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Surveillance of Screening-Detected Cancers (Colon and Rectum, Breast, and Cervix)

U.S. Department of Health & Human Services, Centers for Disease Control and Prevention. (2010). Morbidity and Mortality Weekly Report: Surveillance of screening-detected cancers (colon and rectum, breast, and cervix) (CDC Publication No. 59[SS09], 1-25). Retrieved from http://www.cdc.gov/

This study by the U.S. Department of Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) reveals that almost half of colorectal and cervical cancers and a third of breast cancers are diagnosed at late stages, when treatment is more difficult, despite the availability of effective screenings. The late diagnoses are disproportionately suffered by racial and ethnic minorities. The study identifies education as a key to improving these outcomes, recommending that providers explain the benefits of screenings to patients in a manner that the patient will understand.

Keywords:    Research | Population-Based | Disease-Based | Communication | Disparities | Governance, Leadership, and Workforce |

Racial Disparities in the Outcomes of Communication on Medical Care Received Near Death External Web Site Policy

Mack, J. W., Paulk, M. E., Viswanath, K., & Prigerson, H. G. (2010). Racial disparities in the outcomes of communication on medical care received near death. Archives of Internal Medicine, 170(17), 1533-1540. doi:10.1001/archinternmed.2010.322

Research published in the Archives of Internal Medicine found that Black patients with advanced and terminal cancer are less likely than White patients to have their wishes for end-of-life care honored, even with a similar likelihood of having discussed their preferences with their doctors. These findings reveal the possibility that Black patients receive inferior end-of-life care and the need for standards of care to be equal for all.

Keywords:    Research | Governance, Leadership, and Workforce | Engagement, Continuous Improvement, and Accountability |

Muslim patients and cross-gender interactions in medicine: an Islamic bioethical perspective External Web Site Policy

Padela, A. I., & Rodriguez del Pozo, P. (2010). Muslim patients and cross-gender interactions in medicine: an Islamic bioethical perspective. Journal of Medical Ethics, 37(1), 40-44. doi:10.1136/jme.2010.037614

In this article, an emergency room physician provides recommendations for accommodating Muslim sensitivities within the healthcare system. The physician identifies cultural competence as a critical way to reduce healthcare disparities arising from value and cultural differences between patients and providers, noting that adapting one's practice style to meet patient needs and values is an important way to improve quality of care.

Keywords:    Research | Education & Training | Clinical & Mental Health | Population-Based | Profession-Based | Communication | Governance, Leadership, and Workforce |

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 |

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 |

Race, culture may play role in Alzheimer's disease External Web Site Policy

Brophy Marcus, M. (2010, July 14). Race, culture may play role in Alzheimer's disease. USA Today. Retrieved from http://www.usatoday.com/

This article discusses research presented at the Alzheimer's Association International Conference. It examines the effect of racial and cultural differences on Alzheimer's patients' outcomes and the attitudes of their family members. The study finds that more culturally tailored resources could benefit African Americans, Latinos, and other minority groups.

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

Racial and Ethnic Disparities in Health Care External Web Site Policy

American College of Physicians. (2010).Racial and ethnic disparities in health care, updated 2010. Retrieved from http://www.acponline.org/advocacy/where_we_stand/access/racial_disparities.pdf

The American College of Physicians released a 2010 update to its policy paper, "Racial and Ethnic Disparities in Health Care." It calls for the healthcare system to adapt to meet the needs of an increasingly multicultural patient base. Recommendations include that healthcare professionals need to acknowledge the cultural, informational, and linguistic needs of their patients as our society increasingly becomes more racially and ethnically diverse.

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

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 |

Cancer study sees cultural factors in racial disparities External Web Site Policy

Avery, S. (2010, June 16). Cancer study sees cultural factors in racial disparities. The News & Observer. Retrieved from http://www.newsobserver.com/

The Journal of the American Medical Association has published a study from the University of North Carolina-Chapel Hill about the cultural factors present in the racial disparities of lung cancer. The scientists concluded that, despite a high likelihood of death, Black patients are much less inclined to have surgery for early stage lung cancer than White patients, often because of a communication gulf between them and their doctors.

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

Ending health disparities takes interdisciplinary approach External Web Site Policy

Lewis, C., & Stout, J. (2010). Toothache in US children. Archives of Pediatrics & Adolescent Medicine, 164, 1056-1063. doi:10.1001/archpediatrics.2010.206

In this message from the American Medical Association (AMA) president to all physicians, Dr. Rohack notes that an interdisciplinary approach to patient-centered care may help reduce health disparities by addressing challenges in communication such as low health literacy and medication mismanagement. He commits to helping guide the changes needed to ensure culturally competent patient care. When patients do not understand their medical conditions or what to do to control them, unnecessary healthcare costs only will increase, a situation he notes the AMA is committed to avoiding.

Keywords:    Policy | Clinical & Mental Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Profession-Based | 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 Education External Web Site Policy

Lypson, M. L., Bussey-Jones, J., Glick, S., Brown, A. F., & Jacobs, E. A. (2010). Health disparities education. Journal of General Internal Medicine, 25(2), 79-81. doi: 10.1007/s11606-010-1312-2

The Journal of General Internal Medicine dedicated its May 2010 supplement to health disparities education. This supplement focuses on approaches to teaching health disparities and health disparities curriculums for students. It contains 27 articles, including "Medical Students' Perceptions of Their Teachers' and Their Own Cultural Competency: Implications for Education" and "Beyond Knowledge, Toward Linguistic Competency: An Experiential Curriculum."

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

HHS Launches Oral Health Initiative

HHS Launches Oral Health Initiative. (2010, April 26). U.S. Department of Health and Human Services. Retrieved from http://minorityhealth.hhs.gov/

In April 2010, Dr. Howard Koh (Assistant Secretary for Health, HHS) announced an initiative to expand oral health services, education, and research in America ("Oral Health Is Integral to Overall Health"). Through the initiative, the department is increasing support for access to oral healthcare and the delivery of services to underserved populations.

Keywords:    Policy | Government | Profession-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

National Healthcare Disparities Report

U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality. National Healthcare Disparities Report (AHRQ Publication No. 10-0004). Retrieved from http://www.ahrq.gov/qual/nhdr09/nhdr09.pdf

The AHRQ produced the 2009 NHDR. The NHDR tracks the healthcare system through quality measures and summarizes healthcare quality and access among various racial, ethnic, and income groups and other priority populations, such as children and older adults.

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

Organ Transplant Program 'mistrust' studied External Web Site Policy

Conte, A. (2010, May 2). Organ transplant program 'mistrust' studied. Pittsburgh Tribune-Review. Retrieved from http://www.pittsburghlive.com/x/pittsburghtrib/

Researchers at the University of Pittsburgh School of Medicine have shown that patients who think healthcare providers discriminate against them take more time to get approved for kidney transplant surgery. Blacks are four times more likely than Whites to have kidney failure, but they are less than half as likely to receive transplants from living donors. The lead researcher notes that doctors should identify patients who perceive discrimination in order to help them navigate the process.

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

American Journal of Public Health External Web Site Policy

American Public Health Association. (2010). American Journal of Public Health, 100(5). Retrieved from http://ajph.aphapublications.org/content/vol100/issue5/

The first issue of any major public health journal devoted to Asian American, Native Hawaiian and Pacific Islander populations, the May issue of the American Journal of Public Health (AJPH) explores an array of new research on both alarming disparities and significant successes in care.

Keywords:    Research | Policy | Public Health | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Commentary: Linking Cultural Competence Training to Improved Health Outcomes: Perspectives From the Field. External Web Site Policy

Betancourt, J. R., & Green, A. R. (2010). Commentary: linking cultural competence training to improved health outcomes: perspectives from the field. Academic Medicine, 85(4), 583-585. doi: 10.1097/ACM.0b013e3181d2b2f3

This article explores the impact cultural competency may have on health outcomes. Cultural competence training should be evaluated in a stepwise fashion by using the tools of health services research and the principles of quality improvement, and it should be held to the same standards as other educational interventions and activities.

