National Hispanic Medical Association NHMA NET October 2010

Washington, DC


Congress left DC September 30 for midterm elections with a

Small Business Jobs and Credit Act of 2010

signed into law by President Obama on September 27, 2010 that includes new deductions for small businesses ---including for medical practices to have up to $500K tax deductions for software, hardware for health information technology in 2011.
Congress has not made much progress on passing the 12 FY 2011 annual appropriations bills this year, with the House Appropriations Committee reporting just two bills, both of which the House passed, and Senate Appropriators reporting 11 of their 12 bills, but with none seeing Senate floor action. NHMA has focused its efforts on the FY 2011 Labor, HHS-Education spending bill which funds all federal health spending, including funding for the Centers for Disease Control and Prevention and the Health Resources and Services Administration. NHMA has continued to sign on to advocacy letters from public health coalitions urging completion of the FY2011 budget for health programs.
Child Nutrition Bill is a Major Focus

The House of Representatives adjourned for the midterm elections in the early morning hours of September 30, without taking up consideration of

S. 3307, the Healthy, Hunger-Free Kids Act

,legislation to reauthorize federal child nutrition programs. NHMA has made passage of the bill a top priority before the end of the year. The legislation passed the U.S. Senate by unanimous consent earlier in the summer. NHMA and other public health and child advocates will push the House to consider the bill should it come back for a lame-duck session after the elections. At a meeting at the White House in mid-October, First Lady Michelle Obama urged advocates to continue our efforts. After Congress negotiations, President Obama has promised not to offset the program with future SNAP funds.

S. 3307 includes an additional $4.5 billion over 10 years for federal child nutrition programs and also includes a number of important policy changes aimed at providing the nation’s children with healthier foods before, after and during school hours. Specifically, the bill would: update the nutrition standards of school meals; limit the sale of junk food in schools; provide greater reimbursement and more training to schools so they can serve more nutritious meals; improve and simplify the application process; increase the use of foods from local and regional sources and support improved school nutrition and physical activity wellness policies.

Health Care Reform

U.S. Department of Health and Human Services started holding day-long summits on health care reform topics that are now online. Rios participated in the September meeting on Health Insurance Exchanges to hear from experts from Massachusetts and California discussing challenges and information on what the future may hold and the October 4th meeting on Health Care Quality and Value regarding improvement of health care delivery and payment systems. Stakeholders, including past president of the National Association of Hispanic Nurses, Dr. Antonia Villarruel of University of Michigan discussed several topics, including state-federal collaboration and public-private partnerships, variations in price and quality, coordination of care, and workforce diversity.

White House Initiative on Educational Excellence for Hispanics

- President Barack Obama signed a new executive order on Oct. 19th renewing and strengthening the former one that had been first introduced by President Bush Senior in 1990. In his speech, President Obama reinforced his commitment to improving education outcomes of Hispanic students and ensuring that all students receive a complete and competitive education that prepares them for success in college and beyond.

NHMA presented Public Comments to two regulations for Health Care Reform:

1. Health Insurance Exchanges

– that they include enhanced outreach with health literacy and community health workers; that they include enhanced efforts in Hispanic population areas such as Puerto Rico and multi state exchanges be considered for efforts to enhance U.S.-Mexico binational health insurance with the Consulates of Mexico programs.

2. National Health Care Quality Plan

– in addition to the framework of “person-centered and family engagement, the Plan should include a population focus such as a “safety-net” focus for services that should be targeted to MUA, HPSA areas where clinics, hospitals and medical practices provide more charity care for the poor and those who will continue not to be enrolled (falling through the cracks) in the future insurance programs under health care reform. The Hispanic population needs to have increased cultural competence research and programs to become part of the quality planning.



The week long institute is the third session of our NHMA Leadership Fellowship by which NHMA faculty as well as leaders from government and private sector has successfully trained 10 Hispanic physicians who were selected from across the nation. The DC Institute included speakers from the White House, Health Reform Office of HHS, OMH and cultural competence experts from the HHS agencies, HRSA on workforce, CDC, Department of Labor, and EPA on prevention efforts, as well as think tanks, major public health advocates, and the Senate HELP Committee staff and Speaker Pelosi staff and others who shared their experience and knowledge about the importance of being in a leadership position in public service in order to be effective in improving health of Hispanic communities.


The Board met to discuss future directions of NHMA, including building membership participation activities and affinity programs, new website to be developed this fall, plans for a calendar with all affiliated medical societies and medical student/resident groups and the NHMA Regional Networking Meetings, in addition to the 15th NHMA Annual Conference Plan on March 17-10, 2011 in Washington, DC. Board also discussed new programs planned for 2011 with HRSA (NHMA Leadership Fellowship and the NHMA Resident Leadership) and with the Office of Minority Health on health professional leadership training. Guest speakers included partners, AARP Executive Vice President, Lorraine Cortez Vazquez and Enroll America principal, Ron Pollack.

