Integrating Culturally and Linguistically Appropriate Services (CLAS) into Policy and Practice
This session focuses on integrating CLAS standards into policy and practice, discussing important elements, staff roles needed, barriers, and approaches to implementation. Key themes include governance, communication, workforce, language assistance, and continuous improvement. Various strategies such as umbrella policies, grants, and organizational culture are explored to ensure CLAS adoption and compliance. Audience engagement is encouraged through discussions on policy adoption processes and team roles.
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Session 5 Session 5 Integrating CLAS Into Policy and Practice Integrating CLAS Into Policy and Practice CLAS Training [ADD DATE] [ADD PRESENTER NAME] [ADD ORGANIZATION NAME]
Identify the staff needed to adopt and implement CLAS Give examples of the important elements in a policy on CLAS standards Identify one barrier and one approach to integrating CLAS into practice 1
What did you learn? Themes of the CLAS Standards 1. Governanace, Leadership and Workforce 2. Communication and Language Assistance 3. Engagement, Continuous Improvement and Accountability What did you learn? 2
Provides a framework Give consistency and efficiency Ensures compliance Influences perception from community 3
Integrating Policy Umbrella policies Integrating CLAS into Policy CLAS into Integrating Practice Grants Integrating CLAS into Practice CLAS into Existing policies Organizational culture New policies Customer service Material development 4
Every agency is different DISCUSSION What is your agency s process for adopting and changing policies? What is the process and timeline for reviewing and updating policies? Who is typically involved? DISCUSSION 5
Example team roles o Executive Sponsor o Human Resources Coordinator o Data Coordinator o Communications Coordinator Staff engaged in effort, champions Staff affected by CLAS but not in decision making roles Gatekeepers Who else? Decision makers 6
1 1 2 2 2 2 3 3 4 4 5 5 4 4 1 1 3 3 5 5 Integrate into existing policies, develop new policies to address gaps Integrate into existing policies only Umbrella policy only Integrate into existing policies plus umbrella policy Integrate into existing policies, develop new policies to address gaps, plus umbrella policy Most comprehensive approach 7
Advantages Large statement of compliance Only one policy Most efficient Disadvantages Less assurance Work to understand CLAS falls on policy implementers Advantages Disadvantages 8
Advantages Allows for more assurance Can be gradual Disadvantages Gradual integration doesn t provide foundation Potential policy gaps are all CLAS standards met through revised, existing policies? Advantages Disadvantages 9
Internal policy committee identifies policies that are nearing review date Committee sends to policy owner Policy owner reviews, makes any edits, and submits to committee If revised, policy is sent for needed approvals Revision is communicated to affected staff 10
CLAS policy team trains internal policy committee on CLAS standards Committee identifies policies that are nearing review date AND are related to CLAS Committee sends policy to owner with CLAS check-list and draft language Policy owner reviews, makes edits to include CLAS compliant language, and submits to committee Revised policy is sent for needed approvals Policy revision is communicated to affected staff 11
Advantages Assures all CLAS standards are met through policies Disadvantages Could be laborious than an umbrella policy Involves more people Advantages Disadvantages 12
III. Definitions and common terms Source language: which translation occurs. III. Definitions and common terms Source language: The language from AGENCY Title Subject AGENCY Title Subject Authorizing sources Effective date Authorizing sources Effective date [See HANDOUT 5A] I. Purpose I. Purpose This policy directs the agency to take reasonable steps to provide [agency] customers with effective, equitable understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs. IV. Policy IV. Policy Provision of services Language assistance Staff recruitment, retention, promotion and training Staff responsibilities Monitoring, engagement and accountability Complaint procedure II. Scope II. Scope All [agency] services. 13
V. References U.S. Department of Health and Human Services (2013). Office of Minority Health, National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care. V. References Procedures Key Function: bilingual staff Activity: the translator code of conduct at all times when providing translating services to agency customers. Person(s) Involved: authorities or their designees, HR staff, Bilingual Translation Unit supervisor, certified bilingual staff. Procedures Key Function: Translation conduct for Activity: Agency bilingual staff will follow U.S. Department of Justice (2000). Federal Register, Executive Order 13166 Improving Access to Services for Persons with Limited English Proficiency. Person(s) Involved: Appointing VI. Resources American Translators Association, http://atanet.org/ VI. Resources PROCESS: Translation Services Steps: Activity or Event(s): source language message in document translations Person(s) Involved: Unit supervisor, certified bilingual staff. PROCESS: Translation Services Steps: 1 Activity or Event(s): Accurately convey the U.S. Census Data 2010, http://www.census.gov/2010census/ Person(s) Involved: Bilingual Translation 14
SMALL GROUP ACTIVITY How could you strengthen example policy A to be completely CLAS compliant? SMALL GROUP ACTIVITY 15
Integrating Policy Umbrella policies Integrating CLAS into Policy CLAS into Integrating Practice Grants Integrating CLAS into Practice CLAS into Existing policies Organizational culture New policies Customer service Material development 16
ACTIVITY 1. What would be your strategy to integrate CLAS into your topic? 2. What barriers do you anticipate facing? 3. What opportunities already exist to leverage? 4. Who would you engage in this process? ACTIVITY HANDOUT 5A: HANDOUT 5A: CLAS CLAS Implementation Strategies Implementation Strategies 17
Assess organization, community Assess organization, community Governance Leadership Workforce Governance Leadership Workforce Engagement Engagement COMMUNITY ENGAGEMENT COMMUNITY ENGAGEMENT Communication Language Assistance Communication Language Assistance Continuous Improvement Accountability Continuous Improvement Accountability Identify gaps, opportunities, strengths, weaknesses Identify gaps, opportunities, strengths, weaknesses Identify strategies for implementation Identify strategies for implementation COMMUNICATION COMMUNICATION Train staff Train staff Implement Implement Monitor progress Monitor progress Evaluate and maintain efforts Evaluate and maintain efforts 18
Thank you! You have completed the entire CLAS Training! 19
