IPRO QIN-QIO Resource Library

This Learning Toolbox focuses on cultural and linguistic competency and their importance for helping to eliminate disparities in the delivery of quality healthcare.  The Toolbox includes a quick primer, and provides useful links to articles, tools, and resources.

These resources supplement the National CLAS Standards education series and can help organizations assess and implement practices that align with the HHS National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care to promote health equity and patient-centered care.

Culturally and linguistically appropriate services (CLAS) ensure that the services your organization provides are respectful and responsive to each patient’s culture and communication needs. The Case for CLAS Flyer outlines why this makes good business sense.

The CLAS Engagement Flyer provides explains CLAS, why it is important, and the impact on patient care. https://drive.google.com/open?id=1hdJ4lPu0F1d41LFl6Iab0uSKt0LCDaEo

CLAS Action Plan https://drive.google.com/file/d/1yCgKkinWhrfGOb2dscVkqsX37Ki4tlN6/view?usp=share_link

Slides from the IPRO CLAS Educational Series

Session 1: An Introduction to the National CLAS Standards. https://drive.google.com/open?id=11416K5CPieDJUQ26NJhN05IdZGudoz6A

Session 2: CLAS Principal Standard, Theme 1: Standards 2-4. https://drive.google.com/file/d/1oEj4Qlv6UfGiGgdndzQy7O4WzQMUSNjO/view?usp=share_link

Session 3: Theme 2, Standards 5 – 8. https://drive.google.com/file/d/1QjeP4BxSUYG07ggE3zNTJpEX9JAGxzsj/view?usp=share_link

Session 4: Theme 3, Standards 9 – 11. https://drive.google.com/file/d/1h6_dinEKw6FzX8w9hL2PwOYGbfuX4LPJ/view?usp=share_link

Session 5: Theme 3, Standards 12 – 15 https://drive.google.com/file/d/162uMG6VpzRqF3A2P6CDI4U2wiUp_5y-Z/view?usp=share_link

CLAS Resource List

This document is a compilation of all the resources discussed in the IPRO series on the HHS National CLAS standards. https://drive.google.com/file/d/1YTWikRPaVrLqOK-mDeSJvgkR5UuHxfoB/view?usp=share_link

This is an Excel trending report that provides the opportunity to trend multiple data points with focused trending graphs instantly available to either print on standard letter-sized paper or save as individual PDFs for electronic sharing.

 

Effective communication is critical to ensuring understanding, empowering patients, and providing high quality care. A language access plan can help ensure that an organization provides high quality and appropriate language services. This guide identifies ways that providers can assess their programs and develop language access plans to ensure persons with limited English proficiency have meaningful access to their programs.

This is designed for nursing home staff, and other facilities could use it as well. It has information about ADEs including: definition, facts, common ADEs, and occurrences that could point to an ADE.

This is designed for use in any facility by staff or a healthcare provider. Improvement of cross-setting management of diabetes medications during transitions of care to prevent adverse drug events and subsequently reduce emergency department visits, hospitalizations, and readmissions.

The Provider Directory is designed to facilitate diabetes treatment for primary care teams, particularly providers working with Medicare beneficiaries and vulnerable populations who experience a higher prevalence of type 2 diabetes and its complications.

The Resources Inventory from the CMS Office of Minority Health is a catalog of diabetes prevention resources tailored to various audiences, including racial and ethnic minorities, LGBTQ communities, people with disabilities, and people with limited English proficiency.

This toolkit provides health care professionals and other key stakeholders information on implementation and reimbursement for accredited DSMT and MDPP programs that meet CMS guidelines for Medicare reimbursement.

The Dialysis and Nursing Home Hand-off Communication Tool provides a framework for communication between dialysis facilities and skilled nursing facilities to ensure a safe transition to and from dialysis that includes prompts for follow-up to changes in a resident’s plan of care.

This style guide, developed by the National Center on Disability and Journalism, covers almost 200 words and terms commonly used when referring to disability.

This document is intended for use as a guide for nurse-to-nurse verbal communication of medication-related information required for safe patient transfer upon discharge from the sending to receiving facility.

The Disparities Impact Statement, developed by the CMS Office of Minority Health, helps organizations to identify, prioritize, and take action on health disparities. The tool walks users through a four-step process to identify and address disparities:

Step 1: Identify vulnerable populations and their disparities
Step 2: Set SMART aims (Specific, Measurable, Attainable, Relevant, Time-based)
Step 3: Develop an Action Plan
Step 4: Monitor, improve and disseminate

The Disparities Impact Statement includes fillable worksheets for each step that can be saved and edited. The CMS Office of Minority Health offers free assistance from their Health Equity Technical Assistance Team if needed.

Documentation in health care is an important communication tool for the health care team as they care for residents/patients. It is important to have medical documentation of individuals’ expressions/ behaviors and the events that precipitated the expressions/behaviors. Without documentation, there is no evidence of what occurred or how to mitigate expressions/behaviors in the future. Included is Tips for Use to help your team get the most out of the “Documentation of Expressions (Behaviors)” resource, which provides examples of both best practices and poor practices for documentation of expressions. The one-page “Documentation of Expressions” resource paired with pre- and post-tests will provide nurses with a solid foundation for clearly communicating what occurred and the steps that were taken by staff to de-escalate the expression or behavior.

Documentation of Expressions: Tips for Use

Documentation of Expressions

Education for Documentation: Pre and Post Learning Assessment

Answer Key: Pre & Post Assessment

Implicit bias and stigma are potential factors in perpetuating healthcare disparities and have a negative impact on the patients who experience them. Organizations committed to advancing health equity will make it a priority to acknowledge and mitigate these forms of discrimination. Each manifests differently and requires a different approach to address.