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NATIONAL	
  COUNCIL	
  ON	
  INTERPRETING	
  IN	
  HEALTH	
  CARE	
  
WWW.NCIHC.ORG	
  
NATIONAL	
  COUNCIL	
  ON	
  INTERPRETING	
  IN	
  HEALTH	
  CARE	
  
	
  
You	
  can	
  access	
  the	
  recording	
  of	
  the	
  
live	
  webinar	
  presenta6on	
  at	
  	
  
www.ncihc.org/trainerswebinars	
  
	
  
Home	
  for	
  Trainers	
  	
  Interpreter	
  Trainers	
  Webinars	
  Work	
  Group	
  
An	
  ini6a6ve	
  of	
  the	
  Standards	
  and	
  Training	
  CommiBee	
  
www.ncihc.org/home-­‐for-­‐trainers	
  
NATIONAL	
  COUNCIL	
  ON	
  INTERPRETING	
  IN	
  HEALTH	
  CARE	
  
Housekeeping	
  
-­‐ 	
  This	
  session	
  is	
  being	
  recorded	
  
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  Cer6ficate	
  of	
  ABendance	
  
	
  	
  	
  	
  *must	
  aBend	
  full	
  90	
  minutes	
  
	
  	
  	
  	
  *trainerswebinars@ncihc.org	
  
-­‐ 	
  Audio	
  and	
  technical	
  problems	
  
	
  
	
  
-­‐ 	
  Ques6ons	
  to	
  organizers	
  	
  
-­‐ 	
  Q	
  &	
  A	
  
-­‐ 	
  TwiBer	
  #NCIHCWebinar	
  
	
  
Home	
  for	
  Trainers	
  	
  Interpreter	
  Trainers	
  Webinars	
  Workgroup	
  
An	
  ini6a6ve	
  of	
  the	
  Standards	
  and	
  Training	
  CommiBee	
  
www.ncihc.org/home-­‐for-­‐trainers	
  
NATIONAL	
  COUNCIL	
  ON	
  INTERPRETING	
  IN	
  HEALTH	
  CARE	
  
Welcome!	
  
	
   Guest	
  Presenter:	
  
Suzanne	
  Couture,	
  MEd,	
  CHITM	
  
Modality	
  Matters:	
  Including	
  Remote	
  Interpreting	
  in	
  Interpreter	
  Training	
  Programs	
  	
  	
  
Presented	
  by	
  Suzanne	
  Couture,	
  MEd,	
  CHITM	
  
	
  
©	
  2018	
  Suzanne	
  Couture	
  
Audience	
  
0 Role	
  
0 Connection	
  to	
  topic	
  
0 Interpreter	
  trainer	
  or	
  other	
  stakeholder	
  
0 Experience	
  
0 A	
  lot,	
  some,	
  none,	
  curious,	
  not	
  sure	
  yet	
  
0 Interest	
  
0 Help	
  others,	
  provide	
  quality	
  service,	
  continuously	
  
improve	
  
©	
  2018	
  Suzanne	
  Couture	
  
Objectives	
  
0 Share	
  
0  Summarize	
  research	
  Lindings	
  about	
  professional	
  
development	
  for	
  remote	
  interpreters	
  
0 Engage	
  
0  Discuss	
  perceptions	
  and	
  trends	
  in	
  remote	
  interpreting	
  
and	
  how	
  they	
  may	
  impact	
  training	
  
0 ReLlect	
  
0  Identify	
  and	
  prioritize	
  training	
  needs	
  to	
  improve	
  quality	
  
and	
  consistency	
  of	
  service	
  
©	
  2018	
  Suzanne	
  Couture	
  
What	
  Do	
  You	
  Want	
  to	
  Learn	
  Today?	
  
0 Ask	
  away!	
  	
  
©	
  2018	
  Suzanne	
  Couture	
  
Poll	
  Question	
  1	
  
What	
  is	
  your	
  primary	
  role	
  in	
  interpreting?	
  
