Think Cultural Health
HHS.gov HHS.gov HHS.gov
minorityhealth.hhs.gov
Advancing Health Equity at
Every Point of Contact

Join the CLCCHC

CLAS Clearinghouse: Results for "Tools"



Healthcare 411 External Web Site Policy

U.S. Health and Human Services, Agency for Healthcare Research and Quality (Producer), & Clancy, C. (Director) (2011). Healthcare 411 [Audio podcast]. Retrieved from http://www.ahrq.gov/

Healthcare 411 is an audio podcast series produced by the HHS Agency for Healthcare Research and Quality (AHRQ) as part of its effort to improve the quality, safety, efficiency, and effectiveness of healthcare for all Americans. AHRQ launched Healthcare 411 in Spanish to offer news and information on current research and on important healthcare topics to a growing population in our country.

Keywords:    Tools | Clinical & Mental Health | Patients & Consumers | Population-Based | Communication and Language Assistance |

Culturally Competent Care: Some Examples of What Works External Web Site Policy

Commission on the Public's Health System. (2010). Culturally competent care: some examples of what works! Retrieved from http://www.cphsnyc.org/cphs/reports/august_2010-_culturally_competen/

"Culturally Competent Care: Some Examples of What Works!" was published by the Commission on the Public's Health System of New York City. The initiative surveyed 659 parents in 12 languages about their children's health and access to care and reveals many cultural and linguistic barriers in access to care for children. A Cultural Checklist was developed, incorporating these findings to be used to interviews and while touring provider sites.

Keywords:    Tools | Public Health | Population-Based | Profession-Based | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

HHS launches first of its kind consumer focused website in Spanish External Web Site Policy

HHS launches first of its kind consumer focused website in Spanish. (2010, September 8). U.S. Department of Health & Human Services. Retrieved from http://www.hhs.gov/

The HHS launched CuidadodeSalud.gov, the first website in Spanish of its kind to connect consumers to information and resources that will help them access quality, affordable healthcare coverage. HHS Secretary Kathleen Sebelius noted that the website "will give Latinos across the nation better information about the choices they have, how much they cost, and what they can expect from their doctor-specific to their life situation and local community."

Keywords:    Tools | Patients & Consumers | Communication | Communication and Language Assistance |

Patient Protection And Affordable Care Act Of 2010: Advancing Health Equity for Racially and Ethnically Diverse Populations External Web Site Policy

Andrulis, D. P., Siddiqui, N. J., Purtle, J. P., & Duchon, L. (2010). Patient protection and affordable care act of 2010: advancing health equity for racially and ethnically diverse populations. Retrieved from Joint Center for Political and Economic Studies website: http://www.jointcenter.org/sites/default/files/upload/research/files/Patient%20Protection%20and%20Affordable%20Care%20Act.pdf

The Joint Center for Political and Economic Studies has published a report detailing the implications of 2010's healthcare reform on health equity. It states that recent healthcare reform legislation offers an unprecedented opportunity to improve health equity in the United States.

Keywords:    Tools | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Irvine's Hoag Hospital works to bridge cultural barriers External Web Site Policy

Reicher, M. (2010, September 8). Irvine's Hoag Hospital works to bridge cultural barriers. Los Angeles Times. Retrieved from http://articles.latimes.com/2010/sep/08/local/la-me-hoag-hospital-20100908

This article details a California hospital's efforts to incorporate culturally competent practices into its services and system. Hoag Hospital in Irvine, CA, took many steps to adapt to its patients' cultural beliefs, traditions, and languages. These preparations include creating patient rooms arranged according to the principles of feng shui, serving steamed rice for breakfast, and using gestures such as presenting documents respectfully with two hands and speaking to patients with more formality.

Keywords:    Tools | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Communication | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

At Hospitals, New Methods With a Focus on Diversity External Web Site Policy

Santos, F. (2010, September 6) At hospitals, new methods with a focus on diversity. The New York Times. Retrieved from http://www.nytimes.com/

This New York Times article discusses the ways that hospitals nationwide are adopting practices intended to improve care for an increasingly diverse patient population beyond language access services. Making immigrant and minority individuals feel more at ease can translate into improved health outcomes according to health providers.

Keywords:    Tools | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Profession-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

How Well Do Doctors Know their Patients? Factors Affecting Physician Understanding of Patients External Web Site Policy

Street, R. L., & Haidet, P. (2010). How well do doctors know their patients? Factors affecting physician understanding of patients' health beliefs. Journal of General Internal Medicine, 26(1), 21-27. doi: 10.1007/s11606-010-1453-3

This study examines the features of patient-centered care; specifically, a physician's understanding of his or her patients' health beliefs and values. The results indicate that physicians' perceptions of their patients' health beliefs differ significantly from patients' actual beliefs. This study indicates that strategies for increasing physicians' awareness of patients' health beliefs include implementing culturally appropriate patient activation programs.

Keywords:    Tools | Research | Clinical & Mental Health | Patients & Consumers | Communication | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Future Directions for the National Healthcare Quality and Disparities Reports External Web Site Policy

Institute of Medicine. (2010). Future directions for the national healthcare quality and disparities reports. Retrieved from http://iom.edu/

The Institute of Medicine (IOM) released in Spring 2010 a report that discusses future directions for the AHRQ National Healthcare Quality Report (NHQR) and National Healthcare Disparities Report (NHDR). The IOM concludes that the NHQR and NHDR can be improved in ways that would make them more influential in promoting change in the healthcare system.

Keywords:    Tools | Policy | Clinical & Mental Health | Public Health | Government | Population-Based | Profession-Based | Disease-Based | Quality Improvement | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Health Disparities Calculator External Web Site Policy

Surveillance Epidemiology and End Results, National Cancer Institute. (2010). Health Disparities Calculator (HD*Calc) [Computer software]. Retrieved from http://seer.cancer.gov/

Surveillance Epidemiology and End Results at the National Cancer Institute has developed a Health Disparities Calculator (HD*Calc), which is a statistical software designed to generate multiple summary measures to evaluate and monitor health disparities.

Keywords:    Tools | Research | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Disease-Based | Disparities | Engagement, Continuous Improvement, and Accountability |

Language Use in the United States: 2007

U.S. Census Bureau. (2010). Language use in the United States: 2007. Retrieved from http://www.census.gov/prod/2010pubs/acs-12.pdf

Language Use in the United States: 2007, a Census Bureau report, analyzes the Nation's linguistic diversity through the U.S. Census decennial data and the 2007 American Community Survey. The report finds that the percentage of speakers of non-English languages increased by 140 percent from 1980 to 2007. Of the 281 million people that were 5 years old and older in the United States in 2007, 55.4 million individuals-or 20 percent-report speaking a language other than English at home.

Keywords:    Tools | Governance & Leadership | Government | Population-Based | Communication | Communication and Language Assistance |

Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement External Web Site Policy

Institute of Medicine, Subcommittee on Standardized Collection of Race/Ethnicity Data for Healthcare Quality Improvement. (2009). Race, ethnicity, and language data: standardization for health care quality improvement. Retrieved from http://iom.edu/Reports/2009/RaceEthnicityData.aspx

In its 2009 report titled Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement, the IOM recommends that healthcare providers collect and assess comprehensive patient data on their cultural and linguistic needs. Having more precise quality metrics can assist in eliminating disparities in health and healthcare.

Keywords:    Tools | Research | Policy | Clinical & Mental Health | Public Health | Governance & Leadership | Government | Population-Based | Quality Improvement | Engagement, Continuous Improvement, and Accountability |

Improving Patient-Provider Communication: Joint Commission Standards and Federal Laws External Web Site Policy

The Joint Commission (Producer). (2009). Improving Patient-Provider Communication: Joint Commission Standards and Federal Laws [Video]. Available from http://www.jointcommission.org/

"Improving Patient-Provider Communication" is a video created by the Joint Commission along with HHS and the Office for Civil Rights as part of their efforts to eliminate racial, ethnic, and language disparities in healthcare. The video educates healthcare providers in providing language access in healthcare organizations. Language access is critical in providing safe, quality patient care.

