IHP 41 0 Milestone T wo Guidelines and Ru
ic
Submit Section II of the Case Study, in which you will address the chosen organization’s health promotion and disease prevention and management strategies.
Specifically, you will critique the organization’s healthy living programs, disease prevention and management programs, and non-programmatic services. You will
assess the cultural competence of these services using the population health approach. Be sure to consider issues such as how well the organization’s health
promotion and management strategies address a wide range of cultural beliefs and whether the organization’s programs and non-programmatic services help to
educe inequalities among members of the population.
Reference these resources to complete your milestone assignments:
Montefiore Medical Center Case Study
Interpreting Services Program
Specifically the following critical elements must be addressed:
II. Health promotion and disease prevention and management strategies
a) Assess the organization on its efforts to promote healthy living by examining programs (e.g., fitness classes, blood pressure clinics, first aid
training, nutrition education, etc.) that it may offer to patients. Be sure to provide evidence to support your claims.
) How appropriate are the organization’s disease prevention and management programs and services (such as discharge planning, home health
services, vaccination services, etc.) for addressing factors that determine population health status? Be sure to provide evidence to support your
claims.
c) Assess non-programmatic services (such as transportation, on-site child care, etc.) that may be offered by the organization for their impact on
factors that determine population health status.
d) Identify gaps or deficiencies that may exist in the organization’s health promotion and disease prevention and management efforts, and provide
evidence to support your claims. If you feel there are none, be sure to explain your reasoning.
Guidelines for Submission: Milestone Two must be submitted as a two- to three-page Microsoft Word document with double spacing, 12-point Times New
Roman font, one-inch margins, with sources cited in APA format.
Critical Elements Proficient (100%) Needs Improvement (85%) Not Evident (0%) Value
Promotion and
Prevention: Health
Promotion
Comprehensively assesses the
organization’s health promotion
efforts and provides evidence to
support claims
Assesses the organization’s health
promotion efforts, but with gaps
in detail, or does not provide
evidence that supports claims
Does not assess the
organization’s health promotion
efforts
20
Promotion and
Prevention: Disease
Prevention
Comprehensively evaluates
efficacy of disease prevention and
management programs and
services in addressing population
health determinants and provides
evidence that supports claims
Evaluates efficacy of disease
prevention and management
programs and services in
addressing population health
determinants, but with gaps in
detail, or does not provide
evidence that supports claims
Does not evaluate efficacy of
disease prevention and
management programs in
addressing population health
determinants
20
Promotion and
Prevention: Non-
Programmatic
Accurately analyzes non-
programmatic services for their
impact on population health
determinants
Analyzes non-programmatic
services for their impact on
population health determinants,
ut with gaps in accuracy
Does not analyze non-
programmatic services and their
impact on population health
determinants
20
Promotion and
Prevention: Gaps or
Deficiencies
Accurately identifies gaps or
deficiencies and provides
evidence to support claims, or
explains reasoning if no gaps or
deficiencies exist
Inaccurately identifies gaps or
deficiencies, or does not provide
evidence to support claims, or
does not explain reasoning if no
gaps or deficiencies exist
Does not identify gaps or
deficiencies
20
Articulation of Response Submission has no major e
ors
elated to citations, grammar,
spelling, syntax, or organization
Submission has major e
ors
elated to citations, grammar,
spelling, syntax, or organization
that negatively impact readability
and articulation of main ideas
Submission has critical e
ors
elated to citations, grammar,
spelling, syntax, or organization
that prevent understanding of
ideas
20
Comments:
Earned Total 100%
INTERPRETING INTERPRETING
SERVICES SERVICES
PROGRAMPROGRAM
WHOM DO WE SERVICE?
• Deaf, Hard of hearing & Deafblind
• Limited English Proficient (LEP) patients
• Family members and companions
TRAINING OBJECTIVES
• Why it is Important: Federal, State, Joint
Commission and Montefiore policies protect
persons with disabilities and mandate
accommodations.
• What it Involves: Knowledge of resources
available, hearing loss, cultural and medical
considerations
• Where to Find Relevant Resources:
Interpreting services, auxiliary aids & support
services.
INTERPRETING
SERVICES/SPECIAL NEEDS
• Compliments Montefiore’s mission and
commitment to provide patient and family
centered care.
