The Language Equity and Accessibility Performance (LEAP) Initiative: Addressing disparities through a paradigm shift in language services operations

语言公平和无障碍绩效 (LEAP) 计划：通过语言服务运营范式转变解决差异

• 批准号: 10822738
• 负责人: Katherine Riestenberg
• 金额: $ 22.41万
• 依托单位: TRANSCENDENT INTERNATIONAL, LLC
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-24 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10822738
• 关键词: Address; Administrator; Benchmarking; Certification; Collaborations; Communication; Complex; Consensus; Decision Making; Degree program; Development; Disparity; Educational Curriculum; Effectiveness; Engineering; Equity; Health; Health Personnel; Health system; Healthcare; Hospitals; Industry; Industry Standard; Infrastructure; Institute of Medicine (U.S.); Institution; Instruction; International; Intervention; Interview; Joints; Knowledge; Language; Language Tests; Lateral; Learning; Limited English Proficiency; Marketing; Measures; Medical; Methods; Modeling; Multivariate Analysis; Occupations; Participant; Patient Rights; Patients; Performance; Performance at work; Phase; Policies; Program Effectiveness; Public Health; Qualifying; Reaction; Recommendation; Regulation; Reporting; Resources; Services; Standardization; Structure; Surveys; System; Tablets; Technology; Telephone; Testing; Training; Training Activity; Translating; Underserved Population; Universities; Vendor; bilingualism; dashboard; design; effectiveness evaluation; evaluation/testing; experience; follow-up; gaps in access; hands-on learning; health disparity; high standard; improved; indexing; innovation; language training; learning strategy; migration; operation; programs; prototype

PROJECT SUMMARY Patients with limited English proficiency (LEP) continue to experience a range of health disparities compared to English-proficient patients. Addressing persistent gaps in language services requires a paradigm shift in which health systems evaluate and track their compliance with relevant regulations, implement staff training, and carefully craft and communicate exhaustive language access policies to staff. However, most health systems lack the expertise needed to carry out these specific recommendations. Public health and healthcare administration degree programs rarely cover language access in their curricula, and there is no national standardizing body or certification program for language access operations. This project will develop the Language Equity and Accessibility Performance (LEAP) Initiative to help health systems expand and improve their language services operations. The initiative includes three core innovations (1) a Language Accessibility Index (LAI), the first industry-wide benchmark to guide institutional efforts to improve language services and establish operational metrics, (2) an analytics dashboard for informed decision-making, and (3) an executive training and Certification for Language Access Services Professionals (CLASP), the first standardized training for language access professionals to demonstrate the expertise required to implement an effective language access policy at a hospital or health system. We will first carry out semi-structured interviews with a range of stakeholders to establish the needs and requirements for developing the three innovations. Our instructional design experts will then synthesize recommendations and best practices to design the LAI, dashboard, and interactive learning activities covering the complex facets of language access operations. Our engineering team will build out the technical capabilities needed to deliver the analytics dashboard and the online portion of the training. Finally, we will pilot the initiative in order to demonstrate overall effectiveness of the program for preparing administrators to improve, expand, and measure the impact of language services operations.

项目摘要 英语水平有限（LEP）的患者继续经历一系列的健康差异， 精通英语的病人。要解决语文服务方面持续存在的差距，就需要转变模式， 卫生系统评估和跟踪其遵守相关法规的情况，实施员工培训， 仔细制定并向工作人员传达详尽的语言使用政策。然而，大多数卫生系统 缺乏执行这些具体建议所需的专门知识。公共卫生和保健 行政学位课程很少在课程中涵盖语言访问，并且没有国家 语言访问操作的标准化机构或认证程序。 该项目将制定语言平等和无障碍绩效（LEAP）倡议，以帮助健康 系统扩大和改进其语文服务业务。该倡议包括三个核心创新 (1)语言无障碍指数（LAI），第一个全行业的基准，以指导机构的努力， 改进语言服务并建立运营指标，（2）分析仪表板， 决策，以及（3）语言无障碍服务专业人员的执行培训和认证 （CLASP），第一个标准化的培训语言访问专业人员，以展示专业知识 在医院或卫生系统实施有效的语言访问政策所需的。 我们将首先与一系列利益相关者进行半结构化访谈，以确定需求， 发展三项创新的要求。我们的教学设计专家将综合 设计LAI、仪表板和交互式学习活动的建议和最佳实践，涵盖 语言访问操作的复杂方面。我们的工程团队将建立技术 提供分析仪表板和在线培训部分所需的功能。最后，我们将试点 该倡议，以证明该计划的整体效力，为管理员准备， 改进、扩大和衡量语文服务业务的影响。