Equitable Care

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Equitable Care

  1. 1. Equitable care for Limited English Proficient Patients
  2. 2.  Patients with limited English proficiency are almost twice as likely to suffer from adverse events in US hospitals, resulting in temporary harm or death. C. Divi, R. G. Koss, S. P. Schmaltz et al., Language Proficiency and Adverse Events in U.S. Hospitals: A Pilot Study, International Journal for Quality in Health Care, April 2007 19(2):60– 67  Partnering with professional medical interpreters has been shown to decrease length of stay and readmission rates in limited English proficient (LEP) patients. Mary Lindholm et al. “Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates.” Journal of General Internal Medicine 2012.
  3. 3.    Access to professional interpreters Sharing best practices Integration of professional interpreters in the care team
  4. 4.    Technology Communication Interdisciplinary Rounds
  5. 5.    IPOPs (Interpreter Phone on Pole) & VPOPs (Video Phone on Pole) 24/7 access to professional interpreters Enable direct communication with patients and families
  6. 6.  Internal focus ◦ ◦ ◦ ◦  New mission, vision and guiding principles Quality & safety training Interpreter grand rounds Quarterly newsletter External focus ◦ Increased visibility as part of the medical team ◦ Work with staff on units to share best practices ◦ Interpreter rounds
  7. 7.    Scope of practice of each team member – a new focus Increased visibility of the medical interpreter role in relationship based care, where patient and family are integral parts of the care team Huddles
  8. 8.     Improve patient outcomes Improve nursing communication from the patients perspective Improve patient satisfaction Deliver equitable care
  9. 9. Deborah Washington, PhD, RN October 29, 2013
  10. 10.   Bring Culturally informed education to units Develop a knowledge base to manage clinical problems with cultural implications
  11. 11.    Case presentation Review of documentation Job shadow
  12. 12.     Patient Satisfaction/Family Engagement Patient Education Staff Satisfaction Quality and Safety
  13. 13.     Identification of skill sets related to cultural competencies Identification of cultural interventions that work Identification of care that is culturally inappropriate Formation of unit based Learning Groups
  14. 14.    Meet on a regular basis Has one guiding question for discussion Each participant summarizes discussion points and 1 insight that influences clinical practice.

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