Train-the-Trainer Session: Implementation Classroom Slides
Slide 1: Enhancing Safety for Patients With Limited English Proficiency
Slide 2: Shift Toward a Culture of Safety
Slide 3: Phase I: Assessment
Slide 4: Patient Language Process Map
Slide 5: Policies and Guidelines
Slide 6: Site Assessment
Slide 7: Phase II: Planning, Training, Implementing
Slide 8: Goals and Outcomes
Slide 9: Why Evaluate
Slide 10: Evaluation Steps
Slide 11: Planning Your Evaluation
Slide 12: Training
Slide 13: Phase III: Sustainment
Slide 14: Action Planning
Enhancing Safety for Patients With Limited English Proficiency
Image: A decision chart shows the shift process in three phases:
Phase 1: Pre-training assessment including process map, policies and data/measures; work on climate improvement until ready for the intervention.
Phase 2: Planning, training and implementation; test your intervention.
Phase 3: Sustainment. Effect culture change through coaching and integration, monitoring the plan and continuous improvement.
The process is summarized at the bottom of the chart: Set the stage, decide what to do, make it happen and make it stick.
- Process map.
- Site assessment.
|Identify language/cultural needs|
|Who?||How? List various methods. Note contingency plans.|
|Ensure that interpreter is present for entire encounter|
|Ensure that interpreter is fully informed and integrated into team|
- Title VI, Civil Rights Act: equal access for LEP.
- The Joint Commission: Patient-Centered Communication Standards.
- Hospital policy.
- % LEP.
- Common languages.
- Interpreter resources.
- Bilingual staff.
- Other information:
- Hospital incidents.
- Community patterns of bias or conflict.
- Goals and desired outcomes.
- Processes to change.
- Behaviors to change.
- Training logistics.
|Goals and Outcomes||What needs to change?|
- Answers the question: Did it work?
- Helps you improve over time.
- Improves leadership and staff buy-in.
- Process evaluation.
- Analysis and report.
Refer to the Evaluation Guide and Metrics
- What is the goal of your intervention?
- What level metrics will you implement (1, 2, 3, 4)?
- Any other metrics beyond what's in the Guide?
Image: A pyramid depicts the four levels:
Level 1 (bottom level): Reaction: Did the participants like the training? What do they plan to do with what they have learned?
Level 2: Learning: What skills, knowledge, or attitudes changed after the training? By how much?
Level 3: Behavior: Did the participants change their on-the-job bahevior based on what they learned?
Level 4: Outcomes (top level): Did the change in behavior positively affect the patient?
- Over what period of time?
- Ongoing training.
- Leadership support.
|Activity||Person Responsible||Target Date|