	
  
	
  
q  Interpreter	
  Trainer	
  
q  Language	
  Services	
  Provider	
  
q  Manager/Supervisor/Director	
  
q  Other	
  Stakeholder	
  
q  Interpreter	
  
	
  
©	
  2018	
  Suzanne	
  Couture	
  
https://pixabay.com/en/photos/hospital/
https://commons.wikimedia.org/wiki/File:The_Scream.jpg
https://commons.wikimedia.org/wiki/File:Ct-scan.jpg
 
	
  
“As	
  practitioners	
  who	
  are	
  experts	
  in	
  our	
  own	
  
modes	
  and	
  specialties	
  of	
  interpreting	
  (e.g.,	
  
conference,	
  court,	
  and	
  medical),	
  we	
  are	
  
keenly	
  aware	
  of	
  what	
  we	
  stand	
  to	
  lose	
  if	
  the	
  
way	
  we	
  work	
  changes.	
  What	
  we	
  
often	
  don’t	
  see	
  is	
  what	
  we	
  and	
  society	
  as	
  a	
  
whole	
  stand	
  to	
  gain	
  if	
  we	
  evolve	
  to	
  offer	
  our	
  
services	
  in	
  new	
  ways.”	
  
	
  
Slaughter Olsen, B. (2017). Feeling our way into the future. ATA Chronicle . Retrieved from
http://www.atanet.org/chronicle-online/featured/remote-interpreting%E2%80%A8-feeling-our-way-into-the-future/
#sthash.rylfeb49.mYy9Bman.dpbs
https://en.wikipedia.org/wiki/Blind_men_and_an_elephant#/media/File:Blind.JPG
Research	
  
0 Subject:	
  Network	
  of	
  more	
  than	
  forty	
  member	
  
hospitals	
  and	
  provider	
  organizations	
  across	
  the	
  
United	
  States,	
  offering	
  service	
  in	
  twenty	
  languages	
  
0 Participants:	
  A	
  15-­‐question	
  online	
  survey	
  was	
  
sent	
  to	
  299	
  interpreters;	
  125	
  (41.8%)	
  completed	
  
the	
  survey	
  
0 Demographics:	
  Highest	
  level	
  of	
  education	
  –	
  
Bachelor’s	
  degree	
  (25%);	
  Age	
  –	
  30-­‐49	
  (45%);	
  
Gender	
  –	
  Female	
  (70%)	
  
Couture, S. (2014). Identifying professional development opportunities for remote healthcare interpreters on a
shared network. Retrieved from http://scholarworks.umb.edu/instruction_capstone/8/
Research	
  
0 Goals:	
  
1)	
  To	
  explore	
  the	
  needs	
  of	
  healthcare	
  interpreters	
  
who	
  provide	
  remote	
  language	
  services	
  on	
  a	
  shared	
  
audio/video	
  network;	
  and	
  
2)	
  to	
  implement	
  strategies	
  that	
  will	
  increase	
  access	
  
to	
  professional	
  development	
  opportunities	
  and	
  
improve	
  morale,	
  consistency	
  and	
  quality	
  of	
  service	
  
for	
  this	
  interpreter	
  population	
  
Couture, S. (2014). Identifying professional development opportunities for remote healthcare interpreters on a
shared network. Retrieved from http://scholarworks.umb.edu/instruction_capstone/8/
Knowledge	
  
	
  	
  
•  Completion	
  of	
  a	
  mandatory	
  orientation	
  session	
  provided	
  by	
  HCIN	
  
o  Equipment	
  location,	
  operation,	
  limitations	
  and	
  
troubleshooting	
  
o  Interpreter	
  introduction,	
  protocols,	
  reporting	
  process	
  
•  Completion	
  of	
  a	
  minimum	
  of	
  40	
  hours	
  of	
  interpreter	
  training	
  
o  Subject	
  and	
  cultural	
  knowledge	
  
Skills	
  
	
  	
  
•  Passing	
  score	
  on	
  a	
  third-­‐party	
  interpreter	
  assessment	
  
o  Language,	
  analytical,	
  effective	
  listening	
  and	
  recall,	
  
interpersonal,	
  and	
  speaking	
  skills	
  (Mikkelson,	
  1999)	
  
Abilities/	
  
Attitudes	
  
	
  	
  
•  Customer-­‐service	
  oriented	
  
•  Ethical	
  behavior	
  
o  Understand	
  role	
  and	
  exercise	
  good	
  judgment	
  (Mikkelson,	
  
1999)	
  
Target	
  Population	
  
©	
  2018	
  Suzanne	
  Couture	
  
Task	
  and	
  WorkLlow	
  Analysis	
  
7	
  
	
  	
  
Answer	
  in-­‐coming	
  call	
  for	
  
phone	
  or	
  video	
  
interpreting.	
  
8	
   Facilitate	
  communication	
  
during	
  session.	
  
9	
   Document	
  provision	
  of	
  
service,	
  if	
  required.	
  
10	
   Debrief,	
  when	
  appropriate,	
  
about	
  concerns	
  regarding	
  
session.	
  
