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50-State Environmental Scan of State Publications Documenting Racial and Ethnic Disparities in Health Status and Health Care

This summary is the product of an environmental scan conducted by the National Academy for State Health Policy (NASHP) for the Agency for Healthcare Research and Quality (AHRQ) to identify state data-driven documents (strategic plans, report cards, or reports) addressing racial and ethnic disparities in health status and healthcare. NASHP performed the scan in Spring and Summer 2010. The purpose of the scan was to identify documents that met the criteria listed below:

This 50-state environmental scan summary highlights the state documents that best met the search criteria. The summary includes the following information about each document (organized by state):

The environmental scan informed the AHRQ report State Documentation of Racial and Ethnic Disparities to Inform Strategic Action published in March 2011.1 The information on this scan is accurate as of January 1, 2011.

1 Report available online: http://www.nashp.org/publication/racial-and-ethnic-health-disparities-inform-strategic-action. Exit Disclaimer

 

2010 Environmental Scan of State Publications Documenting Racial and Ethnic Disparities in Health Status and Health Care

 

State Document Title (Year) Web Link (Accurate as of 2/3/11) Year Topics Focus on Disparities in Health Status, Health Care or Both Impetus Lead State Agency (or Division) Funding Source Data Source(s) Unit(s) of Analysis Populations Included (Terms are those used by each state). SES Indicators Evidence of State Action on Plan Notes
Alabama Strategic Plan for Eliminating Tobacco-related Disparities (2008) http://tinyurl.com/4j5j988 Exit Disclaimer 2007 Tobacco Related Disparities Health Status CDC's Best Practices for Tobacco Control Programs (1999) and Alabama Comprehensive Tobacco Use Prevention and Control Plan 2000 Alabama Department of Public Health CDC Office on Smoking and Health DHHS, CDC, Alabama Hispanic Tobacco Survey, Alabama Youth Tobacco Survey Geographic (State) Black, White, Hispanic Education level, Income level None identified A 2010 Alabama Health Disparities Status Report is expected.
Alaska Strategic Plan for Eliminating Tobacco-related Disparities (2007) http://dhss.alaska.gov/dph/Chronic/Documents/Tobacco/TobaccoDisparities.pdf Exit Disclaimer 2007 Tobacco Related Disparities Health Status Builds on 1 year grant from CDC in 2005 Alaska Dept. of Health and Social Services - State of Alaska Tobacco Prevention and Control Program State of Alaska Tobacco Prevention and Control Program Alaska BRFSS, Alaska YRBS Geographic (State) African American, Pacific Islander, Alaska Native, Rural Residents Homelessness None identified  
Arizona Differences in the Health Status Among Race/Ethnic Groups (2008) http://tinyurl.com/4safuyx Exit Disclaimer 2009 Maternal and Child Health, Heart Disease, STD/STIs, Cancer, Mortality, Violent Deaths, Unintentional Injury, Kidney Disease, Diabetes, Obesity, Liver Disease, Teenage Pregnancy, Alcohol Use, Tobacco Use Health Status Not specified Arizona Department of Health Services Not specified Vital Records, Census, 2006 Postcensal Population Estimates for Calculating Vital Rates (CDC) Geographic (State) White non-Hispanic, Hispanic or Latino, Black or African American, American Indian or Alaska Native, Asian or Pacific Islander None Document lists a number of disparities initiatives. The paper also lists a link to a website which contains updates (http://tinyurl.com/4vfdnhh). Exit Disclaimer The state also produced a disparities report in 2005: http://tinyurl.com/47fu457 and a Health Status and Vital Statistics report in 2007: http://www.azdhs.gov/plan/report/ahs/ahs2007/index.htm Exit Disclaimer
Arkansas Arkansas Racial and Ethnic Health Disparity Study II: A Minority Health Update (2009) http://media.arkansasonline.com/news/documents/2010/01/19/Arkansas_Racial_and_Ethnic_Health_Disparity_Study-A_Minority.pdf Exit Disclaimer 2009 Race Relations, Awareness of Racial and Ethnic Health Disparities, Access to Health Care and Choice, Satisfaction with the Health Care System, Trust of the Health Care System, Cultural Competency, Perceptions of Discrimination, Sources of Health Information Health Care Not specified Arkansas Minority Health Commission Arkansas Tobacco Settlement Commission's tobacco settlement funds Survey of 1800 Arkansans Geographic (State) Urban White, Urban Black, Rural White, Rural Black, Hispanic Education, Income "What Can We Do" Pamphlet A follow up to a 2004 report:
Progressing Toward a Healthier Arkansas: Healthy People 2010 Health Status Report (2007) https://www.healthy.arkansas.gov/images/uploads/publications/HealthyPeople2020Update.pdf Exit Disclaimer 2007 Access to Care, Cancer, Diabetes, Family Planning, Heart Disease, HIV, Injury, Maternal Infant and Child Health, Nutrition, Oral Health, Physical Activity, Tobacco Use Both Not specified AR DOH Not specified Census, BRFSS, Vital Records Geographic (State) White, Black, Latino None This plan is evidence of action from previous report.  
California Strategic Plan for Asthma in California 2008-2012 (2008) https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/OHB/WRAPP/CDPH%20Document%20Library/asthmastrategicplan.5-5-08.pdf Exit Disclaimer 2008 Asthma Both Not specified California Department of Public Health CDC Medicaid and Medicare Asthma Data, Doctor's First Reports of Occupational Injury or Illness (DFR), Hospital Discharge Data, Worker's Compensation Information System Geographic (State, County, Subcounty, by Zip Code) None Income, Education Level, Insurance Status, Occupation, Literacy Level None identified A mental health disparities plan is in process. See: http://tinyurl.com/4hzu85m. A number of condition-specific publications (e.g., Heart Disease and Stroke, and Tobacco) include information on disparities. California also has an HIV/AIDS disparities framework that contains some data.
