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This resource for Outreach Programs provides ideas and resources for how to do outreach in an anti-immigrant climate by addressing specific barriers, providing strategies, and listing resources.It is provided by Health Outreach Partners in collaboration with Quincy Community Health Center, Lorena Sprager and Associates, Migrant Legal Action Program, and attendees from the 2011 and 2012 Western Migrant Stream Forums (WMSF).

 

Abstract

STUDY OBJECTIVE:

To compare interpreter errors and their potential consequences in encounters with professional versus ad hoc versus no interpreters.

METHODS:

This was a cross-sectional error analysis of audiotaped emergency department (ED) visits during 30 months in the 2 largest pediatric EDs in Massachusetts. Participants were Spanish-speaking limited-English-proficient patients, caregivers, and their interpreters. Outcome measures included interpreter error numbers, types, and potential consequences.

RESULTS:

The 57 encounters included 20 with professional interpreters, 27 with ad hoc interpreters, and 10 with no interpreters; 1,884 interpreter errors were noted, and 18% had potential clinical consequences. The proportion of errors of potential consequence was significantly lower for professional (12%) versus ad hoc (22%) versus no interpreters (20%). Among professional interpreters, previous hours of interpreter training, but not years of experience, were significantly associated with error numbers, types, and potential consequences. The median errors by professional interpreters with greater than or equal to 100 hours of training was significantly lower, at 12, versus 33 for those with fewer than 100 hours of training. Those with greater than or equal to 100 hours of training committed significantly lower proportions of errors of potential consequence overall (2% versus 12%) and in every error category.

CONCLUSION:

Professional interpreters result in a significantly lower likelihood of errors of potential consequence than ad hoc and no interpreters. Among professional interpreters, hours of previous training, but not years of experience, are associated with error numbers, types, and consequences. These findings suggest that requiring at least 100 hours of training for interpreters might have a major impact on reducing interpreter errors and their consequences in health care while improving quality and patient safety.

Copyright © 2012. Published by Mosby, Inc.

Patient-Centered, Provider-Managed, Interpreter-Facilitated Human Communication ©We prepare professional medical interpreters for the clinical setting - hospitals and clinics, where your knowledge of medical terminology and professional interpreting skills are critical.We teach three categories of professional online training programs to ensure that our students are comfortably placed in an appropriate e-learning environment with regard to their skills and experience.Our regular Professional Medical Interpreter Training Program, our Fast Track Program for Bilingual Healthcare Professionals, and our Comprehensive Language Neutral Program with Language Pack are designed to build a strong understanding of medical terminology and and of the ethical role, standards, techniques, and principles of accurate professional medical interpreting.

 OVERVIEW OF NATIONAL BOARDThe mission of the National Board is to foster improved healthcare outcomes, patient safety and patient/provider communication, by elevating the standards for and quality of medical interpreting through a nationally recognized and accredited certification for medical interpreters.The CMI certification program is governed by the National Board of Certification for Medical Interpreters (National Board), an independent division of the International Medical Interpreters Association (IMIA). The purposes of the National Board are to:·         Develop, organize, oversee and promote a national medical interpreter certification program in all languages.·         Promote patients and providers working with credentialed medical interpreters who have met minimal national standards to provide accurate and safe interpretation.·         Ensure credibility of national certification by striving to comply with national accreditation standards including transparency, inclusion, and access. The Board of Directors of the National Board consists of 12 voting members that include medical interpreters, a health care provider, industry representatives, and a public member. Initial Board members were selected by a public process and independent selection committee. Subsequently, Board members are recruited through a Nominating Committee process and are elected by the members of the National Board. To see the National Board click here. 

Summary of the June 2012 article from the New York Times on American attitudes toward immigration.

An April 2012 article from the Arizona Republic citing poll data on attitudes toward immigration in the state.

