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

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B. MANAGEMENT INFORMATION SYSTEMS (MIS)The following questions are about demographic data your agency may collect on your clients.1. Does your agency’s client information database record race and ethnicity?~ Yes, for all client ! go to 2~ Yes, for certain clients ! go to 2~ No ! go to 1a~ Don’t know ! go to 21a. To your knowledge, what are the reasons you do not record race and ethnicity for your clients?MARK ALL THAT APPLY~ Clients’ privacy rights ! go to 4~ Concerns about quality or completeness of data ! go to 4~ Concerns about legal liability ! go to 4~ Other, please specify _______________________________________ ! go to 4~ Don’t know ! go to 42. Please report or estimate what percentage of your clients falls into the following racial groups.a. Black or African American .......................b. Asianc. Native Hawaiian or other Pacific Islander ............d. American Indian or Alaska Native .................Record Percent Actual Estimated% ~ ~% ~ ~% ~ ~% ~ ~e. White .......................................If reporting the actual percentage, what is the source used for your response?~ Don’t know% ~~COSMOS Corporation, December 2003 5
3. Please report or estimate what percentage of your clients falls into the following ethnic group.Record Percent Actual Estimateda. Hispanic or Latino ..............................% ~ ~If reporting the actual percentage, what is the source used for your response? ~ Don’t know4. Does your agency’s client information database record the primary language spoken by each client?~ Yes, for all clients ! go to 5~ Yes, for certain clients ! go to 5~ No ! go to 4a~ Don’t know ! go to 54a. To your knowledge, what are the reasons you do not record primary language spoken for yourclients?MARK ALL THAT APPLY~ Clients’ privacy rights~ Concerns about quality or completeness of data~ Concerns about legal liability~ Other, please specify _______________________________________~ Don’t know5. Approximately what percentage of your clients speak a primary language other than English?Actual EstimatedRecord Percentage% ~ ~If reporting the actual percentage, what is the source used for your response? ~ Don’t know6. In your agency’s data systems, can client demographic information (such as race/ethnicity andlanguage) be linked with other data (such as client satisfaction, grievances/complaints, anddis-enrollment)?~ Yes~ No~ Don’t knowCOSMOS Corporation, December 2003 6
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Developing a Self-Assessment Toolfo
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ContentsChaptersPage1. Introduction
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Chapter 1Introduction
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While many LPHAs currently provide
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LPHAs include: adult and child immu
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Professions Education Partnership A
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Chapter 2Methodology for Developing
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Public Health Practice Program Offi
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assess their own beliefs and have k
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communicate with, and clearly under
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2.1.6 Identifying Key Components of
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Given these persistent disparities
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(Exhibit 2-2, Continued)DOMAIN / KE
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limited to the actual clinical enco
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Chapter 3Project Results and Recomm
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local board of health. PEP and PAG
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numerous promising CLAS practices a
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References
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Becker, M.H., and L.A. Maiman, “S
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Frye, B., “Health Care Decision M
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Marin, G., “Defining Culturally A
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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 and 62: Appendix CLPHA Director or Designee
Page 63 and 64: Pre-Interview Script for LPHA Direc
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: 6b.Which of the following community
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
Page 113 and 114: position, as titles will likely var
Page 115 and 116: complex and uncertain at the time t
Page 117 and 118: 1. Incorporate a confirmation pre-c
Page 119 and 120: Exhibit 2DATA COLLECTION PROCESSSen
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