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

Advancing Effective Communication, Cultural Competence, and Patient-and Family-Centered Care External Web Site Policy

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

The Joint Commission proposes accreditation requirements for hospitals. These standards aim to improve communication, cultural competence, and patient-centered care. The standards will be published in the 2011 Comprehensive Accreditation Manual for Hospitals (CAMH): The Official Handbook. Compliance with the patient-centered communication standards will be included in the accreditation decision no earlier than January 2012.

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

Cultural competence in oncology: Where do we stand? External Web Site Policy

Surbone, A. (2010). Cultural competence in oncology: where do we stand? Annals of Oncology, 21(1), 3-5. doi: 10.1093/annonc/mdp546

This article in Annals of Oncology discusses the importance and relevance of culturally competent services in oncology. The author emphasizes that cultural differences are a major determinant of unequal access to cancer care. She concludes that provider practice of cultural competence can improve the quality of care offered to all cancer patients and can also foster reciprocal understanding and tolerance in the patient-doctor-institution relationship.

Keywords:    Research | Clinical & Mental Health | Profession-Based | Disease-Based | Communication | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Racial/Ethnic Difference in Early-Life Risk Factors for Childhood Obesity External Web Site Policy

Taveras, E. M., Gillman, M. W., Kleinman, K., Rich-Edwards, J. W., & Rifas-Shiman, S. L. (2010). Racial/ethnic difference in early-life risk factors for childhood obesity. Pediatrics, 125(4), 686-695. doi: 10.1542/peds.2009-2100

A team of researchers in Boston set out to examine racial/ethnic differences in early-life risk factors for childhood obesity. The study finds that racial/ethnic differences in risk factors for obesity exist prenatally and in early childhood. Racial/ethnic disparities in childhood obesity may be determined by factors that operate at the earliest stages of life.

Keywords:    Research | Clinical & Mental Health | Public Health | Patients & Consumers | Government | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | 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 |

Protection of Racial/Ethnic Minority Populations During an Influenza Pandemic External Web Site Policy

Hutchins, S. S., Fiscella, K., Levine, R. S., Ompad, D. C., & McDonald, M. (2009). Protection of racial/ethnic minority populations during an influenza pandemic. American Journal of Public Health, 99(S2), S261-S270. doi: 10.2105/AJPH.2009.161505

This study examines the disproportionate impact of an influenza pandemic on racial and ethnic minority populations. The research recommends that pandemic interventions implement culturally competent preparedness and response that address the specific needs of racial/ethnic minority populations as well as relevant, practical, and culturally and linguistically tailored communications.

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

Reducing Health Disparities Through a Culturally Centered Mentorship Program for Minority Faculty: The Southwest Addictions Research Group (SARG) Experience External Web Site Policy

Viets, V. L., Baca, C., Verney, S. P., Venner, K., Parker T., & Wallerstein, N. (2009). Reducing health disparities through a culturally centered mentorship program for minority faculty: the southwest addictions research group (SARG) experience. Academic Medicine, 84(8), 1118-1126. doi: 10.1097/ACM.0b013e3181ad1cb1

This study examines the prospect of reducing health disparities through recruitment of minority faculty using a formal mentorship program. A Culturally Centered Mentorship Model was created that emphasizes culture, community service, and community-based participatory research to support the recruitment and advancement of ethnic minority faculty members in academia.

Keywords:    Research | Clinical & Mental Health | Governance & Leadership | Profession-Based | Governance, Leadership, and Workforce | Engagement, Continuous Improvement, and Accountability |

Study: Many Say Disparities Genetic External Web Site Policy

Study: many say disparities genetic. (2009, October 20). United Press International. Retrieved from http://www.upi.com/Health_News/2009/10/20/Study-Many-say-racial-disparities-genetic/UPI-80281256018232/

A study published in the Social Science Quarterly indicates that a majority of Americans support strategies to reduce healthcare disparities that are caused by social and economic status but believe that racial and ethnic health disparities are genetic. The authors note that the general public's belief that racial disparities have a genetic foundation is troubling because people will resist strategies aimed at eliminating health disparities.

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

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 |

CSMS issues results of health disparities survey External Web Site Policy

CSMS issues results of health disparities survey. (2009, October 28). Connecticut State Medical Society. Retrieved from http://www.csms.org/index.php?option=com_content&task=view&id=2415&Itemid=222

This article discusses the results of a survey conducted by the Connecticut State Medical Society (CSMS) about physicians' views on ways to reduce disparities in healthcare, including cultural competency training. The results indicate that Connecticut physicians believe they could provide better care to patients of minority communities if they had better access to training. As a result of these findings, CSMS has committed to providing cultural competency training to physicians to help eliminate healthcare disparities in Connecticut.

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

Studying State Legislation of Cultural and Linguistic Competence External Web Site Policy

Robert Wood Johnson Foundation. (2009). Studying state legislation of cultural and linguistic competence. Retrieved from http://www.rwjf.org/

The Robert Wood Johnson Foundation (RWJF) funded a study by the National Center for Cultural Competence at Georgetown University that assessed State efforts to integrate cultural competence into continuing education and licensure requirements for healthcare professionals. The study reveals characteristics common between those States with legislation and States with barriers to the passage of legislation, and the study offers several strategic planning ideas.

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

Non-Native English Speakers Face Numerous Linguistic, Cultural Barriers to Medical Care External Web Site Policy

California Healthline. (2009). Non-Native English Speakers Face Numerous Linguistic, Cultural Barriers to Medical Care [Audio report]. Retrieved from http://www.californiahealthline.org/

This is an audio report that discusses a study conducted at the University of California-Berkley. The study finds that many non-native English speakers encounter difficulties in communicating with their healthcare providers, which can lead to lower quality healthcare. The researchers interviewed several key experts, who recommend that policymakers address health access issues by investing in telemedicine-based interpretation services and by recruiting bilingual medical professionals.

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

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 |

Speaking the Same Language: Medical Providers Struggle to Communicate With Immigrant Patients External Web Site Policy

Barclay, E. (2009, April 21). Speaking the same language: medical providers struggle to communicate with immigrant patients. The Washington Post. Retrieved from http://www.washingtonpost.com/wp-dyn/content/article/2009/04/20/AR2009042002466_pf.html

This Washington Post article discusses the effect of the Washington area's high immigration rates on its healthcare providers and the quality of care offered to patients. The author describes the medical errors and discrimination that can result from inadequate language services, and she provides doctors' and patients' points of view.

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

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 |

Journal of Health Care for the Poor and Underserved External Web Site Policy

Brennan, V. M. (Ed.). (2009). Journal of Health Care for the Poor and Underserved. doi: 10.1353/hpu.0.0146

The May 2009 issue of the Journal of Health Care for the Poor and Underserved offers a variety of articles that address issues of health disparities and access to care. It highlights medical education issues regarding obstacles and supports for different minority groups during the application process for medical school. It includes a section on immigrant health, which contains articles on a variety of racial and ethnic groups, including Chinese and Latinos.

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

One Size Does Not Fit All: Meeting The Health Care Needs of Diverse Populations External Web Site Policy

Wilson-Stronks, A., Lee, K. K., Cordero, C. L., Kopp, A. L., & Galvez, E. (2008). One size does not fit all: meeting the health care needs of diverse populations. Retrieved from The Joint Commission website: http://www.jointcommission.org/assets/1/6/HLCOneSizeFinal.pdf

This report provides insight into the ways in which hospitals meet diverse patient needs and reduce health disparities. It examines the challenge that healthcare organizations face when addressing cultural and language issues, and it provides a general framework for developing organizational cultural competence. The report stresses that each hospital is responsible for tailoring an approach to cultural competence that addresses its needs rather than relying on a "one size fits all" solution.

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

Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health External Web Site Policy

Commission on the Social Determinants of Health (2008). Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health. Retrieved from the World Health Organization website: http://whqlibdoc.who.int/publications/2008/9789241563703_eng.pdf

This is the final report by the World Health Organization's Commission on Social Determinants of Health, which set out to examine ways to achieve health equity around the world. The report determines that the problem of health disparities can be tackled by developing strategies to influence policies and organizations that affect entire societies. The Commission has succeeded in its goal to create a global movement to promote health equity by establishing partnerships with governments and global organizations. The Commission concludes that achieving health equity within a generation is achievable.

