About NCAPIP


The National Council of Asian Pacific Islander Physicians (NCAPIP) represents Asian American, Native Hawaiian, and Pacific Islander physicians committed to the advancement of the health and well-being of their patients and communities. NCAPIP believes in shaping health care in America to meet this shared American goal of optimal health for all.

Physicians must take a leadership role in assuring that every American receives the highest quality health care, provided by health care systems and supported by health care policies that value each and every individual and their unique backgrounds. Health care should be provided in an equitable manner, without discrimination based on type of health insurance, income, gender, age, race, ethnicity, national origin, language, religion, disability, sexual orientation, gender identity, geographic location, or immigration status.

NCAPIP recognizes the important policy gains implemented by the Affordable Care Act (ACA) and supports additional national, state, local, and health care industry-driven policy reforms that will address the disparities AANHPI populations face, and which would improve the health care systems in the U.S. for all. To achieve optimal health for all, federal, state, local, and health care industry policies, standards, and practices must address:
  1. affordable access to care that is not only affordable health insurance coverage, but also overcoming cultural and linguistic barriers to care;
  2. improved quality of care, a must for all Americans, with consideration given to the socioeconomic conditions, diversity of needs, and health disparities experienced by AANHPIs;
  3. reduced costs and payment reform with continued innovation, and intentional shift of resources to prevention and wellness, primary care, and home- and community based care; and
  4. health workforce development and leadership.

NCAPIP Celebrates Asian American and Pacific Islander Heritage Month


Congratulations, Dreamers!

The National Council of Asian Pacific Islander Physicians wishes individuals who are protected under the Deferred Action for Childhood Arrivals (DACA) and their supporters a hearty congratulations on the announcement that the Supreme Court has found the Trump’s administration attempt to roll back DACA “arbitrary and capricious”. Thus, the Supreme Court has decided for now, individuals covered under DACA do so under full protection of the law.

While this is not a permanent resolution, it provides our communities with relief from oppressive immigration policies that threaten their health and livelihood. Thousands of DACA young people are a vital part of our healthcare workforce who provide critical services to our linguistically and culturally isolated communities. Moreover, the 800,000 “Dreamers” contribute to our country as vital contributors to education, commerce, and innovation. NCAPIP is proud to have been one of the organizations that signed an Amicus brief, defending the continuance of DACA.

NCAPIP Letter to House Ways and Means Committee Addressing COVID-19 Disparities

The National Council of Asian Pacific Islander Physicians (NCAPIP) submitted this statement to the Ways and Means Committee of the U.S. House of Representatives.

Included in the letter were data that showcased the COVID-19 disparities in Asian Americans and Pacific Islanders, as well as the lack of demographic data collection in many states. The letter also included a multitude of recommendations around culturally competent, linguistically appropriate contact tracing, workforce diversity, and COVID-19 in-language messaging.

The CDC’s interim guidance on COVID-19 contact tracing, issued on May 15, 2020, states:

Culturally and linguistically diverse minority populations are growing in the United States. These populations include racial and ethnic minorities, members of tribal nations, immigrants (i.e., those born outside the United States) and refugees. They may be at higher risk for COVID-19 or worse health outcomes due to a number of reasons including living conditions, work circumstances, underlying health conditions, and limited access to care.

It is important that case investigations and contact tracing are conducted in a culturally appropriate manner, which includes meaningfully engaging community representatives from affected communities, collaborating with community-serving organizations, respecting the cultural practices in the community, and taking into consideration the social, economic and immigration contexts in which these communities live and work.


Currently, CDC contact tracing information is only available in English.

The statement notes that physicians from racial and ethnic and other medically underserved communities can be credible and trusted spokespersons to help educate communities about COVID-19 contact tracing. NCAPIP recommends health departments partner with local medical societies, state medical associations, and racial and ethnic physician organizations to conduct community education about COVID-19 contact tracing.

With the majority of ambulatory care visits being made to small and solo physician practices coupled with their value to vulnerable communities, small practices lack the type of federal support that benefits hospitals, large mainstream practices, and health systems. NCAPIP calls for funding and technical support to be more targeted towards these essential community providers, particularly in response to COVID-19 disparities.

To read the statement: Click Here

COVID-19 Treatments Must Work for Communities of Color

Washington, D.C. -- The Alliance of Multicultural Physicians (the Alliance) urged FDA Commissioner Stephen Hahn and members of Congress in a letter to make diversity in clinical trials a greater priority in order to address disparities in COVID-19 cases and deaths in racial/ethnic minority communities, and to address a longstanding lack of diverse participation in clinical trials. The letter came within weeks of an FDA stakeholder call on COVID-19 with the Alliance and other medical groups that advocate for vulnerable populations.