11	
   Report	
  technical	
  and	
  
“people	
  problems”	
  to	
  
appropriate	
  party.	
  
Task	
  
No.	
  
Description	
  
1	
   Check	
  lighting	
  and	
  visual	
  
privacy.	
  
2	
   Check	
  sound	
  quality	
  and	
  
audio	
  privacy.	
  
3	
   Prepare	
  reference	
  materials.	
  
4	
   Turn	
  ringers	
  off	
  on	
  other	
  
devices.	
  
	
  	
  
5	
   Be	
  seated	
  and	
  ready	
  to	
  
answer	
  call.	
  
	
  	
  
6	
   Greet	
  the	
  provider	
  and	
  the	
  
patient.	
  
©	
  2018	
  Suzanne	
  Couture	
  
Environmental	
  Analysis	
  
Placement	
   •  Should	
  not	
  be	
  used	
  in	
  areas	
  of	
  routine	
  public	
  contact	
  
•  Video	
  monitor	
  must	
  not	
  allow	
  visibility	
  of	
  patient	
  to	
  those	
  
walking	
  by	
  
•  Interpreters	
  must	
  use	
  headset	
  or	
  handset	
  
Background	
   •  Must	
  include	
  HCIN	
  name	
  as	
  well	
  as	
  name	
  and	
  logo	
  of	
  
organization	
  where	
  interpreter	
  is	
  located	
  
•  Remaining	
  background	
  must	
  have	
  a	
  professional	
  appearance	
  
Internet	
  access	
   •  Desktop	
  internet	
  access	
  for	
  email	
  communication	
  and	
  support	
  
websites	
  
Phone	
  access	
   •  Dedicated	
  phone	
  with	
  external	
  line	
  and	
  ability	
  to	
  call	
  HCIN	
  
system	
  
Lighting	
   •  Interpreter’s	
  face	
  must	
  be	
  well-­‐lit	
  and	
  eyes	
  seen	
  at	
  all	
  times	
  
Approval	
   •  Workstation	
  must	
  be	
  approved	
  by	
  HCIN	
  management	
  
©	
  2018	
  Suzanne	
  Couture	
  
©	
  2018	
  Suzanne	
  Couture	
  
Overall	
  Experience	
  
©	
  2018	
  Suzanne	
  Couture	
  
Remote	
  Experience	
  
ReLlection	
  
0 How	
  can	
  we	
  bridge	
  the	
  gap	
  to	
  strengthen	
  the	
  
quality	
  and	
  consistency	
  of	
  the	
  service	
  we	
  provide?	
  
0 What	
  skills,	
  tools	
  and	
  information	
  will	
  remote	
  
interpreters	
  need	
  that	
  may	
  be	
  different	
  for	
  in-­‐
person	
  interpreters?	
  
0 And	
  what	
  can	
  be	
  transferred	
  from	
  the	
  world	
  of	
  in-­‐
person	
  interpreting	
  to	
  the	
  world	
  of	
  remote	
  
interpreting?	
  
0 Are	
  there	
  things	
  that	
  shouldn’t	
  be	
  transferred?	
  
©	
  2018	
  Suzanne	
  Couture	
  
Qualitative	
  Data	
  
0 What	
  do	
  you	
  like	
  best	
  about	
  remote	
  interpreting?	
  
0 What	
  do	
  you	
  Lind	
  most	
  challenging	
  about	
  remote	
  
interpreting?	
  
0 What	
  advice	
  would	
  you	
  give	
  an	
  interpreter	
  who	
  is	
  
new	
  to	
  remote	
  interpreting?	
  
0 If	
  you	
  could	
  change	
  one	
  thing	
  about	
  remote	
  
interpreting,	
  what	
  would	
  it	
  be?	
  
0 Why	
  would	
  you	
  choose	
  to	
  make	
  that	
  change?	
  
	
  
©	
  2018	
  Suzanne	
  Couture	
  
Continuing	
  Education	
  
©	
  2018	
  Suzanne	
  Couture	
  
Category	
   Levers	
  /	
  Obstacles	
   Opportunities	
  
	
  
Motivation	
  
	
  	
  
Service	
  to	
  others	
  
Learning/Variety	
  
Role	
  not	
  valued	
  
To	
  help	
  interpreters	
  feel	
  that	
  they	
  are	
  valued	
  
members	
  of	
  the	
  health	
  care	
  team…	
  
	
  	
  
Information	
  
	
  	