Keywords:    Tools | Research | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Communication | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Eliminating Health Disparities: What Works? External Web Site Policy

Anderson, J. (2009, April to present). Eliminating health disparities: what works? Journal of the American Academy of Physician Assistants. Retrieved from http://www.jaapa.com/

"Eliminating Health Disparities: What Works?" is a series of articles in the Journal of the American Academy of Physician Assistants. Each month, the journal examines a pertinent topic within the field of health disparities and discusses tools that can help healthcare providers assess and eliminate health disparities in their practice. The column tackles issues such as bias and the role of race in health.

Keywords:    Tools | Research | Policy | Clinical & Mental Health | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Informacion en espanol External Web Site Policy

Agency for Healthcare Research and Quality. (n.d.). Informacion en espanol. Retrieved from http://www.ahrq.gov/consumer/espanoix.htm

The AHRQ's website called Informacion en Espanol provides a variety of publications and other resources on healthcare issues, including audio and video, in Spanish. Informacion en Espanol includes a monthly online health advice column titled "Consejos de Salud Para Ti" ("Health Advice for You"), which provides evidence-based tips on preventive health, safe and appropriate use of medications, ways to get better healthcare, and more.

Keywords:    Tools | Policy | Clinical & Mental Health | Public Health | Governance & Leadership | Government | Communication | Communication and Language Assistance |

Multicultural Health Care: A Quality Improvement Guide

National Committee for Quality Assurance, & Lilly USA, LLC. (2011). Multicultural health care: a quality improvement guide. Retrieved from http://www.clashealth.org/

The National Committee for Quality Assurance and Lilly USA, LLC, have developed Multicultural Health Care: A Quality Improvement Guide, a free, online resource for healthcare professionals. The website helps those seeking to undertake quality improvement initiatives to improve culturally and linguistically appropriate services and to reduce disparities in care.

Keywords:    Tools | Policy | Clinical & Mental Health | Profession-Based | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Improving Access to Language Services in Health Care: A Look at National and State Efforts

U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality. (2009). Improving access to language services in health care: a look at national and state efforts. Retrieved from http://www.ahrq.gov/

The issue brief explores national efforts to address language barriers for patients with limited English proficiency. It identifies challenges to delivering language services and highlights successes and implications for future policy as well as activities related to providing language services.

Keywords:    Tools | Policy | Clinical & Mental Health | Patients & Consumers | Government | Population-Based | Communication | Disparities | Communication and Language Assistance |

When the Patient Gets Lost in Translation External Web Site Policy

Chen, P. W. (2009, April 23). When the patient gets lost in translation. New York Times. Retrieved from http://www.nytimes.com/

This article in the New York Times is a firsthand account from a surgeon interacting with limited-English-proficient patients combined with a summary of the literature on the effects of a language barrier on healthcare. Dr. Chen regrets providing inadequate language access services in the interest of expediency. With this awareness, she explains strategies that doctors should use to overcome these challenges and ensure that each patient is receiving equal care.

Keywords:    Tools | Education & Training | Clinical & Mental Health | Patients & Consumers | Population-Based | Communication | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance |

California's Emergency Preparedness Efforts for Culturally Diverse Communities: Status, Challenges and Directions for the Future External Web Site Policy

Andrulis, D., Siddiqui, N., & Purtle, J. (2009). California's emergency preparedness efforts for culturally diverse communities: status, challenges and directions for the future. Retrieved from Drexel University Center for Health Equality and HHS Office of Minority Health website: http://www.diversitypreparedness.org/

This report conducts a systematic assessment of emergency preparedness programs and initiatives for racially and ethnically diverse communities in California, examining barriers to care as well as opportunities for improvement. While this report focuses on the State of California, it provides a methodological framework that allows for similar assessments to be conducted at national, State, and local levels.

Keywords:    Tools | Research | Public Health | Patients & Consumers | Government | Population-Based | Profession-Based | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Health Information Technology: Addressing Health Disparity by Improving Quality, Increasing Access, and Developing Workforce External Web Site Policy

Custodio, R., Gard, A. M., & Graham, G. (2009). Health information technology: addressing health disparity by improving quality, increasing access, and developing workforce. Journal of Healthcare for the Poor and Underserved, 20(2), 301-307. doi: 10.1353/hpu.0.0146

This article discusses the role of health information technology (HIT) as a tool to assist in health reform. Through quality improvement, education and outreach, and workforce and training development, advances in HIT show strong potential to help the healthcare system reduce persistent racial and ethnic health disparities by delivering patient-centered, culturally competent care.

Keywords:    Tools | Research | Policy | Education & Training | Clinical & Mental Health | Governance & Leadership | Quality Improvement | Engagement, Continuous Improvement, and Accountability |

National Consensus Statement on Integrating Racially and Ethnically Diverse Communities into Public Health Emergency Preparedness External Web Site Policy

U.S. Department of Health & Human Services Office of Minority Health and Drexel University, Center for Health Equality National Consensus Panel on Emergency Preparedness and Cultural Diversity. (2008). National consensus statement on integrating racially and ethnically diverse communities into public health emergency preparedness. Retrieved from http://www.diversitypreparedness.org/SiteData/docs/National%20Consensus%20Statement%20%26%20Guiding%20Principles%20%26%20Panel%20List%20508/695132ab58eb36a7c2f67ba98d5a72ec/National%20Consensus%20Statement%20%26%20Guiding%20Principles%20%26%20Panel%20List%20508.pdf

This statement provides a framework for integrating racially and ethnically diverse communities into emergency preparedness. It was developed by the National Consensus Panel on Emergency Preparedness and Cultural Diversity, an initiative of the Drexel University School of Public Health's Center for Health Equality and the HHS Office of Minority Health.

Keywords:    Tools | Policy | Public Health | Governance & Leadership | Government | Profession-Based | Communication | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Racial and Ethnic Disparities in U.S. Health Care: A Chartbook External Web Site Policy

Mead, H., Cartwright-Smith, L., Jones, K., Ramos, C., Woods, K., & Siegel, B. (2008). Racial and ethnic disparities in U.S. health care: a chartbook. Retrieved from the Commonwealth Fund website: http://www.commonwealthfund.org/~/media/Files/Publications/Chartbook/2008/Mar/Racial%20and%20Ethnic%20Disparities%20in%20U%20S%20%20Health%20Care%20%20A%20Chartbook/Mead_racialethnicdisparities_chartbook_1111%20pdf.pdf

This chartbook provides a framework through which policymakers, teachers, researchers, and practitioners may understand health disparities and formulate solutions. The chartbook presents data regarding health disparities, including their nature and etiology, and seeks to provoke thought about why disparities exist and how they can be eliminated.

Keywords:    Tools | Research | Policy | Education & Training | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Roadmap to diversity: Key legal and educational policy foundations for medical schools External Web Site Policy

Coleman, A. L., Palmer, S. R., Winnick, S. Y., & Holland & Knight, L.L.P. (2008). Roadmap to diversity: key legal and educational policy foundations for medical schools. Association of American Medical Colleges. Retrieved from http://www.cossa.org/diversity/reports/Key_Legal_and_Policy_Foundations_for_Medical_Schools.pdf

This report, published by the Association of American Medical Colleges, seeks to provide hands-on guidance to medical schools that seek to improve diversity among their students, their missions, and their policies. The report is designed to guide all medical schools in their quest for increased diversity.

Keywords:    Tools | Policy | Education & Training | Clinical & Mental Health | Governance & Leadership | Government | Profession-Based | Communication | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Public health preparedness: Mobilizing state by state

U.S. Department of Health & Human Services, Centers for Disease Control and Prevention, Coordinating Office for Terrorism Preparedness and Emergency Response. (2008). Public health preparedness: mobilizing state by state. A CDC report on the public health emergency preparedness cooperating agreement. Retrieved from http://www.cdc.gov/

The report details the progress of States in preparedness and response issues. This report is intended to serve as a first step in detailing collaboration efforts in preparedness between local, State, and Federal governments. National and State-specific data are presented for all 50 States and the District of Columbia.

Keywords:    Tools | Research | Policy | Public Health | Government | Profession-Based | Disparities | Engagement, Continuous Improvement, and Accountability |

National Resource Center External Web Site Policy

Drexel University School of Public Health's Center for Public Health Readiness & Communication, & U.S. Department of Health & Human Services Office of Minority Health. National resource center on advancing emergency preparedness for culturally diverse communities. (2011, June 10). Retrieved from http://www.diversitypreparedness.org/

The National Resource Center is a database of resources on the public health preparedness needs of diverse communities. The National Resource Center aims to serve as a clearinghouse for those stakeholders who are working to eliminate disparities among minority communities before, during, and following disasters.