Keywords:    Research | Policy | Public Health | Governance & Leadership | Government | Population-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | 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 |

Educating Physicians to Provide Culturally Competent, Patient-Centered Care External Web Site Policy

Like, R. C., Barrett, T. J., & Moon, J. (2008, Summer). Educating physicians to provide culturally competent, patient-centered care. Perspectives: A View of Family Medicine in New Jersey, 7(2), 10-20. Retrieved from http://www.njafp.org/publications/archive

This article in a New Jersey family medicine publication discusses the history of, rationale for, and effects of the legislation in New Jersey enacted in March 2005 that requires all physicians to complete cultural competency training for re-licensure and mandates the inclusion of relevant curricular content in the State's medical schools. It also outlines the development of cultural competency in legislation throughout the country on both State and national levels.

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

Health Disparities: Barriers to a Culture of Preparedness External Web Site Policy

Honore, R. L. (2008). Health Disparities: Barriers to a Culture of Preparedness. Journal of Public Health Management & Practice, 14(6), S5-S7. doi: 10.1097/01.PHH.0000338381.29071.d6

This article discusses the ways that inequalities in health and healthcare present a barrier to the United States' disaster preparedness and response activities. The article sets out to show that individuals, communities, the private sector, nonprofits, and all levels of government need to work together to reduce health inequalities to improve the Nation's level of preparedness and response to a crisis.

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

Physician Implicit Attitudes and Stereotypes About Race and Quality of Medical Care External Web Site Policy

Sabin, J. A., Rivara, F. P., & Greenwald, A. G. (2008). Physician implicit attitudes and stereotypes about race and quality of medical care. Medical Care, 46(7), 678-685. doi: 10.1097/MLR.0b013e3181653d58

This study used a social psychological perspective to examine what effects healthcare providers' implicit attitudes about race have on healthcare and racial and ethnic healthcare disparities. The data indicate that most doctors in all racial and ethnic groups show an implicit preference of Whites over Blacks except for Black doctors, who show no preference for either race.

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

Journal of Public Health Management & Practice External Web Site Policy

Graham, G. N., Honore, P. A., & Beadle, M. (Eds.). (2008). Supplement 6. In Novick, L. F. (Journal Ed.) Journal of Public Health Management & Practice, 14(6), S1-S87. Retrieved from http://journals.lww.com/jphmp/pages/toc.aspx?year=2008&issue=11001

This supplemental issue of the Journal of Public Health Management & Practice is dedicated to health disparities. It contains articles on a wide variety of topics relating to health disparities and includes an editorial from Dr. Garth Graham, Deputy Assistant Secretary for Minority Health.

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

Integrating Immigrant Families in Emergency Response, Relief and Rebuilding Efforts External Web Site Policy

Wang, T., & Yasui, L. (2008). Integrating immigrant families in emergency response, relief and rebuilding efforts. The Annie E. Casey Foundation and Grantmakers Concerned with Immigrants and Refugees. Retrieved from the Grantmakers Concerned with Immigrants and Refugees website: http://www.gcir.org/system/files/Integrating%20Immigrant%20Families%20in%20Emergency%20Response%2C%20Relief%20and%20Rebuilding%20Efforts.pdf

This report examines the disparities faced by immigrants and limited-English-proficiency communities during times of disaster. It focuses on emergency management at the local level since, oftentimes, the local government is the first on the scene during a disaster event.

Keywords:    Research | Policy | Education & Training | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | 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 |

The influence of physicians' demographic characteristics and their patients' demographic characteristics on physician practice: Implications for education and research External Web Site Policy

Berger, J. T. "The influence of physicians' demographic characteristics and their patients' demographic characteristics on physician practice: Implications for education and research." Academic Medicine, 83.1 (2008): 100-105.

Demographic differences, specifically race, gender, and religion, have been shown to affect the diagnosis, type of treatment, and prevention methods provided to patients. This study from Academic Medicine highlights the necessity of cultural self-awareness and individualized patient care.

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

Viewpoint: Physician, know thyself: The professional cultural of medicine as a framework for teaching cultural competence External Web Site Policy

Boutin-Foster, C., Foster, J. C., & Konopasek, L. (2008). Viewpoint: physician, know thyself: the professional cultural of medicine as a framework for teaching cultural competence. Academic Medicine, 83(1), 106-111. doi: 10.1097/ACM.0b013e31815c6753

Medical schools are emphasizing the importance of cultural competency education, but its emphasis is often overshadowed by a number of challenges, which are addressed in this article. The article discusses several curricula changes for teaching cultural competence to physicians that will assist medical professionals in becoming more adequate in providing care to culturally and linguistically diverse populations.

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

Race, medical researcher distrust, perceived harm, and willingness to participate in cardiovascular prevention trials External Web Site Policy

Braunstein, J. B., Sherber, N. S., Schulman, S. P., Ding, E. L., & Powe, N. R. (2008). Race, medical researcher distrust, perceived harm, and willingness to participate in cardiovascular prevention trials. Medicine 87(1), 1-9. doi: 10.1097/MD.0b013e3181625d78

Using a tool called the Medical Researcher Distrust Index, researchers examined individuals' perceived risk of engaging in medical research, specifically in cardiovascular clinical trials. This study presents medical professionals and researchers with a number of intervention approaches that may help alleviate racial and ethnic disparities in research methodology.

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

Health Disparities Report 2008: A County-Level Look at Health Outcomes for Minorities in Georgia

Georgia Department of Community Health Office of Health Improvement and Minority Health Advisory Council. (2008). Health disparities report 2008: a county-level look at health outcomes for minorities in Georgia. Retrieved from http://dch.georgia.gov/vgn/images/portal/cit_1210/5/49/111684019Georgia_Health_Equity_Initiative_
Health_Disparities_Report_2008.pdf

The Georgia Health Disparities Report examines minority health outcomes in each of the counties throughout the State of Georgia. The findings illustrate the need for additional collaborative efforts to truly reduce disparities in health in Georgia. One of the goals of the report is to illustrate what practices are working in certain counties so that others may adapt them to fit in their own counties.

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

Racial disparities in cancer therapy External Web Site Policy

Gross, C. P., Smith, B. D., Wolf, E., & Andersen, M. (2008). Racial disparities in cancer therapy. Cancer, 112(4), 900-908. doi: 10.1002/cncr.23228

This study, published by the American Cancer Society, analyzes whether racial disparities in cancer therapy received by Medicare beneficiaries had been reduced between the early 1990s and 2002 as a result of the increase of disparities reduction initiatives. The study shows no noticeable decrease in racial disparities between 1992 and 2002.

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

Community variation: Disparities in health care quality between Asian and white Medicare beneficiaries External Web Site Policy

Moy, E., Greenberg, L. G., & Borsky, A. E. "Community variation: Disparities in health care quality between Asian and white Medicare beneficiaries." Health Affairs 27.2 (2008): 538-549.

This study focused on disparities in quality of health care received between Asian and white Medicare recipients. The researchers found that, overall, Asian Medicare beneficiaries were less likely than whites to receive any of the services examined.

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

Evaluating interventions to reduce health care disparities: An RWJF program External Web Site Policy

Schlotthauer, A. E., Badler, A., Cook, S. C., Perez, D. J., & Chin, M. H. (2008). Evaluating interventions to reduce health care disparities: An RWJF program. Health Affairs 27(2), 568-573. Retrieved from http://www.rwjf.org/

The RWJF's Finding Answers Program provides funding for programs seeking to reduce and eliminate healthcare disparities. This article, published in the March/April 2008 issue of Health Affairs, provides an overview of some of the current interventions that have the potential to reduce or eliminate health disparities in real-world applications.

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

Primary-care clinician perceptions of racial disparities in diabetes care External Web Site Policy

Sequist, T. D., Ayanian, J. Z., Marshall, R., Fitzmaurice, G. M., & Safran, D. G. (2008). Primary-care clinician perceptions of racial disparities in diabetes care. Journal of General Internal Medicine 23(5), 678-684. doi: 10.1007/s11606-008-0510-7

This study analyzes racial disparities within the diagnosis and treatment of diabetes. The findings from this study indicate the need to incorporate strategies such as clinical education about healthcare disparities to improve the treatment of minority patients and to help eliminate healthcare disparities among many racial and ethnic minorities.

