culturally & linquisticallty competent prapare initiatives€¦ · all people of greater...
TRANSCRIPT
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CULTURALLY & LINQUISTICALLTY COMPETENT PRAPARE INITIATIVES
Shane Chen, COOAsian American Health Coalition dba HOPE Clinic
Houston, Texas
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HOPE Clinic’s Mission
"To provide quality healthcare without any prejudice to all people of greater Houston in a culturally and
linguistically competent manner."2
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HOPE Clinic’s Vision
“A healthy community with quality, affordable healthcare for all.”
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Service Area Profile
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Service Area Profile (Cont.)
Service Area (SA) Harris County United States
White 18.6% 32.1% 62.8%
Black* 23.9% 18.5% 12.2%
Asian 16.7% 6.4% 4.9%
Other Race** 0.3% 1.7% 3.1%
Hispanic 40.6% 41.4% 16.9%
* Includes African American, African and Caribbean
** Includes American Indian/Alaskan Native and multiple races
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Service Area Profile (Cont.)
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Service Area Profile (Cont.)
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Patient Volume Growth Over the Years
31%24%
21% 26%
36%
40%
22%
34%
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English Spanish Vietnamese Cantonese Urdu Farsi
Primary Languages Served at HOPE
Mandarin Burmese Arabic Korean Nepalese Karen Hindi
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Health Center Goals
Organizational Goal:
● To provide care to the underserved population of Houston, TX. ● Targeted service areas span 6 zip codes: 77036, 77072, 77077, 77082, 77083, 77099● Culturally and linguistically competent care
PRAPARE Data Collection Goals:
● Improve delivery health services for the underserved● Improve data collection to understand population served and for adherence to
funder’s guidelines
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Intergrating PRAPARE
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• Strategic Planning for Growth (Land Purchase, Permanent Health Center)
• Community Centered Health Home Initiatives (Episcopal Health Foundation)
• Social Determinants of Health• Community Asset and Capacity
Evaluation• HRSA Health IT Capacity Building
Support• Delivery of Culturally Competent Care
to Meet HEIDIS and Other Health Outcome Initiatives
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Data Collection Methodologies* Direct one on one patient interview at eligibility station using desktop computers* One-on-one patient interview in patient waiting area using tablets
•* Linguistically appropriate paper questionnaire to complete during registration
•* Direct one-on-one interview after patient triage 12
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Pros:•Fairly good at allowing documentation of the patient encounter•Widely used among other health centers
Electronic Medical Record (EMR) System
Cons:•Mediocre (or bad) at allowing easy analysis of the data•Inflexible with amending smart forms•Nickel and Dime Services
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Be Innovative… Go Rogue!
Don’t be afraid to explore ways to benefit patients and your health center.
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PRAPARE Survey Forms
English
Spanish
Chinese
Vietnamese
Arabic
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Effectiveness and Efficiency Assessment •Conduct regular audits:
•* Random audits of patient charts (weekly)
•* Run structural data reports (bi-weekly)
•* Gather feedbacks (providers, patients, staff)
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“The social determinants of health, the socioeconomic factors that really influence our patients’ outcomes are critical parts of the work we do at the clinic.”
~ Dr. Ronald Yee, NACHC
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Knowing Your Patients
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