Keywords:    Tools | Research | Policy | Education & Training | Public Health | Profession-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Creating Equity Reports: A Guide for Hospitals. Boston, MA External Web Site Policy

Weinick, R. M., Flaherty, K., & Bristol, S. J. (2008). Creating Equity Reports: A Guide for Hospitals. Retrieved from The Disparities Solutions Center, Massachusetts General Hospital website: http://www2.massgeneral.org/disparitiessolutions/z_files/Disparities%20Hospital%20guide.qxp.pdf

The findings in this report indicate that although many hospitals collect information about their patients' demographics, race, and ethnicity, they often do not make use of the information. This resource is a guide designed to assist hospitals in using that information to develop an equity report.

Keywords:    Tools | Policy | Education & Training | Clinical & Mental Health | Patients & Consumers | Governance & Leadership | Profession-Based | Communication | Quality Improvement | Health Literacy | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

DiversityRx: Improving Health Care in a Diverse World External Web Site Policy

TIDES. (2011). Diversity Rx: Improving Health Care in a Diverse World. Retrieved from http://diversityrx.org/

DiversityRx informs, educates, and supports healthcare providers, policymakers, researchers, and advocates who work to improve quality of care for minority, immigrant, and indigenous communities.

Keywords:    Tools | Research | Education & Training | Clinical & Mental Health | Public Health | Governance & Leadership | Patients & Consumers | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Cultural Competence in Health Education and Health Promotion External Web Site Policy

Perez, M. A., & Luquis, R. (Eds.). (2008). Cultural competence in health education and health promotion. San Francisco, CA: Jossey-Bass, & the American Association for Health Education.

This book describes essential theories, models, and practices for working with race, ethnicity, gender, and social issues.

Keywords:    Tools | Research | Education & Training | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Guidance for Integrating Culturally Diverse Communities into Planning for and Responding to Emergencies: A Toolkit External Web Site Policy

Andrulis, D. P., Siddiqui, N. J., & Purtle, J. (2011). Guidance for integrating culturally diverse communities into planning for and responding to emergencies: a toolkit. Retrieved from the National Resource Center on Advancing Emergency Preparedness for Culturally Diverse Communities website: http://www.texashealthinstitute.org/files/OMHDiversityPreparednessToolkit.pdf

This toolkit from the Office of Minority Health assists agencies in working with diverse communities to address a broader set of priorities to improve health and quality of life that are central to effective emergency event strategies and actions. It offers recommendations, resources, and practical strategies for engaging and integrating culturally diverse communities across emergency planning and response actions.

Keywords:    Tools | Government | Public Health | Profession-Based | Communication | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Pocket Guide to Culturally Sensitive Health Care External Web Site Policy

Hands-on ideas for building effective and therapeutic relationships with diverse populations from 25 different cultures in 11 areas of care.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Education & Training | Patients & Consumers | Population-Based | Tools |

Multicultural HIV/AIDS and Hepatitis Service External Web Site Policy

A public site where people can access multilingual information on HIV and Hepatitis C.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disease-Based | Disparities | Education & Training | Government | Health Literacy | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Policy | Population-Based | Profession-Based | Public Health | Quality Improvement | Research | Tools |

Holistic Honu Wellness Center - Bridging the Gap between Traditional Healing and Western Medicine External Web Site Policy

The Holistic Honu Wellness Center is a very small health and wellness center in Berkeley, California where they address the issue of Native Hawaiian health disparities by acting as a conduit between traditional healing practices and the western medical communities everyday. Their current program has been the development and execution of a culturally competent education curriculum designed to address health disparity issues within Native Hawaiian communities that consists of four distinct levels.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance & Leadership | Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disparities | Education & Training | Health Literacy | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Population-Based | Public Health | Quality Improvement | Research | Tools |

CCATHFieldTest.pdf (PDF - 123KB)

Overview of the Cultural Competency Assessment Tool for Hospitals (CCATH) - a survey designed to assess hospital's adherence to the CLAS standards. The development and testing of the CCATH was funded by U.S.Department of Health and Human Services' (DHHS) Office of Minority Health (OMH) and the Commonwealth Fund. Organizational assessments, such as the CCATH, provide a useful tool to evaluate the structures (policies, programs) and processes (practices, culture) for cultural competency. The CCATH was subject to extensive qualitative testing, including pilot testing, focus groups, and cognitive interviews (Hays et al. 2006).

Keywords:    Governance & Leadership | Clinical & Mental Health | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Tools |

CCATHOverview.pdf (PDF - 45KB)

Survey of cultural competency activities in hospitals. Part of the Cultural Competency Assessment Tool for Hospitals (CCATH) - a survey designed to assess hospital's adherence to the CLAS standards. The development and testing of the CCATH was funded by U.S. Department of Health and Human Services' (DHHS) Office of Minority Health (OMH) and the Commonwealth Fund. Organizational assessments, such as the CCATH, provide a useful tool to evaluate the structures (policies, programs) and processes (practices, culture) for cultural competency. The CCATH was subject to extensive qualitative testing, including pilot testing, focus groups, and cognitive interviews (Hays et al. 2006).

Keywords:    Governance & Leadership | Clinical & Mental Health | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Tools |

NCQA Multicultural Healthcare Distinction fact sheet External Web Site Policy

A fact sheet describing how NCQA's Multicultural Healthcare Distinction program can help health care organizations meet Office of Minority Health CLAS standards.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance, Leadership, and Workforce | Disparities | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Policy | Quality Improvement | Tools |

Advancing Effective Communication, Cultural Competency, and Patient/Family-Centered Care for LGBT Community External Web Site Policy

This new field guide from The Joint Commission urges U.S. hospitals to create a more welcoming, safe and inclusive environment that contributes to improved health care quality for lesbian, gay, bisexual, and transgender (LGBT) patients and their families. The guide, Advancing Effective Communication, Cultural Competence, and Patient-and Family-Centered Care for the Lesbian, Gay, Bisexual and Transgender (LGBT) Community: A Field Guide, was developed with support from The California Endowment.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance & Leadership | Communication | Governance, Leadership, and Workforce | Disparities | Education & Training | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Policy | Population-Based | Public Health | Quality Improvement | Research | Tools |

Content area 4. Develop workforce. In Improving communication, improving care: How health care organizations can ensure effective, patient-centered communication with people from diverse populations External Web Site Policy

American Medical Association. (2006). Content area 4. Develop workforce. In Improving communication, improving care: How health care organizations can ensure effective, patient-centered communication with people from diverse populations (pp. 47-54). Retrieved from http://www.ama-assn.org/resources/doc/ethics/pcc-consensus-report.pdf

Discusses strategies for the recruitment, training, and retention of a workforce reflective of the diversity of the populations served and able to communicate health care information and elicit information from individuals in a way that is understandable, accessible, and sensitive to individual needs, beliefs, and preferences. Discusses limitations and barriers to workforce development, organizational performance expectations, and plans for assessment and offers examples and strategies for implementation.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Governance, Leadership, and Workforce | Quality Improvement | Tools | Education & Training |

Content area 5a. Socio-cultural context. In Improving communication, improving care: How health care organizations can ensure effective, patient-centered communication with people from diverse populations External Web Site Policy

American Medical Association. (2006). Content area 5a. Socio-cultural context. In Improving communication, improving care: How health care organizations can ensure effective, patient-centered communication with people from diverse populations (pp. 61-65). Retrieved from http://www.ama-assn.org/resources/doc/ethics/pcc-consensus-report.pdf

Discusses the influence of socio-cultural factors (for example, how people view the causes of illness) on communication in health care settings and the value of workforce training programs in fostering an environment in which comfortable and effective communication can take place between staff and community members from diverse socio-cultural backgrounds. Some examples are given. Potential barriers, performance expectations, and implementation strategies are discussed in turn.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Quality Improvement | Tools | Education & Training |

Multicultural health care: A quality improvement guide External Web Site Policy

Briefer French, J., Schiff, D., Han, E., & Weinick, R. (2008). Multicultural health care: A quality improvement guide. Retrieved from National Committee for Quality Assurance website: http://www.ncqa.org/Portals/0/HEDISQM/CLAS/CLAS_toolkit.pdf

