Culturally Effective Care
Strategies to Improve Culturally Effective Care
Information and Patient Handouts for Multiple Cultures/Languages
Information and Patient Handouts for Specific Cultures/Languages
Interpreter Services
Health Literacy/Easy to Read Patient Materials
Additional Resources
Strategies to Improve Culturally Effective Care
National Center for Cultural Competence at Georgetown University
Information for health care and mental health providers on how to incorporate cultural and linguistic competence into one’s healthcare practice or workplace.
http://www11.georgetown.edu/research/gucchd/nccc/
Product Highlights:
The Provider's Guide to Quality and Culture
Key resource to assist health care providers and organizations throughout the US in providing high quality, culturally competent services to multi-ethnic populations. The site features an interactive quiz that helps users enhance their knowledge and skills. There is also a guide with 11 modules on topics such as common health problems in selected minority, ethnic and cultural groups, and understanding immigrant, refugee and minority populations. Each module contains readings, mnemonics, exercises, references and annotated links to other relevant Web resources. From Management Sciences for Health.
http://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=English
Patient Provider interaction pages from the Provider's Guide include tips for:
- Clinical Exchanges
- Prior Assumptions and Prejudices
- Medical History and Diagnosis
- Patient Adherence
- Working with an Interpreter
- Non-Verbal Communication
- Relating to Patient's Families
http://erc.msh.org/mainpage.cfm?file=4.0.htm&module=provider&language=
English&ggroup
=&mgroup=
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The Commonwealth Fund
Providing Language Services in Small Health Care Provider Settings: Examples from the Field (April 2005). M. Youdelman and J. Perkins, National Health Law Program
Changing demographics, along with heightened federal and state policies, have increased the need for effective models of providing services to individuals who are limited English proficient (LEP). Unfortunately, many providers are challenged by a shortage of knowledge and resources, which can create barriers to care. To assess current innovations, the National Health Law Program conducted site visits and phone interviews at small health care provider settings. Certain services emerged as "promising practices"—creative, effective methods that are replicable by other small providers. These practices include recruiting bilingual staff for dual roles (e.g., front desk and interpreter positions); ongoing cultural and language competency training for interpreter staff; using community resources like hospitals, managed care organizations, students, and volunteers; and capitalizing on underutilized funding sources. The authors include an eight-step plan to help providers develop a strategy to meet the needs of their LEP patients and the community.
www.cmwf.org/publications/publications_show.htm?doc_id=270667
Providing Language Interpretation Services in Health Care Settings: Examples from the Field. (Field Report May 2002) M. Youdelman and J. Perkins, National Health Law Program.
Note: Page 7-11 of report (pp 18-21 of PDF on WA’s translator service ) and 43-44 of PDF have info on Cross Cultural Health Care Program trainng
www.cmwf.org/usr_doc/youdelman_languageinterp_541.pdf 
Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches
The growth in the United States' minority and immigrant populations has raised concerns about the access to and quality of care these populations receive. Numerous health care organizations are seeking to address these concerns—working to dismantle the cultural and communication barriers to quality care through innovative programs that develop minority leadership, promote health system redesign, and train health care providers to better understand and manage the social and cultural factors that affect patients' health beliefs and behaviors.
Health care organizations can make changes on three levels—organizational, systemic, and clinical—to increase cultural competence. Organizational practices focus on hiring and promoting minorities in the health care workforce. Systemic practices include providing on-site interpreters in settings with high numbers of limited-English-speaking patients and involving representatives of the community in quality improvement efforts. Clinical practices include integrating cultural competence into training for health care providers.
www.cmwf.org/publications/publications_show.htm?doc_id=221320
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Cross Cultural Health Care Program, Seattle, WA
A model for other programs nationally, the Cross Cultural Health Care Program combines cultural competency training, interpreter training, research, community coalition building, and other service to develop culturally competent models of care. The website includes texts specific to immigrant and refugee communities in Washington, to journals and reference materials on Native American and African American health care issues, and current government documents and publications on the health status of diverse communities. The program was started in 1992 through a grant from the W.K. Kellog Foundation.
