CHA Allied Health Mini-Grant Final Report

February 4, 2011Community Hospital of the Monterey PeninsulaPatricia Rutowski, Educational Services Director

CHA Allied Health Mini-Grant Final Report

Thank YouCalifornia Hospital AssociationCalifornia EndowmentMonterey Adult School: Principal, Ann KiltyPronunciation Instructor, Stefani MistrettaESL Instructor, Dan CutlerSpanish for Healthcare Providers Instructor, Sherry Felten DoctorsCommunity Hospital of the Monterey PeninsulaLocated in Monterey, California205 active beds, 250 bed capacity over 50,000 outpatients through ED annually2000 employeesSomewhat diverse staff and patients: ranging from affluent predominantly Caucasian residents of Pebble Beach and Carmel, to the ethnically diverse communities of Seaside, Marina and even the Salinas Valley. Service area is 20% Hispanic.

Origin of the ProposalNeed to educate staff and volunteers to work with people from all walks of life and with many languagesIntention to develop the language abilities of diverse employee population so they can progress through the institutionDesire to maintain and enhance existing ESL class offerings at the hospital through Monterey Adult School partnership

Origin of the Proposal (cont)Intention to fulfill staff requests for Pronunciation and Spanish for Healthcare Provider classesNeed to address staff language interpreter issues

AccomplishmentsZoomerang Needs Assessment of language development needs sent to all staff. 231 responses (46 managers and 184 staff); 20 non-English first languages spoken at CHOMPAdult School Classes offered at CHOMP:One six-week ESL class for five staff, October/November/December Three Spanish for Healthcare Provider classes providing nursing CEUs in April/May for 16 people, July/August for 13 people, and October/November for 13 peopleOne nine-week Music of English Pronunciation class for five staff , June/July/August

Accomplishments (cont)Cultural Competency inservice plan using a 16 minute video, Cultural Competency: Just Good Healthcare developed and piloted with 90 Auxiliary volunteers, June 2010 and January 2011Cultural Competency: Just Good Healthcare video incorporated into house-wide orientation for about 80 new staff in 2010Managing Diversity class provided for 16 staff in June, to be offered again in April 2011

Accomplishments (cont)Laminated Bar Charts (Spanish medical conversation, Spanish vocabulary, medical terminology basics, medical terminology, medical terminology: the body, anatomy, anatomia) provided each class member; remaining sets given to nursing units for staff referenceGroundwork laid to address the Joint Commission standards for Patient-Centered Communication

Impact: Beyond the NumbersThe class is a positive turning point in my life. All my pronunciation faults were uncovered and help in correcting them received.Pronunciation Class, Summer 2010

P

Impact: Beyond the Numbers (cont)Stefani is wonderful at teaching this class; she is aware of our needs in pronunciation. This class is exactly what I was looking for, and I hope it will be offered again in this hospital.Thanks to Stefani, my fear of pronouncing English as a second language is gone. Her material and dedication helped me so much. Auxiliary Services are asking for more diversity training.On a recent Employee Engagement Survey, the hospital ranked in the 90th percentile for satisfaction with staff Education and Development opportunities.

Obstacles EncounteredBenchmarking and staffing reductions led to managers being unable to send staff to classes during work hours as well as fewer staff meetings and departmental inservice opportunities.Because of diverse staff schedules, identifying times when multiple people could take a class was very difficult.Administration was not ready to begin discussions about formalizing the employee language interpreter program and providing inservice hours for training. Next StepsWe will continue to provide ESL and Spanish for Healthcare Providers as possible.We will develop another class format for Pronunciation and encourage and support individuals in arranging individual or small group instruction with the same provider.Next Steps (cont)We will continue to roll-out the Cultural Competency inservices housewide, either as an online module or in classroom format, in order to address Patient-Centered Communication standards from The Joint Commission.We have already convened a work group to develop a plan for identifying, training and assessing competency of employees as language interpreters, as well as identifying other resources to assist with this effort.

Thank you again!