Geographic Scope: Nationwide
Client(s): National Council of La Raza
Service: Policy Development & Implementation
Technical Expertise: Chronic Disease Management, Health Care Reform, Health Disparities
JSI worked with the National Council of La Raza (NCLR) to conduct two nationwide surveys on issues important to the Latino community in the United States: chronic disease and readiness for healthcare reform. Through its network of nearly 300 affiliated community-based organizations (including community health centers), NCLR is the largest national Hispanic civil rights and advocacy organization in the U.S., reaching millions of Hispanics each year in 41 states, Puerto Rico, and the District of Columbia.
First, JSI conducted a survey of Latino-serving community health centers (CHCs) and community-based organizations (CBOs) in anticipation of the January 1, 2014 expansion of health insurance coverage under the Patient Protection and Affordable Care Act. The survey aimed to better understand the capacity and needs of NCLR’s health affiliates in meeting the expected patient surge, particularly from the expansion of Medicaid in many states. JSI's survey assessed the affiliates’ (including CHCs and CBOs) current practices and future strategies regarding outreach and enrollment activities with Latino clients entering public or subsidized health insurance programs. NCLR presented the survey results at their 2013 Health Summit in New Orleans, LA and so far, the findings have helped shape the technical assistance NCLR provides its health and community affiliates in the face of healthcare reform. In July 2014, JSI published the results of the report in an issue brief entitled, "Readiness to Implement the Affordable Care Act in the Latino Community Among Health Centers and Community-Based Organizations," that was shared at NCLR's 2014 Health Summit.
In Summer 2013, JSI conducted a second survey with NCLR's health affiliates and other community health centers across the U.S. to determine the way Hispanics who use NCLR health services understand and manage chronic health conditions. An in-depth survey and focus group discussions asked Latino health center patients about their general health, use of health services and information, and chronic disease management. Patients were be recruited from 8 NCLR-affiliated organizations and partner health centers across five states. NCLR, in collaboration with JSI, published the results of the survey and recommendations for addressing chronic disease among Latinos in a report entitled, "An Inside Look at Chronic Disease and Health Care among Hispanics in the United States" in July 2014.