hospital engagement network disparities initiative

Hospital Engagement NetworkDisparities Initiative

January 22, 2013Cultural and Linguistically Appropriate Services

Imagine What does it mean?

What do you hear?

What do you see?

What do you

smell?

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Truths

For the Healthcare Worker

For the Patients and Family

Healthcare Its what I do It is a “foreign land”

Medical Speak It’s my first language It’s Greek to me

Hospital AttireI live in hospital scrubs and lab jackets and the suits stay in the C-Suite

Every man in a white coat is a doctor and every woman in the hospital is a nurse. If you are in a suit, you must be a chaplain or you want to talk to me about the money

Lab work Means of determining what is going on or not going on in the patient

It may be sacred, it may be a violation to take samples, it may seem like they want every drop

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Georgia has a growing diverse population

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Georgia has a growing diverse population

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Principal Standard:

1. Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.

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Governance, Leadership and Workforce Standards:

2. Advance and sustain organizational governance and leadership that promotes CLAS and health equity through policy, practices, and allocated resources.

3. Recruit, promote, and support a culturally and linguistically diverse governance, leadership, and workforce that are responsive to the population in the service area.

4. Educate and train governance, leadership, and workforce in culturally and linguistically appropriate policies and practices on an ongoing basis.

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Communication and Language Assistance Standards:

5. Offer language assistance to individuals who have limited English proficiency and/or other communication needs, at no cost to them, to facilitate timely access to all health care and services.

6. Inform all individuals of the availability of language assistance services clearly and in their preferred language, verbally and in writing.

7. Ensure the competence of individuals providing language assistance, recognizing that the use of untrained individuals and/or minors as interpreters should be avoided.

8. Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area.

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Engagement, Continuous Improvement, and Accountability Standards:

9. Establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organization's planning and operations.

10. Conduct ongoing assessments of the organization's CLAS-related activities and integrate CLAS-related measures into measurement and continuous quality improvement activities.

11. Collect and maintain accurate and reliable demographic data to monitor and evaluate the impact of CLAS on health equity and outcomes and to inform service delivery.

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Engagement, Continuous Improvement, and Accountability Standards:

12. Conduct regular assessments of community health assets and needs and use the results to plan and implement services that respond to the cultural and linguistic diversity of populations in the service area.

13. Partner with the community to design, implement, and evaluate policies, practices, and services to ensure cultural and linguistic appropriateness.

14. Create conflict and grievance resolution processes that are culturally and linguistically appropriate to identify, prevent, and resolve conflicts or complaints.

15. Communicate the organization's progress in implementing and sustaining CLAS to all stakeholders, constituents, and the general public.

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Tour of the online training tool

https://ccnm.thinkculturalhealth.hhs.gov/default.asp

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Start with the Introduction

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Navigating through the

pages

Tracking your progress

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CLAS IntroductionPage 6 of 10Chronology of cultural competency being integrated intoNursing Standards

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Module Overview

• Pretest• Learning Objectives• Definitions

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Walk Through

• https://www.thinkculturalhealth.hhs.gov/index.asp

How does your community define

Disparity?

What have you done

To Reduce Disparities and

Improve Cultural and Linguistic Sensitivity at your hospital?

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Other Great Resources

• http://kff.org/disparities-policy/issue-brief/disparities-in-health-and-health-care-five-key-questions-and-answers/

• http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8396.pdf

• https://www.thinkculturalhealth.hhs.gov/GUIs/GUI_TCHRegister.asp?mode=new&clas=yes

• http://www.cdc.gov/mmwr/pdf/other/su6001.pdf

• http://www.census.gov/prod/cen2010/cph-2-12.pdf

Questions?

Diversity Happens

ButDisparity Doesn’t Have To!

Tracy RutlandGeorgia Hospital Association

Patient Safety and Quality Improvement Specialistw. 770-249-4511trutland@gha.org