Diverse Patients, Disparate Experience The Use of 不同的患者不同的经验使用.pptVIP

* The Health and Human Services Guidance on Limited English Proficient patients provides guidance on requirements under Title VI, Civil Rights Act. Title VI prohibits discrimination on the basis of race, color, or national origin. This Act applies to any entity that receives federal funding. Four keys to compliance with Title VI are the assessment of language needs, written policy on language access, training of staff, and monitoring compliance. An interagency working group on LEP has developed a Web site, , to assist in disseminating this information to recipients, federal agencies, and the communities being served. All eligible - 2013 2.7 million – all eligible, 2013 Projected languages are using take up numbers (2019) using base scenarios * * * * * Require translation of Summary of Benefits and Coverage in threshold languages * Only one component of CL * External Quality Review Organization CAHPS Cultural Competency Measure Set Patient-provider (or doctor) communication ? Complementary and alternative medicine ? Experiences of discrimination due to race/ethnicity, insurance, or language ? Experiences leading to trust or distrust, including level of trust, caring, and truth-telling ? Linguistic competency (Access to language services) * * Speaking the Language of Care: Language Access and the Affordable Care Act Cary Sanders, MPP January 24, 2014 CPEHN: Together We’re Stronger Eliminating Health Disparities Coverage does not always equal access Network Adequacy Geographic Access Cultural Linguistic Access Timely Access Affordability Foundations for Language Access Federal Title VI, Civil Rights Act 1964 Executive Order 13166 and LEP Guidances Office of Minority Health Cultural and Linguistic Appropriate Services (CLAS) Standards California State Title VI Look-Alike (Government Code 11135-11139.8) Dymally-Alatorre Act Medi-Cal Managed Care Contract Provisions and Policy Letters Department of Managed Health Care SB 853 (Escutia) Kopp Act 1