Advisory Council (HWDAC)

  • Governor convened HWDAC to be administered by the Office of Statewide Health Planning and Development and chaired by LCHC to address California’s health professions shortages, especially among underrepresented populations in the health professions
  • Public Input: 3 Regional Hearings
  • Report: Policy Recommendations (Outcomes)
  • Briefing for state government leadership and policymakers


Recommendations: Short-Term Higher Education

  • Provide funding to increase the matriculation of underrepresented students in undergrad and grad health professions programs through student support services
    • mentoring/counseling, post baccalaureate/re-applicant programs; and financial aid, including scholarships and tuition reimbursement
  • fund and support Health Career Opportunity Programs, Center’s of Excellence and Area Health Education Centers
  • provide financial incentives to schools that recruit and retain faculty and administrative leadership reflective of the state’s demographics
  • require annual reports to the State Legislature and relevant legislative committees from HPEIs on specific accomplishments to date and formal plans to increase diversity and create a diverse learning environment in the coming years


Recommendations: Short-Term Workforce

increase loan repayment availability and provide increased funding support for existing loan repayment programs

provide funding to increase resident and clinical placement in rural and urban/inner city areas with disproportionate unmet needs.


Recommendations: Short-Term Overarching

Require comprehensive data collection (location, R/E, language, practice information, hours in practice and public program participation) of providers and allied health with OSHPD or another appropriate agency acting as the repository

Conduct a gap analysis to assess the impact and review the current capacity and effectiveness of existing programs relative to needs at the regional and/or state level

Institutionalize the Healthcare Workforce Diversity Advisory Council

Establish a comprehensive, multi-year strategy and implementation plan to advance health workforce and diversity in California.


For More Information


Latino Coalition for a Healthy California

1225 Eighth Street, Suite 550

Sacramento, CA 95814

Ph: 916.448.3234

Fax: 916.448.3248