Integrating Health Literacy, Cultural Competence, and Language Access Services Workshop Summary (2016) / Chapter Skim
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5 Break Out Session Reports
5 Break Out Session Reports
Pages 67-72
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From page 67... ...
, facilitated the session on policy, and Michael Villaire, chief executive officer of the Institute for Healthcare Advancement served as the rapporteur. Andrew Pleasant, senior director for health literacy and research at the Canyon Ranch Institute, facilitated the services and care discussion and also acted as the rapporteur.
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From page 68... ...
He then reported discussing a broad range of options for developing a common research agenda for literacy, language, and culture, with much of the discussion focusing on communication, systems, health outcomes, and building a business case. Rima Rudd also noted the discussion about the need for more research to support the value argument, and in particular, about the need to improve the quality of the data collected using available metrics.
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From page 69... ...
At the same time, some members of this breakout session noted that the effort to integrate health literacy with language access and cultural competence to create effective approaches for improving outcomes for all patients is still in its infancy. The session tried unsuccessfully to identify terms that could sum up these three areas with some participants noting that there is a need for new language to describe this effort.
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From page 70... ...
He then reported that one person suggested "providing rational enlightenment by honoring all people and asking them what is important." Another person suggested the solution was to conduct a thorough examination of all the polices that relate to these three areas, collect input on them through engagement with individuals and communities, evaluate them to identify which ones are working and which are not, and promote those that do work and make changes to those that do not. A final suggestion was to look at accreditation across the range of health services and health professions and identify where health literacy, cultural competence, and language access are and are not being adequately represented and change those for which they are not.
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From page 71... ...
"This is a fair topic and something we should be talking about, and it gets, more broadly speaking, into the definition of health literacy," said Paasche-Orlow. Jennifer Dillaha from the Arkansas Department of Health commented that the importance of strong leadership was a common thread in the three breakout discussions and wondered if one should promote health literacy leadership, particularly given the example of how North Shore–LIJ took action through strong leadership rather than because of a policy mandate.
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From page 72... ...
Rosof, who noted that the policy discussion raised the idea of involving the surgeon general, thought there was an opportunity for the roundtable to advocate for the surgeon general to create a bold initiative, just as was done for smoking, to make the integration of health literacy, cultural competence, and language access a national priority and get ahead of the demographic changes occurring in the United States. As a final comment, Alicia Fernandez said she was troubled by the fact that the NCQA is having difficulty getting commercial plans to collect and report data on race, ethnicity, and language despite the fact that the community has been saying for the past 15 to 20 years that these data are essential to moving forward.
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