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

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Appendix GCLAS in MCOs Study Data Collection Plan1. DATA COLLECTION DESIGN CONSIDERATIONS1.1 Identifying Appropriate RespondentsAn important component of the study’s data collection plan was to determine who, i.e.,which MCO staff types, would be most appropriate for answering questions related to the studydomains and key elements. Brainstorming exercises were conducted, and extensivedeliberations were held among the research team, OMH staff, and the experts from the field toexamine the domains and key elements in terms of the types of respondents who would beknowledgeable of, and therefore able to answer questions related to, particular areas of inquiry.An examination of the domains, key elements, and study variables revealed a clearconceptual division, or categorization of topical inquiries, to be paired with respondent typeswho would be appropriate for gathering the needed information. The conceptual framework wasstudied and discussed at length, both in its entirety and within each domain. Through thesediscussions, the following pattern of topical inquiries emerged: the framework was found tocomprise measures of CLAS practices as they relate to: 1) the organization; 2) its staff; and3) its members. As such, these discussions resulted in a three-tiered approach for collecting datawithin each MCO. One respondent would be responsible for completing a questionnairecomponent that covered each of these three main areas of inquiry, so that three respondents perMCO would participate in the study’s data collection effort.Questions related to CLAS practices at the organization level (e.g., CLAS-related corporateplanning and policy development) should be directed toward a senior executive within theorganization, such as a Chief Executive Officer (CEO) or Medical Director. This decision toidentify and approach an MCO’s senior executive for the organization-related topics of inquirywas strengthened by the fact that the American Association of Health Plans (AAHP) managedcare directory, that would be used as the study’s sampling frame maintained by the AmericanAssociation of Health Plans (AAHP) included contact information for each organization’s CEOor Medical Director.An important consideration was offered by members of the expert panel regarding the levelof variation among MCOs and their staffing patterns. Because organizations vary by size andfunction, identifying the two remaining respondents within each MCO may prove to be morecomplicated. As such, the panelists recommended that appropriate respondents for completingthe questionnaire components covering staff- and member-related CLAS practices be identifiedby someone within the organization such as a high-level executive.Also, it was recommended that the appropriate respondents for completing the staff- andmember-related components of the instrument be based on function and knowledge, not title orCOSMOS Corporation, December 2003 G-1
position, as titles will likely vary by organization. Therefore, the research team, OMH staff, andthe advisory groups agreed that these two respondent types would be described very broadly as“staffing respondents” and “membership respondents.” The individuals within each organizationwould be identified by the senior executive based on individuals’ roles, responsibilities, andknowledge that best suit the topical nature of each staff- and member-related questionnairecomponent.1.2 Designing a Three-Component QuestionnaireA three-component instrument was developed to be administered to the three respondentswithin each MCO: a Senior Executive Telephone Interview Protocol (see Appendix C); aStaffing Questionnaire (see Appendix D); and a Membership Questionnaire (see Appendix E).The Senior Executive Telephone Interview Protocol was designed to be brief in order toaccommodate the busy schedules of executive respondents. Therefore, the majority of surveyitems were to be included in the Staffing and Membership Questionnaires. As indicated, itemsrelated to organizational governance (Domain 1) and CLAS-related corporate policies (Domain2) are located in the Senior Executive Telephone Interview Protocol. Questionnaire items relatedto staffing patterns (Domain 6), staff training (Domain 7), and patient assessment and treatmentservices (Domain 3) are found in the Staffing Questionnaire. The Membership Questionnaireincludes items related to translation and interpretation services (Domain 8), and the health careenvironment (Domain 3). Information about Management Information Systems (Domain 5) isasked in both the Staffing and Membership Questionnaires, and questions about CLAS-relatedquality monitoring and improvement efforts (Domain 4) are included in all three components.1.3 Selecting an Appropriate Study Universe and Sampling StrategyBecause this study involves data collection from a sample of MCOs, or health plans, themost appropriate sampling frame was identified as the directory maintained by AAHP. AAHPrepresents approximately 1,000 health plans which cover about 170 million individuals in theU.S.The Association was created in 1995 through a merger of the Group Health Association ofAmerica and the American Managed Care and Review Association. AAHP’s mission is toadvance health care quality and affordability through leadership in the health care community,advocacy and the provision of services to member health plans. AAHP provides a wide range ofservices to its members, including: federal- and state-level advocacy within regulatory agencies,a strategic communications program, quality assessment and improvement programs, publicpolicy and research, and educational programs (e.g., the Minority Management Training andOutreach Program) on the latest developments in managed care.At the time of sample selection (i.e., February 2002), the 2001 edition of the AAHPDirectory of Health Plans offered the most current and complete coverage of MCOs nationwideand included a total listing of 904 organizations. The directory identifies metropolitan marketCOSMOS Corporation, December 2003 G-2
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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
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Appendix A-2Developing a Self-Asses
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Appendix B-1Overview of Eight CLAS
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Domain 3: Culturally Inclusive Heal
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understanding of diversity issues i
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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 and 102: Oral Interpretation Services10. Whi
Page 103 and 104: 16. At which of the following key e
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: Appendix GCLAS in MCOs Study Data C
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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