equitable care
Post on 28-Oct-2014
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Medical Interpreter Services Equitable care for
Limited English Proficient Patients
Patients with limited English proficiency are almost twice as likely to suffer from adverse events in US hospitals, resulting in temporary harm or death.
C. Divi, R. G. Koss, S. P. Schmaltz et al., Language Proficiency and Adverse Events in U.S. Hospitals: A Pilot Study, International Journal for Quality in Health Care, April 2007 19(2):6067�
Partnering with professional medical interpreters has been shown to decrease length of stay and readmission rates in limited English proficient (LEP) patients.
Mary Lindholm et al. “Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates.” Journal of General Internal Medicine 2012.
Did you know?
Access to professional interpreters Sharing best practices Integration of professional interpreters in
the care team
Challenges
Technology Communication Interdisciplinary Rounds
Addressing the challenges
IPOPs (Interpreter Phone on Pole) & VPOPs (Video Phone on Pole)
24/7 access to professional interpreters Enable direct communication with patients
and families
Technology
Internal focus◦ New mission, vision and guiding principles◦ Quality & safety training◦ Interpreter grand rounds◦ Quarterly newsletter
External focus◦ Increased visibility as part of the medical team◦ Work with staff on units to share best practices◦ Interpreter rounds
Communication
Scope of practice of each team member – a new focus
Increased visibility of the medical interpreter role in relationship based care, where patient and family are integral parts of the care team
Huddles
Interdisciplinary Rounds
Improve patient outcomes Improve nursing communication from the
patients perspective Improve patient satisfaction Deliver equitable care
Outcomes
Cultural RoundsDeborah Washington, PhD, RN
October 29, 2013
Purpose Bring Culturally informed education to units Develop a knowledge base to manage
clinical problems with cultural implications
Somali Female Circumcision
Formats Case presentation Review of documentation Job shadow
Frames for Value Patient Satisfaction/Family Engagement Patient Education Staff Satisfaction Quality and Safety
Outcomes Identification of skill sets related to cultural
competencies Identification of cultural interventions that
work Identification of care that is culturally
inappropriate Formation of unit based Learning Groups
Cultural Rounds Learning Group: Unit Based
Meet on a regular basis Has one guiding question for discussion Each participant summarizes discussion
points and 1 insight that influences clinical practice.
Questions?
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