This guide may serve as a resource for those endeavoring to improve culturally and linguistically appropriate services and to reduce health care disparities. Broadly, the guide covers assessment, planning, implementation, and evaluation. Examples are given from a variety of settings.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Quality Improvement | Tools |

Patient-centered care: Improvement guide External Web Site Policy

Frampton, S., Guastello, S., Brady, C., Hale, M., Smith, S. B., & Stone, S. (n.d.). Patient-centered care: Improvement guide. Retrieved from http://www.patient-centeredcare.org/index.html

This online guide offers more than 150 specific practices (in areas such as spirituality, integrative medicine, care for the caregiver, and environment of care) intended to meet the needs of patients, families, and staff. Also included are a self-assessment tool, implementation tools, discussion of data and technology use in relation to patient centeredness, and an appendix that draws connections between patient-centered practices and the domains of the Hospital Consumer Assessment of Health Plans Survey.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Quality Improvement | Patients & Consumers | Tools |

Cultural and spiritual sensitivity: A learning module for health care professionals External Web Site Policy

HealthCare Chaplaincy. (2009). Cultural and spiritual sensitivity: A learning module for health care professionals. Retrieved from http://www.healthcarechaplaincy.org/userimages/A%20Dictionary%20of%20Patients'%20Spiritual%20%20Cultural%20Values%20for%20Health%20Care%20Professionals_%20July%202011.pdf

This self-learning module was developed to help the user address the issue of cultural and spiritual diversity, to develop a culturally and spiritually sensitive approach to the provision of health care, and to recognize appropriate interventions. A self-assessment tool is included to foster an understanding of how one's own cultural values and beliefs influence attitudes and behavior toward others. The point is made that differences, per se, have little to do with questions of right and wrong. A cultural and spiritual sensitivity posttest is provided.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Tools | Education & Training |

A dictionary of patients' spiritual & cultural values for health care professionals External Web Site Policy

HealthCare Chaplaincy. (2011). A dictionary of patients' spiritual & cultural values for health care professionals. Retrieved from http://www.healthcarechaplaincy.org/userimages/doc/A-Dictionary-of-Patients'-Spiritual-Cultural-Values-for-Health-Care-Professionals.pdf

The first part of the book offers a concise overview of a number of major world religions. For each, defining beliefs, rituals, and daily practices are itemized. Beliefs and restrictions concerning food and medical practices are given. The second part treats culture in a similar manner. African-American, Hispanic-American, Native American, Caribbean, Middle Eastern, and South and East Asian cultures are detailed according to numerous characteristics, including many relating to health and health care.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based | Patients & Consumers | Tools | Education & Training |

Impacting health disparities through community outreach: Utilizing the CLEAN look (culture, literacy, education, assessment, and networking)

Meade, C., Menard, J., Martinez, D., & Calvo, A. (2007). Impacting health disparities through community outreach: Utilizing the CLEAN look (culture, literacy, education, assessment, and networking). Cancer Control, 14(1), 70-77. Retrieved from http://www.moffitt.org/CCJRoot/v14n1/pdf/70.pdf

The authors discuss the importance of considering culture and literacy in the development of community outreach programs for medically underserved populations and describe the application of the CLEAN Look checklist in a breast cancer outreach effort aimed at Haitian-American women.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disparities | Disease-Based | Public Health | Research | Tools |

The National Health Plan Collaborative toolkit External Web Site Policy

National Health Plan Collaborative. (2008). The National Health Plan Collaborative toolkit. Retrieved from Robert Wood Johnson Foundation website: http://www.rwjf.org/qualityequality/product.jsp?id=33960

This toolkit of resources, lessons, best practices, and case studies, drawn from the efforts of the National Health Plan Collaborative (11 health insurance plans in partnership with private and public sector organizations), is offered as a means toward the improvement of health care quality for racial and ethnic minority populations. Included are videos and sample tools, forms, policies, and resources for implementation.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Quality Improvement | Public Health | Tools |

Ask Me 3 External Web Site Policy

National Patient Safety Foundation. (n.d.). Ask Me 3. Retrieved from http://www.npsf.org/for-healthcare-professionals/programs/ask-me-3

Ask Me 3 is a patient education program designed to promote communication between health care providers and patients. Patients are encouraged to ask three questions and to be certain they understand the answers. What is my main problem? What do I need to do? Why is it important for me to do this? Documents are available for download, and brochures may be ordered in English and Spanish.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Patients & Consumers | Tools | Education & Training |

Implementing a national voluntary consensus standard for informed consent: A user's guide for healthcare professionals External Web Site Policy

National Quality Forum. (2005). Implementing a national voluntary consensus standard for informed consent: A user's guide for healthcare professionals. Retrieved from http://www.qualityforum.org/Publications/2005/09/Implementing_a_National_Voluntary_Consensus_Standard_for_Informed_Consent__A_User’s_Guide_for_Healthcare_Professionals.aspx

This brief guide addresses the problem that many patients do not understand basic information about their care and may be incompletely informed even when they appear to understand. The consequences may include malpractice suits, jeopardy of patient safety, and medical errors - as well as raising questions of ethics. The guide offers information and tools useful in implementing Safe Practice 10, a national standard for informed consent and one of 30 in the National Quality Forum's Safe Practices for Better Healthcare (see Theme 1).

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Tools |

Quality improvement plan template

New York State Office of Mental Health Office of Quality Management. (2011). Quality improvement plan template. Retrieved from http://omh.ny.gov/omhweb/cqi/plan_template.html

The template covers such areas as leadership and organization, goals and objectives, performance measurement, identification of quality improvement initiatives, and evaluation. An appendix of quality improvement tools is included.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Quality Improvement | Government | Governance & Leadership | Tools |

Prevalence calculator External Web Site Policy

Pfizer. (2011). Prevalence calculator. Retrieved from http://www.pfizerhealthliteracy.com/physicians-providers/PrevalenceCalculator.aspx

The Prevalence Calculator is a tool that can provide a rough estimate of the percentage of patients in a practice who may have difficulty understanding medical information and instructions. It is not a tool for determining the health literacy of particular individuals. Calculations are based on data drawn from the health literacy component of the National Assessment of Adult Literacy and supplemented by reports from the medical literature.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Health Literacy | Tools |

CLAS Standards implementation tips External Web Site Policy

QSource, Underserved Quality Improvement Organization Support Center. (2005). CLAS Standards implementation tips. Retrieved from http://www.qsource.org/uqiosc/CLAS%20Standards%20Strategies%5B7AUG-2005%5D.pdf

This concise document, addressed to health care organizations, provides implementation strategies and suggested steps toward achievement of provider adherence to the original 14 CLAS Standards.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Quality Improvement | Public Health | Tools |

Speaking Together Toolkit External Web Site Policy

Robert Wood Johnson Foundation. (2008). Speaking together toolkit. Retrieved from http://www.rwjf.org/pr/product.jsp?id=29653

The toolkit offers advice for improving the quality and accessibility of language services in hospitals. Topics discussed include written and spoken language needs, screening patients to determine their language needs, building a language services workforce, getting appropriate interpreter services to the patient, the education of clinical staff, documentation, and performance measurement.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Communication and Language Assistance | Tools |

CLAS A-Z: A practical guide for implementing the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in health care External Web Site Policy

Salimbene, S. (2001). CLAS A-Z: A practical guide for implementing the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in health care. Retrieved from the Office of Minority Health website: http://minorityhealth.hhs.gov/assets/pdf/checked/CLAS_a2z.pdf

This step-by-step guide includes a minimum of discursive text, being largely in the form of downloadable checklists, forms, and syllabi that can be adapted to an organization's particular needs.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Government | Public Health | Tools |

Cultural responsiveness framework: Guidelines for Victorian health services External Web Site Policy

State Government of Victoria, Australia, Department of Health, Rural and Regional Health and Aged Care Services. (2009). Cultural responsiveness framework: Guidelines for Victorian health services. Retrieved from http://www.health.vic.gov.au/__data/assets/pdf_file/0008/381068/cultural_responsiveness.pdf

The framework is based on four key domains of quality and safety - organizational effectiveness, risk management, consumer participation, and an effective workforce - and six standards for cultural responsiveness. The latter include such items as an organizationwide approach; the use of accredited interpreters; consideration of cultural practices concerning diet, spirituality, and family; and professional development opportunities for staff.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Quality Improvement | Government | Tools |

Creating a patient education tool

Stonecypher, K. (2009). Creating a patient education tool. Journal of Continuing Education in Nursing, 40(10), 462-467. doi:10.3928/00220124-20090923-06

This article outlines the development of a low-literacy self-management book for stroke patients. In the process, significant knowledge was gained by team members to enrich their own professional development.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disease-Based | Patients & Consumers | Tools | Education & Training |

Patient communication assessment tool External Web Site Policy

The Joint Commission. (2010). Patient communication assessment tool [Figure 5-1]. In Advancing effective communication, cultural competence, and patient- and family-centered care: A roadmap for hospitals. Retrieved from http://www.jointcommission.org/assets/1/6/ARoadmapforHospitalsfinalversion727.pdf

This page in the Joint Commission's Roadmap for Hospitals shows a sample patient communication assessment tool "designed to be incorporated into computerized charting menus to help nurses select drop down items which corresponded to their patient communication assessment, intervention, and evaluation process."

