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U.S. Department of Health and Human Services

Office of Minority Health

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National Association of Hispanic Nurses (NAHN)

Little Rock, AR 72223

Project: Hispanic Nurses Educating Multicultural Communities on the Affordable Care Act

Amount: $250,000

Project Abstract

Hispanic Nurses Educating Multicultural Communities on the Affordable Care Act (ACA) is intended to increase health care insurance enrollment among multicultural communities, particularly Hispanics, within the new enrollment period, while providing comprehensive health education on prevention and wellness. In 2011, more than 30 percent of Hispanics were uninsured, which was higher than any other racial or ethnic group. The project will utilize Hispanic nurses, who understand the healthcare challenges experienced by Hispanic communities and families, including poverty, language, and culture; and, are therefore uniquely prepared to conduct outreach, education, and enrollment activities in the selected communities. The project will enhance the Hispanic nurses teaching, communication, and leadership skills as they aim to strengthen and grow community partnerships and resources that are culturally relevant to Hispanic health promotion. The target population is uninsured Hispanic individuals in California, Texas, Florida, New York, New Jersey, Illinois, and Arizona, due to the particularly high uninsured rates in these states.

The NAHN national office will coordinate and assist chapters in the seven select states to identify two to three Hispanic nurse leads to attend a “train-the-trainer” workshop on the ACA and the Health Insurance Marketplace. The learning outcomes of the “train the trainer” workshop will include: learning best practices for targeting and educating hard to reach communities; strategies for providing bilingual assistance to individuals and families with the enrollment process; and, learning techniques to assist with completion of applications to determine eligibility and ability to purchase health insurance offered through the Marketplace. Next, the Hispanic nurse leads in each chapter will conduct the same training locally in their state to a minimum of 5 to 10 NAHN chapter members. The trained chapter members will each commit to conducting at least 5 community forums, which will target average attendance rates of 20 individuals or families per event. As a part of the outreach and education, nurses will emphasize prevention and wellness in their presentations.

Expected outcomes for this project include:

  • Training of 2 to 3 Hispanic nurse leads in each of the seven target states;
  • Hispanic nurse leads will conduct trainings of nurses locally in their state;
  • Local nurses will each conduct at least 5 community forums with average attendance rates of 20 individuals or families;
  • Increased understanding of and enrollment in health insurance, either through the Marketplace or Medicaid;
  • Increased understanding of preventive care options under the ACA, as well as culturally relevant strategies for health and wellness;
  • Distribution of materials at each community workshop/session, including online strategies that are culturally, linguistically, and age appropriate;
  • Project education and materials that will provide basic, yet fundamental key learning activities to promote health literacy among multicultural communities; and
  • Dissemination of “best practices” across all NAHN chapters, in order to sustain program efforts.

Performance measures for this project include:

  • Total number of nurses trained;
  • Total number of community education sessions; and
  • Number of participants that enroll in Medicaid and the Health Insurance Marketplace.  

The project will evaluate whether outcomes are achieved through tracking project activities, using attendance tracking sheets, and a survey of Hispanic nurse participants. The evaluation will provide a description of the proposed activities, such as: demographic data on nurses trained/participating, monthly logs indicating community sessions conducted, monthly logs of partnerships formed, and the number of clients that enroll in the Health Insurance Marketplace and Medicaid. The event attendance sheet includes five general questions on why the person is attending the session, demographic information, and whether they require follow up. Additionally, a survey of the Hispanic nurses will determine the effectiveness of the training. NAHN will conduct pre-and-posttest surveys among nurses who participate in the training to evaluate their readiness or preparedness to educate others on the health insurance Marketplace and issues surrounding the ACA. The survey also addresses their attitudes towards the subject and motivation for attending the training.

Awareness: Increase awareness of significant health disparities, their impact on the nation, and the actions necessary to improve health outcomes for racial, ethnic, and other disparities populations.
Cultural and Linguistic Competency: Improve cultural and linguistic competency and the diversity of the health-related workforce.
Health System and Life Experience: Improve health and healthcare outcomes for racial, ethnic, and underserved populations.
Leadership: Strengthen and broaden leadership for addressing health disparities at all levels.


AHS-1: Increase the proportion of persons with health insurance.
11/12/2015 6:32:00 PM