HealthCheck Provider Education System

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Overview

Health Supervision

Special Health Issues

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Special Health Issues

Reducing Language Barriers

*Family

Although a family member or friend may be fully bilingual and proficient in a family’s native language, it is generally not advisable to rely on family or friends for translations in the health care setting. Misinterpretations can arise due to:1

  • Communication difficulties.
  • Personal relationships and role conflicts.
  • Lack of training as interpreters.
  • Limited knowledge of the medical issues being addressed.
  • Reluctance or embarrassment in discussing intimate matters.
  • Desire to censor information to minimize shame or stigma.

 

Locating

Finding competent interpreters and language services can sometimes be problematic. Providers who require interpretation services may want to try the following strategies:

Bilingual Staff

  • Recruit and hire bi-lingual administrative staff and health professionals.
  • Evaluate the language capabilities of your existing staff.
  • Keep a list of available bilingual staff that can assist with Limited English Proficient (LEP) families on-site.

Health Plans

  • Determine if and when the health plans you work with provide interpreter services as a covered member benefit.
  • Identify the interpretation policies and procedures for each plan you work with.
  • Determine whether face-to-face and/or telephone interpreters are covered.
  • Maintain a list of current telephone numbers and health plan contacts for language services.
  • Inquire about Telecommunication Device for the Deaf (TDD) services for those who are deaf or hearing impaired.

Other Resources

If interpreter services are not covered by a health plan, find other resources to meet linguistic needs:

  • Use trained/capable internal staff.
  • Contract with a telephonic interpreting company.
  • Check for services available through community based organizations. Some provide face-to-face interpreter services for the community (free of charge or at low cost).
  • In some cases, consider hiring professional interpreters.

 

HIPAA Regulations

Remember to follow all HIPAA regulations when transmitting any patient-identifiable information to parties outside your office.

 

This concludes the Reducing Language Barriers portion of the Special Health Issues section.

The next page contains Tips for Working with Professional Interpreters.

 

Source

1 Developing Cross-Cultural Competence: A Guide for Working with Children and Their Families, Baltimore, MD, 2004
2 Information adapted from Industry Collaboration Effort (ICE) Cultural and Linguistic Workgroup. Better Communication, Better Care: Provider Tools to Care for Diverse Populations.

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