This article describes an excellent integrated behavioral health program at a Federally Funded Health Center. The full abstract from the article is as follows: In a progressively complex and fragmented health care system and in response to the need to provide whole-person, quality care to greater numbers of patients than ever before, primary care practices throughout the United States have turned their attention and efforts to integrating behavioral health into their standard service-delivery models. With few resources and little guidance, systems struggle to gather the support required to establish effective integrated programs. Based on first-hand experience, we describe a working integrated primary care model, currently utilized in a large community health center system in Colorado, that encompasses universal screening, consultation, psychotherapy, and psychological testing. With appreciation for the way an organization’s unique circumstances inform the best approach for that particular organization, we highlight the clinical level and system-level variables that we consider necessary for successful practice development and address how our behavioral health program operates despite funding limitations. We conclude that organizations that aim for integrated primary care must mobilize leadership to implement systemic changes while making difficult decisions about program development, financing, staffing, and interagency relationships.

The 2012 Blueprint for Protecting Children in Agriculture. Awarded 2013 Paper of the year by the International Society for Agricultural Safety and Health (ISASH), this National Action Plan takes an updated look at preventing childhood agricultural injury and death.

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These county level guides provide a wealth of resources and information for low-income and uninsured cancer patients in Texas. The guides are all written in Spanish. Currently we have guides for the following Texas counties: Bexar, Dallas, El Paso, Maverick, Travis, Webb and Zavala.

 This research study was conducted on 8 dates of an annual flu shot clinic at the San Francisco General Hospital. Patients were offered flu shots as usual (control group) and on 9 other dates, patients were offered both flu shots and FOBT kits (intervention group). Researchers wanted to determine whether providing home fecal occult blood test (FOBT) kits to eligible patients during influenza inoculation (flu shot) clinics can contribute to higher colorectal cancer screening (CRCS) rates. The study concluded that offering FOBT kits during flu shot clinics dramatically increased the CRCS rate for flu shot clinic attendees. Pairing home FOBT kits with annual flu shots may be a useful strategy to improve CRCS rates in other primary care or public health settings.

To promote, foster, create, advance research in chronic illness care.

This booklet is intended to help Community Health Centers put in place an effective and efficient workers' compensation program.

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An estimated 1.1 million people in the USA are living with HIV/AIDS.  Nearly 200,000 of these individuals do not know that they are infected.  In 2006, the CDC recommended that all healthcare providers routinely offer HIV screening to adolescent and adult patients.  Nurse-dentist collaborations present unique opportunities to provide rapid oral HIV screening to patients in dental clinic settings and reach the many adults who lack primary medical providers.  However, little is known about the feasibility and acceptability of this type of innovative practice. Thus, elicitation research was undertaken with dental providers, students, and patients. This paper reports the results of qualitative interviews with 19 adults attending a university-based dental clinic in New York City. Overall, patients held very positive attitudes and beliefs toward HIV screening in dental sites and identified important factors that should be incorporated into the design of nurse-dentist collaborative HIV screening programs.

The Denver Foundation is a community foundation. Community foundations are endowments - a permanent pool of money contributed by numerous local donors to benefit charitable causes.

Published by HRSA's MCHB in September 2011, the chartbook is based on data from the 2007 National Survey of Children's Health (NSCH). This is the second round of the survey; however, some questions were revised since the 2003 survey, and not all findings are comparable to those from the 2003 survey.

Indicators report on the health and well-being of children in rural areas, presenting information on the health status and risk and protective factors experienced by children on a National level.

 

The Place, Migration, and Health (PMH) network, a diverse group of researchers committed to understanding the links between migration processes and the health of migrants, their families.
The PMH website aims to generate and improve knowledge on the links between migration processes and the health of (im)migrants, their families, and their sending and receiving communities using across-national lens for research and policy.
The work of the researchers in the PMH network seeks to address knowledge gaps in areas critical for understanding the determinants of immigrant health and to inform intervention and policy opportunities to promote the the health of first-generation immigrants and their offspring.

The Place, Migration, and Health (PMH) network, a diverse group of researchers committed to understanding the links between migration processes and the health of migrants, their families.