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

Health care in the aftermath of Hurricane Katrina: Health care in New Orleans before and after Hurricane Katrina External Web Site Policy

Shartzer, A. (Author), & kaiserEDU.org (Producer). (2008). Health care in the aftermath of Hurricane Katrina: Health care in New Orleans before and after Hurricane Katrina [Video tutorial]. Retrieved from http://www.kaiseredu.org/tutorials/katrina/player.html

This is a narrated tutorial from the Kaiser Family Foundation that discusses the state of healthcare in New Orleans both before Hurricane Katrina and following it. Much of the information presented discusses the effect that Katrina had on low income individuals, many of whom are minorities.

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

Ready or not? Protecting the public's health from diseases, disasters, and bioterrorism, 2010 External Web Site Policy

Trust for America's Health, & The Robert Wood Johnson Foundation. (2010). Ready or not 2010: protecting the public's health from diseases, disasters, and bioterrorism. Retrieved from the Trust for America's Health website: http://www.healthyamericans.org/assets/files/TFAH2010ReadyorNot%20FINAL.pdf

Since 2003, Trust for America's Health has been measuring the Nation's emergency health preparedness efforts to evaluate what is being done at the Federal, State, and local levels. This eighth annual Ready or Not? report regarding the United States' level of preparedness for disasters, bioterrorism threats, and disease epidemics indicates that, while important progress has been made in the Nation's public health preparedness, efforts need to continue, and much remains to be done.

Keywords:    Research | Policy | Clinical & Mental Health | Public Health | Government | Profession-Based | Disparities | Governance, Leadership, and Workforce | 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 |

Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research External Web Site Policy

Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88(2), 251-258. Abstract retrieved from http://www.annals.org/content/88/2/251.abstract

This landmark publication from 1978 explains that concepts derived from anthropologic and cross-cultural research may provide an alternative framework for identifying issues that require resolution. "The Eight Questions" in this article, an explanatory model of illness that is designed to elicit the patient's perspective of illness, is the foundation for the field of cultural and linguistic competency.

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

Culturally Appropriate Storytelling to Improve Blood Pressure External Web Site Policy

Houston, T. K., Allison, J. J., Sussman, M., Horn, W., Holt, C. L., Trobaugh, J., . . . Hullett, S. (2011). Culturally appropriate storytelling to improve blood pressure: a randomized trial. Annals of Internal Medicine, 154(2), 77-84. Retrieved from http://www.annals.org/content/154/2/77.full.pdf+html

This study tested a culturally appropriate intervention to control blood pressure in African Americans using DVDs of real patients' stories of how they deal with the chronic disease. Patients with uncontrolled blood pressure experience blood pressure reductions after viewing the DVD.

Keywords:    Research | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication | Clinical & Mental Health |

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 |

State Works to Improve Indian Health External Web Site Policy

Uken, C. (2011, January 8). State works to improve Indian health. The Billings Gazette. Retrieved from http://billingsgazette.com/news/state-and-regional/montana/article_efcf15bc-85d1-5af5-b396-eac182a2d146.html

This article details Montana's comprehensive efforts to address health disparities suffered by the State's American Indian population. Montana is implementing culturally competent services and partnering with tribal governments to improve the health of this population.

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

With Poem, Broaching the Topic of Death External Web Site Policy

Daitz, B. (2011, January 24). With poem, broaching the topic of death. The New York Times. Retrieved from http://www.nytimes.com/

This article presents an Arizona hospital's efforts to provide culturally and linguistically appropriate geriatric and end-of-life services to its American Indian population.

Keywords:    Clinical & Mental Health | Public Health | Population-Based | Disease-Based | Quality Improvement | Disparities | 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 |

Native American Spirituality External Web Site Policy

An information Guide for Health Care providers, hospital staff and administrators, chaplains, school administrators, funeral directors and others regarding ceremonies, rights and obligations.

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

Keywords:    Governance & Leadership | Governance, Leadership, and Workforce | Education & Training | Government | Health Literacy | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Policy | Quality Improvement |

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 |

Reexamining LGBT Healthcare External Web Site Policy

Out of the box LGBT cultural competence training, including 10-minute original video, slides and a manual

*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 | Disease-Based | Disparities | Education & Training | Government | Patients & Consumers | Population-Based | Profession-Based | Public Health |

Cultural Competence Education for Students in Medicine and Public Health: Report of an Expert Panel External Web Site Policy

This report contains recommendations on cultural competence that rests at the nexus of both medicine and public health. Based on the work of an expert panel convened jointly by the Association of American Medical Colleges and the Association of Schools of Public Health, the report highlights findings by educators in medicine and public health on the knowledge, skills, and attitudes the disciplines should understand about one another.

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

Keywords:    Clinical & Mental Health | Governance, Leadership, and Workforce | Public Health |

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 |

Cultural Diversity in Health & Illness External Web Site Policy

Spector, R. E. (2008). Cultural Diversity in Health & Illness (7th ed.). Upper Saddle River, NJ: Pearson Prentice Hall.

The author seeks to promote awareness of the complexities involved in caring for people of diverse cultural backgrounds. Examples of traditional health practices and beliefs are provided for selected populations. Cognizance is taken of recent social, political, and demographic trends.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Governance, Leadership, and Workforce | Research |

Spiritual Diversity and Social Work Resource Center External Web Site Policy

Spiritual Diversity and Social Work Resource Center. (n.d.). Retrieved from http://www.socwel.ku.edu/candagrant/hfc4.htm

This site provides resources targeted primarily to social workers and advocates for religious and spiritual understanding. Resources are offered in Japanese, Korean, and Spanish in addition to English. There are links to essays about religion and health and to a number of organizations devoted to exploring the relationship of spirituality to health.

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

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 |

Common program requirements External Web Site Policy

Accreditation Council for Graduate Medical Education. (2011). Common program requirements. Retrieved from http://www.acgme.org/acwebsite/home/common_program_requirements_07012011.pdf

These requirements for residency program accreditation include "Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and cultural backgrounds" [Requirement IV.A.5.e).(1)]; "Sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation" [IV.A.5.f).(5)]; and "Provision of patient- and family-centered care" [VI.A.5.b)].

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

Quality care for diverse populations videos External Web Site Policy

American Academy of Family Physicians. (2001). Quality care for diverse populations videos [Video series]. Available from http://www.aafp.org/online/en/home/clinical/publichealth/culturalprof/quality-care-diverse-populations.html

A series of short videos (two and a half to nine minutes in length) comprises this Web-based training program intended to assist health care professionals in developing cultural proficiency in the treatment of their patients.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Clinical & Mental Health |

Skills based courses External Web Site Policy

American Academy on Communication in Healthcare. (n.d.). Skills based courses [Course summaries]. Retrieved from http://www.aachonline.org/?page=SkillsBasedCourses

The American Academy on Communication in Healthcare offers a number of institutional courses on such topics as enhancing effective clinician-patient communication and managing medical malpractice risk with improved communication skills. Courses may be tailored to meet an institution's particular needs.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Communication and Language Assistance |

The Ethical Force Program External Web Site Policy

American Medical Association. (2012). The Ethical Force Program. Retrieved from http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/the-ethical-force-program.page

The Ethical Force Program includes patients, practitioners, purchasers, and representatives of health plans and government and accrediting agencies. This group is responsible for creating, testing, and disseminating performance measures on matters of ethical concern. Topics addressed include privacy and confidentiality, patient-centered communication, and access to health care. The Ethical Force Program is also responsible for the Communications Climate Assessment Toolkit, available through this site.

Keywords:    Governance, Leadership, and Workforce | Patients & Consumers | Governance & Leadership | Public Health |

C-CAT: Patient centered communication External Web Site Policy

American Medical Association. (n.d.). C-CAT: Patient centered communication. Retrieved from http://www.ama-assn.org/go/ccat

C-CAT stands for Communication Climate Assessment Toolkit, a set of staff, patient, and leadership surveys developed by the AMA's Ethical Force Program to assist organizations in meeting the needs of diverse patient populations. This website offers numerous links to information relevant to C-CAT, such as field testing, survey components, and contact information for consultants trained in the implementation and scoring of the surveys.

