strengthening the healthcare safety net: language access services at unity health care, inc
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Strengthening the Healthcare Safety Net: Language Access Services at Unity Health Care, Inc. Luis Padilla, MD, FAAFP June 16, 2008 . Unity Health Care, Inc. MISSION - PowerPoint PPT PresentationTRANSCRIPT
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Strengthening the Strengthening the Healthcare Safety Healthcare Safety
Net: Language Net: Language Access Services at Access Services at Unity Health Care, Unity Health Care,
Inc.Inc.Luis Padilla, MD, FAAFPLuis Padilla, MD, FAAFP
June 16, 2008 June 16, 2008
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Unity Health Care, IncUnity Health Care, IncMISSIONMISSION
Unity Health Care, Inc. offers a citywide Unity Health Care, Inc. offers a citywide network of quality health and human services network of quality health and human services to the medically underserved regardless of to the medically underserved regardless of race, ethnic background or ability to pay.race, ethnic background or ability to pay.
VISIONVISIONUnity Health Care, Inc. will become the Unity Health Care, Inc. will become the preeminent health care delivery system for the preeminent health care delivery system for the medically underserved of Washington, DC and medically underserved of Washington, DC and recognized by them as the provider of choice.recognized by them as the provider of choice.
www.unityhealthcare.org
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Unity as a Community Unity as a Community Health CenterHealth Center
More than More than 2020 years experience in years experience in Washington, DCWashington, DC
Present in Present in all 8 Wardsall 8 Wards of the District of the District of Columbiaof Columbia
Over Over 180180 providers providers Currently Currently 3232 service sites throughout service sites throughout
DC including Mobile Medical UnitsDC including Mobile Medical Units 433,450433,450 visits n 2007 visits n 2007 Healthcare for DC inmatesHealthcare for DC inmates
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Unity Health Care Unity Health Care 20072007
2007
Total Users 80,803 Total Visits 433,450
Working Poor, Uninsured, Immigrants
69,565(86%)
Working Poor, Uninsured, Immigrants
387,602
Homeless 11,238(14%)
Homeless 45,848
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Unity Health Care Approach Unity Health Care Approach to LEPto LEP
Focus efforts at unified patient communication Focus efforts at unified patient communication through the triad of through the triad of health literacy, cultural health literacy, cultural competency, and limited English competency, and limited English proficiency (LEP)proficiency (LEP)
ActiveActive recruitment recruitment of bilingual and bicultural of bilingual and bicultural staff staff
Diversity and cultural competency Diversity and cultural competency trainingtraining throughout the organizationthroughout the organization
Support its centers with Support its centers with resourcesresources to address to address LEPLEP
Provide low literacy forms and Provide low literacy forms and materialsmaterials
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Unity Health Care’sUnity Health Care’sUpper Cardozo Health CenterUpper Cardozo Health Center
Ward one Northwest DCWard one Northwest DC DC’s most ethnically and economically diverse wardDC’s most ethnically and economically diverse ward
Most diverse center in Unity Health Care’s Most diverse center in Unity Health Care’s network network
Over Over 17, 00017, 000 patients enrolled patients enrolled Over Over 76,00076,000 visits in 2007 visits in 2007 Predominately non-English speaking patients Predominately non-English speaking patients
60% Spanish and 10% Amharic60% Spanish and 10% Amharic Low Literacy and Low English Proficiency (LEP) Low Literacy and Low English Proficiency (LEP)
with average with average reading levelreading level at at third to fourth third to fourth gradegrade
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Upper Cardozo: Services Upper Cardozo: Services OfferedOffered
Primary and Primary and Preventive Preventive CareCare
DentalDental Social Social
ServicesServices PharmacyPharmacy WICWIC
OB/GYNOB/GYN Mental HealthMental Health LaboratoryLaboratory Specialty Care (HIV, Specialty Care (HIV,
Pulmonary, Pulmonary, Cardiology, Cardiology, Ophthalmology, Ophthalmology, Endocrinology, Endocrinology, Podiatry)Podiatry)
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Where do our patients Where do our patients come from?come from?
The AmericasThe Americas
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Where do our patients Where do our patients come from?come from?
AfricaAfrica
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Where do our patients Where do our patients come from?come from?
Asia, Europe , South Pacific, Asia, Europe , South Pacific, Middle EastMiddle East
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Multilingual StaffMultilingual Staff 1717 out of 19 primary care providers speak Spanish out of 19 primary care providers speak Spanish
Over Over 90%90% of support staff are bilingual or of support staff are bilingual or multilingualmultilingual
Languages Spoken by Upper Cardozo StaffLanguages Spoken by Upper Cardozo StaffSpanishSpanish TagalogTagalogFrenchFrench FarsiFarsiAmharicAmharic TigrinyaTigrinyaChineseChinese VietnameseVietnamese
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How Our Patients Obtain How Our Patients Obtain InformationInformation
Flyers and BrochuresFlyers and Brochures Spanish language prescription Spanish language prescription
labelslabels
Web based educational materialsWeb based educational materials
Point of care internet accessPoint of care internet access
Language LineLanguage Line
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How Our Patients Obtain How Our Patients Obtain InformationInformation
Oral instructions from bilingual staff Oral instructions from bilingual staff after visitsafter visits
Medline-Plus audio/video tutorials in Medline-Plus audio/video tutorials in SpanishSpanish
Community PartnershipsCommunity Partnerships Reach Out and ReadReach Out and Read
Clinic Color GuideClinic Color Guide
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Forms and SignsForms and Signs Written at a third to Written at a third to
fourth grade levelfourth grade level
Color codedColor coded
Double sided Double sided bilingualbilingual
Printed in Amharic Printed in Amharic when applicablewhen applicable
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Point of Care Computer Point of Care Computer AccessAccess
Internet Access inInternet Access in each exam room each exam room
made possible made possible through a NLM through a NLM grantgrant
Web image searchesWeb image searches MedlinePlus MedlinePlus
TutorialsTutorials Demonstration of Demonstration of
medications, dosing, medications, dosing, etcetc
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Phone Interpretation Phone Interpretation ServicesServices
Language LineLanguage Line Over Over 100100 major major
languages and languages and dialects dialects availableavailable
Speaker phones Speaker phones available in each available in each exam roomexam room
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Reach Out and Read Reach Out and Read ProgramProgram
National Program National Program designed to designed to promote early promote early childhood literacychildhood literacy
Literacy Promotion Literacy Promotion and books are and books are encouraged at encouraged at well-child visits well-child visits ages 6months-5 ages 6months-5 yearsyears
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Clinic Color GuideClinic Color Guide
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Future InitiativesFuture Initiatives Computer LabComputer Lab
English Second Language skills English Second Language skills buildingbuilding
Computer skills development Computer skills development
Healthcare System Access EducationHealthcare System Access Education Understanding health benefitsUnderstanding health benefits Patient language access rightsPatient language access rights
DC 2004 Language ActDC 2004 Language Act
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Continued ChallengesContinued Challenges Resources needed to expand and Resources needed to expand and
provide language services to provide language services to other languages (Amharic, other languages (Amharic, French, Chinese)French, Chinese)
Resources and staff to assess Resources and staff to assess how patients process and degree how patients process and degree they understand informationthey understand information
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Continued ChallengesContinued Challenges Increased adherence to DC Increased adherence to DC
language Act by other language Act by other organizations (hospitals and organizations (hospitals and specialist offices)specialist offices)
Resources to track changes and Resources to track changes and outcomesoutcomes
Recruitment bilingual providers Recruitment bilingual providers Recruitment bilingual nurses Recruitment bilingual nurses
and case managersand case managers