Assessing health disparities and staff cultural competency within a Connecticut community health center network

BACKGROUND: In 2011, Optimus Health Care – a network of 14 federally qualified health centers (FQHCs) in Southwestern Connecticut – served over 50,000 patients, 85.26% who were racial or ethnic minorities and 97.78% who were at or below 200% of the federal poverty level. Culturally competent care is associated with improved patient experiences, and therefore holds immense potential for reducing health disparities in the Optimus patient population. This study seeks to (1) identify disparities in health outcomes related to diabetes, hypertension, and hyperlipidemia among Optimus patients and (2) evaluate Optimus staff knowledge regarding cultural competency. METHODS: Using Optimus electronic medical records data, this study will analyze disparities in blood pressure, total cholesterol, and HbA1c levels while controlling for clinical and demographic characteristics. Cultural competency of Optimus staff will be evaluated by using a validated cultural competency survey. RESULTS: Nationally, health disparities are marked among racial and ethnic minorities, and it is expected that Optimus patients will also demonstrate health disparities. Furthermore, while Optimus staff are required to complete periodic web-based cultural competency trainings, it is anticipated that opportunities for improvement in staff knowledge, awareness, attitudes, and skills regarding cultural diversity will be identified. CONCLUSIONS: This study will assess disparities in patient outcomes and staff cultural competency in the Optimus network. Results will identify particular cultural issues or clinic locations needing additional resources. Ultimately, this study will make recommendations to enhance cultural competency trainings at FQHCs, with the goal of reducing health disparities and improving quality of services provided.