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

A world of differences: Understanding cross-cultural communication External Web Site Policy

Archer, D. (Producer), & Silver, J. (Director). (1997). A world of differences: Understanding cross-cultural communication [DVD]. United States: University of California Extension Center for Media and Independent Learning.

This 30-minute video examines 14 areas of possible cross-cultural miscommunication. Not only language, but values and norms, the meaning of gestures, the expression of emotion, the sense of personal space, patterns of touch, and matters of etiquette will vary among cultures. The video demonstrates that cross-cultural communication can be successful provided that differences are recognized and understood within their cultural context.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Communication and Language Assistance |

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 |

Cultural competence: A systematic review of health care provider educational interventions

Beach, M. C., Price, E. G., Gary, T. L., Robinson, K. A., Gozu, A., Palacio, A., ... Cooper, L. A. (2005). Cultural competence: A systematic review of health care provider educational interventions. Medical Care, 43(4), 356-373.

The authors sought evidence in the literature of the cost and effectiveness of cultural competence training for health professionals. They found good evidence to indicate that such training positively affects patient satisfaction, poor evidence that it affects patient adherence, and no studies at all evaluating health status outcomes. There is poor evidence on which to determine the costs of training in cultural competence. The authors conclude that, while such training "shows promise as a strategy for improving the knowledge, attitudes, and skills of health professionals," evidence is lacking that it improves "equity of services across racial and ethnic groups." They recommend patient adherence, health outcomes, equity, and determination of effective teaching methods and content as areas for much needed study.

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

Cross-cultural medical education: conceptual approaches and frameworks for evaluation

Betancourt, J. R. (2003). Cross-cultural medical education: conceptual approaches and frameworks for evaluation. Academic Medicine, 78(6), 560-569.

The author notes that the foremost challenge in cross-cultural medical education is curricular evaluation. The article offers conceptual approaches to cross-cultural medical education and a framework for student evaluation that focuses, among other things, on "the impact of curricular interventions on health outcomes."

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

Improving quality and achieving equity: A guide for hospital leaders External Web Site Policy

Betancourt, J., Green, A., & King, R. (2008). Improving quality and achieving equity: A guide for hospital leaders. Retrieved from Massachusetts General Hospital, The Disparities Solutions Center website: http://www2.massgeneral.org/disparitiessolutions/z_files/disparities%20leadership%20guide_final.pdf

This guide reviews the evidence for racial and ethnic disparities in health care; discusses means to address them, focusing on quality, cost, risk management, and accreditation; examines model practices; and recommends a set of activities and resources for leaders in all types of hospitals and for others within hospitals who wish to make a case for addressing disparities. It includes a review of the relevant literature, case studies of innovative approaches, and interviews with hospital leaders.

Keywords:    Governance, Leadership, and Workforce | Disparities | Quality Improvement | Governance & Leadership | Public Health |

Practice what you teach: Curricular products from the National Consortium for Multicultural Education for Health Professionals External Web Site Policy

Carter-Pokras, O., Acosta, D. A., Lie, D., Bereknyei, S., DeLisser, H., Haidet, P., ... Glick, S. (2009). Practice what you teach: Curricular products from the National Consortium for Multicultural Education for Health Professionals. Retrieved from http://culturalmeded.stanford.edu/pdf%20docs/Focus%20MDNG%20NCME%20curricular%20products.pdf

The authors highlight several cultural competency and health disparities "curricular products" developed by members of the National Consortium for Multicultural Education for Health Professionals.

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

Course information: Bridging the gap External Web Site Policy

Cross Cultural Health Care Program. (n.d.). Course information: Bridging the gap [Online training course summary]. Retrieved from http://www.xculture.org/BTGclassdesc.php

This 40-hour training program is designed to prepare bilingual individuals for work as medical interpreters in hospitals or clinics. Topics covered include basic interpreting skills, ethics, and medical vocabulary. Classes are limited to 20 students.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Communication and Language Assistance |

Nine constructs of cultural competence for curriculum development External Web Site Policy

Echeverri, M., Brookover, C., & Kennedy, K. (2010). Nine constructs of cultural competence for curriculum development. American Journal of Pharmaceutical Education, 74(10), Article 181. Retrieved from http://www.ajpe.org/doi/pdf/10.5688/aj7410181

The authors undertook an examination of the validity and reliability of the self-administered Clinical Cultural Competency Questionnaire. They administered the CCCQ to students in the College of Pharmacy at Xavier University. The authors conclude that the CCCQ is "a practical, valid, and reliable self-assessment instrument to measure the perceived level of pharmacy students' knowledge, skills, attitudes, and encounters in cross-cultural environments. The questionnaire allowed the identification of students' needs for training in cultural competence and the development of a curriculum tailored to satisfy those needs."

Keywords:    Governance, Leadership, and Workforce | Profession-Based | Research |

A planner's guide: Infusing principles, content and themes related to cultural and linguistic competence into meetings and conferences External Web Site Policy

Georgetown University Child Development Center, Center for Child Health and Mental Health Policy, National Center for Cultural Competence. (2000). A planner's guide: Infusing principles, content and themes related to cultural and linguistic competence into meetings and conferences. Retrieved from http://gucchd.georgetown.edu/products/PlannersGuide.pdf

A short guide designed to help meeting planners incorporate material related to cultural and linguistic competence. Includes discussion of meeting content planning, logistics, and evaluation questions.

Keywords:    Governance, Leadership, and Workforce | Policy | Governance & Leadership |

A manager's guide to cultural competence education for health care professionals External Web Site Policy

Gilbert, M. J. (Ed.). (2003). A manager's guide to cultural competence education for health care professionals. Retrieved from http://dml.georgetown.edu/resources/12914.html

This guide contains information on structuring a cultural competence training program and offers resources useful in setting up such a program, identifying qualified trainers, and assessing organizational and staff levels of cultural competence. The guide notes a difference in content, purpose, methods, and training techniques between workforce diversity training and cultural competence training for health care professionals.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Profession-Based |

Principles and recommended standards for cultural competence education of health care professionals External Web Site Policy

Gilbert, M. J. (Ed.). (2003). Principles and recommended standards for cultural competence education of health care professionals. Retrieved from http://www.diversityrx.org/resources/principles-and-recommended-standards-cultural-competence-education-health-care-professiona

This book offers guidance on the content, training methods, and qualifications and evaluation of teachers and trainers and was designed to accompany the National CLAS Standards.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Engagement, Continuous Improvement, and Accountability |

Resources in cultural competence education for health care professionals External Web Site Policy

Gilbert, M. J. (Ed.). (2003). Resources in cultural competence education for health care professionals. Retrieved from http://www.diversityrx.org/resources/resources-cultural-competence-education-health-care-professionals

This is a book of resources in such areas of cultural competence education as policy statements and standards; guidelines and curricula designed for health care professionals; guidebooks and manuals; personnel and organizational assessment tools; articles, books, and reports; videos; journals; and websites. It was designed for use with Principles and Recommended Standards for Cultural Competence of Health Care Professionals and A Manager's Guide to Cultural Competence Education for Health Care Professionals, both also edited by M. J. Gilbert.

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

Worlds apart: A four-part series on cross-cultural healthcare External Web Site Policy

Grainger-Monsen, M., & Haslett, J. (2004). Worlds apart: A four-part series on cross-cultural healthcare [Film series]. Brooklyn, NY: Fanlight Productions.

The series consists of four short films, totaling 47 minutes combined running time. Filmed in patients' homes and neighborhoods as well as in clinical settings, each part follows one patient and his or her family as they are faced with critical medical decisions. The series highlights the tensions between modern medicine and traditional beliefs, problems of communication, and mistrust of the health care system.

Keywords:    Governance, Leadership, and Workforce | Patients & Consumers | Communication and Language Assistance |

Legislation as intervention: A survey of cultural competence policy in health care

Graves, D. L., Like, R. C., Kelly, N., & Hohensee, A. (2007). Legislation as intervention: A survey of cultural competence policy in health care. Journal of Health Care Law and Policy, 10(2), 339-361. Retrieved from http://thecqc.org/uploads/Graves_et_al.pdf

The authors outline the development of cultural competence policy initiatives at the state, organizational, and federal levels. They conclude by noting that the success of policy efforts "will depend on the clarity of the specified criteria for success, the detail of the proposed plans, and the availability of financial support to develop and implement" the programs.

