culturally & linquisticallty competent prapare initiatives€¦ · all people of greater...
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CULTURALLY & LINQUISTICALLTY COMPETENT PRAPARE INITIATIVES
Shane Chen, COOAsian American Health Coalition dba HOPE Clinic
Houston, Texas
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
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
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
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
Knowing Your Patients
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