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

Appendix B-2Conceptual Framework for the CLAS in MCOs StudyDOMAIN / KEY ELEMENT1. Organizational GovernanceA. Governing boards, committeesand positionsB. Organizational StructureSTUDY VARIABLESA. Board of directors subcommittee on CLASCommunity advisory committee on CLASCommittee recruitment strategiesCommittee racial/ethnic compositionCommittee diversity other than race/ethnicityInternal CLAS working groupStaff position specifically for CLAS coordinationB. Organization type – HMO, PPO, POSCorporate status – profit, non-profitModel type - IPA, group, network, staffMembership size – total enrollment2. CLAS Plans and PoliciesA. Corporate planning A. Formal QI plan for culturally and linguistically diverse membersStaff and community inputMission statement addresses CLASFrequency of committee meetingsCommittee roles related to CLASB. Corporate policies B. Policy governing written translationDescription of translation policyReasons translation policy existsReasons translation policy does not existPolicy governing interpretation servicesDescription of interpretation services policyReasons interpretation services policy existsReasons interpretation services policy does not existFormal grievance process for CLAS-related concernsInternal communication strategies for CLAS policiesFormal staff diversity planFormal diversity training program3. Patient CareA. Assessment and TreatmentB. Materials and Environment4. CLAS Quality Monitoring andImprovement (QMI)A. Tracking systemB. Needs assessment (NA) andevaluationCOSMOS Corporation, December 2003 B-5A. Cultural differences and preferences considered during treatmentCollaborate with culturally-specific healers on treatmentUtilize alternative and complementary treatmentsB. Various culturally responsive strategies implementedCharacteristics of written materialsA. Multiple methods for monitoring CLAS qualityQuality of care data collectionUses of QI dataLink member demographic and outcome dataLink member and provider dataLink member and (other) staff dataB. Routine member/community needs assessments (NA) conductedFrequency of member NATypes of community/member groups that participate in NAMember/community NA specifically for CLASData sources for member/community CLAS NAStaff NA conducted specifically for CLAS-related issuesFrequency of staff NATypes of staff who participate in NATypes of corporate support for QI and NA activities(Continued on next page)