Celebrate our Latinx staff for National Hispanic Heritage Month

3 perspectives on the importance of equity-focused work.

At Arcora Foundation, partnerships power our work. We collaborate with people across Washington state to further our mission to bend the arc of oral health toward equity.

Our staff are essential to build and maintain our partnerships. Their dedication and experience help to center community voices in our work to achieve good oral and overall health for people who face barriers to dental care—especially in Black, Indigenous, and People of Color (BIPOC) communities.

For National Hispanic Heritage Month, we celebrate our Latinx staff. Matt, Melissa, and Konstanza share about their backgrounds and lived experiences, which help to better serve Latinx and other people in our state so that everyone can reach their full health potential.

Matt Gonzalez, Associate Program OfficerMatt Gonzalez

Matt identifies as Latino and is an Arcora associate program officer.

In my role, I am fortunate enough to partner with community-based organizations. Pacific Islander Health Board, Latino Educational Training Institute, and Asia Pacific Cultural Center are a few organizations I have worked with in the last year.

I take the time needed to make strong, trust-based connections within communities, which allow me to share the importance of good oral health and collaborate in ways that include everyone’s voice. Then I share with my Arcora colleagues the many ways health care inequality affects people across the state of Washington. With their expertise, we strategize ways to address these issues at a systemic level to improve health outcomes for all.

This work means so much to me because it allows me to be who I am, use my strengths in interpersonal relationship building, and support organizations serving the people with the most need. It allows me to uplift people from my community—Latino, LGBTQ, first generation college student—and other communities facing the same barriers to good oral health. Not often am I in a room with people who look like me. Whenever I can be a familiar, relatable, and welcoming face to those in a position to make change, it makes me feel like I am right where I am supposed to be.

I smile when I see a spark in someone’s eyes that something I have shared resonates with them. It lets me know I have made a difference, although small, and a step in the right direction.

Melissa Martinez

Melissa identifies as Latina and is an outreach specialist at Arcora.

I have the privilege of collaborating with dental providers, community partners, and patients to spread the word about Arcora’s programs.

But what I do isn’t just about dental health. It’s also about championing equity! My mission is crystal clear: I’m dedicated to ensuring that every Washingtonian enjoys equitable access to health care. This commitment runs deep as I vividly recall my own parents’ struggles to access care while growing up.

If you were to look back through my family photo albums, you would likely notice that my dad never smiled in photos, often opting to make a funny face—like sticking out his tongue—rather than show his discolored and decaying teeth. I was a preteen when I witnessed my father undergo the emotional experience of having all his teeth removed and replaced by full dentures before he was 50. On the day of his appointment, I anticipated that he would return with newfound confidence that would make him want to smile in photos. Instead, he sat at our dining table and cried. He regretted not placing a greater emphasis on seeking care and allowing himself to be discouraged so easily when he felt he couldn’t afford to see a dentist and struggled to find a dental office that would accommodate his lack of insurance. He felt he was entirely at fault.

What I came to understand years later was how, as parents, their priority was me, their daughter. Their first sacrifice was their own needs. Both my mother and father worked diligently to make ends meet, and any time away from work without pay required careful budgeting. This meant that, after ensuring I received the attention I needed, the additional time and money required to search for the resources necessary for their own care were scarcely available.

This profound personal experience especially fuels my passion for Apple Health—our state Medicaid program—and understanding of the hurdles providers face when serving Apple Health patients. My goal? To leverage this insight to reshape the standard of care to make health care accessible to everyone and provide accurate resources that make it easier to find the right care.

Konstanza Von Sternberg, Bilingual Referral Specialist - DentistLinkKonstanza Von Sternberg

Konstanza identifies as Latina and is an Arcora DentistLink referral specialist.

I was born in Ecuador and raised by a Hispanic/Latinx mother and an American father. My experience with health care was far easier than the classmates and friends I grew up with.

Growing up in a low-income household with two working parents, I spent a lot of time in after-school programs or at a friend’s home. I lived in Alexandria, Virginia in 4th and 5th grades and my best friend was Carolina, who is El Salvadoran. After performing our carefully crafted dance routines, we rushed back into her apartment for snacks and beverages of the sugary kind. Remember those little barrel-shaped sugar bombs with the foil lids? That kind. I’m talking dollar-store popsicles, Kool-Aid mix, those big bags of store brand cereal, and even Carolina’s leftover Halloween candy from 2 years ago if we were really desperate. With no adults around, it was too easy to run straight down to cavity town.

