Oct. 5, 2009MA HDC Meeting*MA Health Disparities Council

Working Group on Interpreter Services

Update from Meeting #1Measurable Standards of Practice

Held September 23, 2009(ppt rev. 9/24/09)

Georgia Simpson May, Director, MDPH-Office of Health Equity (OHE)James Destine, Coordinator of Interpreter Services, MDPH-OHEIyah Romm, Intern, MDPH-OHE

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*Health Disparities CouncilInterpreter Services Working GroupToday we will update on:

Impetus for this WorkScope, Process, Work PlanFuture Decision Point

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*

Impetus for this Work

The 2007 Massachusetts LegislativeCommission to End Racial and Ethnic Health Disparities - Chapter 65 of the Acts of 2004

Three recommendations to expand access to quality health care:

Uniform standards modeled after the national standards developed through the National Council on Interpreting in Health Care (NCIHC).

Reimbursement procedures for interpreter services by all payers, public and private.

Statewide regulations to certify medical interpreters

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*September 2009 Meeting Update2. Scope, Process, Work Plan

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*Presented for Review

Hospital Interpreter Services: An Overview of Historical Perspectives, Current Initiatives, and Steps for Moving ForwardProvides

History of Medical Interpretation

Certification Terms, Definitions and Processes

Reimbursement Who and How

Standards of Practice Current Efforts

Recommendations for Our (ISWG) Work

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*

I. Offered a Definition for Certification

II. Reviewed Models for Certification- Washington State- MA Courts- Registry of Interpreters for the Deaf, Inc- Language Line University

Reviewed Reimbursement for Medical Interpretation- 12 states currently reimburse - No two are exactly alike

IV. Reviewed Standards of Practice- International Medical Interpreters Assoc/MDPH- National Council on Interpreting in Health Care

V. Discussed The Work of ISWG- Analytic Framework- Five Areas of Work- Expectations of Recommendations- Meeting Schedule and Agendas

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*What do people in the Commonwealth want and need in this area?

What is this areas current status in Massachusetts? (What do we know, or dont know?)

Are there documented best practices in this area (locally and nationally)?

What has been tried (locally or nationally)? What has/hasnt worked?

What are the main barriers to good practice/improvement?

How can each of those barriers be overcome?

What kind(s) of data exist or could exist to demonstrate quality in this area?

What kind(s) of accountability for quality are possible that would drive/ensure improvement?

What resources would be needed? What are possible sources?Suggested Analytic Framework for ISWGMA EOL Expert Panel, 2009

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*Recommendations for ISWGFive Areas of Work

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*Expectations of Our (ISWG) RecommendationsThat All Recommendations BeActionableAchievableMeasurableEquitableCost-EffectiveSustainableMonitored

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*ISWG Meetings and Tentative Agendas

September 23, 2009 October 28th, 2009November 18th, 2009 (changed from Nov. 25th)December 16th, 2009 (changed from Dec. 23rd)January 27th, 2010February 24th, 2010March 24th, 2010*

Location: 250 Washington Street, BostonCommissioners Conference Room, 2nd Floor

Time: 3:15 4:45

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*October December 2009Oct 2009 Mtg #2 (Certification Part I)Consensus on Standards RecommendationPresentation from IMIA on National Certification (proposed, not confirmed)How Should MA Build A CertificationMandate or Recommendation

Nov 2009 Mtg #3 (Certification Part II)Continuation and completion of Mtg #2

Dec 2009 Mtg #4 (Reimbursement Part I)Consensus on Certification RecommendationsCost Quality Analysis Presentation the cost of medical errors resulting from language discordance in clinical settings(presenter to be identified)

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*January March 2010Jan 2010 Mtg #5 (Reimbursement Part II)Continue and complete

Feb 2010 Mtg #6 (Wrap Up)Consensus on Reimbursement RecommendationReview Full Set of RecommendationsDraft A Presentation for HDC Meeting

*March 2010 If needed

MA HDC Meeting

Oct. 5, 2009MA HDC Meeting*Future Decision PointsNational Certification, State Certification, or both? Who will serve as the states certifying and oversight body existing or new?Sustainability of effort, ongoing monitoring.Need to explore and decide on mechanism for drawing down federal Medicaid dollars to reimburse for Interpreter Services.

MA HDC Meeting

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