The National Alliance for Hispanic Health serves Hispanic communities nationwide through its membership of thousands of front-line health providers and organizations.
- 370_Prot.diabetes.doc (30.5 KB)
The National Agricultural Workers Survey (NAWS) is an employment-based, random survey of the demographic, employment, and health characteristics of the U.S. crop labor force. The information is obtained directly from farm workers through face-to-face interviews. Since 1988, when the survey began, over 53,000 workers have been interviewed. The survey is funded by the United States Department of Labor.
copy deeplink Child/Adolescent Personal History (ages 17 and under)
Child/Adolescent Personal History (ages 17 and under)- ChildAdolHistoryForm.doc (84 KB)
To provide employees with a process for receiving regular feedback about their performance and to provide a standardized way for employees to make plans for their professional development.
- NewPatientInformation.pdf (159.18 KB)
The purpose of this policy is to define the reasons for patients being terminated from the practice and to describe the termination process. This policy statement can be downloaded and modified for use in other health centers.
Behavioral Health Peer Review Quality Improvement Audit
copy deeplink Patient Health Questionnaire (PHQ)-9 Spanish
Patient Health Questionnaire (PHQ)-9 SpanishA depression diagnosis that warrants treatment or treatment change, needs at least one of the first two questions endorse as positive (little pleasure, feeling depressed) indicating the symptom has been present more than half the time in the past two weeks.
In addition the tenth question about difficulty at work or home or getting along with others should be answered at least "somewhat difficult".
When a depression diagnosis has been made patient preferences should be considered, especially when choosing between treatment recommendations of antidepressant treatment and psychotherapy.
copy deeplink Registered Nurse/Case Manager Job Description
Registered Nurse/Case Manager Job Description- 65_RegisteredNurseCaseManager.pdf (374.43 KB)
copy deeplink Clinical Assistant Privileging Request Form for Lab Procedures
Clinical Assistant Privileging Request Form for Lab Procedures- PhysicianProductivityDiscussionPaper.pdf (395.47 KB)
- RecruitmentandRetentionPlan2.pdf (2.26 MB)
- TBSuspects.doc (19.5 KB)
copy deeplink How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidence-Based Toolbox and Guide
How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidence-Based Toolbox and GuideThis is a comprehensive, practical toolkit for primary care sites to implement more effective colon screening practices. Even though highly effective methods of CRC screening are available across the country, the current rates of screening, and of complete diagnostic examination that should flow from screening, remain inadequate. Thus, the potential benefits of widespread CRC are unrealized. The American Cancer Society has established the goal of 75 percent of the eligible population screened for CRC by the year 2015. This guide will help us reach that goal.
- acspc-024588sm.pdf (1.95 MB)
copy deeplink The Silent Crisis: How to Do Outreach in an Anti-Immigrant Climate
The Silent Crisis: How to Do Outreach in an Anti-Immigrant ClimateThis 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).
copy deeplink EPA's Soil Fumigant ToolBox for First Responders and Medical Personnel
EPA's Soil Fumigant ToolBox for First Responders and Medical PersonnelEmergency Medical and Field Fumigation Guides for Methyl Bromide, Methylisothiocyanate (MITC), Chloropicrin, and Metam Sodium/Metam Potassium.
- Emergency Medical Treatment Guide-Methyl Bromide.pdf (19.8 KB)
- Emergency Medical Treatment Guide-MITC.pdf (25.2 KB)
- Field Fumigation Emergency Responder Guide-Chloropicrin.pdf (50.73 KB)
- Emergency Medical Treatment Guide-Chloropicrin.pdf (19.41 KB)
- Field Fumigation Emergency Responder Guide-Metam.pdf (59.81 KB)
copy deeplink A Comprehensive Immunization Strategy to Eliminate Transmission of Hepatitis B Virus Infection in the United States Part II: Imm (Appendix C)
A Comprehensive Immunization Strategy to Eliminate Transmission of Hepatitis B Virus Infection in the United States Part II: Imm (Appendix C)Appendix C: Identification/Management of HBsAg--Positive Persons
copy deeplink Occupational Health and Safety Virtual Resource Center
Occupational Health and Safety Virtual Resource Center
The Occupational Health and Safety Resource Center is a virtual repository of Spanish educational materials, data sources, and links to bilingual informational websites on occupational health and safety issues related to agricultural work. It also contains an ample list of national and state agencies that have produced materials in Spanish for farmworkers’ health-related problems.
MCNs own Deliana Garcia helped in being a part of the advisory committee to this resource center.
What is the objective? To facilitate a central access point to high quality Spanish educational materials on agricultural occupational health and safety issues for people conducting work on health promotion and prevention activities and on workers’ rights and problems related to agricultural work.
