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Congratulations to Dr. Daniel Davis and Laurel Newman of the Bryner Clinic for being the first team in Utah to complete cultural competency training offered by the U.S. Office of Minority Health. 

Click here for health information in other languages.  Multilingual Library

Multicultural Health Listserv
Join our listserv to receive emails about ethnic health news and events. To join our listserv, contact cmh@utah.gov.

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The Multicultural Health Network
We invite people and organizations interested in reducing disparities in the ethnic community to join the Multicultural Health Network. The Network is creating a statewide plan to eliminate disparities. The plan will involve government agencies, healthcare providers and community-based organizations in this goal. To join the Network, contact cmh@utah.gov.

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Share your ideas!

We rely on our community and government partners to share grant opportunities, events, resources and news that we can advertise through our website, newsletter and listserv. We also love to hear your ideas to reduce health disparities in Utah. Comments? Questions? News? Click here to contact CMH.

Serving Limited English Proficient (LEP) Clients
Language Identification Flashcard
Easily identify the language someone speaks with this card.
http://www.usdoj.gov/crt/cor/Pubs/ISpeakCards2004.pdf

Let Everyone Participate: Meaningful Access for People who are Limited English Proficient
This site explains federal regulations for serving people who speak languages other than English.
http://www.lep.gov/

University of Utah RxWeblinks: Foreign Drugs
This site links to catalogs listing the names of drugs in several countries.
http://uuhsc.utah.edu/pharmacy/rxweblinks/rxlink09.html

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Interpretation

Health Care language Services Implementation Guide
The Office of Minority Health has sponsored the development of this guide to help healthcare organizations implement effective language assistance services.
https://hclsig.thinkculturalhealth.org/user/home.rails

What Federal Agencies and Federally Assisted Programs Should Know about Providing Services to LEP Individuals
This brochure by the federal Justice Department explains legal requirements for offering language services.
http://www.lep.gov/resources/lep_aug2005.pdf

Working with Interpreters in Health Care Settings
This brief fact sheet outlines important tips for working with an interpreter successfully.
http://www.health.utah.gov/cmh/language/WorkingWithInterpreters.pdf

Better Communication, Better Care
This powerpoint presentation explains legal issues surrounding interpretation and options for interpretation.
http://www.health.utah.gov/cmh/language/BetterCommunicationBetterCare.ppt

National Standards of Practice for Interpreters in Health Care
These standards for competent interpretation were developed by the National Council on Interpreting in Health Care.
http://www.ncihc.org/
NCIHC_PDF/National_Standards_of_Practice_for_Interpreters_in_Health_Care.pdf

Telephonic Interpreting Companies
Interpretation by phone is a good option when a bilingual service provider or trained in-person interpreter is not available. This document, compiled by the Central Coast Alliance for Health, lists several companies who offer this service.
http://www.ccah-alliance.org/pdf/ICE_Tookit/B05_phoneinterp.pdf

Utah Medicaid Interpretive Services
Interpretive services for a healthcare visit are free for Medicaid clients. For people enrolled in a health maintenance organization (HMO), the HMO is responsible for providing the interpreter. For clients who are not enrolled in an HMO, Utah Medicaid pays for the interpreter. The provider is responsible to arrange for an interpreter. Medicaid contracts with several interpretive agencies. When the provider calls, the agency needs to know the client's Medicaid identification number, the language needed, and the date, time and place for the medical appointment. The interpreter may either meet the client at the doctor's office for the appointment or use a telephone conference call. The free translation service is available statewide and also for after-hours care.
http://health.utah.gov/medicaid/provhtml/interpreter.html
http://health.utah.gov/medicaid/pdfs/interpreter.pdf

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Translation
Translation Tips for Amateur Translators
When professional translation is not an option, here are some ideas for easier and better quality translation with the help of free internet resources.
www.health.utah.gov/cmh/language/AmateurTranslationTips.pdf

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Serving Low Reading Level Clients

Unified Health Communication 101: Addressing Health Literacy, Cultural Competency, and Limited English Proficiency
This online tutorial is by the United States Department of Health and Human Services and provides CEU/CE, CHES, CME and CNE credits.
http://www.hrsa.gov/healthliteracy/training.htm

American Medical Association Health Literacy Kit
This kit includes a written manual (pdf format) and a video. Both can be viewed for free over the internet. CME is available.
http://www.ama-assn.org/ama/pub/category/9913.html

The Flesch-Kincaid Readability Test
This test is included in most word processors, including Microsoft Word and Word Perfect. This Wikipedia website explains how to use and interpret the test.
http://en.wikipedia.org/wiki/Flesch-Kincaid_Readability_Test

