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Cultural Competency for Health Administration and Public Health

Author(s): Patti R. Rose, MPH, EdD, President and Founder, Rose Consulting, Miami, Florida
  • ISBN-13: 9780763761646
  • Paperback    176 pages      © 2011
Price: $116.95 US List
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Instructor Resources: Instructor's Manual, PowerPoints, TestBank

Cultural Competency for Health Administration and Public Health is a clear and concise introduction to the topics and tools necessary for the application of cultural competency processes in various healthcare settings. The chapters offer an overview of demographic changes in the United States, as well as accreditation requirements and cultural competency, cultural nuances of specific groups, and a comprehensive review of the Culturally and Linguistically Appropriate Services (CLAS) Standards and beyond.

Attention is also given to the associated costs, time, and skill sets associated with the process of moving a health care organization toward cultural competency. Ideal for senior-level undergraduate or graduate students, readers will gain valuable insight into the process of assessment its relevance to health administration and public health and will come away with a systematic and disciplined approach to the process of achieving cultural competence.


  • Includes an attitudinal survey with established reliability and validity—useful in assessing administrators, providers, and the workforce of healthcare organizations as well as attitudinal research.
  • Contains key terms in bold for each chapter as well as relevant activities, case studies and sidebars. Definitions of key terms will be found in a glossary at the end of the book.
  • Suggested readings and where appropriate, a list of high-quality Internet sources for further research featured at the end of each chapter.
Chapter  1  Introduction
Chapter  2  Cultural Competence and Diversity: Is there a Difference?
  Learning Objectives, Key Terms and Introduction
  Demographic Changes and Cultural Competence
  Cultural Competence and Linguistic Competence
  Diversity, Race and Ethnicity
  Hispanics and Latinos
  African Americans/Blacks
  Native Americans and Alaska Natives
  Asian Americans and Pacific Islanders
  The Importance of Cultural Competency for Health Care Organizations and Public Health and Culture
  Students and Fiscal Accountability and Cultural Competency
  Accreditation and Culturally and Linguistically Appropriate Services(CLAS) in Health Care Standards
  Chapter Summary and Chapter Problems
Chapter  3  Health Service Administration and Public Health and the Paradigm Shift
  Learning Objectives, Key Terms and Introduction
  The Need for a Paradigm Shift
  Expansion of Minority Markets
  Investing in Cultural Competence
  The Business Aspect of Healthcare
  Decreasing Malpractice Claims
  Enhanced Customer Service and Quality of Care
  Conclusions and Chapter Summary
  Chapter Problems
Chapter  4  Understanding Cultural Nuances and Barriers to Cultural Appreciation
  Learning Objectives, Key Terms and Introduction
  Cultural Nuances
  Cultural Competence as a Developmental Process
  Linguistic Competence
  Health Disparity
  Diverse Health Care Leadership
  Culture, Race and Ethnicity as a Factor in the Doctor Patient Relationship
  Treatment Seeking Behaviors
  Conclusions and Chapter Summary
  Chapter Problems
Chapter  5  The Cultural Competence Continuum
  Learning Objectives, Key Terms and Introduction
  Cultural Competence Continuum and Cultural Destructiveness
  Cultural Incapacity and Cultural Blindness
  Cultural Pre-Competence
  Cultural Competence
  Cultural Proficiency and Cultural Competence Framework
  Parameters that Differentiate Cultures
  The Assumption Exercise
  Chapter Summary
  Chapter Problems
Chapter  6  Cultural Competence and the Role of the Board of Directors, Health Service Administrators, Providers and Staff
  Learning Objectives, Key Words and Introduction
  The Board of Directors
  Chief Executive Officer (CEO) and Mission
  Council on Education for Public Health
  Settings Standards, Policies and Resource Allocation
  Planning and Action
  Assessment, Education and Training
  Initiatives and Conclusions
  Chapter Summary
  Chapter Problems
Chapter  7  Cultural Competency and Assessment
  Learning Objectives, Key Terms and Introduction
  Assessment and Test-Retest Reliability
  Alternate Form and Internal Consistency Reliability and Validity
  A Cultural Competence Assessment Tool
  Importance of Valid and Reliable Assessment Tools
  Conclusion and Chapter Summary
  Chapter Problems
Chapter  8  Cultural Competence Training
  Introduction, Key Terms and Learning Objectives
  The Significance of Cultural Competence Training and pproaches to Training
  Elements Needed to Ensure Successful Training Programs
  The Need for Cross Cultural Education and Training Essentials
  The Importance of Providing Key Terms Relevant to Cultural Competence
  Case Study
  Key Components of Cultural Competence Training
  Evaluation of Cultural Competence Training
  Conclusions and Chapter Summary
  Chapter Problems
Chapter  9  Culturally and Linguistically Appropriate Services (CLAS) Standards: An Overview
  Learning Objectives, Key Terms and Introduction
  The Need for CLAS Standards and Action Plans for Administrators
  Culturally and Linguistically Appropriate (CLAS) Standards
  Qualitative Research
  Chapter Summary and Chapter Problems
Chapter  10  The Ultimate Challenge: Educational and Institutional Considerations
  Learning Objectives and Key Terms
  Introduction and The American Medical Association
  The Commission on the Accreditation of Healthcare Organizations Education
  The Joint Commission on the Accreditation of Healthcare Organizations
  The Council on Education for Public Health
  The Institute of Medicine
  The Agency for Healthcare Research and Quality and The Sullivan Commission
  Necessary Educational Requirements
  Challenging Health Services Administrators and Public Health Practitioners
  Chapter Summary
  Chapter Problems
Chapter  11  Cultural Competence and Women of Color
  Learning Objectives and Key Terms
  Introduction and Needs Assessment
  Women of Color as A Special Needs Population
  Case #1
  Case #2
  Case #3
  Case #4
  Chapter Summary
  Chapter Problems
  Appendix  I  Cultural Competent Assessment Survey: Executive Team and Management
  Appendix  II  Cultural Competent Assessment Survey: Staff
  Appendix  III  Cultural Competent Assessment Survey: Providers
  Appendix  IV  Glossary of Important Terms
  Appendix  V  Websites and Journals Articles and Books
  Appendix  VI  Sample Cultural Competence Plan