Keywords:    Governance, Leadership, and Workforce | Policy | Engagement, Continuous Improvement, and Accountability |

Achieving cultural competency: A case-based approach to training health professionals External Web Site Policy

Hark, A. L., & DeLisser, H. M. (Eds.). (2009). Achieving cultural competency: A case-based approach to training health professionals. Oxford, UK: Wiley-Blackwell.

Twenty-five self-study cases are presented, covering a variety of medical disciplines. Each case illustrates some aspect of cultural diversity, such as language, gender, folk beliefs, socio-economic status, religion, or sexual orientation.

Keywords:    Governance, Leadership, and Workforce | Clinical & Mental Health | Population-Based |

Strategies for leadership: Does your hospital reflect the community it serves? Diversity and cultural proficiency assessment tool for leaders

Institute for Diversity in Health Management. (2004). Strategies for leadership: Does your hospital reflect the community it serves? Diversity and cultural proficiency assessment tool for leaders. Retrieved from http://www.aha.org/content/00-10/diversitytool.pdf

This assessment tool for hospital leaders is divided into four parts: an assessment checklist, "action steps" for raising awareness within the organization, case studies demonstrating successful diversity and cultural proficiency programs from hospitals of all sizes, and a bibliography.

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

Institute Resource Center External Web Site Policy

Institute for Diversity in Health Management. (2008). Institute Resource Center. Retrieved from http://www.diversityconnection.org/diversityconnection/membership/Institute-Resource-Center.jsp?fll=S12

Contains downloadable information, news, studies, and data designed to help hospitals diversify their workforces and serve their diverse patient populations.

Keywords:    Governance, Leadership, and Workforce | Public Health | Research |

Training: Institute for Healthcare Communication External Web Site Policy

Institute for Healthcare Communication. (2012). Training. Retrieved from http://healthcarecomm.org/training

This site contains links to courses offered by the Institute for Healthcare Communication. Continuing education credit is available for some courses. A train-the-trainer approach in some courses will qualify participants to teach the course in their own organizations.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Communication and Language Assistance |

Cultural competency in health care: Evaluating the outcomes of a cultural competency training among health care professionals

Khanna, S. K., Cheyney, M., & Engle, M. (2009). Cultural competency in health care: Evaluating the outcomes of a cultural competency training among health care professionals. Journal of National Medical Association, 101, 886-892.

The authors conducted a study of 43 health care providers and administrators who attended a four-hour cultural competency workshop. A post-then-pre self-report was used to evaluate the effectiveness of the training. Participants reported an improved ability to work effectively in cross-cultural situations. The authors conclude that a cultural competency training program integrating key topics recommended by the Institute of Medicine and the National CLAS Standards improves the knowledge and skills of health care professionals.

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

Strategies to improve communication between pharmacy staff and patients: Training program for pharmacy staff

Kripalani, S., & Jacobson, K. L. (2007). Strategies to improve communication between pharmacy staff and patients: Training program for pharmacy staff [Curriculum guide] (AHRQ Publication No. 07(08)-0051-1-EF). Retrieved from http://www.ahrq.gov/qual/pharmlit/pharmtrain.htm

This PowerPoint slide set with notes for the trainer is also available in PDF format from the same site. A reference list is included. Handouts are available. Estimated presentation time is two hours. Topics include health literacy in America, high-risk groups, possible indicators of low health literacy, universal precautions, and five strategies to improve communication.

Keywords:    Governance, Leadership, and Workforce | Health Literacy | Profession-Based |

Functions and structure of a medical school: standards for accreditation of medical education programs leading to the M.D. degree External Web Site Policy

Liaison Committee on Medical Education. (2011). Functions and structure of a medical school: standards for accreditation of medical education programs leading to the M.D. degree. IS-16, ED-21, ED-22. Retrieved from http://www.lcme.org/functions2011may.pdf

Institutional Setting Standard 16 says, "An institution that offers a medical education program must have policies and practices to achieve appropriate diversity among its students, faculty, staff, and other members of its academic community, and must engage in ongoing, systematic, and focused efforts to attract and retain students, faculty, staff, and others from demographically diverse backgrounds." Educational Program Standard 21 says, "The faculty and medical students of a medical education program must demonstrate an understanding of the manner in which people of diverse cultures and belief systems perceive health and illness and respond to various symptoms, diseases, and treatments." Educational Program Standard 22 says, "Medical students in a medical education program must learn to recognize and appropriately address gender and cultural biases in themselves, in others, and in the process of health care delivery."

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

Revising the tool for assessing cultural competence training (TACCT) for curriculum evaluation: Findings derived from seven US schools and expert consensus

Lie, D. A., Boker, J., Crandall, S., DeGannes, C. N., Elliott, D., Henderson, P., ... Seng, L. (2008). Revising the tool for assessing cultural competence training (TACCT) for curriculum evaluation: Findings derived from seven US schools and expert consensus. Medical Education Online, 13(1), 1-11. doi:10.3885/meo.2008.Res00272

The authors tested a 42-item, six-domain TACCT (revised from 67 items and five domains). They find that the shorter version is valid and reliable and that it focuses on underaddressed cultural competence content. The authors suggest that the shorter TACCT be used for curricular evaluation.

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

Does cultural competency training of health professionals improve patient outcomes? A systematic review and proposed algorithm for future research

Lie, D. A., Lee-Rey, E., Gomez, A., Bereknyei, S., & Braddock, C. H., 3rd. (2011). Does cultural competency training of health professionals improve patient outcomes? A systematic review and proposed algorithm for future research. Journal of General Internal Medicine, 26(3), 317-325. doi:10.1007/s11606-010-1529-0

The authors conducted an extensive literature search for studies linking cultural competency training of health professionals to clinical outcomes. Of the few studies found, the "quality was low to moderate with none of high quality; most studies did not adequately control for potentially confounding variables." The authors propose an algorithm to be used in the design and evaluation of curricula that "examine patient outcomes as specific endpoints."

Keywords:    Governance, Leadership, and Workforce | Quality Improvement | Public Health |

Using the tool for assessing cultural competence training (TACCT) to measure faculty and medical student perceptions of cultural competence instruction in the first three years of the curriculum

Lie, D., Boker, J., & Cleveland, E. (2006). Using the tool for assessing cultural competence training (TACCT) to measure faculty and medical student perceptions of cultural competence instruction in the first three years of the curriculum. Academic Medicine, 81, 557-564. doi:10.1097/01.ACM.0000225219.53325.52

The authors asked 25 faculty members (basic science and clinical medicine) and 92 third-year medical students at the University of California, Irvine, which items on the TACCT had been covered in the first three years of their curriculum. Faculty and students "responded congruently about the relative degree to which cultural competence instruction occurred." This indicates that the TACCT "can be used to identify significant gaps in cultural competence training and inform curricular revision," although further studies should be undertaken at other schools to confirm these findings.

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

Clinical cultural competency questionnaire External Web Site Policy

Like, R. C. (2001). Clinical cultural competency questionnaire. Retrieved from Robert Wood Johnson Medical School website: http://rwjms.umdnj.edu/departments_institutes/family_medicine/chfcd/grants_projects/aetna.html

The Clinical Cultural Competency Questionnaire is available from this Web page, here adapted as pretraining and posttraining versions that vary from one another only slightly. It was developed "as a tool for assessing physicians' knowledge, skills, and attitudes relating to the provision of culturally competent health care to diverse patient populations."

Keywords:    Governance, Leadership, and Workforce | Profession-Based | Education & Training |

Educating clinicians about cultural competence and disparities in health and health care External Web Site Policy

Like, R. C. (2011). Educating clinicians about cultural competence and disparities in health and health care. Journal of Continuing Education in the Health Professions, 31(3), 196-206. doi:10.1002/chp.20127

The author provides an overview of legislative, accreditation, professional, and policy initiatives related to health care disparities and cultural competence and reviews the status of continuing medical education offerings in these areas. He examines whether the CME profession itself needs to become more culturally competent in the development, implementation, and evaluation of programs.