“As a result of the Coronavirus pandemic, a bright light has recently been shown on the health disparities that have always existed in America,” said Dr. Oliver Brooks, President of the National Medical Association (NMA).  What the world is witnessing is that Black, Hispanic, Native American, Pacific Islander, and Asian patients are severely overrepresented among those who have suffered the morbidity and mortality of COVID-19.”

Data from the 40 states that collect race and ethnicity data show that White Americans are dying from COVID-19 at a rate of 22.7 per 100,000  in the population, whereas African Americans die at a rate 54.6 deaths per 100,000, Hispanic Americans at a rate of 24.9 deaths per 100,000, and Asian Americans at 24.3 deaths per 100,000.  Though the data  are sparse for Native Americans, in New Mexico they die from the COVID-19 disease at a rate that is eight times that of the white population, and in Arizona they die at a rate that is five times that of all of others in the population. For Native Hawaiians and Pacific Islanders, the available data in ten states show percentages of COVID-19 cases and deaths that are two to three times greater than their percentage of the population.
The letter, addressed also to the heads of the Pharmaceutical Researchers and Manufacturers of America and the Biotechnology Innovation Organization, states that the majority of approved drug products come with an FDA disclaimer that there is insufficient availability of data to determine effective response in racial-ethnic minority patients due to lack of participants during testing. That problem is often compounded by a high prevalence of the disease in the same minority patients for which the product is indicated for use. "In these difficult times our most marginalized communities remain at the greatest risk for health disparities. COVID-19 has demonstrated what our communities already know, we need to be as One to end health disparities resulting from non inclusion and policies of invisibility in healthcare," said Dr. Brian Thompson, board member of the Association of American Indian Physicians (AAIP). "We appreciate FDA efforts to increase diversity and inclusion in all aspects of medical care."

The Alliance, which includes five national physician associations (AAIP, NMA, NHMA, ABC,  and the National Council of Asian Pacific Islander Physicians) acknowledged the FDA and its Office of Minority Health and Health Equity for “its leadership and efforts to encourage diversity in clinical trials, especially with COVID-19 exacerbating and highlighting the health disparities that exists in the United States. Now is the time to support programs to increase clinical trial participation of investigators and participants to reflect the current population of the United States,” said Dr. Elena Rios, President & CEO of the National Hispanic Medical Association. In its letter, the Alliance recommended the FDA provide “clear guidance to all sponsors of medical products directed at COVID-19 to assure inclusion that provides the bases for clinically meaningful data to address the needs of a diverse America.”

Members of the Alliance took note that the path to achieving diverse, reflective clinical trials would take more than regulatory efforts.“An additional focus must be on ensuring that overall or main clinical trial principal investigators are from diverse racial and ethnic groups such as black and Hispanic/LatinX investigators,” Dr. Michelle Albert, President of the Association of Black Cardiologists (ABC). “The latter represents a key upstream component of increasing patient diversity in clinical trials and also improving on current clinical trial strategies and questions. "

The group pledged a continuing effort to address disparities in medicine beyond the duration of the pandemic.  “Our country is at a critical juncture on how to move confidently and judiciously to address racial injustice, which permeates every aspect of our social and civic lives,” said Dr. Winston Wong, President and Chair of NCAPIP.  “Racial equity must also guide our process of evaluating and approving medical therapy for our communities, especially those that have dealt with generations of inequity.”

NCAPIP Stands with the African American Community and Denounces Police Brutality and Murder

The National Council of Asian Pacific Islander Physicians (NCAPIP) stands in unity with the African American community, and all communities standing for justice and fairness, in denouncing the murder of George Floyd at the hands of the Minneapolis police force.   His death is the latest example of the reprehensible, historical persecution of communities of color and marginalized people.  As physicians who stand for the access and care for our APINH communities, we are starkly aware of the inequality and injustices faced by racial and national minorities.   The opportunity and privilege that we hold as physicians to the American people also commands our responsibility to stand up for racial justice and healing.