Colorado 2008-2010 Office of Health Disparities Strategic Plan (2008) http://tinyurl.com/4grfd2r Exit Disclaimer 2008 General Both Grant Office of Health Disparities (OHD) Robert Wood Johnson Foundation; Kaiser Permanente; OMH Not Applicable Not Applicable Not Applicable Not Applicable Created the 2009 Health Disparities Report (see below)  
Racial and Ethnic Health Disparities in Colorado 2009 (2009) http://tinyurl.com/4a4cxwa Exit Disclaimer 2009 Mental Health, Children's Health, Oral Health, Obesity, Pregnancy Risk Factors, All Cancers, Cardiovascular Disease, Chronic Diseases, Diabetes, Hepatitis B, Motor Vehicle Injury, HIV/AIDS, General Mortality Both Legislation, Senate Bill 242 which created the Office of Health Disparities OHD State Census, Vital Statistics, BRFSS, Child Health Survey, PRAMS, Disease Incidence Geographic (State, County) African American / Black, Hispanic / Latino, Asian / Pacific Islander, American Indian, White Income OHD Website links to disparities data, including by region. It also links to an inter-agency health disparities youth council, and advertises that a recruiting and retaining youth of color into the healthcare professions task force as coming soon.  
Colorado Health Disparities Strategic Plan 2008: Interagency Health Disparities Leadership Council (2008) http://tinyurl.com/4uwybm4 Exit Disclaimer 2008 General Both Not specified Interagency Health Disparities Leadership Council (IHDLC) Not specified None Not Applicable Not Applicable Not Applicable This plan serves as a guide for Colorado health agencies to work with when developing grant applications. Colorado has done data reports on four different racial and ethnic groups (African American, Hispanic, American Indian, Asian). Another site on OHD has an interactive map that shows disparity data by county: http://www.cdphe.state.co.us/hs/hddata/hddata.html Exit Disclaimer
Connecticut The 2009 Connecticut Health Disparities Report http://tinyurl.com/4zvfv4y Exit Disclaimer 2009 All Cause Mortality; Chronic Disease; Injury; Infectious and Sexually Transmitted Diseases; Maternal and Child Health; Oral Health; Environmental and Occupational Health; Access to Health/Health Care Workforce Both Connecticut Health Disparities Project Department of Public Health (DPH) Connecticut Health Foundation grant BRFSS, Discharge Data, CHIME data (hospital discharge and ED data from Hospital Association), US Census Bureau (Census, American Community Survey, National Center for Health Statistics), US Department of Labor (Survey of Occupational Injury and Illnesses, Census of Fetal Occupational Injuries, Current Population Survey), DPH Infectious Diseases Section, Vital Records (birth and death registries), Linked File of Life and Infant Births, Lead Poisoning and Prevention Control Program Blood Lead Level Data Geographic (State) Black or African American, Hispanic, Asian/Pacific Islander, American Indian or Alaska Native, White, Other non-White and non-Hispanic Income, Educational Attainment, Unemployment, Poverty, Insurance Status None identified  
D.C. None identified
Delaware 2008 Delaware Racial and Ethnic Disparities Health Status Report Card http://tinyurl.com/4zpb239 Exit Disclaimer 2008 Maternal and Child Health, Chronic Disease, Violence, Child and Adolescent Health, Social and Economic Well-Being, Behavioral Risk Factors Both IOM's 2002 report Unequal Treatment DE Dept. of Health & Social Services (DHSS), DE Div., of Public Health (DPH) Not specified Birth and Death Certificates, BRFSS, State Residence Data, Bureau of Health Statistics - DE Health Statistics Center and Office of Vital Statistics (births, deaths, fetal deaths, marriages, divorces), Cancer Incidence and Mortality Report (DE DPH), American Community Survey (Census Bureau) Geographic (State) Hispanic, Black, White Income, Unemployment, Home-Ownership, Education None identified The next report card is expected to be produced in 2011.
Florida None identified Community Health Assessment Resource Tool Sets (CHARTS) minority health profiles are available at http://tinyurl.com/45eo5gkAdditionally the state is working on a plan to eliminate health disparities.
Georgia Health Disparities Report 2008: A County-Level Look at Health Outcomes for Minorities in Georgia (2008) http://dph.georgia.gov/sites/dph.georgia.gov/files/related_files/site_page/Georgia%20Health%20Equity%20Initiative.pdf Exit Disclaimer 2008? Social and Economic Well-Being, Health Behaviors, Health Status Indicators- Disease Prevalence and Premature Death; Quality and Access to Care Both Not specified Department of Community Health's Office of Health Improvement Not specified Census; Online Analytical Statistical Information System (OASIS) uses data from BRFSS, Vital Records Information System, Multiple - Cause of Death File; Hospital Discharge Data Geographic (County) White, African American or Black, Hispanic or Latino, Asian, American Indian, Other or Multi-Racial None Held townhall meetings throughout the state in 2009 to discuss the current report (at that time) findings and created a grant opportunity to address the elimination of health disparities. Provided $1M in competitive grant funding to community-based partnerships with plans to resolve identified disparities.  
Hawaii None identified
Idaho Profile of Idaho Health Disparities (2007) http://tinyurl.com/4fn6qo6 Exit Disclaimer 2007 Alcohol Abuse, Mental Health, Obesity, Influenza, Tobacco Use, Access to Usual Healthcare Provider, Heart Disease, Diabetes, Suicide, Liver Disease Both Not specified Idaho State Office of Rural Health and Primary Care State Census, American Community Survey, Idaho Vital Statistics, BRFSS Geographic (State) White/Non Hispanic, American Indian/Non Hispanic, All Other Races/Non Hispanic, Hispanic Income, Housing Reports on Language Access to Health Care. Not identified as action steps in the plan, steps have been taken through reports to provide better language access and interpreters to Idaho's Spanish Speaking Population. Idaho also held a focus group with Spanish Speaking patients.  
Illinois None identified Illinois Center for Minority Health Services is currently in the process of creating a state plan to reduce health disparities.