I understand all of this as an adult. I also understand this as a child of a first-generation immigrant—and friend of many first-generation immigrants. There are certain sacrifices you make in the pursuit of a better life. This includes hustling day and night to make sure those that come after you don’t have to. Or sacrificing how much time you spend at home during the week so that you can afford to fill the piñata on birthdays. And even letting go of certain health needs so you can still afford to keep the water running and the stove hot. Luckily, my mom arrived early enough each night to force me to brush my teeth. So many of us grew up with the privilege of having our parents around to do these things. And as much as I would have felt lucky to be in Carolina’s position when I was that age, I’m lucky I didn’t get the option.

Fiestas Patrias 2020.

This is why I do what I do, and why it means so much to me. I had the privilege of regular dental care growing up. Now, I get to use that privilege to make a difference in my own community. The community that nourished my stomach and my soul when I needed it the most. I want to be part of the reason things get easier on us. Even if it is in a small way.

We can’t do this work without you. Advancing oral health requires public and private partnerships, policy advocacy, and funding. Join us in our mission to bend the arc of oral health toward equity. Learn more and contact us at info@arcorafoundation.org.

Food as Preventative Medicine

In 2010, 86% of total healthcare spending in the US was spent on individuals diagnosed with chronic medical issues. The most prominent among these diseases include cancer, cardiovascular disease, diabetes, HIV/AIDS and obesity. Of the various components of our health that we can control, nutrition is one of the most influential factors.

We are thrilled to see a rising trend in providers and payers partnering with programs to provide nutritional support in three forms; provision, incentive and education.

1.     Provision

Provides a direct provision of food that is customized to the patient’s personal medical diagnosis through both home delivery and medically customized food banks. These programs primarily serve patients who have serious chronic disease diagnoses and attempt to both improve both quality of life and prevent additional hospital visits and or medical costs. These programs come in the form of non-profit companies, sustained primarily by donations, as well as companies contracted with health insurers.

2.     Incentives

Comprised of food purchasing incentives, in which particular foods with health benefits such as fruits and vegetables are either subsidized by the programs or incentivized. Patients may receive a food prescription from their primary care physician which functions as a kind of coupon at local vendors for fresh and healthy foods. Additionally, some insurance providers are partnering with grocery stores to provide discount cards on certain healthy foods.

3.     Education

Not knowing how to prepare healthy meals can be the biggest barrier to good nutrition. Education programs seek to teach individuals how to properly construct a diet that fits with their health needs. These programs are prevention focused, and tend to target audiences that are at risk for developing chronic illness. Lifestyle education focuses on healthy cooking, how to exercise effectively and how to understand the cause and effect of their lifestyle choices on their health.

“Food insecurity is linked to a 46 percent increased likelihood of becoming a ‘high cost user’ of healthcare” (source)

Utilization and implementation of nutrition intervention programs has the ability to drastically impact chronic illness rates, medical costs, insurance coverage and nutrition accessibility.

Here in Eastern Washington, where 1 in 3 children is overweight or obese, and rates of Diabetes are climbing, innovating new programs to help people access and prepare healthy food will be essential to preventing health crisis. In our prevention work, we collaborate with local partners to innovate ideas like those above, and increase food access and food literacy to meet our region’s health needs upstream. 

To read more, visit: http://www.chlpi.org/wp-content/uploads/2013/12/Food-is-Prevention-Report-July-2015.pdf

 

Good news for School Nurse Day

Today is National School Nurses Day, which makes it the perfect day to share some good news from Newport. Thanks to funding from the Group Health Foundation, Newport School District has been awarded a grant to enact a School Population Health Program. This will allow for the School District and Newport Hospital Health Services (NHHS) to hire a new nurse, serving population health efforts on both campuses.

School nurses are a crucial community installment in health transformation; they help to reduce absenteeism due to illness, educate students early about their health, and address emergent health issues among the student population. This program aims to do exactly that, focusing on the following measures for children in rural Newport schools:

  1. Increase immunization compliance, and HPV education
  2. Reduce absenteeism due to asthma, diabetes, and other chronic health conditions
  3. Improve health education and health literacy

In addition, the nurse will work on the NHHS hospital campus in the Primary Care Clinic, serving as a population health nurse for adults, helping to forge stronger linkages between the school’s health program and the primary care services available throughout the hospital system. This connection will facilitate more timely education and interventions for students presenting with chronic conditions like diabetes and asthma. The new nurse will be hired this summer to start at the beginning of the 2016 school year.

This program will rely heavily on collaboration with the Pend Oreille Health Coalition, a grassroots community coalition to improve health outcomes in Pend Oreille County through a network of local partnerships. The Coalition will help Newport School District continue the program by solidifying sustainable funding past the grant period.

