Addressing Gaps in Language Access Services through a Patient-Centered Decision-Support Tool

项目摘要 尽管政策要求在医疗环境中使用语言，但越来越多的个人 在美国，英语水平有限（LEP）的人在医疗系统中遇到语言障碍， 对患者的治疗结果产生负面影响，并对努力提供服务的卫生系统造成重大负担 公平的照顾。该项目将开发和试验一个名为Latitude的技术支持平台， 这是一个全面的工具，使提供商能够快速获得有关可用语言服务的信息， 并通过即时护理工具将这些服务无缝地实施到他们的护理计划中 与电子病历相结合。此外，决策支持仪表板将支持 管理员在管理其语言服务资产时设置管理个性化语言的参数 为患者提供支持计划。作为产品开发的一部分，我们将在 按照五步实施计划，建立两个住院医院系统。然后我们将评估 三个主要影响领域的产品：行政影响（例如，与语文有关的每日费用 服务）、患者体验和满意度（例如，通过患者调查，如HCAHP），和患者 结果度量（例如，住院时间和再入院率）。将特别注意 用户采用过程，以便为商业推出做好准备。

Project Summary Despite policies that mandate language access in healthcare settings, the growing population of individuals with limited English proficiency (LEP) in the United States encounters language barriers in the medical system that negatively impact patient outcomes and cause significant burdens on the health systems that struggle to deliver equitable care. This project will develop and pilot a technology-enabled platform called Latitude as a comprehensive tool that will allow providers to quickly get information about available language services for a particular patient, and seamlessly implement these services into their care plan through a point-of-care tools integrated with the Electronic Medical Record. In addition, a Decision-Support Dashboard will support administrators in managing their language services assets setting parameters that govern personalized language support plans for patients. As part of the product development, we will implement a beta version of Latitude at two inpatient hospital systems following a five-step implementation plan. We will then evaluate the effect of the product on three overarching areas of impact: administrative impact (e.g., daily costs associated with language services), patient experience and satisfaction (e.g., through patient surveys such as HCAHP), and patient outcome metrics (e.g., length of hospital stay and rates of readmission). Particular attention will be paid to the user adoption process in order to ready the system for commercial rollout.