Indiana The Interagency Council on Black and Minority Health 2008 Annual Report http://tinyurl.com/45zp5fw Exit Disclaimer 2008 Long-Term Disability and Aging, Teenage Pregnancy, HIV/AIDS Health Status Indiana Black Legislative Caucus Efforts, Healthy People 2010, APHA's Call to the Nation to Eliminate Racial and Ethnic Disparities in Health Indiana State Department of Health Office of Minority Health: Interagency Council on Black and Minority Health Not specified BRFSS, State Natality Report, State Mortality Report; Census; American Community Survey 1-Year Estimates Geographic (State) White, Black, Hispanic, Asian, American Indian / Alaskan Native Income, Employment, Housing, Education None identified Indiana Minority Health Commission is slated to produce an annual report in September 2010.
Iowa None identified Iowa created a strategic plan in 2007 focused on development of its Office of Multicultural Health. See: http://idph.iowa.gov/Portals/1/Files/MH/strategic_plan.pdf Exit Disclaimer
Kansas Strategic Plan "Building the Infrastructure of the Kansas Center for Health Disparities" (2007) http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.193.4004&rep=rep1&type=pdf Exit Disclaimer 2007 Cancer, Diabetes, HIV/AIDS, Immunizations, Cardiovascular Disease, Maternal and Child Health, and Mental Health Both Healthy Kansas 2010; study by Kansas Health Institute on Racial and Ethnic Minority Health Disparities (2005) Kansas Department of Health & Environment (KDHE) Not specified Census Geographic (State) African American, Hispanic, Native American, and Asian/Pacific Islander, Immigrant, Migrant None Not identified  
Working Together for A Healthier Kansas: A Status Report on the Social Determinants of Health in Kansas (2008) http://tinyurl.com/46tflsy (Not available (as of 11/2011) ?? Physical Activity, Mental Health, Tobacco Use, High Blood Pressure, Obesity, Stroke, Heart Disease Health Status Not specified KDHE Not specified BRFSS, CDC, Census Geographic (State, County) White, Black, Hispanic, Category for All Races/Ethnicities Income, Education None identified  
Kentucky None identified The state is conducting focus groups to address health disparities in African American infant mortality and will devise a Health Disparities Report.
Louisiana Eliminating Health Disparities ‘From A Grass Roots Perspective’ (2009) http://tinyurl.com/45tldvy Exit Disclaimer 2009 Mortality, Chronic Disease, Obesity, Infectious Disease, Maternal and Child Health, Access to Care, Workforce, Limited English Proficiency Populations, Homeless, Gender Disparities Both Natural Disaster; 2005 Minority Health Needs Assessment in Hurricane-Plagued Areas Bureau of Minority Health Access OMH BRFSS; Intercensal Population Estimates Program; United States Postal Service provided a special Hurricane Katrina Change of Address File; Census Geographic (County) Black or African American, White, Hispanic or Latino (of any race), Mexican, Puerto Rican, Cuban, Other Hispanic or Latino, American Indian/Alaska Native - Several Tribes Listed (Sioux, Cherokee, Chippewa, etc.); Asian, Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, Other Asian; Native Hawaiian and Other Pacific Islander; Bi - or Multiracial Income, Occupation, Education, Poverty, Wealth None identified  
Maine None identified Disparities reduction plans are incorporated into condition-specific reports (e.g. chronic disease, cancer).
Maryland Maryland Chartbook of Minority Health and Minority Health Disparities Data (2009) http://dhmh.maryland.gov/mhhd/Documents/Chartbook_2nd_Ed_Final_2010_04_28.pdf Exit Disclaimer December 2009 Diabetes, Hypertension, Tobacco Use, Obesity, HIV/AIDS, Asthma, Health Access and Utilization, Heart Disease, Cancer, Stroke, All Causes of Death, Gender Specific Both One of the charges of the MD Office of Minority Health and Health Disparities (MMHD) MD MMHD State Vital Records, Census, BRFSS, Hospital Discharge Geographic (State, County) Non-Hispanic White, Black or African American, Hispanic or Latino, Asian or Pacific Islander, American Indian or Alaska Native None See below  
Maryland Plan to Eliminate Minority Health Disparities Plan of Action 2010 - 2014 (2010) http://health-equity.lib.umd.edu/3215/1/Maryland_Health_Disparities_Plan_of_Action_6.10.10.pdf Exit Disclaimer March 2010 General Both Health Care Reform MD MMHD State Census, Mortality, See above, data was used more heavily in chart book. Geographic (State, County) Non-Hispanic White, Black or African American, Hispanic or Latino, Asian or Pacific Islander, American Indian or Alaska Native None The document is a follow up to a 2006 report and provides some updates on action steps taken.  
Massachusetts None identified MA has produced a plan on Culturally and Linguistically Appropriate Services (CLAS) available here: http://www.mass.gov/eohhs/gov/departments/dph/programs/admin/health-equity/clas/making-clas-happen.html Exit Disclaimer
Michigan 2009 Health Disparities Report (2010) http://tinyurl.com/4l6748m Exit Disclaimer 2010 Mortality, Heart Disease, Infant Mortality, Stroke Mortality, HIV/AIDS Prevalence, Diabetes Prevalence, Diabetes Mortality, Cancer Incidence, Cancer Mortality, Suicide, Homicide, Gonorrhea, Chlamydia Both Legislation (House Bill 4455 – PA 653 requirement) Department of Community Health Combination of federal, state, and private resources Dept. of Community Health Survey, BRFSS, BRFSS with Oversampling, Contractor Evaluation, Medicaid Data, Mortality Review, Partner Data, PRAMS, Program Databases, Program-Specific Surveys, Vital Stats, Census, MI Inpatient Database, MI Care Improvement Registry, HEDIS, MI Maternal Morbidity Database, Pregnancy Nutrition Surveillance System, Pediatric Nutrition Surveillance System, Disease Surveillance, Asthma Call-Back Survey, National Aging Program Information System, US Renal Data System Geographic (State) African American/Black, Hispanic/Latino, Native American Indian/Alaska Native, Asian/Pacific Islander, Arab American/Chaldean None Has provided data for 50 different programs to reduce health disparities, including Asthma Case Management, Birth Defect Follow-up, Gonorrhea and Chlamydia screening, Health Asian American Project, and SPLASH which is a school nutrition and physical activity program.  