This is a great example of a community collaborating and crafting linkages to impact health. The benefits of these linkages, and the direct services the nurse will provide students and schools, are bound to ripple through Pend Oreille County. We are happy to celebrate National School Nurses day by spreading this good news! 

Spotlight: CHAS Quit Happens

Tobacco use is the leading cause of preventable death world wide. At CHAS health clinics in Spokane, more than 50% of patients reported using tobacco, meaning half of their patients were at risk for tobacco-related death or illness. The CHAS clinical leadership team took a hard look at this figure, and seeing it as a true public health crisis, decided that helping patients to quit smoking was the single most important action they could take for community health.

In January 2015, CHAS launched their two-year cessation program Quit Happens. CHAS set a lofty goal of reducing the percentage of their patients who use tobacco by 10% in two years.  Knowing that the most important engagement of patients would be happening in the clinics, CHAS leadership gave clinic staff large ownership of the program. Staff even voted on the name, and made Quit Happens tee-shirts and swag to create a quitting supportive culture in their clinics.

CHAS looked at its workflows at every level where they meet patients to create opportunities to offer support. The first change was to normalize asking every patient at every visit, not just if they use tobacco, but if they are ready to quit. Those patients who can say YES are connected to any number of quit-supportive resources: 

  •  After their appointment, patients can be referred to a Quit Coach share resources with patients and talk through goals and barriers.
  • Two clinics host patient support groups, and Behavioral Health staff offer one-on-one counseling services for struggling patients. 
  • CHAS has made agreements with their Pharmacy department to offer Nicotine Replacement Therapy, such as the patch, gum, or prescription meds, at the lowest cost possible to patients.
  • CHAS brought in local smoking cessation expert Dr. Kawkab Shishani of WSU Spokane to train staff at each clinic on best practices for supporting patients who want to quit.
  • They’ve created a resource for clients that includes health information brochures from the American Cancer Society, Quit Happens swag, and information on local resources like support groups and the Washington State SmartQuit app.  

The big question of course, is it working? The program is only a year old, and quitting often takes multiple attempts so the data is slow to accurately show the impact of these changes. However, in just the first 8 months over 600 people told CHAS staff they were ready to quit smoking. One year in, CHAS has seen a 2% decrease in smoking, totally around 1000 people who have successfully become former smokers.

 “It’s hard to quit, but it’s the number one thing you can do for your health,” says Mellissa Nystrom of CHAS, and the impact of those 1000 former smokers is huge. The health benefits of quitting begin just 20 minutes after your last cigarette, as demonstrated in the infographic to the right. Not to mention the added impact for the families of smokers no longer inhaling smoke second hand. In addition, the CDC estimates that smoking costs the US $300 Billion Dollars a year in medical care and lost productivity from premature death.

No one knows better than a smoker how hard it is to quit, and CHAS knows they don’t need to belabor that point to their patients. Instead they’ve reworked their patient pathways and created a culture in their clinics that is ready to meet patients with support and encouragement when they are ready to quit.  CHAS’s “all hands on deck” approach to smoking cessation shows the value of supportive community in radically improving health, and that’s work we are thrilled to brag about. Way to go CHAS!

If you’d like to know more about CHAS’s work, please contact QI Manager Melissa Nystrom.

Bill to Strengthen Prevention Against Youth Vaping

We were happy to see news today that Governor Inslee has signed a bill to strengthen protections for youth against the sale and use of e-cigarettes and vapor products. Being a new industry, the sale of e-cigarettes and vaping products has so far been mostly unregulated. Recent studies show that e-cigarette usage in high-schoolers in on the rise; from one in 14 teens using e-cigarettes in 2012, to one in 5 in 2014. 

9 out of 10 smokers tried their first cigarette by age 18, so targeted prevention programs for youth are the first line of offense for reducing overall tobacco use and smoking related illness. The health benefits from quitting smoking start just 20 minutes after your last cigarette, and within the first year, your blood pressure and heart rate regulate, the level of carbon monoxide in your blood returns to normal, your circulation and lung function increases, and your risk of coronary heart disease is halved. Smoking cessation is hugely important tool of reducing premature death in the community. 

The bill stems from work done through the Healthiest Next Generation Initiative, which aims to fight the alarming prediction that this next generation will be the first to have shorter lives than their parents by investing in youth health outcomes. Among other regulations, this bill will require products be in display cases instead of sold openly, ban the use of vapor products where children congregate, and provide enforcement and penalties for retails who break the laws.

Here in Spokane, if you’d like to learn more about the effects of e-cigarettes and vaping products on youth and tools for prevention, Spokane Regional Health District is hosting a 3-part event series on just that Wednesday-Friday this week.  You can read about those events on the BHT blog