Developing a Self-Assessment Toolfor Culturally - Office of Minority ...

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13. Does your agency set and monitor targets or threshold levels for which interpretation services aresystematically made available to meet the language needs of your clients?~ Yes ! go to 13a~ No ! go to 14~ Don’t know ! go to 1413a. What percentage or number of clients who speak a language other than English is used as thetarget or minimum threshold for the provision of interpretation services in that language?Percentage ___________Number ___________~ No minimum threshold~ Don’t know14. What methods are used by your agency to determine the need for interpretation services?MARK ALL THAT APPLY~ Number or percent of persons in the community who speak a language other than English~ Number or percent of clients who speak a language other than English~ Identification of clients with low literacy~ Client requests/demand~ Staff requests/demand~ Other, please specify _______________________________________~ Don’t know~ None of the above15. Please provide the best estimate of how many employed, contracted, and certified medicalinterpreters are available to provide language assistance to your clients and staff?Employed (on staff) interpreters, estimated number ______________Contracted interpreters, estimated number _____________________Certified medical interpreters, estimated number ________________~ Don’t knowCOSMOS Corporation, December 2003 11
16. At which of the following key entry or contact points does your agency provide interpretation servicesin languages other than English spoken by your clients?MARK ALL THAT APPLY~ Telephone emergency line service~ Telephone general information service~ Emergency services entry point~ Information desk/main lobby~ Walk-in clinic services~ Pharmacy services~ Other, please specify _______________________________________~ Don’t know~ None of the above17. Which of the following methods are used to inform clients of the availability of bilingual speakers andinterpretation services in your agency?MARK ALL THAT APPLY~ Translated informational documents~ Translated recorded messages on telephone lines~ Translated signage and notices at key points of contact throughout the agency~ Other, please specify _______________________________________~ Don’t know~ None of the above18. Is there a specific budget line for the allocation of funds to support bilingual speakers andinterpretation services in your agency?~ Yes~ No~ Don’t know19. For which of the following groups are translated materials and interpretation services generally madeavailable by your agency?MARK ALL THAT APPLY~ All individuals in the community~ All individuals entering our facilities and requiring services~ All individuals eligible for services~ Other, please specify _______________________________________~ Don’t know~ None of the aboveCOSMOS Corporation, December 2003 12
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Developing a Self-Assessment Toolfo
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ContentsChaptersPage1. Introduction
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Chapter 1Introduction
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While many LPHAs currently provide
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LPHAs include: adult and child immu
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Professions Education Partnership A
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Chapter 2Methodology for Developing
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Public Health Practice Program Offi
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assess their own beliefs and have k
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communicate with, and clearly under
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2.1.6 Identifying Key Components of
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Given these persistent disparities
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(Exhibit 2-2, Continued)DOMAIN / KE
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limited to the actual clinical enco
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Chapter 3Project Results and Recomm
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local board of health. PEP and PAG
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numerous promising CLAS practices a
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References
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Becker, M.H., and L.A. Maiman, “S
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Frye, B., “Health Care Decision M
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Marin, G., “Defining Culturally A
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Perkins, Jane, “Overcoming Langua
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U.S. Bureau of the Census, “Censu
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Appendix AMembership Lists of the P
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Appendix A-1Developing a Self-Asses
Page 51 and 52: Appendix A-2Developing a Self-Asses
Page 53 and 54: Appendix B-1Overview of Eight CLAS
Page 55 and 56: Domain 3: Culturally Inclusive Heal
Page 57 and 58: understanding of diversity issues i
Page 59 and 60: Appendix B-2Conceptual Framework fo
Page 61 and 62: Appendix CLPHA Director or Designee
Page 63 and 64: Pre-Interview Script for LPHA Direc
Page 65 and 66: 3b. Which of the following are refl
Page 67 and 68: 6. Does your agency have a formal p
Page 69 and 70: 10. Which of the following describe
Page 71 and 72: Post-Interview Script for LPHA Dire
Page 73 and 74: Appendix DStaffing Questionnaire
Page 75 and 76: A. QUALITY MONITORING AND IMPROVEME
Page 77 and 78: B. MANAGEMENT INFORMATION SYSTEMS (
Page 79 and 80: 7. Please indicate, if you know, th
Page 81 and 82: 1c. Please indicate for which categ
Page 83 and 84: 6. Please indicate for which catego
Page 85 and 86: 10. Which of the following topical
Page 87 and 88: 17. Which of the following benefits
Page 89 and 90: 4. Which of the following strategie
Page 91 and 92: Appendix EClient Services Questionn
Page 93 and 94: A. QUALITY MONITORING AND IMPROVEME
Page 95 and 96: 6b.Which of the following community
Page 97 and 98: 3. Please report or estimate what p
Page 99 and 100: 3. Which of the following practices
Page 101: Oral Interpretation Services10. Whi
Page 105 and 106: 3. Which of the following kinds of
Page 107 and 108: Appendix FPilot Test Response Form
Page 109 and 110: RESPONDENT EVALUATIONOF THE QUESTIO
Page 111 and 112: Appendix GCLAS in MCOs Study Data C
Page 113 and 114: position, as titles will likely var
Page 115 and 116: complex and uncertain at the time t
Page 117 and 118: 1. Incorporate a confirmation pre-c
Page 119 and 120: Exhibit 2DATA COLLECTION PROCESSSen
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