The PMH website aims to generate and improve knowledge on the links between migration processes and the health of (im)migrants, their families, and their sending and receiving communities using across-national lens for research and policy.

The work of the researchers in the PMH network seeks to address knowledge gaps in areas critical for understanding the determinants of immigrant health and to inform intervention and policy opportunities to promote the the health of first-generation immigrants and their offspring.

The aim of this paper is to describe various approaches that have been taken or could be taken to avoid the linguistic incompatibility that impedes full and equal access to health care on the part of health care providers and their patients when they do not speak the same language.

The Applied Research Center released this report offering the first national data available on the perilous intersection of immigration enforcement and the child welfare system. ARC's Investigative Research package includes a poignant video and Colorlines.com articles which bring to life the story of one family trying desperately to stay together.

Issue Brief Co-Authored by Health Outreach Partners and the Kaiser Family Foundation
Information provided by the Kaiser Commission on Medicaid and the Uninsured

Publication Number: 8249
Publish Date: 2011-10-27

This brief examines how the Affordable Care Act (ACA) may impact immigrant families based on data collected from Outreach/Eligibility Workers in four regions of the country and supported by needs data from several health outreach programs around the country.  You will note that the pivotal role of Community Health Centers (CHCs)  to connect immigrant families to coverage and care is highlighted.  Migrant Health Centers and Homeless Health Centers are specifically cited because of their history of pioneering and strengthening many of the models and strategies that will be needed to connect immigrant families to health coverage and care come 2014.

Download report here.

This issue of Forced Migration Review, features an article about the Strengthening What Works initiative called "Preventing partner violence in refugee and immigrant communities." The article provides an overview of the Robert Wood Johnson Foundation initiative for readers in the humanitarian and public health sectors and features information about MCN's program Hombres Unidos.

EthnoMed contains information about cultural beliefs, medical issues and related topics pertinent to the health care of immigrants to Seattle or the US, many of whom are refugees fleeing war-torn parts of the world. Search the site via culture and clinical topics.

The importance of clinical diagnostic tools and biomonitoring of exposures to pesticides as well the role of clinicians in pesticide reporting and the challenges clinicians face in accurately diagnosing patients exposed to pesticides are described in a presentation by Matthew Keifer, MD, MPH and Amy K. Liebman, MPA. Click on the link for an APHA policy resolution underscoring the need for clinical diagnostic tools and biomomitoring of exposures to pesticides. This policy supports the information outlined by in the presentation.

HEAT ILLNESS CAN BE DEADLY. Every year, thousands of workers become sick from exposure to heat, and some even die. These illnesses and deaths are preventable.

OSHA has now posted a new Heat Illness Web Page that includes educational materials in English and Spanish, including low-literacy fact sheets for workers, worksite and community posters, and a public service announcement from Secretary of Labor Hilda Solis.  The Web page also includes a video from Assistant Secretary Dr. David Michaels (in English with a Spanish transcript).  OSHA will be posting additional materials on the Heat Illness Web page, including a lesson plan that employers can use to train their workers to stay safe in the heat and a heat index Smartphone app. 

This EPA report contains the latest estimates of agricultural and nonagricultural pesticide use in the United States.

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The Alliance of Nurses for Healthy Environments (ANHE) is a network of nurses from around the country (and world) who are acting on the notion that our environment and health are inextricably connected. We are a group of nurses from all walks of our profession – hospital-based, public health, school-based, academics, and advanced practice, to name a few.   

We are helping to integrate environmental health into nursing education, greening our many workplaces, incorporating environmental exposure questions into our patient histories, providing anticipatory guidance to pregnant women and parents about environmental risks to children, implementing research that addresses environmental health questions, and advocating for environmental health in our workplaces and governmental institutions.

Three newsletters the NHSC has developed for each of its primary member segments -- Clinicians in Service, Scholars in School, and NHSC sites.

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The Health Protection Agency's role is to provide an integrated approach to protecting UK public health through the provision of support and advice to the NHS, local authorities, emergency services, other arms length bodies, the Department of Health and the devolved administrations.