2008 Health Disparities Reduction Report (2009) http://tinyurl.com/4px7xkg Exit Disclaimer 2009 General Both lation (House Bill 4455 – PA 653 requirement) Department of Community Health Combination of federal, state, and private resources BRFSS, Medicaid, Mortality Review, PRAMS, Program Databases, Program-Specific Surveys, Vital Statistics, Census, MI Inpatient Database, MI Care Improvement Registry, HEDIS, MI Maternal Morbidity Database, Pregnancy Nutrition Surveillance System, Pediatric Nutrition Surveillance System, Disease Surveillance, National Aging Program Information System, US Renal Data System Geographic (State) African American, Hispanic/Latino, Native American, Asian American, Arab Ancestry, Other None 2008 Addressing Racial and Ethnic Health Disparities through Public Policy Conference. Capacity Building RFP 2010 for Health Disparities Reduction/Minority Health and Health Equity Road Maps available here: http://tinyurl.com/4uyrmco Exit Disclaimer
Color Me Healthy: A Profile of Michigan's Racial/Ethnic Populations (2008) http://tinyurl.com/4hehrfa Exit Disclaimer 2008 Cardiovascular Disease, Infant Mortality, Diabetes, Cancer, HIV/AIDS, Violence Health Status Not specified Department of Community Health Not specified Census, Vital Records, BRFSS, YBRFSS Geographic (State) White, African American/Black, American Indian, Asian/Pacific Islander/Other, Multi-Racial, Hispanic/Latino Education None identified  
Minnesota Eliminating Health Disparities Initiative (EHDI): Report to the Legislature (2009) http://mnachievementgap.mnnpo.org/shelf_list/doc244_MDH_2009_Eliminating_Health_Disparities_Initiative.pdf Exit Disclaimer 2009 Breast and Cervical Cancer, Cardiovascular Disease, Diabetes, HIV/AIDS, Immunizations, Infant Mortality, Healthy Youth Development, Violence Depends on Grantee 2001 Eliminating Health Disparities Initiative (EDHI) Legislation (MN Statute 145.928) Office of Minority and Multicultural Health EDHI statewide grant program funds, Federal TANF funds, Minnesota Dept. of Health grant program Minnesota Retrospective Kindergarten Survey; Minnesota Immunization Information Connection; National Health Interview Survey (NHIS) for the Midwest region (not state-specific), and Medicare; Morbidity and Mortality Data from Minnesota Department of Health’s Surveillance Systems and Vital Statistics Geographic (State) African American/African, American Indian, Asian, Hispanic, White None Describes disparities work carried out through grant program and includes case studies on grantee programs.  
2009 Health Care Disparities Report for Minnesota Health Care Programs https://edocs.dhs.state.mn.us/lfserver/Public/DHS-5573B-ENG Exit Disclaimer 2009 Diabetes, High Blood Pressure, Breast Cancer, Cervical Cancer, Colon Cancer, Chlamydia, Childhood Immunizations, Childhood Upper Respiratory Infection, Asthma Health Care Not specified MN Department of Human Services Not specified MN Community Measurement developed a data structure using the HEDIS 2009 Technical Specifications Provider (Health Plan) White, Black/African American, Asian/Pacific Islander/Native Hawaiian, American Indian/Alaskan Native, Unknown None Optimal Diabetes Care Website  
Mississippi No recent reports   Mississippi produced a Plan to Eliminate Racial & Ethnic Health Care Disparities in 2002 and a report card on cardiovascular health disparities in 2006. The Office of Health Disparity Elimination aims to release a work in progress plan by early 2011.
Missouri State of Missouri Health Disparities Report: Promoting Health Equity & Reducing Health Disparities in Missouri (2008) http://tinyurl.com/4cmqhov Exit Disclaimer 2008 Disease/Condition and Risk Factor Priorities According to Life Stage - Infants and Children; Adolescents, Adults, Seniors; Barriers to Health Care Access; Affordability; Quality; Community Perspectives of Disparities and Disease; Infant Mortality; Asthma Rates; ER Use; Mortality Assaults/Homicides; Diabetes; COPD; Heart Disease; Cancer; Mental Health; Obesity; Insurance Coverage; HIV/AIDS Both Legislation creating Missouri Office of Minority Health, House Bill 1565 Missouri Department of Health and Senior Services, Missouri Office of Minority Health State Census; Interactive Internet-Based Data System: Priority MICA (Missouri Information for Community Assessment) - combines data from multiple sources; Focus Groups; American Community Survey; Birth and Death Certificates, Information from the Patient Abstract System (i.e., ER Visits and Hospitalizations), (BRFSS), and other data files such as from the Department of Social Services regarding child abuse and information such as from the World Health Organization regarding disability burden Geographic (State, by region-NW, NE, Central, E, SW, SE) White, African, African American, Bosnian, American Indian, Hispanic, and Vietnamese (Mostly comparisons between White, African American, and "All" populations) None None identified  
Minority Health Disparities in Missouri African American and Hispanic Data Books (2013) https://mffh.org/wordpress/wp-content/uploads/2016/04/13HispanicDisparities.pdf Exit Disclaimer and https://mffh.org/wordpress/wp-content/uploads/2016/04/13AfrAmDisparities.pdf Exit Disclaimer 2009 Births to Unmarried Mothers, Prenatal Care, Infant Deaths, Low Birth Weight, Births to Mothers Receiving Medicaid, Assault, Alcohol and Drug Use, Asthma, Heart Disease, Diabetes, Epilepsy, HIV/AIDS Both Grant from Missouri Foundation of Health (MFH) MFH MFH Census, Vital Records, Death Records, BRFSS, ED/ER Geographic (County) African American (in one data book), Hispanic (in the other data book) Income, Education OMH presented twice in 2009 on relevant health disparities before the Missouri Legislative Black Caucus, OMH-MDHSS has partnered with health and community organizations to form an African-American Infant Mortality Task Force, OMH-MDHSS awarded contracts to two organizations within Missouri to combat obesity. OMH-MDHSS conducted regional minority community focus groups across the state to identify solutions for the barriers to healthcare access, affordability of healthcare, quality of healthcare, and treatment of chronic diseases.  