  
Internet	
  access	
  
Multiple	
  languages	
  
	
  	
  
To	
  improve	
  access	
  to	
  language	
  resources…	
  
Tools	
  
	
  	
  
Connectivity	
  	
  
Audio	
  quality	
  
Lack	
  of	
  non-­‐verbal	
  cues	
  
Strong	
  accents	
  	
  
To	
  reduce	
  the	
  need	
  for	
  repetition	
  and	
  improve	
  
interpreter	
  accuracy…	
  
	
  	
  
System	
  
	
  	
  
Convenience	
  
EfLiciency	
  
Heavy	
  volume	
  
	
  	
  
To	
  balance	
  ef8iciency	
  and	
  self-­‐care…	
  
	
  	
  
Skills	
  
	
  	
  
Sensitive	
  situations	
  
Memory/Note-­‐taking	
  
Interpreting	
  modes	
  
Prefer	
  hands-­‐on	
  practice	
  
	
  	
  
To	
  increase	
  con8idence	
  in	
  dif8icult	
  situations…	
  
	
  	
  
©	
  2018	
  Suzanne	
  Couture	
  
goo.gl/rRWZS2	
  
Implications	
  for	
  Training	
  
0 Seasoned	
  vs.	
  Entry-­‐level	
  Interpreters	
  
0 Visualization,	
  note-­‐taking,	
  managing	
  Llow	
  
0 Self-­‐care	
  
0 Workspace,	
  volume,	
  technology,	
  support,	
  isolation	
  
0 Resources	
  
0 Online	
  glossaries,	
  protocols,	
  provider	
  training	
  
©	
  2018	
  Suzanne	
  Couture	
  
Visualization	
  &	
  Note-­‐taking	
  
Managing	
  the	
  Flow	
  
q 	
  Greeting	
  
q 	
  Name	
  
q 	
  Language	
  
q 	
  Use	
  1st	
  person	
  
q 	
  All	
  speech	
  will	
  be	
  interpreted	
  
q 	
  ConLidentiality	
  
q 	
  Hand	
  signal	
  (video)	
  or	
  verbal	
  prompt	
  (phone)	
  
©	
  2018	
  Suzanne	
  Couture	
  
Mini	
  Pre-­‐session	
  
Remember	
  to	
  repeat	
  in	
  second	
  language	
  
	
  
Hi, I’m Sue, your Spanish interpreter.
Please speak directly to each other in first
person, and know that everything said will
be interpreted and kept confidential.
I will do this/say this [prompt] when I need
to interrupt for clarification. Let’s begin!
©	
  2018	
  Suzanne	
  Couture	
  
Implications	
  for	
  Training	
  
0 Seasoned	
  vs.	
  Entry-­‐level	
  Interpreters	
  
0 Visualization,	
  managing	
  Llow,	
  note-­‐taking	
  
0 Self-­‐care	
  
0 Workspace,	
  volume,	
  technology,	
  support,	
  isolation	
  
0 Resources	
  
0 Online	
  glossaries,	
  protocols,	
  provider	
  training	
  
©	
  2018	
  Suzanne	
  Couture	
  
Workspace,	
  Volume,	
  Technology	
  
https://www.Llickr.com/creativecommons/	
  
http://maxpixel.freegreatpicture.com/Customer-­‐Help-­‐Support-­‐Service-­‐Letters-­‐Scrabble-­‐2355701	
  
Implications	
  for	
  Training	
  
0 Seasoned	
  vs.	
  Entry-­‐level	
  Interpreters	
  
0 Visualization,	
  managing	
  Llow,	
  note-­‐taking	
  
0 Self-­‐care	
  
0 Workspace,	
  volume,	
  technology,	
  support,	
  isolation	
  
0 Resources	
  
0 Online	
  glossaries,	
  protocols,	
  provider	
  training	
  
©	
  2018	
  Suzanne	
  Couture	
  
Online	
  Resources	
  
Easy	
  access	
  	
  
Network	
  speciLic	
  
©	
  2018	
  Suzanne	
  Couture	
  
Category	
   Levers	
  /	
  Obstacles	
   Opportunities	
  
Motivation	
  
	
  	
  
Service	
  to	
  others	
  
Inconsistency	
  
•  Feedback	
  from	
  consumers?	
  
•  Training	
  for	
  callers	
  about	
  introduction?	
  
(inconsistent	
  approach	
  from	
  same	
  agency)	
  
Information	
  
	
  	
  
Internet	
  access	
  
	
  	
  
•  Standardized	
  glossaries?	
  (insurance,	
  Internet	
  
terminology)	
  
•  Documents	
  about	
  disaster	
  response	
  process?	
  