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Profession-Based | Patients & Consumers | Governance & Leadership | Tools |

Advancing effective communication, cultural competence, and patient- and family-centered care for the lesbian, gay, bisexual, and transgender (LGBT) community: A field guide External Web Site Policy

The Joint Commission. (2011). Advancing effective communication, cultural competence, and patient- and family-centered care for the lesbian, gay, bisexual, and transgender (LGBT) community: A field guide. Retrieved from http://www.jointcommission.org/assets/1/18/LGBTFieldGuide.pdf

In order to form a better understanding of the needs of LGBT patients, the Joint Commission invited representatives of professional organizations, advocacy groups, and other stakeholders to a day-long meeting to discuss communication, cultural competence, and patient-centered care as they relate to the LGBT community. The Joint Commission's Roadmap for Hospitals provided a framework for the discussion. Covered are issues of leadership; provision of care, treatment, and services; the workforce; data collection and use; and patient, family, and community engagement.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Population-Based | Governance & Leadership | Public Health | Tools |

2004 U.S. Census test: Language identification flashcard External Web Site Policy

U.S. Department of Commerce, Census Bureau. (2004). 2004 U.S. Census test: Language identification flashcard. Retrieved from http://www.lep.gov/ISpeakCards2004.pdf

A sentence (translating as "Mark this box if you read or speak ...") is repeated in 38 written languages, in scripts varying appropriately with the language.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Tools | Communication and Language Assistance | Government |

A toolkit for serving diverse communities

U.S. Department of Health and Human Services, Administration on Aging. (2010). A toolkit for serving diverse communities. Retrieved from http://www.aoa.gov/AOARoot/AoA_Programs/Tools_Resources/DOCS/AoA_DiversityToolkit_Full.pdf

This toolkit, designed for the use of the Aging Services Network and its partners, is built around a four-step process: organizational, staff, and self-assessments; knowledge of the community and partnership formation; design and delivery, including marketing, of services; and program evaluation.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Government | Tools |

Health literacy universal precautions toolkit

U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2010). Health literacy universal precautions toolkit (AHRQ Publication No. 10-0046-EF). Retrieved from http://www.ahrq.gov/qual/literacy/healthliteracytoolkit.pdf

This toolkit was designed to be used by staff at all levels of a primary care practice. It contains 20 tools, each two to five pages long, to improve spoken and written communication and improve patient self-management. A quick-start guide is provided. Background information on health literacy is included. Links to videos are available. An appendix offers forms, PowerPoint presentations, worksheets, and posters.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Communication and Language Assistance | Health Literacy | Government | Tools |

CAHPS cultural competence item set

U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality. (2011). CAHPS cultural competence item set. Retrieved from https://www.cahps.ahrq.gov/surveys-guidance/item-sets/cultural-competence.aspx

The Cultural Competence Item Set is a set of supplemental items for the Consumer Assessment of Healthcare Providers and Systems' Clinician and Group Survey. It was "designed to capture the patient's perspective on the cultural competence of health care providers." It touches on such topics as patient-provider communication, complementary and alternative medicine, discrimination, level of trust, politeness, truth telling, linguistic competency and access to language services, and shared decision-making.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Governance, Leadership, and Workforce | Government | Patients & Consumers | Tools |

Tool for assessing cultural competence training (TACCT) External Web Site Policy

Association of American Medical Colleges (n.d.). Tool for assessing cultural competence training (TACCT). Retrieved from https://www.aamc.org/initiatives/tacct/

TACCT is a self-assessment tool designed for the use of medical schools in examining their curricula for gaps and redundancies in cultural competence training. It can be used for either traditional or problem-based curricula and may be downloaded in PDF or Excel versions. A TACCT Resource Guide, containing materials to aid in the implementation of TACCT, is available from the same site.

Keywords:    Governance, Leadership, and Workforce | Tools | Education & Training |

Retreats that work: Everything you need to know about planning and leading great offsites External Web Site Policy

Liteman, M., Campbell, S., & Liteman, J. (2006). Retreats that work: Everything you need to know about planning and leading great offsites. San Francisco, CA: Pfeiffer.

Offers information on how to design and lead retreats, including guidance on establishing effective working relationships with clients, tools for conflict management, and tips for follow-up. An accompanying CD makes it possible to duplicate templates and produce handouts.

Keywords:    Governance, Leadership, and Workforce | Communication and Language Assistance | Tools |

National Joint Committee for the Communication Needs of Persons with Severe Disabilities (NJC) External Web Site Policy

American Speech-Language-Hearing Association. (2012). National Joint Committee for the Communication Needs of Persons with Severe Disabilities (NJC). Retrieved from http://www.asha.org/njc

Organized in 1985 and currently composed of representatives from eight organizations, the NJC plays an advocacy role "for individuals with significant communication support needs resulting from intellectual disability, that may coexist with autism, sensory and/or motor limitation." Links from the site give access to guidelines, frequently asked questions, presentations, articles, a communication support checklist, and information about eligibility for communication support.

Keywords:    Communication and Language Assistance | Tools |

Linguistically appropriate access and services: An evaluation and review for healthcare organizations External Web Site Policy

Anderson, C. C., & National Council on Interpreting in Health Care (2002). Linguistically appropriate access and services: An evaluation and review for healthcare organizations. Retrieved from http://data.memberclicks.com/site/ncihc/NCIHC%20Working%20Paper%20-%20Linguistically%20Appropriate%20Access%20and%20Services.pdf

This paper provides a checklist to aid in the evaluation of existing organizational structures and the capacity to provide linguistically appropriate patient care and access to language services.

Keywords:    Communication and Language Assistance | Tools |

The toolkit for making written material clear and effective: Overview

Centers for Medicare and Medicaid Services. (2011). The toolkit for making written material clear and effective: Overview. Retrieved from https://www.cms.gov/WrittenMaterialsToolkit/

This toolkit offers guidelines, using a reader-centered approach, to the writing and design of brochures, pamphlets, booklets, flyers, fact sheets, posters, application forms, comparison charts, instruction sheets, questionnaires, and websites. Contents include readability formulas, a before-and-after example of a brochure with discussion of the differences, and guidelines for culturally appropriate translation.

Keywords:    Communication and Language Assistance | Government | Tools |

Certification Commission for Healthcare Interpreters External Web Site Policy

Certification Commission for Healthcare Interpreters. (n.d.). Retrieved from http://www.healthcareinterpretercertification.org/

Established in 2009, CCHI offers a certification created by health care interpreters for health care interpreters. The certification program is vendor neutral, meaning that it is "based on data from the field regarding ... knowledge, skills, performance and employers' expectations" rather than on completion of a specific training program. The website offers a fact sheet, FAQs, a resources page of pertinent sites, and access to webinars, all having a focus on interpreter credentialing.

Keywords:    Communication and Language Assistance | Tools | Profession-Based |

Cross-Cultural Communication Systems, Inc. External Web Site Policy

Cross-Cultural Communication Systems, Inc. (2010). Retrieved from http://www.embracingculture.com

CCCS provides cultural-linguistic services (e.g., interpretation, translation, and training) to health care, legal, business, and academic organizations. Round-the-clock emergency interpreter service is available. Approximately 150 languages are represented at the present time. Training manuals, videos, and courses are available through the website.

