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保健环境中使用语言，但越来越多的有 美国有限的英语水平(LEP)在医疗系统中遇到语言障碍， 对患者的预后产生负面影响，并给难以提供医疗服务的卫生系统造成沉重负担 公平的照顾。该项目将开发和试运行一个名为Latitude的技术平台，作为 一款全面的工具，使提供商能够快速获取有关可用于 并通过护理点工具将这些服务无缝地实施到他们的护理计划中 与电子病历集成。此外，决策支持仪表板将支持 管理员管理其语言服务资产设置管理个性化语言的参数 对病人的支持计划。作为产品开发的一部分，我们将在 遵循五步实施计划的两个住院医院系统。然后我们将评估该计划的效果 关于三个主要影响领域的产品：行政影响(例如，与语言有关的日常费用 服务)、患者体验和满意度(例如，通过HCAHP等患者调查)以及患者 结果指标(例如，住院时间和再住院率)。我们会特别注意 用户采用流程，以便为该系统的商业推出做好准备。

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.