This document discusses improving access to care for limited English proficient patients through the use of qualified interpreters. It outlines the importance of cultural and linguistic competence due to changing demographics and health disparities. Title VI of the Civil Rights Act prohibits discrimination based on race, color or national origin. The National CLAS Standards provide a framework for organizations to provide culturally competent care. Effective communication with interpreters requires speaking directly to patients, considering interpreter positioning, checking for understanding, and avoiding medical jargon.