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Internet Cultural Competence Tutorials
Collaborative on Ethnogeriatric Education
In collaboration with other universities, Stanford created this curriculum about serving ethnic and racial minority seniors.
http://www.stanford.edu/group/ethnoger/

The Collaborative on Ethnogeriatric Education has kindly allowed CMH to abridge some of its training modules into brief fact sheets:

African American http://www.health.utah.gov/cmh/healthcare/AfricanAmerican.pdf
American Indian http://www.health.utah.gov/cmh/healthcare/AmericanIndian.pdf
Hispanic/Latino http://www.health.utah.gov/cmh/healthcare/HispanicLatino.pdf
Pacific Islander http://www.health.utah.gov/cmh/healthcare/PacificIslander.pdf

Think Cultural Health
This training explains the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health Care and offers CME and CE credits.
http://www.thinkculturalhealth.org/

American Medical Student Association: Cultural Competency in Medicine
http://www.amsa.org/programs/gpit/cultural.cfm

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Cultural Competence Toolkits and Resource Centers

Multicultural Health Care: A Quality Improvement Guide
This guide by the National Committee for Quality Assurance helps healthcare organizations improve cultural and linguistic services.
http://www.ncqa.org/Portals/0/HEDISQM/CLAS/CLAS_toolkit.pdf

Better Communication, Better Care: Provider Tools to Care for Diverse Populations
This toolkit was created by a national team of healthcare professionals.
http://iceforhealth.org/library/documents/ICE_C&L_Provider_Tool_Kit.10-06.pdf

CLAS Implementation Guide
The Centers for Medicare & Medicaid Services (CMS) has compiled resources to help healthcare providers meet the national standards for Culturally and Linguistically Appropriate Service (CLAS). The guide is an excellent supplement to the online training: http://www.thinkculturalhealth.org/
http://www.qsource.org/uqiosc/CLASGuide.pdf

Reducing Racial and Ethnic Disparities: A Quality Improvement Initiative in Medicaid Managed Care
This toolkit presents promising approaches and tools for addressing disparities among Medicaid clients.
http://www.chcs.org/usr_doc/Racial_&_Ethnic_Health_Disparities.pdf

Better Communication, Better Care: Provider Tools to Care for Diverse Populations
This toolkit, prepared by the Central Coast Alliance for Health, offers several practical suggestions for communicating effectively with diverse clients.
http://www.ccah-alliance.org/icetoolkit.htm

The Provider's Guide to Quality and Culture
This site, created by Management Sciences for Health, includes cultural competence self-assessments and details about health problems common in certain minority groups.
http://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=English

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Information about Cultural Groups
Strategies for Improving Latino Healthcare in America
This 2006 report by the Latino Healthcare Taskforce suggests strategies for reducing the uninsured population, empowering Latinos to be better healthcare consumers, partnering with the Latino community, and getting more Latinos into healthcare fields.
http://www.borderhealth.org/files/res_642.pdf

Culture Clues
This site contains information about cultural beliefs and medical issues of groups from Europe, North America, Latin America and Asia.
http://depts.washington.edu/pfes/cultureclues.html

EthnoMed
The EthnoMed site contains information about cultural beliefs and medical issues of many immigrant groups from Latin America, Asia and Africa.
http://www.ethnomed.org/

Ethnic Information Subscriber-only Sites
These sites provide cultural information for a fee.
http://www.jamardaresources.com/

Health Resources and Services Administration Cultural Competence Resources
This site contains information on a variety of racial, ethnic and cultural groups as well as training opportunities.
http://www.hrsa.gov/culturalcompetence/

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Professional Standards
National Standards on Culturally and Linguistically Appropriate Services (CLAS)
The CLAS standards are recommendations for cultural competence and language accessibility for healthcare organizations made by the U.S. Department of Health and Human Services, Office of Minority Health.
http://www.omhrc.gov/templates/browse.aspx?lvl=1&lvlID=3

AMA (American Medical Association) Initiatives to Eliminate Health Disparities
http://www.ama-assn.org/ama/pub/category/7639.html

APA (American Psychological Association) Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations
http://www.apa.org/pi/oema/guide.html

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Center for Multicultural Health (CMH), Utah Department of Health (UDOH)
Mailing address: PO Box 142001 Salt Lake City, UT 84114-2001
| Location: 288 North 1460 West, Salt Lake City, UT
Email:
cmh@utah.gov | Phone: 1-888-222-2542 | Fax: (801) 538-6591 | Web: health.utah.gov/cmh

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