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

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Appendix C[INSERT NAME OF STUDY OR DATA COLLECTION EFFORT]LPHA DIRECTOR OR DESIGNEETELEPHONE INTERVIEW PROTOCOLPaperwork Reduction Act StatementA federal agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless itdisplays a currently valid OMB control number. Public reporting burden for this collection of information is estimated to vary from10-15 minutes with an average of 1 minute per response, including time for reviewing instructions, searching existing datasources, gathering and maintaining the necessary data, and completing and reviewing the collection of information.COSMOS Corporation, December 2003
Pre-Interview Script for LPHA DirectorThank you for agreeing to participate in this interview. The [insert name of fundingagency], is sponsoring this study as a benchmark for future research on the growing efforts oflocal public health agencies to provide quality services to all clients—when populations arebecoming increasingly diverse. Your agency’s participation in this study contributes to greaterunderstanding of health care provision in the U.S. The interview will take approximately 15minutes.As stated in the letter you recently received from [insert name of funding agency], thepurpose of collecting this information is to ascertain an accurate description of health carepolicies and practices that extend medical support or services to clients of diverse linguistic,national, or cultural backgrounds. Participation in this study does not require that your agencyhave any sort of policies or practices in place that address the particular needs of certaincultural groups. There are no expectations or judgments about services that are (or are not)offered by your agency.Finally, because organizational policies are sometimes sensitive issues, it is emphasizedthat none of the information provided will ever identify individual agencies that participate in thestudy. In the event that certain agencies report unique policies or practices that exceed currentstandards of care for diverse groups, prior permission will be requested from the participatingagency to highlight in future publications information provided from those responses only.Anonymity is assured.COSMOS Corporation, December 2003 2
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Developing a Self-Assessment Toolfo
Page 3 and 4:
ContentsChaptersPage1. Introduction
Page 5 and 6:
Chapter 1Introduction
Page 7 and 8:
While many LPHAs currently provide
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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
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: Appendix CLPHA Director or Designee
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 and 112: Appendix GCLAS in MCOs Study Data C
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position, as titles will likely var
Page 115 and 116:
complex and uncertain at the time t
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1. Incorporate a confirmation pre-c
Page 119 and 120:
Exhibit 2DATA COLLECTION PROCESSSen
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