Healthcare Providers: Equip Your Patients with Sound Information on Corona Virus

Washington, D.C. January 31, 2020 - The National Council of Asian Pacific Islander Physicians (NCAPIP) stands solidly in support of WHO recommendations in addressing the threat of 2019nCoV (“Corona”) viral spread.  In face of this public health emergency we urge all health care providers to be equipped to provide culturally sensitive and language appropriate information to patients and communities at large.  Given the origin of the epidemic appears to be from Wuhan, China, there is likely to be additional concern for individuals who have recently traveled from that region.  At the same time, it is important to be mindful of incidental or implicit bias of individuals of Chinese ethnicity, nationality or origin.  NCAPIP upholds the mission of providing quality care and access to our immigrant communities, and urges all health care providers to uphold principles of patient centeredness, humane and respectful care as we confront the challenge of the corona virus.   Community based physicians are trusted sources of care and referral and we support their practices during this time of uncertainty.   We urge common sense and practical safeguards against the spread of infectious and respiratory disease, and for everyone to seek medical care immediately if they have a fever (100.4 degrees Fahrenheit or 38 degrees Centigrade) and are experiencing respiratory symptoms.

Health Care Priorities For A COVID-19 Stimulus Bill - Health Affairs Blog

Health Care Priorities For A COVID-19 Stimulus Bill: Recommendations To The Administration, Congress, And Other Federal, State And Local Leaders From Public Health, Medical, Policy And Legal Experts

"With nationwide community-spread of the novel coronavirus COVID-19 and extreme volatility in the economic markets, Congressional action is necessary and appropriate to help keep the United States healthy and to avoid financial calamity. Doing so will require significant financial investment, legislative and executive action, and the full participation of all segments of American society — government, the private sector, and individual citizens…"

Read blog post here: Health Affairs Blog 12 March 2020

Healthcare Providers: Equip Your Patients with Sound Information on Corona Virus

Washington, D.C. January 31, 2020 - The National Council of Asian Pacific Islander Physicians (NCAPIP) stands solidly in support of WHO recommendations in addressing the threat of 2019nCoV (“Corona”) viral spread.  In face of this public health emergency we urge all health care providers to be equipped to provide culturally sensitive and language appropriate information to patients and communities at large.  Given the origin of the epidemic appears to be from Wuhan, China, there is likely to be additional concern for individuals who have recently traveled from that region.  At the same time, it is important to be mindful of incidental or implicit bias of individuals of Chinese ethnicity, nationality or origin.  NCAPIP upholds the mission of providing quality care and access to our immigrant communities, and urges all health care providers to uphold principles of patient centeredness, humane and respectful care as we confront the challenge of the corona virus.   Community based physicians are trusted sources of care and referral and we support their practices during this time of uncertainty.   We urge common sense and practical safeguards against the spread of infectious and respiratory disease, and for everyone to seek medical care immediately if they have a fever (100.4 degrees Fahrenheit or 38 degrees Centigrade) and are experiencing respiratory symptoms.

NCAPIP Denounces Supreme Court Decision

“The National Council of Asian Pacific Islander Physicians (NCAPIP) denounces the Supreme Court decision announced yesterday to lift a nationwide injunction that had blocked  the intention of the Department of Homeland Security to move forward with new definitions of public charge, effectively discouraging lawfully residing Americans from securing vital human services, including medical care, lest they jeopardize theirs and their loved ones path towards permanent residency and by extension, citizenship.  This anti-American, anti-immigrant, inhumane policy is not only unethical, but short sighted and a detriment to the vitality and health of our communities.   As physicians who are dedicated to the well being of our patients and the broader immigrant community, we urge our supporters, friends, and colleagues to support further efforts to block the implementation of this policy, and to join the #OneNation coalition of organizations and individuals to protect the rights of immigrants.   January 28, 2020”

NCAPIP Responds to US District Court Ruling

“NCAPIP applauds the decision today by the US District Court in New York to place an injunction on the Trump Administration’s proposal to revise the criteria for public charge in relation to attaining status as a permanent resident in the United States.

“The proposed rule changes are draconian and anti-immigrant, and threaten the well being of our immigrant API communities by usurping their access to Medicaid and basic services such as food stamps and public housing. This injunction temporarily puts a halt on the proposed implementation set for October 15, 2019. We must continue to fight for a total withdrawal of this proposal as physician leaders of API immigrant communities” said Dr. Winston Wong, chairperson and Acting president and CEO of NCAPIP.

NCAPIP Responds to DHS Public Charge Law

The National Council of Asian Pacific Islander Physicians (NCAPIP) is deeply concerned about this week’s finalization of the Department of Homeland Security’s (DHS) public charge law because of its significant adverse consequences on the health and well-being of Asians and Pacific Islanders (APIs), and other immigrant communities throughout the U.S. and U.S.-associated jurisdictions in the Pacific.

As physicians at the forefront of caring for immigrant and refugee patients, we are distressed that patients already are deferring or declining needed health care based on the fear that their own, or their loved ones’, immigration status would be adversely affected. Deferred care means delayed diagnosis and worsening of treatable conditions, leading to needless suffering and avoidable morbidity and mortality.

