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Adapting health systems to the challenge of diversity in the US and Europe
- 1. Adapting health systems to the challenge of diversity in the USA and Europe Practice, policy and politics Julia Puebla Fortier Executive Director
- 20. www.diversityRx.org redesign
Editor's Notes
- Tell the story of how a combination of obscure issues, practices and policies came to capture the attention of the Federal government and the top health care quality agencies in the United States. Rooted in the minority and refugee health programs and civil rights law, the CLAS standards evolved from an interplay of practice, policy and perception that continues to this day. We ’ll review. Tell this story from as the Principle Investigator that led two Federally funded projects to develop the CLAS standards, supported before and after by years of gathering and disseminating information about best practices, policies and research related to culturally and linguistically appropriate health care.
- Title VI (this is the Federal requirement for offering language access services): http://www.usdoj.gov/crt/cor/lep/hhsrevisedlepguidance.php http://www.hhs.gov/ocr/civilrights/activities/examples/LEP/complaintcompliance.html http://www.hhs.gov/ocr/civilrights/resources/specialtopics/hospitalcommunication/index.html State activity: http://www.healthlaw.org/library/item.174993
- CLAS Standards: http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15
- http://www.jointcommission.org/PatientSafety/HLC/
- NCQA awards program, best practices and toolkit: http://www.ncqa.org/tabid/451/Default.aspx Proposed CLAS standards within their overall standards framework: http://www.ncqa.org/Portals/0/PublicComment/2010_Products_Update/Appendix_3_Creation_of_CLAS_Standard.pdf http://www.ncqa.org/Portals/0/PublicComment/2010_Products_Update/Appendix_2_Incorporating_Aspects_of_CLAS.pdf Final standards and accompanying tools: http://www.ncqa.org/tabid/1157/Default.aspx
- Project summary: http://www.qualityforum.org/projects/ongoing/cultural-comp/ Framework summary: http://www.qualityforum.org/pdf/projects/cultural-comp/txReportDraft%2002-25-09PREPUB.pdf
- Linguistic Access Services in the United States: Do They Measure Up to the National Culturally and Linguistically Appropriate Services Standards? http://dx.confex.com/dx/10/webprogrampreliminary/Paper2474.html
- The California Endowment: www.Calendow.org: click on: Publications -> Program Areas -> Cultural Competent Health Systems The Robert Wood Johnson Foundation www.rwjf.org Search cultural competence and interpretation for a full list of publications and projects The Commonwealth Fund: http://www.commonwealthfund.org/Grants-and-Programs/Browse-Grants.aspx?program=Health+Care+Disparities Also search cultural competence and interpretation for a full list of publications and projects