• Ensures Montefiore’s commitment to
compliance with all health regulations and
standards.
Hearing loss affects between 22-28 million people, and
according to the 2000 Census, 47 million Americans
speak a language other than English at home. As a
esult, it is almost inevitable that you will encounter
patients, family members and/or companions with some
type of hearing loss or have some limited English
proficiency. It’s important that all staff understand their
legal obligations and how to assess patient
equirements so that communication needs may be
appropriately met.
FEDERAL, STATE &
REGULATORY STANDARDS
FEDERAL, STATE &
REGULATORY STANDARDS
• The Americans with Disabilities Act (1990)
• Rehabilitation Act of 1973
• New York City Civil Rights Law
• New York Human Rights Law
• New York Patient’s Bill of Rights
• JCAHO Standards R1.1.3 and R1.1
• Executive Order LEP Guidance (2000)
HOSPTIAL POLICY
STATEMENT
“If you recognize or have any reason to believe a patient,
elative, or companion of a patient is deaf or hard of
hearing, you MUST offer the person appropriate auxiliary
aids and/or services. Interpreters are available throughout
the medical center and affiliate sites and can be provided
free of charge. THE OFFER AND RESPONSE MUST BE
DOCUMENTED. If you are the responsible health care
provider, you must ensure that such aids and/or services
are utilized and DOCUMENTED in the chart. This offer
must likewise be made in response to any overt request
for appropriate auxiliary aids, services and/or interpreters.”
DEAF, HARD OF HEARING &
DEAFBLIND
TRUE OR FALSE
• People with hearing aids do not need any
accommodations
• Deaf/hard of hearing people are excellent lip-readers
• All deaf/hard of hearing people use sign language to
communicate
• Deaf/hard of hearing people are excellent spellers
and are extremely proficient in written English.
• People that cannot hear should be refe
ed to as
deaf/mute or deaf & dum
• All deaf/hard of hearing people show up with
interpreters or family members to assist them.
• TTYs: (teletypewriter) device that allows deaf/hard of
hearing persons to communicate on the phone
• Closed Captioning: dialogue appears in written
English on the lower portion of the T.V.
• Communicards: a series of universal icons that
prompts specific information seeking and responses
• Deaf Talk: a dial-up interpreting teleconferencing
service that allows associates to obtain a certified
sign language and Spanish language interpreter
within 3-5 minutes via satellite. Available in the E.D.
• Pocket Talker: Assistive Listening Device. Available
at Moses and Weile
RESOURCES
LIMITED ENGLISH
PROFICIENT PATIENTS
RESOURCES
• Use the following number from ANY PHONE and an
interpreter will be happy to assist you in over 150
different languages by calling: XXXXXXXXXXTALK
XXXXXXXXXXCall Customer Service to obtain your
department’s access code.)
• Dual Handset Phones and Splitters: Portable
phones with two handsets (one for you and the non-
English speaker) are now available (Nursing Office
and Customer Services Dept.) to assist you with
interpreting needs of over 150 languages.
• Bridging the Gap: Training for Medical Interpreters
(Associates)
WHEN TO USE AN INTERPRETER
Always use an interpreter when:
– obtaining patient’s medical history
– obtaining description of ailment/injury
– obtaining informed consent or permission
– giving a diagnosis or prognosis
– patient is in an emergency situation
– discharging the patient
Always use an interpreter when:
– explaining procedures, tests, treatments,
treatment options, or surgical procedures
– explaining prescribed medications (dosage,
instructions, side effects, or food/other drug
interactions)
– reviewing follow-up treatments, therapies, test
esults, recovery
– providing mental health evaluation, therapy,
counseling, and/or other therapeutic activities
WHEN TO USE AN INTERPRETER
THE INTERPRETER’S ROLE
• Look and speak directly to the patient and not the
interprete
• Remember that professional interpreters:
– Are bound by a professional code of ethics that
ensure the interpretation to be confidential,
impartial, and rendered faithfully
– Do not speak for the patient
– Do not explain medical information to patient
– Do not assume roles or responsibilities of hospital
staff
– Are not su
ogate family members
– Are requested and paid for a 2 hour minimum.
(Expedite)
ARRANGING FOR
INTERPRETING SERVICES
• Must