Who are the target audiences? Health-outreach workers (promotores), community advocates, health providers, contractors/employers, farmworkers and their families, and others interested in the health and safety issues of agricultural workers.
What areas are included? The materials cover five key relevant areas: 1) Farmworkers’ rights; 2) Injury prevention; 3) Respiratory illnesses; 4) Heat illnesses; and 5) Pesticide exposure.
How did we do it? To develop the Virtual Resource Center, the process entailed:
- Asset mapping of educational, informational and research materials available in Spanish related to the five mentioned areas.
- Selection of materials using the following criteria: accurate information, culturally and linguistically adequate (including literacy level), relevant to health area, and visually acceptable quality.
- Insertion of resources into an excel format under five different categories, including source, type of material, and description of its content.
Development of new materials: to complement the existing educational resources, we developed a “Promotores Training Manual on Occupational Health and Safety of Agricultural Workers”. Based on an ethnographic framework, the manual presents the perspective of agricultural workers on the five mentioned areas (their stories) and provides community health workers with tools on how to conduct prevention and promotion activities. It also refers them to existing resources. We also produced a series of Spanish and selected indigenous languages Public Service Announcements (PSAs) on these areas.
copy deeplink Pesticide Exposure in Children - Technical Report
Pesticide Exposure in Children - Technical ReportEvidence is increasingly emerging about chronic health implications from both acute and chronic exposure. A growing body of epidemiological evidence demonstrates associations between parental use of pesticides, particularly insecticides, with acute lymphocytic leukemia and brain tumors. Prenatal, household, and occupational exposures (maternal and paternal) appear to be the largest risks.
This report from the American Academy of Pediatrics reviews findings from population studies and related animal toxicology studies linking early/ parental exposure to pesticides to adverse birth defects and health conditions in children.
© AAP - 2012; This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors.
- PestExposureChild_Report_AAP.pdf (698.07 KB)
copy deeplink Errors of Medical Interpretation and Their Potential Clinical Consequences: A Comparison of Professional Versus Ad Hoc Versus No Interpreters
Errors of Medical Interpretation and Their Potential Clinical Consequences: A Comparison of Professional Versus Ad Hoc Versus No Interpreters
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.
copy deeplink Clinical Diagnostic Tools and Biomonitoring of Exposures to Pesticides
Clinical Diagnostic Tools and Biomonitoring of Exposures to PesticidesThe 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.
La Vida Mia portrays the life of a Latina agricultural worker who is experiencing domestic violence in her personal life. The video depicts the reality that abuse victims face and the effect the abuse has on their life. Warning, this video may contain graphic scenarios as it displays abusive situations.
This photonovella accompanies the video "La Vida Mia"
Please contact Adrian Velasquez, Family Violence Initiative Coordinator at MCN if you would like to receive a DVD version of this educational video.
copy deeplink Mobile Adaptations for Patient Centered Medical Home Crosswalk Tool
Mobile Adaptations for Patient Centered Medical Home Crosswalk ToolMuch of the medical home model is predicated on a relatively stable population that can access regular care at a single network of providers. So how can this model effectively transfer to a mobile population? This crosswalk is meant to assist centers to incorporate the needs of migrating patients into their PCMH. Each of the six standards are listed with the factors required for NCQA recognition. Recommendations for addressing the factors in migrating patients are included, along with resources available through MCN. Meaningful Use and Core Measure content is noted as it is also present.
- PCMHxwalk.xlsx (106.8 KB)
"The Human Diagnosis Project (also referred to as "Human Dx" or "the Project") is a worldwide effort created with and led by the global medical community to build an online system that maps the best steps to help any patient. By combining collective intelligence with machine learning, Human Dx intends to enable more accurate, affordable, and accessible care for all."
copy deeplink 2017 Year In Review | Migrant Clinicians Network
2017 Year In Review | Migrant Clinicians NetworkHighlights of MCN's services and programs in action during 2017! Available in English and Spanish.
- YIR 2017-Eng_0.pdf (518.34 KB)
- YIR 2017-Esp_0.pdf (521.55 KB)
copy deeplink 2020 Clinician's Guide to EPA's Worker Protection Standard
2020 Clinician's Guide to EPA's Worker Protection StandardThe Environmental Protection Agency’s (EPA) Worker Protection Standard (WPS)protects agricultural workers from the health risks associated with pesticides. The WPS requires agricultural employers to comply with minimum safety precautions when using pesticides on farms and in nurseries, greenhouses or forests. Requirements include: training of workers handling pesticides or working in treated areas, provision of adequate personal protective equipment (PPE), communication of information about work areas recently treated with pesticides and when it is safe to re-enter these areas, and in case of emergency, availability of decontamination facilities and provision of medical assistance. The following guide reflects the WPS provisions currently in effect, which were last updated in 2015.
- 2020-WPS-Clinician-Guide.pdf (283.64 KB)