Keywords:    Governance, Leadership, and Workforce | Disparities | Policy | Public Health |

Recommended core curriculum guidelines on culturally sensitive and competent health care External Web Site Policy

Like, R. C., Steiner, R. P., & Rubel, A. J. (1996). Recommended core curriculum guidelines on culturally sensitive and competent health care. Family Medicine, 28, 291-297. Retrieved from http://www.stfm.org/corep.html

The authors offer recommendations, covering attitudes, knowledge, and skills, to help family medicine residency programs train physicians in the provision of culturally sensitive and competent care.

Keywords:    Governance, Leadership, and Workforce | Profession-Based | 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 |

The provider's guide to quality & culture External Web Site Policy

Management Sciences for Health. (n.d.). The provider's guide to quality & culture. Retrieved from http://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=English

This website is devoted to fostering culturally competent health care services for ethnically diverse populations. Features include a short quality and culture quiz; audio clips of practitioners describing their experiences; statistics; references and book excerpts; guidelines for managed care plans; and information and advice on patient-provider interactions, patient adherence, nonverbal communication, health disparities, and common health problems of selected minority groups.

Keywords:    Governance, Leadership, and Workforce | Engagement, Continuous Improvement, and Accountability | Quality Improvement |

Evaluation of a new cultural competency training program: CARE Columbus

McDougle, L., Ukockis, G., & Adamshick, L. (2010). Evaluation of a new cultural competency training program: CARE Columbus. Journal of the National Medical Association, 102(9), 756-760.

The authors report outcomes for the Cultural Awareness and Respect through Education Columbus training program developed at Ohio State University. On the basis of questionnaires administered to course participants, they find that the program appears to be effective in improving attitudes, knowledge, and skills. The authors also discuss possible worksite implementation barriers and the development of a business plan to improve outreach and create sustainability for CARE Columbus and similar training programs.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Engagement, Continuous Improvement, and Accountability |

A national code of ethics for interpreters in health care External Web Site Policy

National Council on Interpreting in Health Care. (2004). A national code of ethics for interpreters in health care. Retrieved from http://data.memberclicks.com/site/ncihc/NCIHC%20National%20Code%20of%20Ethics.pdf

The council's Standards, Training and Certification Committee developed this code to guide the practice of health care interpreters and to serve as the basis for any subsequent standards of practice for the field. The nine-item code is stated in brief at the beginning of the document. Each point is elaborated more fully in the course of the following discussion.

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

Safe practices for better healthcare-2009 update: A consensus report External Web Site Policy

National Quality Forum. (2009). Safe practices for better healthcare-2009 update: A consensus report. Retrieved from http://www.qualityforum.org/Publications/2009/03/Safe_Practices_for_Better_Healthcare–2009_Update.aspx

The updated report includes a set of 34 safe practices, endorsed by the National Quality Forum, with suggested implementation approaches and supporting evidence. Safe Practice 7 says that patients and, as appropriate, families "should receive timely, transparent, and clear communication." Clear communication is addressed in depth in Chapter 5 of the full report. Chapter 9 addresses issues important in the provision of patient-centered care.

Keywords:    Governance, Leadership, and Workforce | Public Health | Engagement, Continuous Improvement, and Accountability |

Provider and clinic cultural competence in a primary care setting

Paez, K. A., Allen, J. K., Carson, K. A., & Cooper, L. A. (2008). Provider and clinic cultural competence in a primary care setting. Social Science and Medicine, 66(5), 1204-1216. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2426909/?tool=pubmed

Forty-nine providers and 23 clinics were assessed as to cultural competence. The authors find that culturally appropriate provider behavior is associated with higher percentages of nonwhite staff in the clinic and with clinics offering culturally adapted patient education materials. The authors suggest that enhancing the cultural competence of providers and clinics "may be synergistic strategies for reducing healthcare disparities."

Keywords:    Governance, Leadership, and Workforce | Research | Disparities |

Patient-Centered Primary Care Collaborative External Web Site Policy

Patient-Centered Primary Care Collaborative. (n.d.). Retrieved from http://www.pcpcc.net

The collaborative's members include employers, universities, health plans, and other stakeholders in America's health care system who endorse the patient-centered medical home model. Resources are available for patients, clinicians, employers, and health plans. Information is also provided on state pilot projects and on a number of specific health care topics.

Keywords:    Governance, Leadership, and Workforce | Disease-Based | Patients & Consumers |

Hospital governing board assessment: a self-help guide

Powell, L., & Taylor, C. (2004). Hospital governing board assessment: a self-help guide. Boise, ID: Mountain States Group.

Keywords:    Governance, Leadership, and Workforce | Engagement, Continuous Improvement, and Accountability | Policy |

A systematic review of the methodologic rigor of studies evaluating cultural competence training of health professionals External Web Site Policy

Price, E. G., Beach, M. C., Gary, T. L., Robinson, K. A., Gozu, A., Palacio, A., ... Cooper, L. A. (2005). A systematic review of the methodologic rigor of studies evaluating cultural competence training of health professionals. Academic Medicine, 80, 578-586. Retrieved from http://journals.lww.com/academicmedicine/Fulltext/2005/06000/A_Systematic_Review_of_the_Methodological_Rigor_of.13.aspx

The authors examined the methodological rigor of studies published in English from 1980 to 2003 that evaluate cultural competence training. Studies were appraised for their representativeness, description of the intervention, bias and confounding, outcome assessment, and analytic approach. The authors conclude that a lack of rigor "limits the evidence for the impact of cultural competence training on minority health care quality" and that more attention should be paid "to the proper design, evaluation, and reporting of these training programs."

Keywords:    Governance, Leadership, and Workforce | Public Health | Research |

Quality interactions: A patient-based approach to cross-cultural care External Web Site Policy

Quality interactions: A patient-based approach to cross-cultural care. (2011). Retrieved from http://www.qualityinteractions.org

This is an evidence-based, case-based e-learning program on cultural competency and cross-cultural communication for physicians, nurses, and other health care staff. Versions of the program are available tailored for particular needs or groups. A course demo is available.

Keywords:    Governance, Leadership, and Workforce | Communication and Language Assistance | Clinical & Mental Health |

Curriculum for culturally responsive health care: the step-by-step guide for cultural competence training External Web Site Policy

Ring, J., Nyquist, J., Mitchell, S., Flores, H., & Samaniego, L. (2008). Curriculum for culturally responsive health care: the step-by-step guide for cultural competence training. Oxford, UK: Radcliffe Publishing.

The authors' stated goal was to have produced a state-of-the-art curriculum with a comprehensive and user-friendly manual. The curriculum is intended for academic institutions and residencies wishing to offer (or to enhance) curricula in culturally responsive care. It grew out of the authors' experience with a family medicine residency program in an underserved, predominantly Latino community in East Los Angeles. A step-by-step guide is provided for each year of the curriculum, with session descriptions, discussion of teaching techniques, evaluation tools, and exercises.

Keywords:    Governance, Leadership, and Workforce | Education & Training | Profession-Based |

Leadership in healthcare organizations: A guide to Joint Commission leadership standards External Web Site Policy

Schyve, P. M., & The Governance Institute. (2009). Leadership in healthcare organizations: A guide to Joint Commission leadership standards. Retrieved from http://www.jointcommission.org/assets/1/18/WP_Leadership_Standards.pdf

This white paper is meant to serve as a guide to the Joint Commission accreditation standards on leadership.

Keywords:    Governance, Leadership, and Workforce | Policy | Governance & Leadership |

Cultural competency training and performance reports to improve diabetes care for black patients: A cluster randomized, controlled trial External Web Site Policy

Sequist, T. D., Fitzmaurice, G. M., Marshall, R., Shaykevich, S., Marston, A., Safran, D. G., & Ayanian, J. Z. (2010). Cultural competency training and performance reports to improve diabetes care for black patients: A cluster randomized, controlled trial. Annals of Internal Medicine, 152(1), 40-46.

The authors evaluated the effect of cultural competency training and performance feedback for 124 primary care physicians treating a population of approximately 7,500 diabetic patients. They find that physician awareness of racial disparities in diabetes care increased but that, overall, clinical outcomes did not improve.