Today, three out of ten new permanent residents are from Asia and Pacific Island nations. Immigrants are vital to the diversity and health of our nation, becoming contributing members of their neighborhoods and communities. For example, API physicians trained in their home countries who continue their training here in the U.S. (international medical graduates) often provide vital primary care to medically underserved populations, serving in medically underserved areas.

By weighing negatively many factors that are highly relevant for API applicants for permanent resident status, the new public charge law will most likely result in limiting the number of API individuals and families who are allowed to enter the U.S., and who are allowed to remain and achieve permanent resident status. Under the new law, applicants who are under 18, over age 61, have any medical condition, have less education, have limited English proficiency, have lower household incomes, and have poor credit histories will have all those factors negatively weighed against them. Receipt of Medicaid, Supplemental Nutrition Assistance Program (SNAP), and public housing support also will be heavily weighed negative factors against them.

Even the DHS continues to concede that, as a result of its intent to scare eligible individuals and families into dis-enrolling from, or failing to enroll, in health, nutrition, and housing programs, the new law will lead to worse health outcomes, including increased prevalence of both malnutrition and obesity, and increased prevalence of avoidable communicable diseases. Moreover, DHS itself continues to admit that the new law will lead to increased use of emergency rooms and acute care as a method of primary health care due to delayed treatment. There will also be increases in uncompensated care in which a treatment or service is not paid for by an insurer or patient. Finally, DHS acknowledges that the proposal will lead to increased rates of poverty and housing instability and reduced productivity and educational attainment among individuals applying for permanent resident status, and their families. Given all these admitted negative impacts, there is no rational justification for continuing to pursue this policy change.

NCAPIP urges all physicians who serve immigrant patients to remain updated on this new law, including the anticipated legal challenges to block and delay its implementation, which is now scheduled for October 15, 2019. NCAPIP will continue to work with other physician associations and health stakeholders to educate physicians and immigrant families about the devastating consequences of this new law.

NCAPIP Statement (PDF 530KB)

See also NCAPIP Comments on Public Charge submitted on 28 November 2018 (PDF 220KB)

Congressional Briefing: Diversity in Medical Education Policies for Higher Education, Medical Schools, and GME

NHMA Congressional Briefing: Diversity in Medical Education Policies for Higher Education, Medical Schools, and GME

Join us as we discuss policies to increase diversity in the health workforce with our co-hosts, the National Medical Association (NMA), the Association of American Indian Physicians (AAIP), and the National Council of Asian Pacific Islander Physicians (NCAPIP)

June 26, 2019
216 Hart Senate Office Building
1:30 PM - 2:30 PM

Welcoming Remarks:
Congressman Tony Cardenas (D-CA)

Panelists:
Elena Rios, MD, MSPH, FACP, President & CEO
National Hispanic Medical Association

Niva Lubin-Johnson, MD, FACP, President
National Medical Association

Winston F. Wong, MD, MS, FAAFP, Chairman
National Council on Asian Pacific Islander Physicians

Brian Thompson, MD, Committee Member
Association of American Indian Physicians

Marshall H. Chin, M.D., M.P.H. on Asian American and Pacific Islander Heritage Month

Stacks Image 874
Marshall H. Chin, M.D., M.P.H., member of the National Advisory Council on Minority Health and Health Disparities writes in NIMHD Insights: Addressing Social Needs and Structural Inequities to Reduce Health Disparities: A Call to Action for Asian American and Pacific Islander Heritage Month.

Read the blog post here.

Marshall H. Chin, M.D., M.P.H., Richard Parrillo Family Professor of Healthcare Ethics in the Department of Medicine at the University of Chicago, is a general internist and health services researcher with extensive experience improving the care of vulnerable patients with chronic disease. He co-directs the Robert Wood Johnson Foundation Advancing Health Equity: Leading Care, Payment, and Systems Transformation Program Office and the Merck Foundation Bridging the Gap: Reducing Disparities in Diabetes Care National Program Office. Dr. Chin serves on the National Advisory Council to the National Institute on Minority Health and Health Disparities, CDC Community Preventive Services Task Force, and the Families USA Health Equity and Value Task Force Advisory Council. He co-chairs the National Quality Forum Disparities Standing Committee and is a former President of the Society of General Internal Medicine. Dr. Chin was elected to the National Academy of Medicine in 2017.

"Why Do South Asians Have Such High Rates of Heart Disease?"