(how	
  it	
  works,	
  key	
  stakeholders)	
  
Tools	
  
	
  	
  
Connectivity	
  	
  
Audio	
  quality	
  
Lack	
  of	
  non-­‐verbal	
  cues	
  
Strong	
  accents	
  	
  
•  Need	
  to	
  report	
  disconnected	
  calls,	
  dif8icult	
  
connections?	
  
	
  	
  
System	
  
	
  	
  
Convenience	
  
EfLiciency	
  
Heavy	
  volume	
  
•  Greater	
  need	
  at	
  certain	
  times	
  of	
  day?	
  	
  
Skills	
  
	
  	
  
Sensitive	
  situations	
  
Memory/Note-­‐taking	
  
•  Information	
  routinely	
  collected?	
  (name,	
  
address,	
  phone,	
  SSN)	
  
•  Preparation	
  for	
  handling	
  disaster	
  calls?	
  
(emotional	
  intelligence,	
  case	
  studies)	
  
 
Which	
  area	
  of	
  development	
  is	
  
most	
  important	
  to	
  you?	
  
	
  
q  Motivation	
  
q  Information	
  
q  Tools	
  
q  System	
  
q  Skills	
  
	
  
©	
  2018	
  Suzanne	
  Couture	
  
https://pixabay.com/en/photos/hospital/	
  
Resources	
  -­‐	
  Webinar	
  
http://www.ncihc.org/home-for-trainers--15---remote-but-highly-engaged
Resources	
  -­‐	
  Books	
  
	
  
Resources	
  -­‐	
  Blog	
  
https://www.interpretamerica.com/interpret-america-blog
What	
  Will	
  You	
  Do	
  Differently?	
  
http://www.publicdomainpictures.net/view-image.php?image=142049&picture=hand
Thank	
  You!	
  
Suzanne	
  Couture,	
  MEd,	
  CHITM	
  
Couture	
  Consulting	
  LLC	
  
	
  couture.suzanne01@gmail.com	
  
linkedin.com/in/consultcouture	
  	
  
©	
  2018	
  Suzanne	
  Couture	
  
Q&A	
  
©	
  2018	
  Suzanne	
  Couture	
  
NATIONAL	
  COUNCIL	
  ON	
  INTERPRETING	
  IN	
  HEALTH	
  CARE	
  
	
  
•  New	
  topics	
  coming	
  soon!	
  
•  Please	
  complete	
  evalua6on	
  
•  Follow	
  up	
  via	
  email:	
  
TrainersWebinars@ncihc.org	
  
	
  
Home	
  for	
  Trainers	
  	
  Interpreter	
  Trainers	
  Webinars	
  Work	
  Group	
  
An	
  ini6a6ve	
  of	
  the	
  Standards	
  and	
  Training	
  CommiBee	
  
www.ncihc.org/home-­‐for-­‐trainers	
  
Announcements	
  
NATIONAL	
  COUNCIL	
  ON	
  INTERPRETING	
  IN	
  HEALTH	
  CARE	
  
Thank	
  you	
  for	
  aBending!	
  
NATIONAL	
  COUNCIL	
  ON	
  INTERPRETING	
  IN	
  HEALTH	
  CARE	
  
	
  
You	
  can	
  access	
  the	
  recording	
  of	
  the	
  
live	
  webinar	
  presenta6on	
  at	
  	
  
www.ncihc.org/trainerswebinars	
  
	
  
Home	
  for	
  Trainers	
  	
  Interpreter	
  Trainers	
  Webinars	
  Work	
  Group	
  
An	
  ini6a6ve	
  of	
  the	
  Standards	
  and	
  Training	
  CommiBee	
  
www.ncihc.org/home-­‐for-­‐trainers	
  

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Modality Matters: Including Remote Interpreting in Interpreter Training Programs with Suzanne Couture

