all materials © 2015, national committee for quality assurance october 19, 2015 jessica briefer...
Post on 18-Jan-2018
219 Views
Preview:
DESCRIPTION
TRANSCRIPT
All materials © 2015, National Committee for Quality Assurance
October 19, 2015Jessica Briefer French, Senior Research Scientist
Integrating Health Literacy, Cultural Competency and Language Access
Services
2
NCQA
MissionTo improve the quality of health care.
VisionTo transform health care through quality measurement, transparency, and accountability.
3
Relevant NCQA Evaluation Programs
• Accreditation programs for health plans and other entities (n=1522)– Multicultural Healthcare Distinction
(n=16)• Healthcare Effectiveness Data &
Information Set (HEDIS) (n=1,171)• Recognition programs for Patient-
Centered Medical Home (n=11,296) and specialty Practice (n=101)
4
Health Plan Accreditation vs. Multicultural Healthcare Distinction
Health Plan Accreditation• Standards in many
categories• Fewer CLAS
standards• Health literacy
addressed throughout (requirements to provide information in understandable language)
MHC Distinction• Focus on CLAS and
Disparities• Standards address
CLAS and disparities
• Health literacy not addressed
5
Strategic Focus Differs
Health Plan AccreditationProgram description specifies objectives for serving a culturally diverse membership (and 8 other objectives)
MHC DistinctionProgram description for improving CLAS includes objectives for serving a culturally diverse membership, a process to involve members of the diverse community, a list of measureable goals for improving CLAS.
6
Cultural Competence of the Network
Health Plan AccreditationNetwork cultural and linguistic competence requires assessment of cultural, racial and linguistic needs of members and adjustment of the availability of practitioners.
MHC DistinctionEnhancing network responsiveness is comparable.Assessment & Availability of Information also requires collection and publication of information about practitioner languages and language services
7
Language Services
Health Plan AccreditationRequires:• Provision of
language services for complaints and appeals processes and member services
• Provision of information on how to obtain language assistance
MHC DistinctionRequires:• Translation of vital
docs • Provision of
competent interpreter or bilingual services
• Supporting practitioners in providing language services
• Notice of the availability of language services
8
Focus on Improvement
Health Plan AccreditationRequires:• Improvement, but
not focused on CLAS
MHC DistinctionRequires:• Assessment of the use
of, and experience with language services
• Improvement of CLAS• Evaluation of the
effectiveness of interventions to improve CLAS
9
Data Collection for CLAS
Health Plan AccreditationRequires:• Reporting of
selected HEDIS measures
MHC DistinctionRequires:• Collection of data on
race/ethnicity• Collection of data on
language needs• Reporting HEDIS
Diversity of Membership measures
10
HEDIS• Language Diversity of Membership
– An unduplicated count and percentage of members enrolled at any time during the measurement year by spoken language preferred for health care and preferred language for written materials.
• Race/Ethnicity Diversity of Membership– An unduplicated count and percentage of members
enrolled any time during the measurement year, by race and ethnicity.
11
2014 HEDIS Diversity of Membership Measures:
Race, Ethnicity, Language Needs
Availability of health plan data on race, ethnicity and language needs varied by type of plan, but remained largely incomplete
12
Patient-Centered Medical Home Recognition
Practices must:• Understand and meet the cultural and
linguistic needs of its patients/families by:
– Assessing the diversity of its population– Assessing the language needs of its population– Providing interpretation or bilingual services to meet the
language needs of its population– Providing printed materials in the languages of its population
• Use an electronic system to record patient information as structured data on … race, ethnicity, preferred language
• Collect and regularly update health assessment including assessment of health literacy.
13
Recognized Practice ResultsFunctional requirement
Patient-Centered
Medical Home (N-420)
Patient-Centered Specialty Practice (N=95)
Assessing the racial and ethnic diversity of its population. 96.7% 87.9%Assessing the language needs of its population. 98.3% 80.2%Providing interpretation or bilingual services to meet the language needs of its population.
98.6% 94.5%
Providing printed materials in the languages of its population. 77.1% 63.7%
Assessing health literacy 58.3% NA
14
Discussion• Standards and measures of CLAS and
health literacy are available• Purchaser and regulatory incentives
make a difference– Alignment with Meaningful Use incentives helps– Covered California is considering requiring
Multicultural Healthcare Distinction• More leverage and incentives are
needed– Combat delivery system reform fatigue– Align and focus efforts on priority areas
top related