Stacks Image 852
NCAPIP Board Member Dr. Alka Kanaya is featured in this New York Times article, "Why Do South Asians Have Such High Rates of Heart Disease?" Dr. Kanaya is Principal Investigator of the MASALA study, funded by the National Institutes of Health (NIH), to determine risk factors for subclinical atherosclerosis among South Asian Americans and the study on Restorative yoga vs. stretching for adults with metabolic syndrome (PRYSMS study).

The Mediators of Atherosclerosis in South Asians Living in the America (MASALA) Study uses a similar design and measures from the national MESA study (with over 6,800 White, African American, Latino and Chinese American participants from 2000­2007). There are 900 South Asian participants in the MASALA study, enrolled through the University of California San Francisco and Northwestern University. While the South Asians in the MASALA study were less likely to be smokers and drank less alcohol compared to the participants in the MESA study, the South Asians had significantly lower levels of exercise and physical activity.

Is Your Practice MIPS Ready? Connect with Resources to Help Your Practice

Stacks Image 863
NCAPIP has partnered with HCDI Support Alignment Network to help you understand the changes to The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Click here to learn more about changes to the Merit-based Incentive Payment System (MIPS) and the various alternative payment models (APMs) now available to you. Learn more on the HCDI Support Alignment Network's page on MACRA, where you will be able to connect with experts on MIPS and quality improvement.

HCDI Support Alignment Network
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
Merit-based Incentive Payment System (MIPS)
Alternative Payment Models (APMs)

Precision Medicine and AANHPI: Not to be Left Out

As part of our work with the NIH led All of Us Research Program, we created a document that explains the concept of precision medicine to providers who serve Asian American, Native Hawaiian, and Pacific Islander patients, putting into context the importance of taking advantage of opportunities to increase the number of AANHPI in research, and obtain the data needed to tailor treatments and prevention efforts to individual patients and improve community health.

Download the statement here: What Does Precision Medicine Mean for AANHPI Patients and Providers? (PDF 239 KB)

NCAPIP Pledges to Stop Opioid Addiction Crisis

As part of the Transforming Clinical Practice Medication Management and Opioid Initiative, NCAPIP joins its partner at TCPI HCDI in pledging to uphold and support evidenced based compassionate practices and interventions for those addicted to opioids. As doctors, it's our responsibility to stay informed and be able to offer good information to our patients and colleagues. Take the MMO Pledge here: https://www.healthcarecommunities.org/Home/MMOPledge/MMOPledgeForm.aspx

Screen at 23 Campaign

Appropriate testing for Asian Americans would reveal hundreds of thousands of diabetes and pre diabetes patients.

More than half of Asian Americans with type 2 diabetes, and even more with prediabetes, are undiagnosed; there isn’t enough awareness among patients and providers of this appropriate guideline. To treat, intervene, and even prevent diabetes, we need to first ensure that it is revealed. That means making doctors and patients aware that a body mass index of 23 is a risk factor to consider for screening diabetes in an Asian American patient.

If we can make doctors and patients aware of the need to Screen at 23, we can make that happen. Go to Screenat23.org to download the Screen at 23 package and join the campaign today.

Hawaii Screen at 23 Resolution
California Screen at 23 Resolution

NCAPIP CLAS Toolkit

NCAPIP's CLAS Toolkit will be made available to health providers soon! An excerpt is available here: NCAPIP CLAS Toolkit

CLAS in the Workforce - Cultural and Linguistically Appropriate Services in Health Care

The CLAS Toolkit for Small and Solo Practice Providers

The National Standards for Culturally and Linguistically Appropriate Services in Health (the National CLAS Standards, or, just CLAS), were created to advance health equity and help eliminate health disparities by providing a blueprint for health and healthcare organizations to:

(Principle Standard) Provide care that is optimized for all people and populations and doesn’t lose effectiveness.

Workforce (At all levels): Have a diverse, representative workforce - from governance and leadership to staff on the ground - that promotes CLAS, cares about CLAS, and continually educates itself on CLAS.

Communication: Provide high quality in-language assistance and materials, from interpreters to written and auditory materials, tuned to all patients, and make sure patients are informed that this assistance is readily available.

Internal Engagement, Improvement and Accountability: Establish in-house CLAS goals and make them align with existing improvement efforts, using collected population data to monitor progress.

External Engagement Improvement and Accountability: Assess community needs and tune the CLAS improvements accordingly, give the community itself a voice in these efforts, create a resolution process that speaks to the community when things go wrong, and talk with the public about CLAS efforts.
We have created a presentation that explains the NCAPIP project on CLAS and how it helps raise awareness of CLAS among providers, as well as offering tools and resources to help them utilize CLAS and achieve recognition for the culturally and linguistically appropriate services they are already rendering.

Download the presentation: National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care and the Medical Community (PDF 5.3 MB)