NHMA CONGRESSIONAL BRIEFING ON HISPANIC HEALTH: “Prevention Policies & Programs to Reduce Obesity among Hispanic Children”

at the Rayburn House Office Building Room 2168 was convened on September 28, 2010 from 1:00 – 2:30 pm to an audience of over 100 policy staff and national advocates. See video of the briefing on under government affairs.

According to the U.S. Census, one in every four Hispanics now live in poverty, a total of 12.4 million people facing hunger. What is more alarming is that 33 percent of Hispanic children now live below the poverty line. According to the Centers for Disease Control and Prevention, in 2008, 18.5 percent of Hispanic children were obese compared to 12.6 percent of white children and 11.8 percent of African American children.

“We are bringing experts to Congress to discuss strategies that work to reduce obesity among Hispanic children, according to Dr. Elena Rios, president and ceo of the National Hispanic Medical Association,
“because our society needs to invest in prevention programs that reduce child obesity in our poorest communities.”

One of the speakers, Dr. Shale Wong from the First Lady’s Office said, “We commend NHMA for organizing this Congressional briefing which showcases policies and programs to help reduce obesity among Hispanic Children and thus contributes to ending the wider childhood obesity epidemic, the goal of the First Lady’s Let’s Move Campaign.”
“Since 2007, National Dairy Council (NDC) has partnered with the NHMA to improve the health of the nation’s Hispanic population – and other underserved populations – through various educational programs. Now, through Fuel Up to Play 60, an in-school nutrition and fitness program launched in partnership with NDC and the National Football League in cooperation with the U.S. Department of Agriculture, we are proud to join with NHMA to help combat obesity for all children, especially those in large urban areas who are particularly at risk,” said Karen Kafer, another speaker and Vice President of Nutrition Affairs-Health Partnerships at NDC. “We at NDC are excited to work with NHMA to increase access to healthy, tasty and appealing food choices at school, along with regular physical activity by engaging and empowering youth to take action for their own health. With more than 61,000 schools already enrolled, Fuel Up to Play 60 is providing a long-term avenue to improve the health of all children.”

Other speakers included Rajen Anand, DVM, PhD, Executive Director, Center for Nutrition Policy and Promotion, U.S. Department of Agriculture, Cecilia Pozo Fileti, MS, RD, Director, Latino Infant Nutrition Initiative, Eduardo Sanchez, MD, MPH, Vice President & Chief Medical Officer, Health Care Service Corporation, and Ana Garcia, MPA, Senior Policy Associate, New York Academy of Medicine.

The good news is that there has been growing attention in Washington, DC to reducing child obesity. The Affordable Care Act, passed in March, will support major prevention programs to tranform our communities to reduce obesity. This summer, Congressman Joe Baca (D-CA) introduced the Healthy Children through School Nutrition Education Act to add nutrition education to school lunch programs and the Physical Education to Create a Healthier Nation Act for public schools to have minimum physical education time.

“Hispanic Doctors, Dentists, and Nurses Applaud the Health Care Reform Law for our Patients”

Washington, DC
September 2, 2010

The Patient Protection and Affordable Care Act, signed into law by President Obama earlier this year, is the most comprehensive health care reform legislation in the U.S. since Medicare which provides access to care for persons over 65, the blind, dialysis patients and Medicaid which does so for the poor - were established in 1965. This month, key provisions of the new law go into effect that will start increasing insurance and thus, access to health care services for 30 million Americans.

The National Hispanic Medical Association, the National Association of Hispanic Nurses and the Hispanic Dental Association, representing over 125,000 doctors, nurses and dentists treating millions of Hispanic patients, support President Obama’s Patient Care Act not only for increasing access to care, but because it will provide quality care and prevention services that will reduce costs, and support new jobs in the health workforce. This law, over the next decade, will result in a positive paradigm shift in the way health care services are provided to our patients.

For example, the quality of care will be improved as we see the adoption of the new language and cultural competence services as well as electronic health records and data collection efforts in our private offices, community clinics, public hospitals and teaching hospitals. In addition, increased quality will decrease costs as new guidelines are created, based on value and outcomes of our patients, not on the current system based on how many lab tests or x-rays we order – so we can better care for our patients’ diabetes, heart disease and cancer, etc.

