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Addressing culture in health care delivery: policy, practice and research
- 1. Addressing culture in health care delivery The interplay of practice, policy development and research Julia Puebla Fortier Resources for Cross Cultural Health Care
Editor's Notes
- Contact information:Julia Puebla Fortier, DirectorResources for Cross Cultural Health Carewww.diversityRx.org
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- Role play of this case is available on request<number>
- http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15<number>
- http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15<number>
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- Title VI (this is the Federal requirement for offering language access services):http://www.usdoj.gov/crt/cor/lep/hhsrevisedlepguidance.phphttp://www.hhs.gov/ocr/civilrights/activities/examples/LEP/complaintcompliance.htmlhttp://www.hhs.gov/ocr/civilrights/resources/specialtopics/hospitalcommunication/index.htmlState activity:http://www.healthlaw.org/library/item.174993CLAS Standards:http://www.omhrc.gov/templates/browse.aspx?lvl=2&lvlID=15IOM report:http://www.iom.edu/?id=16740 (you can read it online free)
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- Report highlights (without the literature abstracts and full research agendas):http://www.ahrq.gov/research/cultural.htmFull report (online and PDF download)http://www.omhrc.gov/templates/content.aspx?ID=86<number>
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- http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2006/Oct/The%20Evidence%20Base%20for%20Cultural%20and%20Linguistic%20Competency%20in%20Health%20Care/Goode_evidencebasecultlinguisticcomp_962%20pdf.pdfOther recent studies mentioned in the presentation but not in that article are referenced in the document “Effectiveness and CC, articles.” Available on request<number>
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- HRET data study and toolkit:http://www.hret.org/hret/programs/disdev.htmlhttp://www.hretdisparities.org/<number>
- Speaking Together:This program, the first of its kind to integrate quality improvement techniques with hospital-based language services, demonstrates how communities with linguistically diverse patient populations can deliver high quality language services to those patients that need them. Speaking Together began as a 10-hospital collaborative learning network where hospitals implemented performance measures, assessed current processes and used techniques of rapid cycle change to improve delivery of language services. http://www.speakingtogether.org/http://www.speakingtogether.org/media/file/GW_STReport_print.pdf<number><number>
- This report lists a number of specific, measurable expectations for performance in each of these areas—more than 50 in all. Organizations can use these performance expectations as a framework for evaluating performance and a guide for improving communication quality.From the project manager: “The measurement tool itself has been field tested in 13 organizations, some of which have now used it 3 times, making small changes between each assessment, and we are now analyzing whether improvements have been achieved. We can already say that the 9 domains are discrete, though inter-related, and that performance varies considerably. We also just looked at the relationship between performance on the toolkit and the patients overall trust in the organization and belief that they are receiving high quality care and there is a strong relationship. For example, a one point increase in the organization's score on the \"Community Engagement\" domain, is correlated to a 9% increased odds that patients there will report that they receive high quality care.”http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/the-ethical-force-program/patient-centered-communication.shtml
- http://www.jointcommission.org/PatientSafety/HLC/<number>
- NCQA awards program, best practices and toolkit:http://www.ncqa.org/tabid/451/Default.aspxProposed CLAS standards within their overall standards framework:http://www.ncqa.org/Portals/0/PublicComment/2010_Products_Update/Appendix_3_Creation_of_CLAS_Standard.pdfhttp://www.ncqa.org/Portals/0/PublicComment/2010_Products_Update/Appendix_2_Incorporating_Aspects_of_CLAS.pdf<number>
- 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<number><number>
- The California Endowment:www.Calendow.org: click on:Publications -> Program Areas -> Cultural Competent Health SystemsThe Robert Wood Johnson Foundationwww.rwjf.orgSearch cultural competence and interpretation for a full list of publications and projectsThe Commonwealth Fund:http://www.commonwealthfund.org/Grants-and-Programs/Browse-Grants.aspx?program=Health+Care+DisparitiesAlso search cultural competence and interpretation for a full list of publications and projects<number>
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