Medical Interpreting in Virginia Health Equity Conference : Luncheon Forum Thursday, September 10, 2009 Glen Allen, VA
Welcome!!! <ul><li>Dallice Joyner     Executive Director </li></ul><ul><li>NV AHEC </li></ul><ul><li>Golam Rabbani </li></...
The existence of health  inequalities concentrated among specific racial groupings is a violation of United Nations covena...
Purpose of Forum: <ul><li>To discuss issues impacting medical interpreting and health equity in Virginia </li></ul><ul><li...
Title VI of the Civil Rights Act of 1964 <ul><li>Recipients of  federal financial assistance   shall not: </li></ul><ul><l...
CLAS Act: Culturally & Linguistically Appropriate Health Care Services
Purpose <ul><li>The CLAS Act Initiatives strive to increase </li></ul><ul><li>access to quality health care for Virginia's...
Culturally Appropriate Public Health Training Series <ul><li>A collaborative effort of the CLAS Act Initiative, utilizing ...
www.CLASActVirginia.org <ul><li>This is a cultural competence resource for both health providers and clients.  </li></ul>
Virginia’s Foreign-Born Population <ul><li>8% of Virginia’s population in 2000  </li></ul><ul><li>83% increase between 199...
English Proficiency of Virginia Residents 13% 43% 20%
Medical Interpreter Training Grants Program   <ul><li>The Medical Interpreter Training Grants Program was  </li></ul><ul><...
Medical Interpreter’s Training Program <ul><li>Blue Ridge AHEC </li></ul><ul><li>Northern Virginia AHEC </li></ul><ul><li>...
Statewide Telephonic Interpretation and Translation Contract <ul><li>VDH   contracted   with   the Language Services  </li...
<ul><li>Most frequent challenges faced when dealing with LEP’s:   </li></ul><ul><li>Not enough trained bilingual staff to ...
Virginia Board of Health Professions <ul><li>Request – September, 2007 </li></ul><ul><li>VDH CLAS presentation – April, 20...
Virginia BHP Status: <ul><li>current methods for health profession regulation cannot address the inherent issues of too fe...
... gradual change is usually more fruitful in the long run than is forced, ultra-aggressive upheaval.   Undertaken wisely...
Discussion: <ul><li>Interests </li></ul><ul><li>Concerns </li></ul><ul><li>Next Steps - Where do we go from  here? </li></ul>
Contact Us: <ul><li>Dallice Joyner </li></ul><ul><li>Northern Virginia AHEC </li></ul><ul><li>[email_address]   </li></ul>...
Upcoming SlideShare
Loading in …5
×

Medical Interpretation in Virginia

1,248 views

Published on

Presentation by Dallice Joyner, HEd, MEd and Golam Rabbani, MSA at the 2009 Virginia Health Equity Conference.

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,248
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • health disparities/ health equities
  • What are the issues impacting MI? Golam, speak briefly to Title VI &amp; Clas Act. Something to warm the audience up before moving to purpose of the meeting. Connectedness Standardization (Statewide) Certification (National) Funding (or the lack thereof) Quality assurance (of interpreter skills) Connectedness Status of Standardization (to be discussed later in the presentation) Issues, concerns and Next steps Discussion
  • GOLAM
  • GOLAM
  • GOLAM
  • GOLAM
  • GOLAM
  • The purpose of this and the next slide is to give a brief perspective on what the foreign born population looks like in VA. Today: Virginia is one of the top 10 states with the largest immigrant resident population top 10 states for intended residence of new arrivals
  • 13% other than English 43% less than very well 20% isolated
  • GOLAM
  • NVAHEC and Blue Ridge are the only 2 of 8 AHECs in Virginia currently involved in medical interpreting. Blue Ridge has been involved for ____ years. NV AHEC has been involved with medical interpreting since the organization started in 1996. the providers in NVa were surveyed on “what they would need from and AHEC”. Their resounding response was: “we need to be able to communicate with our patients. Since that time, Our professional staff of language experts have helped more than 15,000 members of our community communicate with medical and human services professionals, trained more than 4,500 medical and human services providers on effective cross-cultural communications, professionally trained more than 1,000 interpreters, administered language proficiency tests to more than 1,200 bilingual personnel, and interpreted for more than 125 hospitals, health and human services agencies, and schools. We have 140 contract interpreters who cover more than 40 different languages. Ways these programs are bringing Medical Interpreting to the forefront: Blue Ridge program – testing and training bilingual community health workers and community members in their area. Mayra Creed – Chair of the Hispanic Advisory Committee – Newport News Rosemary Rodriguez – Virginia State Representative of the IMIA Vilma Seymour – VCU/ Board member – VA BHP More than 200 interpreters have been issued Certificates of completion or trained statewide in the last year.
  • GOLAM
  • These results represent a survey of NV AHEC providers. According to NVa providers, some of the largest challenges included: Interpreters need to be accessible ~ although FREE would be ideal, it’s not realistic. Providers need to be assured of accuracy, professionalism and consistency from any interpreter. Same expectations as others professions in the medical field. In an interpretation encounter everyone should understand their role (Patient, provider and interpreter). Professional interpreters understand and model this. If roles are not allowed to be established, or if it’s neglected, the outcome may not be equitable.
  • paraphrased
  • Explain Index Cards system.
  • Medical Interpretation in Virginia