Keywords:    Communication and Language Assistance | Tools |

Language testing options 2008 External Web Site Policy

Hablamos Juntos. (2008). Language testing options 2008. Retrieved from http://www.imiaweb.org/uploads/pages/218.pdf

This document lists 35 resources available on the Internet to assess the foreign language proficiency of interpreters. These are organized into four categories: (1) language proficiency testing, (2) proficiency testing required for interpreter training programs, (3) proprietary proficiency tests offered by commercial agencies, and (4) tests of other interpreter skills beyond language proficiency. Contact information and URLs are supplied; fees and time required to take the test are noted for each. There is also a discussion of various approaches to language testing.

Keywords:    Communication and Language Assistance | Tools |

Health literacy studies: Assessing and developing health materials External Web Site Policy

Harvard School of Public Health. (2010). Health literacy studies: Assessing and developing health materials. Retrieved from http://www.hsph.harvard.edu/healthliteracy/practice/innovative-actions/index.html

This website offers access to readability tools and guidelines for creating, assessing, and rewriting print materials.

Keywords:    Communication and Language Assistance | Health Literacy | Tools |

The health literacy & plain language resource guide External Web Site Policy

Health Literacy Innovations. (2008). The health literacy & plain language resource guide. Retrieved from http://www.healthliteracyinnovations.com/information/RGdownload

Writing that is clear, to the point, and directed to the target audience is presented as a good strategy to improve health literacy. This guide offers links to Web pages, initiatives, action plans, reports, toolkits, and other resources appropriate for achieving that end.

Keywords:    Communication and Language Assistance | Health Literacy | Tools |

International Medical Interpreters Association External Web Site Policy

International Medical Interpreters Association. (2012). Retrieved from http://www.imiaweb.org/default.asp

This professional association's website offers links to a wide variety of information and services: training; an ethical code in many languages; standards of practice; advocacy activities; research; employment opportunities and opportunities for pro bono disaster relief; a Listserv; and information about legal matters, upcoming events, and health literacy, to name a few.

Keywords:    Communication and Language Assistance | Health Literacy | Tools |

Telephone interpreting in health care settings: Some commonly asked questions External Web Site Policy

Kelly, N. (2007). Telephone interpreting in health care settings: Some commonly asked questions. Retrieved from The ATA Chronicle website: http://www.atanet.org/chronicle/feature_article_june2007.php

The author poses and answers questions related to telephone interpreting, such as: When is face-to-face interpreting preferable to telephone interpreting? When is telephone interpreting preferable? What type of equipment should be used? What about nonverbal cues? How should medical records be documented when telephone interpreters are used? Does video interpretation have the potential to replace both on-site and telephone interpreting altogether? A resources section directs readers interested in working with interpreters to relevant books, websites, and training.

Keywords:    Communication and Language Assistance | Tools |

A medical interpreter's guide to telephone interpreting External Web Site Policy

Kelly, N. (2008). A medical interpreter's guide to telephone interpreting. Retrieved from International Medical Interpreters Association website: http://www.imiaweb.org/uploads/pages/307_2.pdf

The author provides answers to questions often asked by medical interpreters about interpreting via telephone. The article addresses such topics as the quality of telephonic versus in-person or video interpreting; nonverbal information; necessary qualifications; employment; work locations; compensation; the relation between fatigue and break time between calls; the equipment used; reference materials; training; how patients feel about telephone interpreting; how providers feel; and the settings in which telephone interpreting is preferable to on-site interpreting and vice versa.

Keywords:    Communication and Language Assistance | Tools |

National Association of the Deaf External Web Site Policy

National Association of the Deaf. (2012). Retrieved from http://www.nad.org/

The National Association of the Deaf is an advocacy group for deaf and hard-of-hearing individuals. Individual or organizational memberships are available. The association recognizes that access to language is a human right and that American Sign Language is "the backbone of American deaf culture." The website provides information on sign language, advocacy activities, legal representation, emergency preparedness, community resources and events, as well as access to member blogs.

Keywords:    Communication and Language Assistance | Population-Based | Tools |

National Board of Certification for Medical Interpreters External Web Site Policy

National Board of Certification for Medical Interpreters. (2012). Retrieved from http://www.certifiedmedicalinterpreters.org/

Candidates who meet the prerequisites of age, experience, and education may apply for certification as medical interpreters. Certification will demand passage of written and oral exams. A Certified Medical Interpreter Candidate Handbook is available to help candidates prepare for the tests.

Keywords:    Communication and Language Assistance | Tools | Education & Training |

Guide to initial assessment of interpreter qualifications External Web Site Policy

National Council on Interpreting in Health Care. (2001). Guide to initial assessment of interpreter qualifications. Retrieved from http://data.memberclicks.com/site/ncihc/NCIHC%20Working%20Paper%20Guide%20to%20Initial%20Assessment%20of%20Interpreter%20Qualifications.pdf

This guide is intended to outline a strategy for an initial evaluation of interpreter qualifications in the absence of certification by an accrediting body. In addition to basic language skills, areas for assessment include ethical issues, cultural understanding, sight translation (written to oral), and translation of simple texts (written to written).

Keywords:    Communication and Language Assistance | Tools |

Guide to interpreter positioning in health care settings External Web Site Policy

National Council on Interpreting in Health Care. (2003). Guide to interpreter positioning in health care settings. Retrieved from http://data.memberclicks.com/site/ncihc/NCIHC%20Working%20Paper%20-%20Guide%20to%20Interpreter%20Positioning%20in%20Health%20Care%20Settings.pdf

This guide examines the pros and cons of various physical positionings of the interpreter relative to the patient, physician, family members, or others who may be present and the factors (such as room configuration, whether a physical exam is to be performed, the emotional state of the patient, and whether signing will be needed) that influence the decision.

Keywords:    Communication and Language Assistance | Tools |

National Standards of Practice for Interpreters in Health Care External Web Site Policy

National Council on Interpreting in Health Care. (2005). National standards of practice for interpreters in health care. Retrieved from http://mchb.hrsa.gov/training/documents/pdf_library/National_Standards_of_Practice_for_Interpreters_in_Health_Care%20(12-05).pdf

Thirty-two standards are offered divided among the following areas: (1) accuracy, (2) confidentiality, (3) impartiality, (4) respect, (5) cultural awareness, (6) role boundaries, (7) professionalism, (8) professional development, and (9) advocacy. An objective is given for each of the areas. Each standard is followed by an example.

Keywords:    Communication and Language Assistance | Policy | Tools |

Language Access External Web Site Policy

National Health Law Program. (2010). Language Access. Retrieved from http://www.healthlaw.org/index.php?option=com_content&id=239&Itemid=196

This Web page serves as a gateway to numerous resources on the subject of language access. These resources are organized into the following broad areas: publications, research studies, federal administrative activities, federal and state legislation, health care disparities, and links to other websites.

Keywords:    Communication and Language Assistance | Policy | Tools |

What's in a word? A guide to understanding interpreting and translation in health care External Web Site Policy

National Health Law Program. (2010). What's in a word? A guide to understanding interpreting and translation in health care. Retrieved from http://www.healthlaw.org/images/stories/Whats_in_a_Word_Guide.pdf

The topics of discussion include the differences and commonalities of interpreting and translation, the requisite skills and qualifications of each, and their respective standards of practice, certification requirements, and methodologies. Guidance is also offered on the hiring of interpreters and translators.

Keywords:    Communication and Language Assistance | Tools |

Can they understand? Testing patient education materials with intended readers External Web Site Policy

Osborne, H. (2001, November). Can they understand? Testing patient education materials with intended readers. Retrieved from http://www.healthliteracy.com/article.asp?PageID=3811 (Reprinted from the Boston Globe On Call magazine)

The author demonstrates the need to test written material intended for patients to make sure it can be readily understood by its audience. She offers hints for successfully testing written material intended for patient use.

Keywords:    Communication and Language Assistance | Tools |

The Kaiser Permanente Clinician Cultural and Linguistic Assessment Initiative: Research and development in patient-provider language concordance

Tang, G., Lanza, O., Rodriguez, F. M., & Chang, A. (2011). The Kaiser Permanente Clinician Cultural and Linguistic Assessment Initiative: Research and development in patient-provider language concordance. American Journal of Public Health, 101(2), 205-208.

