Developing a Self-Assessment Toolfor Culturally - Office of Minority ...
Developing a Self-Assessment Toolfor Culturally - Office of Minority ...
Developing a Self-Assessment Toolfor Culturally - Office of Minority ...
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A. QUALITY MONITORING AND IMPROVEMENT (QI)The following questions are about quality assessments <strong>of</strong> services provided to your clients. Thesewould include internal routine information systems and quality monitoring and improvementprocedures.1. Does your agency collect information on the quality <strong>of</strong> services provided to your clients?~ Yes ! go to 1a~ No ! go to 2~ Don’t know ! go to 21a. Does this QI information collection include specific activities related to culturally and linguisticallyappropriate services?~ Yes~ No~ Don’t know1b. For what purpose(s) does your agency collect this information?MARK ALL THAT APPLY~ Federal reporting requirement~ State reporting requirement~ Local board <strong>of</strong> health or other governing body reporting requirement~ To improve services~ Other, please specify _______________________________________1c. Who developed your agency’s QI information collection plan?MARK ALL THAT APPLY~ Federal agency~ State agency~ National organization~ State organization~ Local board <strong>of</strong> health or other governing body~ Local health agency staff~ Other, please specify _______________________________________1d. Which <strong>of</strong> the following QI activities are used to collect information on the quality <strong>of</strong> culturally andlinguistically appropriate services provided?MARK ALL THAT APPLY~ Collection, review, and analysis <strong>of</strong> quality outcomes data~ Client satisfaction surveys~ Grievance and complaint tracking~ Chart reviews or audits~ Client focus groups~ Other, please specify _______________________________________~ Don’t know~ None <strong>of</strong> the aboveCOSMOS Corporation, December 2003 2