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

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Developing a Self-Assessment Tool for Culturally and LinguisticallyAppropriate Services in Local Public Health AgenciesFinal ReportDecember 2003Submitted by:COSMOS Corporation3 Bethesda Metro Center, Suite 950Bethesda, Maryland 20814Submitted to:U.S. Department of Health and Human ServicesOffice of Minority Health1101 Wootton Parkway, Suite 600Rockville, MD 20852Task Order No. 11-001Contract No. 282-98-0027
ContentsChaptersPage1. Introduction ........................................................ 1-11.1 Evidence of Persistent Disparities in Health Status and Health Care Quality . . 1-21.2 The Vital Role LPHAs Play in Maintaining the Overall Health of America’sCommunities ................................................... 1-31.3 LPHAs’ Provision of CLAS Could Lead to Improved Health Outcomes ..... 1-41.4 Project Background and Objectives .................................. 1-51.5 Collaborative Process with Two Advisory Groups ....................... 1-72. Methodology for Developing a CLAS Self-Assessment Tool .................. 2-12.1 Literature Review ................................................ 2-12.1.1 Defining LPHAs............................................ 2-12.1.2 Provision of CLAS in LPHAs ................................. 2-22.1.3 The Importance of Culture and Language in Health Care ............ 2-22.1.4 CLAS Address Disparities in Health Care ....................... 2-42.1.5 Defining CLAS............................................. 2-62.1.6 Identifying Key Components of CLAS .......................... 2-82.2 MCOs Study Conceptual Framework Review and Revision .............. 2-102.3 MCOs Study Instruments Review and Revision ....................... 2-143. Project Results and Recommendations ................................... 3-13.1 Results ........................................................ 3-13.1.1 Modification of the Project’s Title .............................. 3-13.1.2 Overview of Revisions Made to CLAS Instruments ................ 3-13.1.3 Pilot Test Results for the LPHAs CLAS Self-Assessment Tool ....... 3-23.2 Recommendations and Conclusion .................................. 3-33.2.1 Recommendations .......................................... 3-33.2.2 Conclusion ................................................ 3-5References ............................................................ R-1Exhibits2-1 Select Definitions of Cultural Competence and Culturally Appropriate HealthCare Services ..................................................... 2-72-2 Conceptual Framework for Assessing CLAS in LPHAs ................... 2-11COSMOS Corporation, December 2003iii
Page 1: Developing a Self-Assessment Toolfo
Page 5 and 6: Chapter 1Introduction
Page 7 and 8: While many LPHAs currently provide
Page 9 and 10: LPHAs include: adult and child immu
Page 11 and 12: Professions Education Partnership A
Page 13 and 14: Chapter 2Methodology for Developing
Page 15 and 16: Public Health Practice Program Offi
Page 17 and 18: assess their own beliefs and have k
Page 19 and 20: communicate with, and clearly under
Page 21 and 22: 2.1.6 Identifying Key Components of
Page 23 and 24: Given these persistent disparities
Page 25 and 26: (Exhibit 2-2, Continued)DOMAIN / KE
Page 27 and 28: limited to the actual clinical enco
Page 29 and 30: Chapter 3Project Results and Recomm
Page 31 and 32: local board of health. PEP and PAG
Page 33 and 34: numerous promising CLAS practices a
Page 35 and 36: References
Page 37 and 38: Becker, M.H., and L.A. Maiman, “S
Page 39 and 40: Frye, B., “Health Care Decision M
Page 41 and 42: Marin, G., “Defining Culturally A
Page 43 and 44: Perkins, Jane, “Overcoming Langua
Page 45 and 46: U.S. Bureau of the Census, “Censu
Page 47 and 48: Appendix AMembership Lists of the P
Page 49 and 50: Appendix A-1Developing a Self-Asses
Page 51 and 52: 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
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Appendix CLPHA Director or Designee
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Pre-Interview Script for LPHA Direc
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3b. Which of the following are refl
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6. Does your agency have a formal p
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10. Which of the following describe
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Post-Interview Script for LPHA Dire
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Appendix DStaffing Questionnaire
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A. QUALITY MONITORING AND IMPROVEME
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B. MANAGEMENT INFORMATION SYSTEMS (
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7. Please indicate, if you know, th
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1c. Please indicate for which categ
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6. Please indicate for which catego
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10. Which of the following topical
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17. Which of the following benefits
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4. Which of the following strategie
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Appendix EClient Services Questionn
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A. QUALITY MONITORING AND IMPROVEME
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6b.Which of the following community
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3. Please report or estimate what p
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3. Which of the following practices
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Oral Interpretation Services10. Whi
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16. At which of the following key e
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3. Which of the following kinds of
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Appendix FPilot Test Response Form
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RESPONDENT EVALUATIONOF THE QUESTIO
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Appendix GCLAS in MCOs Study Data C
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position, as titles will likely var
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complex and uncertain at the time t
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1. Incorporate a confirmation pre-c
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Exhibit 2DATA COLLECTION PROCESSSen
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