The authors share lessons learned and promising practices resulting from Kaiser Permanente's development of the Clinician Cultural and Linguistic Assessment Initiative to measure clinicians' ability to communicate directly with patients in the absence of an interpreter.

Keywords:    Communication and Language Assistance | Tools |

Advancing effective communication, cultural competence, and patient- and family-centered care: A roadmap for hospitals External Web Site Policy

The Joint Commission. (2010). Advancing effective communication, cultural competence, and patient- and family-centered care: A roadmap for hospitals. Retrieved from http://www.jointcommission.org/assets/1/6/ARoadmapforHospitalsfinalversion727.pdf

This monograph from the Joint Commission is intended to help hospitals to make effective communication, cultural competence, and patient- and family-centered care part of their daily operations. The chapters present issues and examples related to admission, patient assessment, treatment, end-of-life care, discharge and transfer, and organizational readiness. The various appendices contain a checklist of practices designed to improve communication, cultural competence, and patient- and family-centered care; Joint Commission requirements; laws and regulations; and a guide to relevant resources.

Keywords:    Communication and Language Assistance | Governance & Leadership | Quality Improvement | Tools | Clinical & Mental Health | Public Health |

IMIA guide on medical translation External Web Site Policy

Txabarriaga, R. (2009). IMIA guide on medical translation. Retrieved from International Medical Interpreters Association website: http://www.imiaweb.org/uploads/pages/438.pdf

The purpose of this guide is "to provide an easy to use set of translation management and quality control guidelines for those in the medical field." Topics of discussion include stakeholder identification, the role(s) of interpreters and practitioners in translation, interpreters as translators, qualifications of translators, process management, quality standards, and document formatting.

Keywords:    Communication and Language Assistance | Tools |

Diversity committees that make a difference External Web Site Policy

Association of the Bar of the City of New York. (n.d.). Diversity committees that make a difference. Retrieved from http://www.abcny.org/images/stories/pdfs/Diversity%20Committee%20Notes%20Article10_2004.pdf

This document addresses the importance of forming a diversity committee as a first step in launching any diversity initiative. The structure of the committee and the key issues on which it needs to focus are discussed. Stemming from a conference series on diversity in legal institutions, the insights in this paper are applicable to other types of organization.

Keywords:    Engagement, Continuous Improvement, and Accountability | Tools | Governance & Leadership |

Inventory for assessing the process of cultural competence among healthcare professionals-revised External Web Site Policy

Campinha-Bacote, J. (2002). Inventory for assessing the process of cultural competence among healthcare professionals-revised (IAPCC-R). Retrieved from http://www.transculturalcare.net/iapcc-r.htm

This pencil-and-paper self-assessment tool is designed to measure cultural competence among health care professionals, residents, and students. It uses a four-point Likert scale. There are 25 items. Completion time is 10 to 15 minutes. The IAPCC-R is copyrighted, and a fee is required for its use.

Keywords:    Engagement, Continuous Improvement, and Accountability | Public Health | Tools |

CASAS External Web Site Policy

CASAS. (2011). Retrieved from https://www.casas.org

CASAS offers assessments of basic reading, mathematics, listening, speaking, and writing skills in contexts that the learners might be expected to encounter in everyday situations. An adult low-level literacy curriculum is available.

Keywords:    Engagement, Continuous Improvement, and Accountability | Tools | Education & Training |

The Drucker Foundation self-assessment tool: Participant workbook External Web Site Policy

Drucker, P. (1998). The Drucker Foundation self-assessment tool: Participant workbook. Hoboken, NJ: Jossey-Bass, Inc.

This workbook is a tool and step-by-step guide for a self-assessment process in nonprofit organizations with a social mission.

Keywords:    Engagement, Continuous Improvement, and Accountability | Tools | Quality Improvement |

Working on common cross-cultural communication challenges External Web Site Policy

DuPraw, M., & Axner, M. (2011). Working on common cross-cultural communication challenges. Retrieved from http://www.pbs.org/ampu/crosscult.html

The authors outline six fundamental patterns of cultural difference: communication styles, attitudes toward conflict, approaches to completing tasks, decision-making styles, attitudes toward disclosure, and approaches to knowledge. They conclude with the suggestion of several guidelines for multicultural collaboration.

Keywords:    Engagement, Continuous Improvement, and Accountability | Communication and Language Assistance | Tools |

Health research and educational trust disparities toolkit External Web Site Policy

Hasnain-Wynia, R., Pierce, D., Haque, A., Hedges Greising, C., Prince, V., & Reiter, J. (2007). Health research and educational trust disparities toolkit. Retrieved from http://www.hretdisparities.org/

This is a Web-based toolkit providing information and resources that will allow health care organizations to collect patient race, ethnicity, and primary language data in a systematic way. Included are sections on how to ask the questions, the use of the data, staff training, community engagement, and deaf and hard-of-hearing populations.

Keywords:    Engagement, Continuous Improvement, and Accountability | Disparities | Tools |

Tools to foster the collaboration with patient and family advisors External Web Site Policy

Institute for Patient- and Family-Centered Care. (2011) Tools to foster the collaboration with patient and family advisors. Retrieved from http://www.ipfcc.org/tools/downloads-tools.html

The tools include a checklist for attitudes about patients and families as advisers; a patient and family advisory council work plan; applying patient and family-centered concepts to bedside pediatric rounds; creating advisory councils; staff liaison coordination; tips for patients and families; tips on involving patients and families on committees and task forces; tips for recruiting patients and families to serve in advisory roles; and tips for how to be an effective patient or family adviser.

Keywords:    Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Tools |

Cultural competence health practitioner assessment (CCHPA) External Web Site Policy

National Center for Cultural Competence. (n.d.). Cultural competence health practitioner assessment (CCHPA). Retrieved from http://nccc.georgetown.edu/features/CCHPA.html

The CCHPA is an online self-assessment tool. It has six subscales: values and belief systems, cultural aspects of epidemiology, clinical decision-making, life cycle events, cross-cultural communication, and empowerment/health management. The CCHPA has not been validated for use in research.

Keywords:    Engagement, Continuous Improvement, and Accountability | Tools | Communication and Language Assistance |

Recognizing innovations in multicultural health care External Web Site Policy

National Committee for Quality Assurance. (2011). Recognizing innovations in multicultural health care. Retrieved from http://www.ncqa.org/tabid/453/Default.aspx

This award program recognizes health plans "for their exemplary efforts and demonstrated effectiveness in promoting cultural competence and addressing the health care needs" of members who belong to cultural or linguistic minorities. It is hoped that the award program may identify models suitable for replication. Topic areas for applications are language access, cultural competence, reducing clinical disparities, community-driven programs or community partnerships, culturally and linguistically appropriate patient education, cross-cultural health initiatives, quality and culture intersection, and culturally tailored disease management.

Keywords:    Engagement, Continuous Improvement, and Accountability | Tools | Disparities |

Cultural competency 2010: Cultural competency measures and implementation strategies External Web Site Policy

National Quality Forum. (n.d.). Cultural competency 2010: Cultural competency measures and implementation strategies. Retrieved from http://www.qualityforum.org/Projects/c-d/Cultural_Competency_2010/Cultural_Competency_2010.aspx

Building on previous National Quality Forum work and guided by input from an expert panel of stakeholders, this project was intended to "identify next steps for cultural competency measures and concepts for the development of a cultural competency practice implementation measure." Implementation strategies and preferred practices were identified.

Keywords:    Engagement, Continuous Improvement, and Accountability | Tools | Governance & Leadership |

Getting the word out: Effective health outreach to cultural communities

Ohmans, P., & Cushing, M. (2000). Getting the word out: Effective health outreach to cultural communities. Retrieved from The Medtronic Foundation website: http://www.medtronic.com/downloadablefiles/outreach_brochure.pdf

Effective outreach depends on understanding the culture of the communities one is trying to reach. Getting the Word Out provides step-by-step guidance for health care organizations seeking to make their services known to people of other cultural communities in ways that are meaningful and appropriate to them. The steps covered in this short guide include learning about the community, assessing one's own organization, building relationships with the community, and planning and implementing a program. Each of these broad topics is fleshed out in some detail. Tips and techniques are offered.

