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

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(Exhibit 2-2, Continued)DOMAIN / KEY ELEMENT4. CLAS Quality Monitoring andImprovement (QMI)A. Tracking systemB. Needs assessment (NA) andevaluation5. Management InformationSystems (MIS)A. ClientsB. Staff6. Staffing PatternsA. Staff diversityB. Staff recruitment,retainment, and promotionVARIABLESA. Quality improvement activities conductedMultiple methods for monitoring CLAS qualityCLAS accountability for providersQuality <strong>of</strong> care data collectionUses <strong>of</strong> CLAS-specific dataUses <strong>of</strong> quality improvement dataLink client demographic and outcome dataLink client and provider dataLink client and (other) staff dataB. Routine assessments <strong>of</strong> services, procedures, and policiesFrequency <strong>of</strong> needs assessmentsTypes <strong>of</strong> community/client groups that participate in needsassessmentClient/community needs assessment specifically for CLASData sources for client/community CLAS needs assessmentTraining program evaluated for effectivenessState and local support for quality improvement activitiesTypes <strong>of</strong> staff who participate in needs assessmentTypes <strong>of</strong> agency support for quality improvement and needsassessment activitiesA. Clients’ primary language recordedReasons clients’ language not recordedClients’ race/ethnicity recordedReasons clients’ race/ethnicity not recordedRacial/ethnic composition <strong>of</strong> client populationClients’ primary languages other than EnglishUses <strong>of</strong> CLAS-specific dataPercentage <strong>of</strong> clients who speak non-English primary languageB. Staff linguistic capability recordedMethod <strong>of</strong> determining staff linguistic capabilityStaff race/ethnicity recordedReasons staff race/ethnicity not recordedTypes <strong>of</strong> staff for whom race/ethnicity is recordedA. Racial/ethnic composition <strong>of</strong> staffPercentage <strong>of</strong> bi- or multi-lingual staffInformation on the diversity <strong>of</strong> staff and services available to thecommunityB. Staff diversity planTypes <strong>of</strong> staff covered in agency diversity planStrategies to recruit, retain, and promote diverse staffResources utilized to recruit diverse staffIncentives for multi-lingual providersOrganizational support for diverse staff and developmentStaff position funded for CLAS coordination(Continued on next page)COSMOS Corporation, December 2003 2-12

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