Montana None identified   Montana's Dept. of Health has produced reports related to lung cancer and tobacco use in the Native American population. See: http://www.dphhs.mt.gov/publichealth/cancer/datastatistics.shtml Exit Disclaimer
Nebraska Cultural Competency Assessment of Health Care Providers across Nebraska: A Survey of Limited English Proficient (LEP) Individuals (2009) http://www.worldcat.org/title/cultural-competency-assessment-of-health-care-providers-across-nebraska-a-survey-of-limited-english-proficient-lep-individuals/oclc/606578613?title=&detail=&page=frame&url=http%3A%2F%2Fwww.nlc.state.ne.us%2Fepubs%2FH8150%2FB003-2009.pdf%26checksum%3D5196a5a365d351e0b921ff6bc906fa94&linktype=digitalObject Exit Disclaimer 2009 Cultural Competency Health Care Not specified Nebraska Office of Minority Health and Health Equity (OMHHE) Not specified Census, Survey Conducted by NE OMHHE Geographic (State, County) White non-Hispanic, African American/Black-non Hispanic, Native American non-Hispanic, Asian non-Hispanic, Two or More Races non-Hispanic, Hispanic, Native Hawaiian/Pacific Islander non-Hispanic Income, Education Level The state has put CLAS standards on its website. Nebraska has also produced two report cards (Maternal Health by Race and Ethnicity; Substance Abuse by Race and Ethnicity) and reports on the Socio-Economic Status of African-Americans, Asians, and Hispanics.
Nevada Minority Health in Nevada (2007) http://dhhs.nv.gov/uploadedFiles/dhhsnvgov/content/Programs/Office_of_Analytics/Images/Minority%20Health%20Report%202019%20v1.0.pdf Exit Disclaimer 2007 Heart Disease and Cerebrovascular Disease, Cancer, Unintentional Injury, Chronic Lower Respiratory Disease, Diabetes, Septicemia and Nephritis, Suicide and Homicide, Influenza and Pneumonia, HIV/AIDS, Health Insurance, Race and Ethnicity of Physicians Both Not specified Nevada Health Division Bureau of Community Health Not specified Census, BRFSS, Hospital Discharge Geographic (State) White, Black, American Indian and Alaska Native, Asian, Native Hawaiian and Other Pacific Islander, Some Other Race, Two or More Races, Hispanic None Nevada has developed a feedback form.  
New Hampshire None identified  
New Jersey Strategic Plan to Eliminate Health Disparities in New Jersey 2007 Update (2007) http://www.njleg.state.nj.us/OPI/Reports_to_the_Legislature/health_disparities_plan_2007_update.pdf Exit Disclaimer 2007 Asthma, Cancer, Cardiovascular Disease, Diabetes, Obesity, HIV/AIDS, Infant Mortality, Unintentional Injuries Both Public Law 2004, c. 137 (included on page 90 of the report) New Jersey Office of Minority and Multicultural Health (OMMH) State, OMH BRFSS, Vital Records, ED/ER Geographic (County) Black/African American, Hispanic/Latino, Asian/Pacific Islander None The NJ Dept. of Health and Senior Services (DHSS) has developed initiatives for Asthma, Cancer, Caregiving, Diabetes, and Nutrition. Additionally the OMMH website offers links to translated health forms, and racial equity tools, There is also an NJ DHSS initiative: Exposing Diverse Students to Oral Health Professions. Furthermore the website contains links to the community roundtable discussion report. DHSS created race and ethnicity coding guidelines for its grantees in 2007 as a result of the original 2007 plan. See: http://www.state.nj.us/health/chs/hnj2020/documents/re_coding_standard.pdf Exit Disclaimer
New Jersey Asthma Strategic Plan 2008-2013 (2009) Report no longer available 2009 Asthma Both Grant Department of Health and Senior Services CDC (Cooperative Agreement) NCHS, Asthma Prevalence, Health Care Use and Mortality, BRFSS, ED/ER Geographic (County) White, Black, Hispanic of Puerto Rican Decent, Hispanic of Mexican Decent, Asian Income May is Asthma awareness month in NJ, NJ has also published a fact sheet available online on Asthma Surveillance in NJ, also online NJ has published FAQs on Asthma, finally there is a fact sheet on Asthma and Women.  
2009 Health Disparities Initiatives Self-Assessment Survey Report (2010) https://www.pdffiller.com/16709523--2009-Health-Disparities-Initiatives-Self-Assessment-Survey-Report- Exit Disclaimer June 2010 Collecting Client-Level Information, Tracking Measurable Outcomes, Promoting Cultural, Competency, Promoting Health Literacy, Targeting Specific Groups, Making Outreach Efforts, Measuring Program Effectiveness Not applicable Not specified NJ Office of Minority and Multicultural Health (OMMH) OMH Survey emailed to DHSS staff Not applicable Not applicable Not applicable Released with this document was the Strategic Plan to Eliminate Health Disparities in New Jersey: Update and Addendum, which provides an update to the 2007 plan above and tracks progress made from the plan.  
Strategic Plan to Eliminate Health Disparities in New Jersey: Update & Addendum (2010) http://s3.amazonaws.com/zanran_storage/liberty.state.nj.us/ContentPages/1028094015.pdf Exit Disclaimer June 2010 Hepatitis C, Chronic Kidney Disease, STDs, Adult and Child Immunization, Violence Both The 2004 Eliminating Health Disparities Initiative was established by Legislation (NJSA 26:2-167). NJ DHSS State BRFSS, Vital Records, ED/ER, Other Geographic (State) White, Black, Hispanic, Asian/Pacific Islander None This plan is evidence of action from the 2007 report and lists some of the actions taken since the publication of the previous plan.  