Keywords:    Engagement, Continuous Improvement, and Accountability | Communication and Language Assistance | Tools |

How to choose and use a language agency: A guide for health and social service providers who wish to contract with language agencies External Web Site Policy

Roat, C. (2003). How to choose and use a language agency: A guide for health and social service providers who wish to contract with language agencies. Retrieved from The California Endowment website: http://www.calendow.org/uploadedFiles/how_to_choose_use_language_agency.pdf

This relatively short guide includes a great deal of information on the effective selection and use of language agencies, the questions to ask beforehand, and the monitoring of performance once an agency is in place. An extensive list of language agencies in California is provided.

Keywords:    Engagement, Continuous Improvement, and Accountability | Tools | Communication and Language Assistance |

Toward culturally competent evaluation in health and mental health External Web Site Policy

Snowden, L. R. (2003). Toward culturally competent evaluation in health and mental health. Retrieved from The California Endowment website: http://www.calendow.org/uploadedFiles/Publications/Evaluation/toward_culturally_competent_evaluation.pdf

The focus of this paper is on the application of culturally competent evaluation methods to the research in and evaluation of culturally competent care. The author outlines four "domains of focus" according to which cultural competence might be assessed and, for each, poses specific research questions that might arise within it. Examples are provided of culturally responsive methods evaluators could use to address these questions.

Keywords:    Engagement, Continuous Improvement, and Accountability | Quality Improvement | Tools |

Building coalitions among communities of color: A multicultural approach

Summit Health Institute for Research and Education. (2004). Building coalitions among communities of color: A multicultural approach. Retrieved from http://www.shireinc.org/wp-content/files/Building_Coalitions_among_Communities_of_Color.pdf

The introduction notes that "[t]his guide is intended as a resource primarily for people of color, who are building coalitions in which representatives from communities of color predominate." It is structured around 10 strategies, and specific, practical steps within those strategies, to maximize their abilities as change agents by fostering skills in the areas of coalition building, strategic planning, intergroup relations, organizational development, and group maintenance and evaluation.

Keywords:    Engagement, Continuous Improvement, and Accountability | Policy | Tools |

The collaboration primer: Proven strategies, considerations, and tools to get you started External Web Site Policy

Torres, G. W., & Margolin, F. S. (2003). The collaboration primer: Proven strategies, considerations, and tools to get you started. Retrieved from Health Research and Educational Trust website: http://www.hret.org/upload/resources/collaboration-primer.pdf

Collaboration can offer a better alignment of resources with needs, reduce competition for resources, increase organizational effectiveness, and lead to sustainable results. The authors draw on the Health Research and Educational Trust's 10 years' experience in collaborative efforts. They encourage those contemplating collaboration to think about the degree to which they are willing to collaborate. They provide a checklist of issues to consider before embarking on collaboration. They offer examples of model collaboratives, nuts and bolts and organizational principles for successful collaboration, and an assessment tool to discover strengths and weaknesses.

Keywords:    Engagement, Continuous Improvement, and Accountability | Tools | Communication and Language Assistance |

American Factfinder

U.S. Department of Commerce, U.S. Census Bureau. (n.d.). American factfinder. Retrieved from http://factfinder2.census.gov/faces/nav/jsf/pages/index.xhtml

Search for census information by topic (such as age, income, or year), race or ethnic group, occupation, or geographic area. Only deidentified information (that is, information that would not enable the identification of individual persons, households, or businesses) is available.

Keywords:    Engagement, Continuous Improvement, and Accountability | Government | Tools |

Final data collection standards for race, ethnicity, primary language, sex, and disability status required by Section 4302 of the Affordable Care Act

U.S. Department of Health and Human Services, Office of Minority Health. (2011). Final data collection standards for race, ethnicity, primary language, sex, and disability status required by Section 4302 of the Affordable Care Act. Retrieved from http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlid=208

The Department of Health and Human Services published the final version of its standards for data collection on race, ethnicity, sex, primary language, and disability status on October 31, 2011. The standards apply to health surveys sponsored by HHS, which will now implement these data standards in all surveys.

Keywords:    Engagement, Continuous Improvement, and Accountability | Government | Tools |

Community-based participatory research External Web Site Policy

University of Washington, Community-Campus Partnerships for Health. (n.d.). Community-based participatory research. Retrieved from http://depts.washington.edu/ccph/commbas.html

This website serves as a clearinghouse for information on "participatory models of research, in which communities are actively engaged in the research process through partnerships with academic institutions." Links are available to reports and presentations, examples of funded proposals, peer-reviewed journal articles, syllabi and course materials, electronic discussion groups, a free online course, principles and policies of community-based participatory research, and sample memoranda of understanding and memoranda of agreement for codifying partner relationships.

Keywords:    Engagement, Continuous Improvement, and Accountability | Public Health | Tools |

Moving towards culturally competent health systems: Organizational and market factors External Web Site Policy

Weech-Maldonado, R. (2007, June 5). Moving towards culturally competent health systems: Organizational and market factors. [Presented at the Academy Health Disparities Interest Group Meeting, Orlando, FL.]

The author discusses a survey of California hospitals with the Cultural Competency Assessment Tool for Hospitals. He found that leadership is the single most important factor in determining adherence to the CLAS Standards; organizational factors such as system membership, size, and financial performance and market factors such as competition and demographics do not, themselves, have a consistent relationship to CLAS adherence; however, some organizational and market factors may have an indirect effect on CLAS adherence through having an effect on the diversity leadership.

Keywords:    Engagement, Continuous Improvement, and Accountability | Governance & Leadership | Tools |

LGBT-TRISTAR External Web Site Policy

LGBT-TRISTAR is a government-funded technical assistance (TA) and training services division targeting providers of alcohol and other drug (AOD) prevention, treatment and recovery support services. We provide on-site and online technical assistance and training designed to equip administrators and staff to provide services that are more accessible and culturally responsive to Lesbian, Gay, Bisexual and Transgender (LGBT) individuals and families.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance & Leadership | Clinical & Mental Health | Governance, Leadership, and Workforce | Disparities | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Policy | Quality Improvement | Tools | Provide effective, equitable, understandable, and respectful quality care and services |

Implementing Cultural and Linguistic Requirements in Health Insurance Exchanges External Web Site Policy

This timely report offers an update on implementation progress, guidance, best practices, and tools for states, health plans, and organizations hastening to implement ACA’s cultural and linguistic requirements by October 1, 2013, when open enrollment begins. Also featured are seven in-depth case studies on State-Based Exchanges in California, Colorado, Connecticut, Maryland, New York, Oregon, and Washington, with information on best practices on integrating race, culture, and language in planning and operation.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance & Leadership | Disparities | Health Literacy | Communication and Language Assistance | Policy | Research | Tools |

Supporting and Transitioning the Health Care Safety Net External Web Site Policy

The Texas Health Institute recently released its second report, “Supporting and Transitioning the Health Care Safety Net,” in its five-part series known as The ACA & Racial and Ethnic Health Equity Series. This new report provides a snapshot on status and progress of nine key provisions in the ACA critical for advancing racial and ethnic health equity within the health care safety net. Through a close review of latest data, research, and federal guidance on safety net provisions, this report describes how the safety net stands at a crossroads in an era of reform. Complemented by perspectives from the field—including hospitals and health centers—the report discusses important priorities, challenges, and next steps for addressing and advancing racial and ethnic health equity through the safety net.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance, Leadership, and Workforce | Disparities | Health Literacy | Communication and Language Assistance | Patients & Consumers | Policy | Research | Tools | Provide effective, equitable, understandable, and respectful quality care and services |

Race, Ethnicity, Language Collection - Self Reference Guide for Providers External Web Site Policy

Quick reference guide for providers to assist them in collecting race, ethnicity, and language data.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Clinical & Mental Health | Communication and Language Assistance | Profession-Based | Tools |

Race, Language, and Ethnicity Self-Check Form External Web Site Policy

This form allows for standardized race, ethnicity, and language data collection.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Clinical & Mental Health | Communication and Language Assistance | Profession-Based | Tools |

Hurricane Health & Safety Tips Widget. Flash Player 9 is required.
Hurricane Health & Safety Tips Widget.
Flash Player 9 is required.

Hurricane Health & Safety Tips
       National Institute of Dental and Craniofacial Research