Prevention services will be improved in our communities with federal agencies working together for the first time to focus on community transformation programs, school clinics, worksite wellness programs, and healthy homes. New programs targeted at children and adults will reduce the obesity epidemic as asthma inducing trucks are diverted away from schools, as parks, fresh food markets and gardens and walking and bike paths are built, and health messaging will become more common through multimedia.

Since the Patient Care Act will cover 30 million new insured patients over time, there will be a national focus on building the primary care workforce ---doctors, nurses, dentists who can see the majority of sick patients and then refer them to specialty care as needed. This new workforce will work together in multidiscipline teams with mental health professionals, allied and community health workers to offer more efficient and less costly care.

In summary, the National Hispanic Medical Association, the National Association of Hispanic Nurses, and the Hispanic Dental Association salute President Obama and Congress for the new health care reform law and look forward to treating healthier patients and communities.

Sullivan Alliance to Transform the Health Professions, Inc.

is a new 501c3 organization in Washngton, DC with regional alliances built with HBCU institutions – Ciro Sumaya, Elena Rios, and Joan Reede from the NHMA Board of Directors are members of the advisory group.


CDC Leadership Update

: Dr. Walter W. Williams has begun a new assignment as a medical epidemiologist in the Assessment Branch, Immunization Services Division in the National Center for Immunization and Respiratory Diseases. Ms. Tamara Kicera will act as director of the Office of Minority Health and Health Disparities (OMHHD). In addition, the office is proposing a name change from OMHHD to the Office of Minority Health and Health Equity (OMHHE).

CDC’s Health Disparities Report

: In early December, CDC will issue the first CDC Health Disparities Report, which addresses disparities in mortality, morbidity, behavioral risk factors, and social determinants of selected health problems in the United States. The report will contribute to the achievement of the Awareness and the Data/Research/Evaluation goals of the NPA by consolidating the most recent national data available on disparities in the United States through selected indicators. CDC is planning a nationwide engagement plan to immediately follow the release of the report.

New Minority Health Funding

: CDC is building from the recommendations of its May meeting with minority medical education leaders, including Rios from NHMA, to refine the agency’s approach to funding that comes from the Office of Minority Health and Health Equity. In FY 2011, CDC plans to release a new funding announcement that creates a national program for the training of minority undergraduate students in public health and the biomedical sciences to provide early pipeline opportunities for careers in public health.

Want to earn Medicare Electronic Health Record (EHR) incentive payments?

Physicians need to apply for the incentive payments under Medicaid and Medicare to support your EHR system that will be mandatory in private practice over the next five years. GO TO:

Your hospital/critical access hospital must have an enrollment record in the Provider Enrollment, Chain and Ownership System (PECOS) in order to be eligible to receive a Medicare EHR incentive payment.

Enhancement Initiative of CLAS Standards

This year marks the 10th anniversary of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care. To ensure that the CLAS Standards remain current and appropriate, the HHS Office of Minority Health is launching an enhancement initiative of the CLAS Standards. As a part of this initiative OMH is seeking public input. Oct. 22nd - Baltimore, MD; Nov. 4th - San Francisco, CA, Nov. 15th - Chicago, IL
The feedback received will serve to inform the enhancements to the existing standards.
To provide feedback on the CLAS Standards online, or to register to attend one of the public meetings, please visit For more information or to ask a question about this initiative, please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it..

NIH Loan Repayment Programs

applications due 8:00 p.m. EST on Nov. 15, 2010.
These programs often allow scientific investigators to remain in the research workforce, achieve research independence and focus their efforts on advancing the health of the nation. Opportunities are available in clinical research, pediatric research, health disparities research, contraception and infertility research, and clinical research for individuals from disadvantaged backgrounds. Each year, some 1,600 research scientists benefit from the more than $70 million NIH invests in their careers through the extramural LRPs. Go to For additional assistance, call or e-mail the LRP Information Center at (866) 849-4047 or This email address is being protected from spambots. You need JavaScript enabled to view it..

BENEFITS: New LRP contracts are awarded for a two-year period and repay up to $35,000 of qualified educational debt each year. Tax offsets also are provided as an additional benefit. Participants may apply for competitive renewals, which are issued for one or two years. Undergraduate, graduate, medical school, and other health professional school loans qualify for repayment. An NIH grant or other NIH funding is not required to apply for or participate in the LRPs.

ELIGIBILITY: Applicants must possess a doctoral-level degree (with the exception of the Contraception and Infertility Research LRP); be a U.S. citizen, national, or permanent resident; devote 20 hours or more per week to conducting qualified research funded by a domestic nonprofit, university, or government entity; and have qualified educational loan debt equal to or exceeding 20 percent of their institutional base salary. For guidance on the application process and NIH Institute and Center (IC) research priorities, potential applicants should review “Tips for Completing a Competitive Application” at .