  • 1. NATIONAL  COUNCIL  ON  INTERPRETING  IN  HEALTH  CARE   WWW.NCIHC.ORG  
  • 2. NATIONAL  COUNCIL  ON  INTERPRETING  IN  HEALTH  CARE     You  can  access  the  recording  of  the   live  webinar  presenta6on  at     www.ncihc.org/trainerswebinars     Home  for  Trainers    Interpreter  Trainers  Webinars  Work  Group   An  ini6a6ve  of  the  Standards  and  Training  CommiBee   www.ncihc.org/home-­‐for-­‐trainers  
  • 3. NATIONAL  COUNCIL  ON  INTERPRETING  IN  HEALTH  CARE   Housekeeping   -­‐   This  session  is  being  recorded   -­‐   Cer6ficate  of  ABendance          *must  aBend  full  90  minutes          *trainerswebinars@ncihc.org   -­‐   Audio  and  technical  problems       -­‐   Ques6ons  to  organizers     -­‐   Q  &  A   -­‐   TwiBer  #NCIHCWebinar     Home  for  Trainers    Interpreter  Trainers  Webinars  Workgroup   An  ini6a6ve  of  the  Standards  and  Training  CommiBee   www.ncihc.org/home-­‐for-­‐trainers  
  • 4. NATIONAL  COUNCIL  ON  INTERPRETING  IN  HEALTH  CARE   Welcome!     Guest  Presenter:   Suzanne  Couture,  MEd,  CHITM  
  • 5. Modality  Matters:  Including  Remote  Interpreting  in  Interpreter  Training  Programs       Presented  by  Suzanne  Couture,  MEd,  CHITM     ©  2018  Suzanne  Couture  
  • 6. Audience   0 Role   0 Connection  to  topic   0 Interpreter  trainer  or  other  stakeholder   0 Experience   0 A  lot,  some,  none,  curious,  not  sure  yet   0 Interest   0 Help  others,  provide  quality  service,  continuously   improve   ©  2018  Suzanne  Couture  
  • 7. Objectives   0 Share   0  Summarize  research  Lindings  about  professional   development  for  remote  interpreters   0 Engage   0  Discuss  perceptions  and  trends  in  remote  interpreting   and  how  they  may  impact  training   0 ReLlect   0  Identify  and  prioritize  training  needs  to  improve  quality   and  consistency  of  service   ©  2018  Suzanne  Couture  
  • 8. What  Do  You  Want  to  Learn  Today?   0 Ask  away!     ©  2018  Suzanne  Couture  
  • 9. Poll  Question  1   What  is  your  primary  role  in  interpreting?       q  Interpreter  Trainer   q  Language  Services  Provider   q  Manager/Supervisor/Director   q  Other  Stakeholder   q  Interpreter     ©  2018  Suzanne  Couture   https://pixabay.com/en/photos/hospital/
  • 12.     “As  practitioners  who  are  experts  in  our  own   modes  and  specialties  of  interpreting  (e.g.,   conference,  court,  and  medical),  we  are   keenly  aware  of  what  we  stand  to  lose  if  the   way  we  work  changes.  What  we   often  don’t  see  is  what  we  and  society  as  a   whole  stand  to  gain  if  we  evolve  to  offer  our   services  in  new  ways.”     Slaughter Olsen, B. (2017). Feeling our way into the future. ATA Chronicle . Retrieved from http://www.atanet.org/chronicle-online/featured/remote-interpreting%E2%80%A8-feeling-our-way-into-the-future/ #sthash.rylfeb49.mYy9Bman.dpbs
  • 14. Research   0 Subject:  Network  of  more  than  forty  member   hospitals  and  provider  organizations  across  the   United  States,  offering  service  in  twenty  languages   0 Participants:  A  15-­‐question  online  survey  was   sent  to  299  interpreters;  125  (41.8%)  completed   the  survey   0 Demographics:  Highest  level  of  education  –   Bachelor’s  degree  (25%);  Age  –  30-­‐49  (45%);   Gender  –  Female  (70%)   Couture, S. (2014). Identifying professional development opportunities for remote healthcare interpreters on a shared network. Retrieved from http://scholarworks.umb.edu/instruction_capstone/8/
  • 15. Research   0 Goals:   1)  To  explore  the  needs  of  healthcare  interpreters   who  provide  remote  language  services  on  a  shared   audio/video  network;  and   2)  to  implement  strategies  that  will  increase  access   to  professional  development  opportunities  and   improve  morale,  consistency  and  quality  of  service   for  this  interpreter  population   Couture, S. (2014). Identifying professional development opportunities for remote healthcare interpreters on a shared network. Retrieved from http://scholarworks.umb.edu/instruction_capstone/8/