www.xculture.org/
Improving Cultural Competency in Children's Health Care: Expanding Perspectives Beyond the Clinical Environment
Change package and findings from the National Initiative for Children's Healthcare Quality (NICHQ). 36 pages.
www.nichq.org/childhood_obesity/tools/NICHQ_CulturalCompetencyFINAL.pdf
Minority Health Concern Resources from the National Libraries of Medicine
http://nnlm.gov/mcr/resources/community/minority.html
A Practical Guide for Implementing the Recommended National Standards for Culturally and Linguistically Appropriate Services in Health Care
Office of Minority Health, US Dept. of Health and Human Services, 2001
www.omhrc.gov/assets/pdf/checked/CLAS_a2z.pdf
Planning Culturally and Linguistically Appropriate Services: A Guide for Managed Care Plans
To address shifting demographic trends in health care, this guide offers health plans an approach to defining the needs of multi-ethnic members and developing culturally and linguistically appropriate services for them. The Centers for Medicare & Medicaid Services (CMS) commissioned this guide, as well as a companion guide, Providing Oral Linguistic Services (select for Summary). Both were developed by a contractor of the Agency for Healthcare Research and Quality (AHRQ).
www.ahrq.gov/populations/planclas.htm
Additional Articles
American Academy of Pediatrics; Committee on Pediatric Workforce. Culturally Effective Pediatric Care: Education and Training Issues (RE9753). Pediatrics. 1999;103(1):167-170
American Academy of Pediatrics; Committee on Pediatric Workforce Ensuring Culturally Effective Pediatric Care: Implications for Education and Health Policy. 2004;114 (6)::1677-1685
Flores, G, Laws, M B, Mayo, S J, Zuckerman, B, Abreu, M, Medina, L, and Hardt, E J. Errors in Medical Interpretation and Their Potential Clinical Consequences in Pediatric Encounters. Pediatrics. 2003;111:6-14
See also webpages at the National Center of Medical Home Initiatives for Children with Special Needs:
Culturally Effective Care articles (scroll down page)
www.medicalhomeinfo.org/publications/bibliography.html
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Information and Patient Handouts for Multiple Cultures/Languages
Culture Clues
Culture Clues™ are tip sheets for clinicians, designed to increase awareness about concepts and preferences of patients from the diverse cultures served by University of Washington Medical Center
http://depts.washington.edu/pfes/cultureclues.html
EthnoMed
Developed at Harborview Medical Center, University of Washington, Seattle, Washington. Information for clinicians about cultural beliefs and medical issues pertinent to the health care of recent immigrants to Seattle, many of whom are refugees fleeing war-torn parts of the world.
www.ethnomed.org
The Provider's Guide to Quality and Culture- Cultural Groups Pages
Basic information on the culture, health strengths, and health challenges of people from a number of regions around the world.
http://erc.msh.org/mainpage.cfm?file=5.0.htm&module=provider&language=
English&ggroup=&mgroup=
Consumer Health Brochures in 24 Languages
Electronic access to over 200 health education brochures in 24 different languages. Project of the Spencer S. Eccles Health Sciences Library, in partnership with the Utah Department of Health, the Immunization Action Coalition, and many others to improve access to health materials in multiple languages. Funding from the Institute of Museum and Library Services and the National Network of Libraries of Medicine.
http://library.med.utah.edu/24languages/
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Information and Patient Handouts for Specific Cultures/Languages
African American
National Library of Medicine - African American Health Website
http://nnlm.gov/mcr/resources/community/ethnic/aahealth.html
Asian and Pacific Islander
National Library of Medicine - Asian American Health Website
http://asianamericanhealth.nlm.nih.gov/
Hmong Health Education Network Website
Provides access to health information for Hmong people and those who provide health, education and social services to the Hmong community. The website is managed by the Wausau Area Hmong Mutual Assistance Association (WAHMA), with funding for the Hmong Health Education Network from the National Library of Medicine (NLM).
