The National Standards for Culturally and Linguistically Appropriate Services in Health Care

2002 ◽  
Vol 3 (2) ◽  
pp. 77-83 ◽  
Author(s):  
Mary Curry Narayan
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Minority Health ◽  
Home Health ◽  
Linguistic Competence ◽  
National Standards ◽  
Cultural And Linguistic Competence ◽  
Linguistically Appropriate

In December 2000, the Office of Minority Health published the National Standards on Culturally and Linguistically Appropriate Services in Health Care (CLAS Standards). These standards provide a framework for building the cultural and linguistic competence of home health care agencies. This article describes each of the 14 standards and suggests strategies for meeting the cultural and linguistic needs of home health care patients.

Strategies for Implementing the National Standards for Culturally and Linguistically Appropriate Services in Home Health Care

2017 ◽  
Vol 29 (3) ◽  
pp. 168-175 ◽  
Author(s):  
Mary Curry Narayan
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Healthcare Providers ◽  
Home Health ◽  
National Standards ◽  
Sixth Edition ◽  
Health Care Consumer ◽  
Equitable Outcomes ◽  
Consumer Assessment ◽  
Linguistically Appropriate

This article is an abridged version of a book chapter, Culturally and Linguistically Appropriate Services, published in the Handbook of Home Health Care Administration, Sixth Edition (Marilyn Harris, editor). The article describes the importance of culturally and linguistically competent care for the success of home health agencies. It uses the 15 standards of the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS Standards) as an outline for identifying strategies that home health leaders can incorporate into their agencies’ practices to enhance their care to culturally and linguistically diverse patients. Providing services that produce equitable outcomes for diverse patients is likely to enhance agency Home Health Compare and HHCAHPS (Home Health Care Consumer Assessment of Healthcare Providers and Systems) scores, Star Ratings, and reimbursement in a value-based reimbursement model.

A Review Process for a Hospital at Home

1992 ◽  
Vol 5 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Neil Russon
Keyword(s):  
Health Care ◽  
New Brunswick ◽  
Home Health Care ◽  
Review Process ◽  
Home Health ◽  
National Standards ◽  
Institutional Setting ◽  
Care Health ◽  
Hospital At Home

The field of home health care is the focus of much attention as alternatives to institutionalization are sought. As a result, many types of organizations are now providing home care, health or otherwise, without the guidance of national standards similar to those found in accreditation models for care in an institutional setting. So that stakeholders in New Brunswick can be assured of the quality of the service it provides, the Extra-Mural Hospital has embarked upon the development of a review process which will, to some extent, follow established accreditation models.

scholarly journals Beyond Black and White: Mapping Misclassification of Medicare Beneficiaries Race and Ethnicity

2020 ◽  
pp. 107755872093573
Author(s):  
Irina B. Grafova ◽  
Olga F. Jarrín
Keyword(s):  
Health Care ◽  
Health Disparities ◽  
Administrative Data ◽  
Home Health Care ◽  
Asian American ◽  
Minority Health ◽  
Health Care Disparities ◽  
State Level ◽  
Home Health ◽  
Medicare Beneficiaries

The Centers for Medicare and Medicaid Services administrative data contains two variables that are used for research and evaluation of health disparities: the enrollment database (EDB) beneficiary race code and the Research Triangle Institute (RTI) race code. The objective of this article is to examine state-level variation in racial/ethnic misclassification of EDB and RTI race codes compared with self-reported data collected during home health care. The study population included 4,231,370 Medicare beneficiaries who utilized home health care services in 2015. We found substantial variation between states in Medicare administrative data misclassification of self-identified Hispanic, Asian American/Pacific Islander, and American Indian/Alaska Native beneficiaries. Caution should be used when interpreting state-level health care disparities and minority health outcomes based on existing race variables contained in Medicare data sets. Self-reported race/ethnicity data collected during routine care of Medicare beneficiaries may be used to improve the accuracy of minority health and health disparities reporting and research.

Digital Home Health Care: Culture-Specific Observations in Saudi Arabia (Preprint)

2020 ◽  
Author(s):  
Abdulaziz A Alodhayani ◽  
Marwah Mazen Hassounah ◽  
Fatima R Qadri ◽  
Noura A Abouammoh ◽  
Zakiuddin Ahmed ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Home Health Care ◽  
Health Program ◽  
Digital Health ◽  
Local Population ◽  
Family Members ◽  
Cultural Factors ◽  
Home Health ◽  
Design And Implementation

BACKGROUND There is growing evidence of the need to consider cultural factors in the design and implementation of digital health interventions. However, there is still inadequate knowledge pertaining to what aspects of the Saudi Arabian culture need to be considered in the design and implementation of digital health programs, especially in the context of home health care services for chronically and terminally ill patients. OBJECTIVE This study aims to explore the specific cultural factors relating to patients and their caregivers from the perspective of physicians, nurses, and trainers that have influenced the pilot implementation of Remotely Accessible Healthcare At Home (RAHAH); a connected health program in the Home Health Care Department at King Saud University Medical City, Riyadh, Saudi Arabia. METHODS A qualitative study design was adopted to conduct a focus group discussion (FGD) in July 2019 using a semi-structured interview guide with 3 female and 4 male participants working as nurses, family physicians, and information technologists. Qualitative data obtained were analyzed using a thematic framework analysis. RESULTS Two categories emerged from the FGD that influenced the experiences of digital health program intervention: (1) culture-related factors including language and communication, cultural views on using cameras during consultation, non-adherence to online consultations, and family role and commitment (2) caregiver characteristics in telemedicine that includes their skills and education and electronic literacy. Participants of this study revealed that indirect contact with the patients and their family members may work as a barrier to proper communication through RAHAH. CONCLUSIONS We recommend exploring the use of interpreters in digital health, creating awareness among the local population regarding privacy in digital health, and actively involving the direct family members with the healthcare providers.

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