  • 16. Knowledge       •  Completion  of  a  mandatory  orientation  session  provided  by  HCIN   o  Equipment  location,  operation,  limitations  and   troubleshooting   o  Interpreter  introduction,  protocols,  reporting  process   •  Completion  of  a  minimum  of  40  hours  of  interpreter  training   o  Subject  and  cultural  knowledge   Skills       •  Passing  score  on  a  third-­‐party  interpreter  assessment   o  Language,  analytical,  effective  listening  and  recall,   interpersonal,  and  speaking  skills  (Mikkelson,  1999)   Abilities/   Attitudes       •  Customer-­‐service  oriented   •  Ethical  behavior   o  Understand  role  and  exercise  good  judgment  (Mikkelson,   1999)   Target  Population   ©  2018  Suzanne  Couture  
  • 17. Task  and  WorkLlow  Analysis   7       Answer  in-­‐coming  call  for   phone  or  video   interpreting.   8   Facilitate  communication   during  session.   9   Document  provision  of   service,  if  required.   10   Debrief,  when  appropriate,   about  concerns  regarding   session.   11   Report  technical  and   “people  problems”  to   appropriate  party.   Task   No.   Description   1   Check  lighting  and  visual   privacy.   2   Check  sound  quality  and   audio  privacy.   3   Prepare  reference  materials.   4   Turn  ringers  off  on  other   devices.       5   Be  seated  and  ready  to   answer  call.       6   Greet  the  provider  and  the   patient.   ©  2018  Suzanne  Couture  
  • 18. Environmental  Analysis   Placement   •  Should  not  be  used  in  areas  of  routine  public  contact   •  Video  monitor  must  not  allow  visibility  of  patient  to  those   walking  by   •  Interpreters  must  use  headset  or  handset   Background   •  Must  include  HCIN  name  as  well  as  name  and  logo  of   organization  where  interpreter  is  located   •  Remaining  background  must  have  a  professional  appearance   Internet  access   •  Desktop  internet  access  for  email  communication  and  support   websites   Phone  access   •  Dedicated  phone  with  external  line  and  ability  to  call  HCIN   system   Lighting   •  Interpreter’s  face  must  be  well-­‐lit  and  eyes  seen  at  all  times   Approval   •  Workstation  must  be  approved  by  HCIN  management   ©  2018  Suzanne  Couture  
  • 19. ©  2018  Suzanne  Couture   Overall  Experience  
  • 20. ©  2018  Suzanne  Couture   Remote  Experience  
  • 21. ReLlection   0 How  can  we  bridge  the  gap  to  strengthen  the   quality  and  consistency  of  the  service  we  provide?   0 What  skills,  tools  and  information  will  remote   interpreters  need  that  may  be  different  for  in-­‐ person  interpreters?   0 And  what  can  be  transferred  from  the  world  of  in-­‐ person  interpreting  to  the  world  of  remote   interpreting?   0 Are  there  things  that  shouldn’t  be  transferred?   ©  2018  Suzanne  Couture  
  • 22. Qualitative  Data   0 What  do  you  like  best  about  remote  interpreting?   0 What  do  you  Lind  most  challenging  about  remote   interpreting?   0 What  advice  would  you  give  an  interpreter  who  is   new  to  remote  interpreting?   0 If  you  could  change  one  thing  about  remote   interpreting,  what  would  it  be?   0 Why  would  you  choose  to  make  that  change?     ©  2018  Suzanne  Couture  
  • 23. Continuing  Education   ©  2018  Suzanne  Couture  
  • 24. Category   Levers  /  Obstacles   Opportunities     Motivation       Service  to  others   Learning/Variety   Role  not  valued   To  help  interpreters  feel  that  they  are  valued   members  of  the  health  care  team…       Information       Internet  access   Multiple  languages       To  improve  access  to  language  resources…   Tools       Connectivity     Audio  quality   Lack  of  non-­‐verbal  cues   Strong  accents     To  reduce  the  need  for  repetition  and  improve   interpreter  accuracy…       System       Convenience   EfLiciency   Heavy  volume       To  balance  ef8iciency  and  self-­‐care…       Skills       Sensitive  situations   Memory/Note-­‐taking   Interpreting  modes   Prefer  hands-­‐on  practice       To  increase  con8idence  in  dif8icult  situations…       ©  2018  Suzanne  Couture  