www.hmonghealth.org/
The Asian & Pacific Islander American HealthForum
Through a cooperative agreement with the Office of Minority Health and the Substance Abuse and Mental Health Services Administration of the Department of Health and Human Services, established the Asian and Pacific Islander Health Information Network (APIHIN) in 1995. The purpose of APIHIN is to create a network for disseminating and sharing health information, resources and policy issues among individuals and organizations that provide health services to the Asian and Pacific Islander American (APIA) communities. Fact sheets on health issues for Asian and Pacific Islander Americans in the US: www.apiahf.org
SPIRAL (Selected Patient Information Resources in Asian Languages)
From the Tufts University Health Sciences Library
http://spiral.tufts.edu/
Native American
National Library of Medicine Native American Health Website
http://nnlm.gov/mcr/resources/community/ethnic/native.html
Spanish-Speaking/Latino
See Spanish Language Resources page in Resources and Support section of the medical home website for multiple links: www.medicalhome.org/resources/spanish.cfm
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Interpreter Services
National Standards of Practice for Health Care Interpreters
For the first time, national standards of practice for health care interpreters have been established in the United States. With support from The Commonwealth Fund and The California Endowment, the National Council on Interpreting in Health Care developed guidelines to improve the quality and consistency of interpreting in hospitals, health plans, and other medical settings. To read the full announcement and to access the full set of standards, go to:
www.cmwf.org/tools/tools_show.htm?doc_id=318839&#doc318839
Interpreter Services- Washington State Medical Assistance Adminstration, Department of Social and Health Services (DSHS)
Medical providers may request Interpreter Services for their DSHS Medical Assistance clients who are having trouble speaking or understanding English, are deaf, deaf-blind, or hard of hearing. Provider page has information for DSHS contracted providers about Limited English Proficient (LEP) populations, and language access regulations and language services (both spoken and American Sign Language).
Provider Resources Page
http://fortress.wa.gov/dshs/maa/interpreterservices/Provider.htm
Service Providers for Spoken Language (contact list)
http://fortress.wa.gov/dshs/maa/interpreterservices/
SpokenLanguageVendor.htm
Approved Sign Language Interpreter Services Providers (contact list)
http://fortress.wa.gov/dshs/maa/interpreterservices/ASLprovidersJuly107.htm
American Translators Association (ATA) - Interpreters Division
Online translation and interpretation services directory of all interested members, with options to search by language pair, specialty, geographic area, etc.
www.ata-divisions.org/ID/
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Health Literacy/Easy to Read Patient Materials
Familydoctor.org
From the American Academy of Family Physicians. One of the least complex patient education sites.
www.familydoctor.org
Developing Health Education materials
Includes health literacy and easy-to-read materials. Resources identified by librarian
Patricia Auflick, Arizona Area Health Education Center.
http://depts.washington.edu/hswork/ph/auflick/hedevelopment.doc
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Additional Resources
Bureau of Primary Health Care, Health Resource and Services Administration, U.S. Department of Health and Human Services (BPHC)
Assures that underserved and vulnerable people get the health care they need. BPHC is one of four Bureaus of the Health Resources and Services Administration, an agency in the Department of Health and Human Services. The network of programs includes: Community and Migrant Health Centers, Health Care for the Homeless, National Health Services Corps, Immigration Health Services, and Models that Work. A database of publications is available on-line.
http://bphc.hrsa.gov/
Training Culturally Competent Primary Care Professionals to provide High Quality Healthcare for All Americans (Report)
www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/thirdreport.pdf
CultureMed
Web site promoting culturally-competent health care for refugees and immigrants. The bibliographies and links found on the web site contain items that discuss health beliefs or ethnographic information about various ethnic groups
http://culturedmed.sunyit.edu/
DiversityRX
www.diversityrx.org
Center for Healthy Families and Cultural Diversity
List of resources for websites, videos, printed material around culturally competent health care
http://www2.umdnj.edu/fmedweb/chfcd/resources.htm
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