Patti R. Rose, MPH, EdD-President and Founder, Rose Consulting, Miami, Florida

Dr. Patti Rose acquired her Master’s Degree (MPH) in Health Services Administration from the Yale University School of Public Health followed by her Doctorate (Ed.D) in Health Education from Columbia University, Teachers College. She is currently a Visiting Assistant Professor for the University of Miami (UM) Africana and American Studies Programs for which she has developed new courses entitled Black Women in Medicine and Healing, Race and Healthcare in America, African Women in the Diaspora and Contemporary Issues in America. Formerly, she served as CEO of Rose Consulting, Inc. followed by CEO of Plainfield Health Center in Plainfield, NJ.  Prior to that she served as Vice President of Behavioral Health Services at Economic Opportunity Family Health Center (EOFHC), Inc., one of the largest community health centers in the nation, located in Miami, FL and Consultant for that organization. She has also held the title of Lecturer for the Yale University School of Public Health, Adjunct Professor for the UM Education Department and Executive MBA Program as well as for the Barry University Health Services Administration Program, Associate Professor at Nova Southeastern University in Fort Lauderdale, FL and Assistant Professor at Florida International University in Miami, FL (graduate level Public Health  programs). Her professional affiliations have included the American College of Health Care Executives, the American Public Health Association, the Black Executive Forum, and the National Association of Health Services Executives. She was inducted into the Public Health Service Honor Roll at the Yale University School of Public Health for her long term commitment to public health service and was appointed by the U.S. Department of Commerce, National Institute of Standards and Technology to serve in the capacity of Examiner on the 2004 Board of Examiners of the Malcolm Baldrige National Quality Award. Dr. Rose has been married for 24 years and is the mother of two young adults.


Additional Titles by this Author
  • "The text is a simple, elegant, yet poignant discussion regarding the importance of  cultural and linguistic competency and diversity in public health practice, health care administration, and clinical practice. Major definitions, examples, and approaches along with historical milestones in the domain of cultural competency make this book both interesting and user friendly."

    —Maggie Stedman-Smith, PhD, MPH, MS, RN, Assistant Professor, Environmental Health, College of Public Health, Kent State University

The following instructor resources are available to qualified instructors for download

ISBN-13: 9780763761646

Instructor Manual
Slides in PowerPoint Format
Test Bank

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