  • 26. Implications  for  Training   0 Seasoned  vs.  Entry-­‐level  Interpreters   0 Visualization,  note-­‐taking,  managing  Llow   0 Self-­‐care   0 Workspace,  volume,  technology,  support,  isolation   0 Resources   0 Online  glossaries,  protocols,  provider  training   ©  2018  Suzanne  Couture  
  • 28. Managing  the  Flow   q   Greeting   q   Name   q   Language   q   Use  1st  person   q   All  speech  will  be  interpreted   q   ConLidentiality   q   Hand  signal  (video)  or  verbal  prompt  (phone)   ©  2018  Suzanne  Couture  
  • 29. Mini  Pre-­‐session   Remember  to  repeat  in  second  language     Hi, I’m Sue, your Spanish interpreter. Please speak directly to each other in first person, and know that everything said will be interpreted and kept confidential. I will do this/say this [prompt] when I need to interrupt for clarification. Let’s begin! ©  2018  Suzanne  Couture  
  • 30. Implications  for  Training   0 Seasoned  vs.  Entry-­‐level  Interpreters   0 Visualization,  managing  Llow,  note-­‐taking   0 Self-­‐care   0 Workspace,  volume,  technology,  support,  isolation   0 Resources   0 Online  glossaries,  protocols,  provider  training   ©  2018  Suzanne  Couture  
  • 31. Workspace,  Volume,  Technology   https://www.Llickr.com/creativecommons/   http://maxpixel.freegreatpicture.com/Customer-­‐Help-­‐Support-­‐Service-­‐Letters-­‐Scrabble-­‐2355701  
  • 32. Implications  for  Training   0 Seasoned  vs.  Entry-­‐level  Interpreters   0 Visualization,  managing  Llow,  note-­‐taking   0 Self-­‐care   0 Workspace,  volume,  technology,  support,  isolation   0 Resources   0 Online  glossaries,  protocols,  provider  training   ©  2018  Suzanne  Couture  
  • 33. Online  Resources   Easy  access     Network  speciLic  
  • 34. ©  2018  Suzanne  Couture   Category   Levers  /  Obstacles   Opportunities   Motivation       Service  to  others   Inconsistency   •  Feedback  from  consumers?   •  Training  for  callers  about  introduction?   (inconsistent  approach  from  same  agency)   Information       Internet  access       •  Standardized  glossaries?  (insurance,  Internet   terminology)   •  Documents  about  disaster  response  process?   (how  it  works,  key  stakeholders)   Tools       Connectivity     Audio  quality   Lack  of  non-­‐verbal  cues   Strong  accents     •  Need  to  report  disconnected  calls,  dif8icult   connections?       System       Convenience   EfLiciency   Heavy  volume   •  Greater  need  at  certain  times  of  day?     Skills       Sensitive  situations   Memory/Note-­‐taking   •  Information  routinely  collected?  (name,   address,  phone,  SSN)   •  Preparation  for  handling  disaster  calls?   (emotional  intelligence,  case  studies)  
  • 35.   Which  area  of  development  is   most  important  to  you?     q  Motivation   q  Information   q  Tools   q  System   q  Skills     ©  2018  Suzanne  Couture   https://pixabay.com/en/photos/hospital/  
  • 36. Resources  -­‐  Webinar   http://www.ncihc.org/home-for-trainers--15---remote-but-highly-engaged
  • 38. Resources  -­‐  Blog   https://www.interpretamerica.com/interpret-america-blog
  • 39. What  Will  You  Do  Differently?   http://www.publicdomainpictures.net/view-image.php?image=142049&picture=hand
  • 40. Thank  You!   Suzanne  Couture,  MEd,  CHITM   Couture  Consulting  LLC    couture.suzanne01@gmail.com   linkedin.com/in/consultcouture     ©  2018  Suzanne  Couture  
  • 41. Q&A   ©  2018  Suzanne  Couture  
  • 42. NATIONAL  COUNCIL  ON  INTERPRETING  IN  HEALTH  CARE     •  New  topics  coming  soon!   •  Please  complete  evalua6on   •  Follow  up  via  email:   TrainersWebinars@ncihc.org     Home  for  Trainers    Interpreter  Trainers  Webinars  Work  Group   An  ini6a6ve  of  the  Standards  and  Training  CommiBee   www.ncihc.org/home-­‐for-­‐trainers   Announcements  
  • 43. NATIONAL  COUNCIL  ON  INTERPRETING  IN  HEALTH  CARE   Thank  you  for  aBending!  
  • 44. NATIONAL  COUNCIL  ON  INTERPRETING  IN  HEALTH  CARE     You  can  access  the  recording  of  the   live  webinar  presenta6on  at     www.ncihc.org/trainerswebinars     Home  for  Trainers    Interpreter  Trainers  Webinars  Work  Group   An  ini6a6ve  of  the  Standards  and  Training  CommiBee   www.ncihc.org/home-­‐for-­‐trainers