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Effective Interpreter Use

Effective Interpreter Use. Interpreter Use Training. Goals: Improved health care delivery to low proficiency English (LEP) patients and families Improved provider satisfaction and fulfillment. Agenda. Mandates for interpreter use Research supporting use

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Effective Interpreter Use

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  1. Effective Interpreter Use

  2. Interpreter Use Training • Goals: • Improved health care delivery to low proficiency English (LEP) patients and families • Improved provider satisfaction and fulfillment

  3. Agenda • Mandates for interpreter use • Research supporting use • Explore interpreter use skills - Video • Discuss interpreter service at CPMC • Discuss options for decreasing language barriers • And, what you can do…

  4. Magnitude of need: census data • >28 million Americans are foreign born • 44 million Americans speak a language other than English at home • Over 300 languages spoken • Not only urban, many immigrants now live in suburban and rural areas throughout the country.

  5. Mandates • Professional and training organizations • Department of Health and Human Services • Laws

  6. CLAS: National Standards for Culturally and Linguistically Appropriate Services in Health Care • “Providing culturally and linguistically appropriate services (CLAS) to [diverse patients/consumers] has the potential to improve access to care, quality of care, and, ultimately, health outcomes.” • Standards focus on access to care in the patient’s language. • Department of Health and Human Services December 2000

  7. Laws Pertaining to the Provision of Interpreter Services • Title VI of the Civil Rights Act (1964) • New York State Public Health Law 405.7

  8. Data • Well documented negative impact of language barriers on: • Utilization • Satisfaction • + Adherence

  9. Cost • Prolonged length of stay in ER and higher diagnostic costs • L. Hampers, et al. • Increased probability of hospital admission • M. Waxman et al. • 3-fold increase in CT scans done for abdominal pain in LEP cohort in which 100% had interpreters, but 80% were “ad hoc” or untrained interpreters. • M. Waxman et al.

  10. Video:Communicating Effectively Through An Interpreter

  11. Interpreter Services at New York Presbyterian Hospital • Interpreter Services at NY Presbyterian Hospital: (212) 305-9607 • Service provides Sign Language, Spanish, and French interpreters in person and by phone. • Pacific Interpreters • Professional interpreters, over 100 languages. • Phone number and access code printed on cards available all over the medical center. Simply identify yourself and give the site-specific access code.

  12. Overcoming Language Barriers,Options: • On-site professional interpreters • Remote telephone interpretation • Increase language skills of students and residents • Train staff as interpreters • ESL for patients/families

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