Keywords:    Governance, Leadership, and Workforce | Quality Improvement | Disease-Based | Population-Based | Profession-Based | Public Health |

In the nation's compelling interest: Ensuring diversity in the health-care workforce External Web Site Policy

Smedley, B. D., Stith-Butler, A., & Bristow, L. R. (2004). In the nation's compelling interest: Ensuring diversity in the health-care workforce. Retrieved from http://www.nap.edu/openbook.php?record_id=10885&page=1

This book makes a case for increasing the number of individuals from currently underrepresented minorities in the health care workforce. Examined are school admissions policies and practices, educational costs and financing, accreditation, institutional climate, community benefit, and mechanisms to garner support for institutional diversity policies.

Keywords:    Governance, Leadership, and Workforce | Public Health | Policy |

Missing persons: Minorities in the health professions External Web Site Policy

The Sullivan Commission on Diversity in the Healthcare Workforce. (2004). Missing persons: Minorities in the health professions. Retrieved from http://www.aacn.nche.edu/media-relations/SullivanReport.pdf

The Sullivan Commission was established in 2003 under a grant from the W. K. Kellogg Foundation to Duke University and was composed of health, business, higher education, legal, and legislative experts. The commission held a series of hearings across the country to examine the causes of the ethnic imbalance among the nation's medical, dental, and nursing workforce as compared with the country's population at large. The report integrates findings from testimony heard at these hearings and from the health sciences literature. Thirty-seven recommendations are put forward to address the root causes of minority underrepresentation in the health professions.

Keywords:    Governance, Leadership, and Workforce | Public Health | Policy |

Training and continuing education online: Health literacy for public health professionals

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. (n.d.). Training and continuing education online: Health literacy for public health professionals (web-based) [Online training course summary]. Retrieved from http://www2a.cdc.gov/tceonline/registration/detailpage.asp?res_id=2074

This online course is intended to educate public health professionals and students on the importance of health literacy and the role they play in providing health information and promoting health literacy in the community. Continuing education credit is available.

Keywords:    Governance, Leadership, and Workforce | Health Literacy | Government | Public Health |

Unified health communication 101

U.S. Department of Health and Human Services, Health Resources and Services Administration. (n.d.). Unified health communication 101. Retrieved from http://www.hrsa.gov/publichealth/healthliteracy/index.html

This is a free five-module online course that allows viewers to proceed at their own pace. Participants will learn to "implement patient-centered communication practices that demonstrate cultural competency and appropriately address patients with limited health literacy" and limited English proficiency. Continuing education credits are available.

Keywords:    Governance, Leadership, and Workforce | Health Literacy | Government |

A patient-centered guide to implementing language access services in healthcare organizations

U.S. Department of Health and Human Services, Office of Minority Health. (2005). A patient-centered guide to implementing language access services in healthcare organizations. Retrieved from https://hclsig.thinkculturalhealth.hhs.gov/

This guide provides practical suggestions on how health care organizations and providers can implement language access services. It is intended to meet the needs of clinics, community health centers, hospitals, health maintenance organizations, mental health institutions, dental offices, long-term care facilities, substance abuse treatment centers, and individual physicians' offices. Information is offered on assessing patients' language needs, assessing organizational capabilities, and planning and implementing language services. "Resource units" address issues such as interpretation services, written materials and signage, and community involvement.

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

A physician's practical guide to culturally competent care

U.S. Department of Health and Human Services, Office of Minority Health. (n.d.). A physician's practical guide to culturally competent care. Retrieved from https://cccm.thinkculturalhealth.hhs.gov/

This e-learning program uses individual cases to illustrate areas of miscommunication and cultural misunderstanding. Participants will learn how to address language and cultural barriers, how to work with interpreters, how to practice patient-centered care, how to understand their patients' explanatory models, and how to establish community partnerships. Continuing education credit is available.

Keywords:    Governance, Leadership, and Workforce | Profession-Based | Government |

Cultural competency curriculum for disaster preparedness and crisis response

U.S. Department of Health and Human Services, Office of Minority Health. (n.d.). Cultural competency curriculum for disaster preparedness and crisis response. Retrieved from https://cccdpcr.thinkculturalhealth.hhs.gov/

This set of courses for emergency medical personnel and disaster relief workers of all types was designed address disparities related to race and culture during disasters. Topics covered include working with interpreters, locating translated materials, negotiating cultural differences, and incorporating the National CLAS Standards into organizational policy. Continuing education credit is available.

Keywords:    Governance, Leadership, and Workforce | Profession-Based | Government |

Culturally competent nursing care: A cornerstone of caring

U.S. Department of Health and Human Services, Office of Minority Health. (n.d.). Culturally competent nursing care: A cornerstone of caring. Retrieved from https://ccnm.thinkculturalhealth.hhs.gov/

Nurses spend more time in direct patient care than other health professionals. This training, designed to enhance nurses' abilities to provided culturally appropriate care, has been approved for nine contact hours of continuing education credit.

Keywords:    Governance, Leadership, and Workforce | Profession-Based | Government |

Communicating through health care interpreters External Web Site Policy

Virtual Lecture Hall. (2012). Communicating through health care interpreters [Online training course summary]. Retrieved from http://www.vlh.com/shared/courses/course_info.cfm?courseno=155

This online tutorial offers instruction for those working with interpreters in the context of patient care. Topics include the value of presession time with the interpreter, establishing rapport with the patient through the interpreter, modifying speech patterns to optimize the accuracy of interpretation, choosing interpreters appropriate for various circumstances, seeing the interpreter as cultural broker, understanding the consequences of using unqualified interpreters, and factoring cultural differences into assessments of abnormal behavior or development. Continuing medical education credits are available.

Keywords:    Governance, Leadership, and Workforce | Communication and Language Assistance | Education & Training |

Validation of an organizational communication climate assessment toolkit External Web Site Policy

Wynia, M. K., Johnson, M., McCoy, T. P., Griffin, L. P., & Osborn, C. Y. (2010). Validation of an organizational communication climate assessment toolkit. American Journal of Medical Quality, 25(6), 436-443. doi:10.1177/1062860610368428

The authors report findings from a prospective multisite validation study of an organizational communication climate assessment toolkit and find that most of the nine communication domains assessed "were significant predictors of patient-reported quality of care and trust." They conclude that these tools "provide a valid empirical assessment of organizational communication climate" in these domains.

Keywords:    Governance, Leadership, and Workforce | Communication and Language Assistance | Public Health |

Kaiser Permanente's qualified bilingual staff model External Web Site Policy

Robert Wood Johnson Foundation. (2008). Kaiser Permanente's qualified bilingual staff model. Retrieved from http://www.rwjf.org/pr/product.jsp?id=34030

This article discusses the Qualified Bilingual Staff model developed by Kaiser Permanente as a cost-effective way to meet the needs of its multilingual and multicultural patient population and reduce dependence on outside sources. The model includes an internally developed training curriculum and materials, is open to all members of the workforce, and targets the plan's threshold languages, which include Spanish, Cantonese, Mandarin, Vietnamese, Tagalog, Russian, Hmong, Punjabi, and American Sign Language. Additional languages will depend on patient demand.

Keywords:    Communication and Language Assistance | Governance, Leadership, and Workforce | Education & Training |

Case study: The language of diversity External Web Site Policy

Tang, G., Lanza, O., & Rodriguez, F.M. (2011). Case study: The language of diversity. Diversity Executive, 44-46. Retrieved from http://diversity-executive.com/articles/view/1160

Kaiser Permanente's Qualified Bilingual Staff model makes the most of workforce diversity to provide qualified, cost-effective, and operationally efficient linguistic services. Trained bilingual staff serve Kaiser's members at all points of contact.

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

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 |

LGBT Resources by Gil Gerald & Associates, Inc. External Web Site Policy

Every year, research is advancing knowledge about best practices in serving LGBT/SGL individuals and families. Additionally and fortunately there are a growing number of organizations, programs and services that target and serve LGBT/SGL communities throughout the U.S. This site will maintain and update information of particular interest to health and human services providers.

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

Keywords:    Governance & Leadership | Governance, Leadership, and Workforce | Disparities | Education & Training | Policy | Provide effective, equitable, understandable, and respectful quality care and services |

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 |