    1. 1. Medical Interpreting in Virginia Health Equity Conference : Luncheon Forum Thursday, September 10, 2009 Glen Allen, VA
    2. 2. Welcome!!! <ul><li>Dallice Joyner Executive Director </li></ul><ul><li>NV AHEC </li></ul><ul><li>Golam Rabbani </li></ul><ul><li>CLAS Act Coordinator </li></ul><ul><li>     VDH </li></ul>
    3. 3. The existence of health inequalities concentrated among specific racial groupings is a violation of United Nations covenants, international principles of human rights and all principles of universal justice. (Dr. Adewale Troutman, 2003)
    4. 4. Purpose of Forum: <ul><li>To discuss issues impacting medical interpreting and health equity in Virginia </li></ul><ul><li>Standardization of Medical Interpretation in Virginia update </li></ul><ul><li>Discuss issues, concerns and next steps in considering a Statewide Medical Interpretation Collaborative Network. </li></ul>
    5. 5. Title VI of the Civil Rights Act of 1964 <ul><li>Recipients of federal financial assistance shall not: </li></ul><ul><li>Deny an individual a service, aid or other benefit </li></ul><ul><li>Provide a benefit, etc. which is different or provided in a different manner </li></ul><ul><li>Subject an individual to segregation or separate treatment </li></ul>
    6. 6. CLAS Act: Culturally & Linguistically Appropriate Health Care Services
    7. 7. Purpose <ul><li>The CLAS Act Initiatives strive to increase </li></ul><ul><li>access to quality health care for Virginia's </li></ul><ul><li>increasingly diverse refugee and immigrant </li></ul><ul><li>Populations. </li></ul>
    8. 8. Culturally Appropriate Public Health Training Series <ul><li>A collaborative effort of the CLAS Act Initiative, utilizing and developing existing resources intended to meet the cultural competency training needs within the VDH </li></ul>
    9. 9. www.CLASActVirginia.org <ul><li>This is a cultural competence resource for both health providers and clients. </li></ul>
    10. 10. Virginia’s Foreign-Born Population <ul><li>8% of Virginia’s population in 2000 </li></ul><ul><li>83% increase between 1990 and 2000 </li></ul><ul><li>Virginia ranks 10th in the nation </li></ul><ul><li>Majority from Asian and Latin American countries </li></ul>
    11. 11. English Proficiency of Virginia Residents 13% 43% 20%
    12. 12. Medical Interpreter Training Grants Program <ul><li>The Medical Interpreter Training Grants Program was </li></ul><ul><li>created by the OMHPHP in a partnership with the VDH </li></ul><ul><li>Emergency Preparedness and Response Programs. </li></ul>
    13. 13. Medical Interpreter’s Training Program <ul><li>Blue Ridge AHEC </li></ul><ul><li>Northern Virginia AHEC </li></ul><ul><li>Refugee and Immigration Services </li></ul><ul><li>VCU </li></ul>
    14. 14. Statewide Telephonic Interpretation and Translation Contract <ul><li>VDH contracted with the Language Services </li></ul><ul><li>Associates (LSA) for statewide telephonic </li></ul><ul><li>interpretation and translation services . </li></ul>
    15. 15. <ul><li>Most frequent challenges faced when dealing with LEP’s: </li></ul><ul><li>Not enough trained bilingual staff to provide interpretation </li></ul><ul><li>Cost and time involved in requesting an interpreter </li></ul><ul><li>Increased time of encounters when interpreters are requested </li></ul><ul><li>Lack of confidence of providers in accuracy of interpretation </li></ul><ul><li>Cultural differences </li></ul><ul><li>Challenge of using phone interpretation </li></ul><ul><li>NO language services are provided </li></ul>
    16. 16. Virginia Board of Health Professions <ul><li>Request – September, 2007 </li></ul><ul><li>VDH CLAS presentation – April, 2008 </li></ul><ul><li>Research areas: </li></ul><ul><ul><li># and availability of interpreters </li></ul></ul><ul><ul><li>Fiscal impact of professional regulation </li></ul></ul><ul><ul><li>Telehealth options </li></ul></ul><ul><ul><li>Available funding options </li></ul></ul>
    17. 17. Virginia BHP Status: <ul><li>current methods for health profession regulation cannot address the inherent issues of too few medical interpreters </li></ul><ul><li>no uniform qualifying standards </li></ul><ul><li>lack of funding </li></ul><ul><li>report sent to the Department of Health and Department of Medical Assistance services. </li></ul>
    18. 18. ... gradual change is usually more fruitful in the long run than is forced, ultra-aggressive upheaval. Undertaken wisely, steady transitions cultivate authenticity, virtues, groundedness, and perseverance. All these qualities improve probability of success when, ultimately, you do figure out how to actualize your vision . -- Marsha Sinetar, Educator
    19. 19. Discussion: <ul><li>Interests </li></ul><ul><li>Concerns </li></ul><ul><li>Next Steps - Where do we go from here? </li></ul>
    20. 20. Contact Us: <ul><li>Dallice Joyner </li></ul><ul><li>Northern Virginia AHEC </li></ul><ul><li>[email_address] </li></ul><ul><li>www.nvahec.org </li></ul><ul><li>Golam Rabbani </li></ul><ul><li>Virginia Department of Health </li></ul><ul><li>[email_address] </li></ul><ul><li>www.vdh.gov                                       </li></ul>

    ×