Interpretation

What Works: Effective Practices for Office-based CareLanguage Interpretation
Interpretation

Recommendation: The provider will be able to communicate with the patient in a manner the patient can understand.

Source: Institute of Medicine: Health Literacy, A Prescription to End Confusion



 Effective Practice
Trained interpreters are used exclusively. Only bilingual staff who have passed a competency test are used to communicate with patients.
Benefits:
  • Prevents miscommunication or gaps in communication.
  • Demonstrates cultural competence.
In practice at: CHA East Somerville Health Center, Malden Family Medicine Center, Revere Family Health, Union Square Family Health


 Effective Practice
Multilingual on-site interpreters and/or providers and support staff.
Benefits:
  • Staff can speak directly with patients in their native languages.
  • Decreases chance of miscommunication.
  • On-site interpreters decrease wait times.
  • Provides consistent staff for interpretation.
In practice at: CHA (all sites), Charlestown Adult Medicine (MGH), Chelsea Pediatrics (MGH), Revere Health Center (MGH), Bowdoin Health Center (BIDMC)


 Effective Practice
Most staff are bilingual (English and Spanish)
Benefits:
  • Staff can speak directly with patients in their native languages
  • Decreases chance of miscommunication
In practice at: Brookside Community Health Center (BWH), Spanish Clinic (BWH)


 Effective Practice
A Spanish answering service is available for patients to communicate concerns
Benefits:
  • Decrease chance of miscommunication
  • Promotes patient safety
In practice at: Spanish Clinic (BWH)


 Effective Practice
The practice has language interpreters available for appointments
Benefit: Medical information is conveyed in the patient’s primary language during the office visit.
In practice at: CHA (all sites)


 Effective Practice
The practice has language interpreters available by phone
Benefits:
  • Cost effective
  • Allows for communication in less commonly spoken languages
In practice at: Somerville (HVMA), NWH (all sites)


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