New Mexico Racial and Ethnic Health Disparities Report Card (2009) http://nmhealth.org/publication/view/report/432/ Exit Disclaimer 2009 Infant Mortality, Teen Births, Diabetes, Obesity, Pneumonia Vaccinations, Pneumonia and Influenza Deaths, Chlamydia, Acute and Chronic Hepatitis B, HIV/Aids, Pertussis (Whooping Cough), Motor Vehicle Deaths, Suicide, Youth Suicide, Homicide, Smoking Among Adults, Drug Induced Deaths, Alcohol Related Deaths Health Status Not specified New Mexico Department of Health Not specified Birth system, death system, BRFSS, Youth Risk and Resilience Survey (YRRS), Infectious Disease Surveillance Geographic (State) African-American, American Indian, Asian/Pacific Islanders, Hispanic, White Poverty Level This is an update from previous report cards published by the state. Additionally New Mexico's Comprehensive Strategic Plans cite the report cards. See for example: https://nmhealth.org/publication/view/report/432/. Exit Disclaimer  
New York New York Minority Health Surveillance Report (2007) http://tinyurl.com/4qjmawn Exit Disclaimer 2007 Premature Death, HIV/AIDS, Asthma, Cardiovascular Disease, Pulmonary Disease, Diabetes, Heart Disease, Homicide, Motor Vehicle Injury Death Rate, Suicide, Pregnancy Rate, Prenatal Care, Live Births, General Health, Access to Health Care Both Legislation, Title II F-Section 242, Public Health Law New York State Department of Health State Census, American Community Survey, Vital Records, BRFSS, YRBS, New York State Cancer Registry, Pediatric Nutrition Surveillance System Geographic (County) White non-Hispanic, Black non-Hispanic, Hispanic, Asian and Pacific Islander, American Indian and Alaska Native Income None identified New York released a Minority Health Surveillance Report with County level data in December 2010, available here: http://www.health.ny.gov/statistics/community/minority/docs/surveillance_report_2010.pdf Exit Disclaimer
North Carolina Racial and Ethnic Health Disparities in North Carolina Report Card 2010 (2010) http://www.schs.state.nc.us/SCHS/pdf/MinRptCard_WEB_062210.pdf Exit Disclaimer 2006 Maternal and Infant Health, Social and Economic Well Being, Heart Disease, Stroke, Diabetes, Chronic Lung Disease, Kidney Disease, HIV/AIDS, Prostate Cancer, Lung Cancer, Breast Cancer, Syphilis, Gonorrhea, Chlamydia, Homicide, Suicide, Motor Vehicle Deaths, Deaths of Children 1-17, Deaths of teens 15-17, Tobacco Use, General Nutrition, Blood Pressure Levels Health Status Not specified North Carolina Office of Minority Health and Health Disparities Not specified Census; Birth and Death Certificates; HIV/STD Prevention and Care Branch information; Live Birth, Abortion, and Fetal Death Records; YRBS; North Carolina Nutrition and Physical Activity Surveillance System; BRFSS Geographic (State) All, White, African American/Black, American Indian, Asian/Pacific Islander, Hispanic/Latino Poverty Level, Single Parent Families, Income, Adults Uninsured, Pregnant Not Owning a Home This is evidence that the action plan from 2003 and report card from 2006 were acted upon.  
North Dakota None identified   2009
Ohio Preventing Infant Mortality in Ohio: Task Force Report (2009) http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/cfhs/child%20and%20family%20health%20services/infant%20mortality%20task%20force/infantmortalityexecutivesummary.ashx Exit Disclaimer November 2009 Infant Mortality Both Governor requested Department of Health (ODH) to launch task force Infant Mortality Task Force State National Center for Health Statistics, Ohio Department of Vital Health Statistics Geographic (County) Black None None identified  
The Ohio Plan to Prevent Heart Disease and Stroke: 2008-2012 (2009) http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/hprr/cardiovascular%20health/theohioplantopreventheartdiseaseandstroke.ashx Exit Disclaimer 2009 Heart Disease and Stroke Both Not specified Ohio Department of Health Not specified BRFSS, Hospital Discharge, Ohio Mortality records Geographic (State) African American, Appalachian, Asian / Asian American, Immigrant, Hispanic / Latino, and Refugee populations are listed as priority populations None Undertook a Heart Disease and Stroke Prevention Focus Group with African American men.  
Addressing Disparities in Ohio's Priority Populations: Summary Report and Recommendations 2007 (2007) http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/hprr/cardiovascular%20health/theohioplantopreventheartdiseaseandstroke.ashx Exit Disclaimer 2007 Heart Disease and Stroke Both Not specified ODH Heart Disease and Stroke Program Not specified BRFSS Geographic (State) African American, Appalachian, Asian / Asian American, Immigrant, Hispanic / Latino, Refugee None None identified  
Oklahoma Governor's Task Force on the Elimination of Health Disparities (2010) http://www.ok.gov/health2/documents/GovTaskForceRpt1-14-10.pdf Exit Disclaimer 2010 Cardiovascular Disease, Infant Mortality, Diabetes, Cancer, Adult and Child Immunizations Both Legislation, Senate Bill 680 which created the Oklahoma Task Force to Eliminate Health Disparities Oklahoma Task Force to Eliminate Health Disparities State Census Geographic (State) Black, Hispanic Income Community "Chat" held with 80+ people to discuss minority health issues and ways to raise awareness.  
Oregon None identified   In 2000 the Racial and Ethnic Health Task Force of Oregon, which was designed to eliminate disparities, submitted its final report to the governor. Oregon is planning a new "State of Equity Report." For more information please visit: http://cms.oregon.gov/oha/oei/pages/soe/index.aspx Exit Disclaimer
Pennsylvania None identified  
Rhode Island Heart Disease and Stroke Prevention Rhode Island State Plan 2009 (2009) http://tinyurl.com/4coojqr Exit Disclaimer 2009 Heart Disease and Stroke Both Not specified Rhode Island Heart Disease and Stroke Prevention Steering Committee CDC RI BRFSS, Hospital Discharge, RI Emergency Department Data, Vital Records Geographic (State) Non-Hispanic Black, Hispanic Income, Education Healthy Weight and Heart Disease, brochures available online for people with Arthritis, Asthma, Cancer, Diabetes, and Heart Disease. Resources also include "ABC's of Heart Attack", "Heart Disease Prevention", "Preventing and Controlling High Blood Pressure", "Activity and Eating Log", and "Diet and Nutrition." Additionally, in association with the American Heart Association, two towns in RI have been designated, "Heart Safe Communities."  
