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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. National Standards for Culturally and Linguistically Appropriate Services in Health Care. Overview of OMH Rationale for Cultural Competence OMH’ s Center for Linguistic and Cultural Competence in Health Care (CLCCHC) Describe the CLAS Standards

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National standards for culturally and linguistically appropriate services in health care
National Standards for Culturally and Linguistically Appropriate Services in Health Care

  • Overview of OMH

  • Rationale for Cultural Competence

  • OMH’ s Center for Linguistic and Cultural Competence in Health Care (CLCCHC)

  • Describe the CLAS Standards

  • Challenges


Office of minority health mission
Office of Minority Health Mission Appropriate Services in Health Care

To improve the health of racial and ethnic

populations through the development of

health policies and programs that help to

eliminate health disparities and gaps.


Omh s 7 4
OMH’s “7+4” Appropriate Services in Health Care

  • (1) Heart Disease & Stroke(2) Cancer; (3) Substance Abuse; (4) Diabetes; (5) Homicide, Suicide and Unintentional Injuries; (6) Infant Mortality; (7) HIV/AIDS.

  • Crosscutting areas: (1) Access to health care; (2) Improve Data Collection/Analysis; (3) Health Professions Development; and (4) Cultural Competence.


What does cultural competence mean
What Does Cultural Competence Mean? Appropriate Services in Health Care

  • Cultural Competence is the:

    • ability of health organizations and practitioners to recognize the cultural beliefs, attitudes and health practices of diverse populations, and

    • to apply that knowledge in every intervention;

      at the systems level or at the individual level.


Rationale for cultural competence
Rationale for Appropriate Services in Health CareCultural Competence?

  • POR QUE (Why)?


Legislative framework for cultural competence
Legislative Framework for Cultural Competence Appropriate Services in Health Care

  • Disadvantaged Minority Health Improvement Act of 1990; and

  • The Health Professions Education Partnership Act of 1998.


Demographics
Demographics Appropriate Services in Health Care


Language diversity in u s
Language Diversity in U.S. Appropriate Services in Health Care

  • Spanish 17.1 million

  • French 1.7 million

  • German 1.5 million

  • Italian 1.3 million

  • Chinese 1.2 million

  • Tagalog 843,000

    Source: U.S. Census 1990


Racial and ethnic distribution of selected health professions source hrsa u s census 2000
Racial and Ethnic Distribution of Selected Health Professions: Source: HRSA, U.S. Census 2000


Health divide
Health Divide Professions:

  • 1985 Task Force Report on Black and Minority Health revealed:

    • Minorities continue to have poor health;

    • Health disparities have worsened;

    • Minorities chronically underserved by the health care system.

  • IOM Report - March 2002.


The omh center for linguistic and cultural competence in health care
The OMH Center for Linguistic and Cultural Competence in Health Care

  • Mandated by Congress to develop projects to eliminate language barriers for Limited English Proficient (LEP) individuals to increase their access to health care.

  • Culturally and Linguistically Appropriate Services (CLAS) Standards Project.

  • Cultural Competency Curriculum Modules (CCCMs).

  • Hispanic Cultural Competence for Medical Education Curriculum.


Why clas standards
Why CLAS Standards? Health Care

  • Address the patchwork of definitions, guidelines, overlap, etc., on what constitutes cultural competence service delivery.

  • Provide a road-map for providing culturally competent services.

  • Serve as guiding principles for the delivery of quality health care to diverse populations.


Clas as a vehicle to improve health
CLAS As A Vehicle to Improve Health Health Care

  • Improve access to services;

  • Reduce medical errors;

  • Improve effectiveness of preventive services;


Clas as a vehicle to improve health1
CLAS As A Vehicle to Improve Health Health Care

  • Improve patient satisfaction;

  • Improve patient compliance; and

  • Reduce financial costs and risks.


Clas standards
CLAS Standards Health Care

  • 14 National Recommended Standards: inform, guide, and facilitate implementation of CLAS.

  • Three themes:

    • Culturally Competent Care (1-3);

    • Language Access Services(4-7); and

    • Organizational Supports for Cultural Competence (8-14).


Culturally competent care 1
Culturally Competent Care - 1 Health Care

Patients and consumers receive effective, understandable, and respectful health care.


Cultural competent care 2
Cultural Competent Care - 2 Health Care

Recruitment, retention, and promotion of diverse staff and leadership.


Cultural competent care 3
Cultural Competent Care - 3 Health Care

All staff receive ongoing education and training.


Language access 4
Language Access - 4 Health Care

Language assistance services, including bilingual staff and interpreters must be offered at no cost to the patient.


Language access 5
Language Access - 5 Health Care

Patients and consumers must be informed of their right to language assistance services.


Language access 6
Language Access - 6 Health Care

Health organizations must assure the competence of language assistance provided by interpreters/bilingual staff.


Language access 7
Language Access - 7 Health Care

Availability of easily understood patient materials and applicable signage posted.


Organizational supports 8
Organizational Supports - 8 Health Care

Written strategic plan with clear goals, policies, and accountability mechanisms.


Organizational supports 9
Organizational Supports - Health Care9

Conduct initial and ongoing organizational self-assessments, and

Integrate cultural and linguistic competence measures into overall program activities.


Organizational supports 10
Organizational Supports - 10 Health Care

Patient data collection to include: race, ethnicity, and spoken and written language.


Organizational supports 11
Organizational Supports - 11 Health Care

Maintain current demographic, cultural, and epidemiological community profiles, and

Conduct needs assessment on cultural and linguistic characteristics of the service area.


Organizational supports 12
Organizational Supports - 12 Health Care

Participatory, collaborative partnerships to facilitate community and patient/ consumer involvement.


Organizational supports 13
Organizational Supports - 13 Health Care

Ensure that conflict and grievance resolution processes are culturally and linguistically sensitive.


Organizational supports 14
Organizational Supports - 14 Health Care

Keep the public informed about progress and successful innovations in implementing the CLAS standards.


Challenges
Challenges Health Care

  • Developing the evidence.

  • Marketing strategies.

  • Collaborating with medical societies.

  • Working at the State and Federal levels.

  • Working with advocacy groups.