Associate Medical Director

Novum is a contract research organization ("CRO") that provides clinical research, data management, statistical and reporting services to the pharmaceutical and related industries. Novum was founded in 1972 and operates Phase I research facilities with a total of 550 beds in three USA locations. Novum is the second largest CRO in the USA as, measured in bed capacity. Novum averages over 200 Phase I studies performed annually.
Novum is currently hiring for: Associate Medical Director- Houston, Texas
Position Summary
Responsible for ensuring that Phase I investigations are conducted according to signed investigator statement, protocol, Standard Operating Procedures (SOP’S), good clinical practices (GCP’S) and FDA regulations. Ensures subject safety throughout participation. Manage small team of supporting part-time physician investigators. Provides medical consultation to scientific staff and study sponsors in design, implementation, conduct, and reporting of research studies.
Essential Responsibilities
• Provide medical supervision of all clinical procedures including: planning, screening, qualification assessment, obtaining medical history, physical examinations, review of laboratory and other test results, interpretation of ECGs and management of adverse events.
• Overall management responsibility of a small group of part-time physicians to ensure clinical research projects, from onset to conclusion, are conducted appropriately and in support of clinical operations.
• Perform medical review of Study Protocol, Investigative Drug Brochure, and Case Report Forms.
• Serve as Medical/Scientific Advisor providing guidance to Project Managers on the medical and scientific aspects of assigned projects.
• Review study-related Adverse Events, Clinical Study Reports, and other study documentation as required.
• Flexible work schedule including early mornings, evenings and weekends is essential.
• Serve as a resource and participate in strategic business development activities.
• Perform other duties as assigned.

• Current Texas state medical license.
• Board-certification in a specialty recognized by the American Board of Medical Specialties.
• Previous experience in clinical research is not required but may be advantageous for this position.
• Advanced Cardiac Life Support (ACLS) and Cardiopulmonary Resuscitation (CPR) Certification is required.

Please send your resume or CV and salary requirements to This email address is being protected from spambots. You need JavaScript enabled to view it.
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Massachusetts General Hospital (major teaching affiliate of Harvard Medical School) seeks health services researcher with expertise in health care disparities among racial and ethnic minorities. Researcher would seek external funding, conduct health services research addressing racial and ethnic health care disparities, and mentor trainees and junior faculty in disparities HSR. Researcher would serve in the Disparities Solutions Center within the Mongan Institute for Health Policy at MGH. MD and/or PhD required, with extensive externally-funded research, publication experience, and national recognition for disparities HSR (qualifications for associate professor appointment at HMS). Clinical appointment as appropriate at MGH. Under-represented minorities, women, and persons with disabilities encouraged to apply. MGH is an equal opportunity employer. For information, contact Lisa Morse, Mongan Institute for Health Policy, Massachusetts General Hospital, 50 Staniford Street Room 901, Boston, MA 02114, 617-724-4744, This email address is being protected from spambots. You need JavaScript enabled to view it.

The NIH is the center of medical and behavioral research for the Nation
----making essential medical discoveries that improve health and save lives.

The mission of the National Institute of Dental and Craniofacial Research (NIDCR) is to improve and promote oral, dental, and craniofacial health through research, research training, and the dissemination of health information.

Are you an exceptional candidate who can provide leadership to one of the preeminent Institutes for oral, dental, and craniofacial health research in the world? This position offers a unique opportunity to serve as the chief visionary for the Institute, actively engaging others to create a shared vision of the purpose and direction of the organization. The Director, NIDCR, works collaboratively within the Institute and across the NIH to generate and gain commitment for organizational goals and has a keen awareness of how to navigate through the workings of the public sector to effectively promote and reach NIDCR and NIH objectives. The Director optimizes organization performance by developing strategic priorities, setting and communicating clearly defined expectations, and promoting accountability for results. Serving as a role model for the institute, the Director, NIDCR, demonstrates integrity and fairness, adhering in work and behavior to the highest ethical, scientific research, and business practices standards.
We are looking for applicants with a D.D.S., M.D. and/or Ph.D. who have senior-level research experience and knowledge of research programs in one or more scientific areas related to oral, dental, and craniofacial health. Applicants should be known and respected within their profession, both nationally and internationally, as individuals of outstanding scientific competence.

The successful candidate for this position will be appointed at a salary commensurate with experience and accomplishments, and full Federal benefits, including leave, health and life insurance, retirement and savings plan (401K equivalent) will be provided.

If you are ready for an exciting leadership opportunity, please see the detailed vacancy announcement at (under Executive Jobs). Applications are due by 11:59 p.m., Friday, December 10, 2010.



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