Reducing the Burden of Asthma in Rhode Island: Asthma State Plan, 2009–2014 (2009) http://www.health.ri.gov/publications/plans/2014-2019AsthmaStatePlan.pdf Exit Disclaimer 2009 Asthma Both Not specified Road Island Asthma Control Coalition CDC RI BRFSS, RI YRBS, Hospital Discharge, RI Emergency Department Data, Vital Records (Death Certificates) Geographic (State, County) Non-Hispanic Black, Hispanic Income, Education Controlling your Asthma brochure available in both English and Spanish.  
South Carolina State Health Improvement Plan for the Elimination of Health Disparities (2007) http://dhss.alaska.gov/dph/Chronic/Documents/Tobacco/TobaccoDisparities.pdf Exit Disclaimer 2007 Diabetes, Breast Cancer, Prostate Cancer, Heart Disease, Stroke, Infant Death, HIV/AIDS Both Legislation Department of Health and Environmental Control State Census, Death Rate, Morbidity Geographic (State) African American, American Indian/Alaska Native, Asian, Hispanic, Other (Other includes Native Hawaiian, other Pacific Islander, and other races, including persons of more than one race) None "Real Men Checkin' It Out" prostate cancer in African Americans awareness sheet. A minority health report card is in progress.
South Dakota Great Faces Great Smiles: Oral Health Plan for South Dakota (2009) http://doh.sd.gov/prevention/assets/ActivitySummary.pdf Exit Disclaimer 2009 Oral Health Both Grant Number T12HP10690 from HRSA's Maternal and Child Health Bureau South Dakota Department of Health HRSA Vital Records, South Dakota New Mom's Survey, Statewide Oral Health Survey of South Dakotan Third Graders Geographic (County, Native American Reservation) White non-Hispanic Third Grade Age Children, American Indian Third Grade Age Children, includes discussion about other groups but no data Income, Sealants History, Insurance Oral Health Website which includes links to resources for parents, teachers, children, and health providers.  
South Dakota Diabetes State Plan (2010) Report no longer available 2010 Diabetes Both Volunteer Organization South Dakota Diabetes Coalition (SDDC) Not specified CDC National Diabetes Fact Sheet, Census, SD Vital Records, BRFSS Geographic (State, County) American Indian None The state offers diabetes related resources on website. South Dakota has similar condition-specific reports on Cancer, Heart Disease, Nutrition and Physical Activity, and Tobacco.
Tennessee 2009 Tennessee Women's Health Report Card (2009) http://www.healthynashville.org/content/sites/nashville/2009TNWomensHealthReportCard.pdf Exit Disclaimer 2009 Reproductive Health, STD/STI, Cancer, Heart Disease, Diabetes, Stroke, Homicide, Motor Vehicle Deaths, Suicide Deaths, Obesity, Tobacco Use, Blood Pressure, Alcohol Abuse, Preventive Health Practices, Barriers to Health Care Health Status Not specified Tennessee Department of Health Not specified BRFSS, Vital Records, Census Geographic (State) White non-Hispanic, African American non-Hispanic, Hispanic Employment Status, Poverty, Household Headed by Women This Report Card compares the disparity rates from 2002 to 2007, and gives grades based on the change. The website of the Dept. dealing with disparities (http://www.healthynashville.org/content/sites/nashville/2009TNWomensHealthReportCard.pdf Exit Disclaimer) lists some fact sheets on disparities within TN. The 2010 Report Card on Men's Health has also been released: http://www.vanderbilt.edu/crmh/tmhrc/2010TMHRC.pdf Exit Disclaimer
Texas The Health Disparities Task Force: 2008 Biennial Report to the Texas Legislature (2008) http://www.worldcat.org/title/cultural-competency-assessment-of-health-care-providers-across-nebraska-a-survey-of-limited-english-proficient-lep-individuals/oclc/606578613http://s3.amazonaws.com/zanran_storage/www.hhs.state.tx.us/ContentPages/50066098.pdf Exit Disclaimer 2008 Childhood Immunization, Pertussis Morbidity, Obesity, Diabetes, Responsible Sexual Behavior, Prenatal Care, Tobacco Use, Youth Suicide Both Legislation, House Bill 757, creating the Health Disparities Task force. H.B. 1396 created the Office for the Elimination of Health Disparities Health Disparities Task Force State BRFSS, Texas Department of State Heath Services Center for Health Statistics, CDC Geographic (State) White, Hispanic, African American, Other (Other includes Asian, American Indian, Pacific Islander, persons identifying themselves as three or more races, and other groups too small to enumerate accurately) Income None identified  
Utah Utah Health Disparities Summaries Series (2009) https://health.utah.gov/disparities/data/race-ethnicity-report/2015HealthStatusbyRace&Ethnicity.pdf 2009 Alcohol Abuse, Immunizations, Infectious Diseases, Mental Health, Violence Both Not specified Utah Center for Multicultural Health Not specified BRFSS, Vital Records, Census Geographic (State) African American/Black, Pacific Islander, Hispanic/Latino, Asian, American Indian, Non Hispanic White None None identified  
Health Status: by Race and Ethnicity (2010) http://health.utah.gov/disparities/data/race-ethnicity-report/healthstatus.pdf Exit Disclaimer 2010 Insurance Coverage, Access to Health Care, Prenatal Care, Colon Cancer, Breast Cancer, Prostate Cancer, Immunizations, Obesity, Physical Activity, High Cholesterol, High Blood Pressure, Tobacco Use, Alcohol Abuse, Maternal and Child Health, Tuberculosis, Chlamydia, Gonorrhea, Suicide, Homicide, Chronic Diseases Both Not specified Utah Center for Multicultural Health Not specified BRFSS, Utah DOH Office of Public Health Assessment, Utah Healthcare Access Survey, Census, Utah Death Certificates Database, Vital Records Geographic (State) American Indian/Alaska Native, Asian, Black or African American, Native Hawaiian/Pacific Islander, Hispanic or Latino, White, White non-Hispanic, Other non-Hispanic None This is an update from the 2005 plan, so the evidence of state action on the plan can be seen in the "How Are We Doing?" section on each condition, to see how the disparity compares now verses five years ago. Additionally Utah lists everything that is currently being done by the state on each condition in the report.  
