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Commonwealth of Massachusetts
Executive Office of Health and Human Services
Massachusetts Department of Public Health
BEST PRACTICE RECOMMENDATIONS
FOR HOSPITAL-BASED INTERPRETER SERVICES
Office of Minority Health
Brunilda Torres, LICSW, Director
brunilda.torres@state.ma.us
Table of Contents
Background 2
Policies and Procedures 6
Publicizing the right and availability of interpreter services
Identifying and assessing the language needs of all patients
Determining staffing arrangements to be used for oral language assistance
Guiding staff in providing the appropriate type of interpreter service
Assuring proper documentation of the LEP patient encounter
Providing timely and uniform telephone communication
Translating written materials
Ensuring ongoing, periodic training and assessment of staff
Collecting data
Establishing an ongoing monitoring and evaluation process
Needs Assessment 11
Patient Oriented Assessment of Language Needs
Internal Assessment of Institutional Needs
Delivery System 13
Coordinator and Administrative Structure
Scheduling and Tracking System
Models of Oral Language Assistance and Recommendations for Use
Staff interpreters
Contract interpreters
Employee language banks
Community interpreter banks
Telephonic services
Remote simultaneous interpretation
Guidelines for Translation of Written Materials
Training and Competency 21
Interpreter Training
Staff/provider Training
Competency Assessment
Core skills
Core knowledge
Code of ethics
Monitoring and Evaluation 28
Additional Resources 29
Appendices and websites 30
I. BACKGROUND
Effective communication between patients and their health care providers is vital to achieving access to quality care and ensuring good health outcomes. Nowhere is this more essential than the Emergency Department, where lack of accurate, complete, and timely information can result in critical impediments to care. In recognition of this, the recently enacted Chapter 6
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