Action Plan to Eliminate Racial/Ethnic Health Disparities in the State of Utah (2008) http://health.utah.gov/disparities/data/ohd/OHDSTRATEGICPLAN2013.15.pdf Exit Disclaimer 2009 General Both Not specified Utah Center for Multicultural Health OMH None Not applicable Not applicable Not applicable The website is updated, it offers training and networking opportunities, tool kits and resource centers, information on various cultural groups, professional standards, and Community-Based Organizations and Government Ethnic Offices. They also provide services on the website for Spanish speakers. The website also links to the newsletter the state has developed, "The Connection."  
Vermont Vermont 2007 Office of Minority Health Strategic Plan 2007-2009 (2007) Report no longer available 2007 General Both Not specified Vermont Office of Minority Health State Census Geographic (State) African American, Hispanic/Latino, Asian, American Indian, LGBT (Lesbian, Gay, Bisexual, Transgender) None None identified  
The Health Disparities of Vermonters 2010 (2010) http://tinyurl.com/49sf6fr Exit Disclaimer 2010 Income, Education, Housing, Access to Care, Stress, Disability and Depression, Chronic Disease Both Not specified Vermont Department of Health Not specified U.S. Bureau of Labor Statistics, U.S. Census Bureau, Vital Statistics System, BRFSS, Blood Lead Surveillance System, Cancer Registry, VT Dentist Survey, Immunization Registry, VT Oral Health Survey, VT Physician's Survey, YRBS Geographic (State, County) White non Hispanic, Hispanic or Latino, Asian (Asian includes Native Hawaiian / other Pacific Islander), Black / African American, American Indian / Alaska Native Income and Education None identified  
Virginia Unequal Health Access Across the Commonwealth, A Snapshot: Virginia Health Equity Report (2008) http://tinyurl.com/67v55ao Exit Disclaimer   Low Weight Births; Prenatal Care; Births to Mothers who used Alcohol, Tobacco, and Drugs; Natural Fetal Deaths; Induced Terminations; Teenage Pregnancy; Infant Mortality; Mortality; Life Expectancy; Causes of Death; Violent Death; Death by Firearm; Unintentional Injury Deaths; Non-Marital Births; HIV; Heart Disease; Cancer; Cerebrovascular Disease; Alzheimer's Disease; Diabetes; Years of Potential Life Lost Both Initiative started in early 1990s by state health commissioner Virginia Office of Minority Health and Public Health Policy State Census, Virginia Department of Health Vital Statistics, CDC NCHS, Virginia Division of Health Statistics Geographic (State, County, Jurisdiction, Zip Code, Census Tract) Black / African-American, American Indian / Native American, Asian / Pacific Islander, Hispanic / Latino, White Income, Education, Children under 18 years of age who experienced "Double Jeopardy" (live in poor families in poor neighborhoods) The state produced a video on the report. The State OMH website includes links to Grants and Funding Opportunities, a Culturally Appropriate Public Health Training Series, and Health Equity Initiatives.  
Washington No recent reports   The Governor's Interagency Council on Health Disparities created a report in 2006: http://tinyurl.com/4onvpwt Exit Disclaimer Washington aims to produce a disparities action plan in 2012 and has produced several reports documenting progress toward the plan (in 2008, 2009, and 2010).
West Virginia Racial Disparities in Cigarette Smoking Among Adults (2007) http://www.wvdhhr.org/bph/hsc/pubs/briefs/021/Brief21_20071016.pdf Exit Disclaimer 2007 Tobacco Addiction Health Status Legislation West Virginia Department of Health and Human Resources State BRFSS, West Virginia Youth Tobacco Survey Geographic (State) Primarily White and Black, some data on Other (Other includes Asians, Native Hawaiians, Pacific Islanders, American Indians or Alaska Natives and other races), Multiracial None The report is about a disparity identified in a 2002 plan; the disparity has been remedied.  
Wisconsin Asthma State Plan 2009-2014 (2009) http://chawisconsin.org/documents/A2WACPlan2015.2020.pdf Exit Disclaimer 2009-2014 Asthma Both 3 year enhanced planning grant from CDC Cooperative Agreement Wisconsin Asthma Coalition CDC BRFSS, ED Discharge Data, National Hospital Discharge Survey (CDC),YBRFSS, Youth Tobacco Survey Geographic (State) African American non-Hispanic, Native American / Alaskan Native, Asian / Pacific Islander, Hispanic, White non-Hispanic Income, type of work (indoor, at risk) Completed projects from previous plan: https://www.chawisconsin.org/initiatives/asthma/wisconsin-asthma-coalition/  
Wyoming Wyoming Health Disparity State Plan (2007) https://health.wyo.gov/wp-content/uploads/2016/02/43-13358_RacialandEthnicDisparities.pdf Exit Disclaimer 2007 Mortality, Tobacco Use, Lack of Healthcare Coverage, Alcohol Abuse, Diabetes, Chronic Liver Disease, Unintentional Injury Mortality Both State partnership grant Wyoming Office of Multicultural Health (OMH) WY OMH Census, BRFSS Geographic (County) Hispanic/Latino Origin, Native American, African American, Asian/Pacific Islander Income Steering committees were created and are operational.  
Frequent Data Source Abbreviations: PRAMS--Pregnancy Risk Assessment Monitoring System; CDC-- Centers for Disease Control and Prevention; BRFSS-- Behavioral Risk Factor Surveillance System; YBRFSS-- Youth Behavioral Risk Factor Surveillance System; YRBS -- Youth Risk Behavior Survey; HEDIS--Healthcare Effectiveness Data and Information Set; ED--Emergency Dept.; ER--Emergency Room; NCHS -- National Center for Health Statistics

Internet Citation: 50-State Environmental Scan of State Publications Documenting Racial and Ethnic Disparities in Health Status and Health Care. Healthcare Cost and Utilization Project (HCUP). July 2016. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/race/50_state_r_e_rpt.jsp.
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