Sixth National Conference on Quality Health Care for Culturally Diverse Populations: Main Conference Concurrent Workshops Using Bonus Pay to Motivate Providers' Participation in Training
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Roundtable D Creating incentives for cultural competence training: The role of financial rewards and employment agreements

Using Bonus Pay to Motivate Providers' Participation in Training
Tuesday, September 23, 2008: 4:15 PM-6:00 PM, Minn Marriott, 8th Floor - Wayzata/Gray's Bay
This presentation will be about a year-long cultural competence training program delivered to employed physicians and nurse practitioners of an urban, pediatric hospital system in the Upper Midwest.  The training program was tied to the annual salary incentive paid out to employed providers.  There were three incentive levels - threshold, target, and maximum - each of which carried expectations for completion of progressively more training activities.  Offerings included:

-          A half-day "live" training in cross-cultural communication 

-          Four e-learning courses from reputable national sources, honing in on various cultural competency skills

-          Taking Intercultural Development Inventory (IDI), a psychometric instrument that measures the capacity of individuals and groups to act competently in cross-cultural situations; attending group debriefing on aggregate results for all employed providers; and attending individual feedback sessions to review one’s personal IDI profile results and development suggestions.

The successes included a virtually 100% provider participation in the program, which was at least in some part influenced by the pay incentives.  The presentation will review the lessons learned on the pros and cons of rewarding completion of cultural competency training through pay incentives.  It will also discuss the following themes: securing leadership buy-in and commitment, program design, implementation successes and challenges, the dynamics of revealing lower-than-expected IDI results to providers who considered themselves highly culturally competent, and measuring the program's effectiveness.

The discussion will elicit audience feedback on the program and its measures, as well as comparisons with design, measures and results from related programs attempted elsewhere.

Handouts
  • Plan, brief version 4.3.06.doc (33.0 kB)
  • Pocket Cultural Care Guide 4.25.08 FINAL.pdf (135.5 kB)
  • Workshop Effectiveness Survey, pre and post.doc (70.5 kB)

    • Presentation Information:

    Program: Main Conference Concurrent Workshops
    Primary Category: Cultural Competence Training
    Subtopics: Curricula development, Continuing education/on-the-job learning, Assessing learning/performance on cultural competence/disparity reduction, Program/intervention evaluations, Observational/descriptive studies, Methods - patient and staff surveys, organizational and patient measures, data collection and analysis

    Region Addressed by Presentation: US - Midwest
    Organization: Hospital
    Population/Demographic: physicians
    Keywords: training, incentive, provider, hospital
    Boris Kalanj, MSW, LISW , Children's Hospitals and Clinics of Minnesota, Minneapolis, MN
      Director, Office of Health Care Equity
      Children's Hospitals and Clinics of Minnesota
      2525 Chicago Avenue South, Mail Stop 17-750
      Minneapolis MN, USA 55405

      Phone: 612-813-7989
      Fax: 612-813-7633
      Email Address: boris.kalanj@childrensmn.org

      Biographical Sketch:       As Director of Health Care Equity at Children's Hospitals and Clinics of Minnesota, Boris Kalanj leads organizational efforts to deliver equitable and culturally competent care. His responsibilities at Children's have included oversight of language access services, workforce education toward cultural competence, and development of data collection, evaluation and research capacities to identify, understand and reduce healthcare disparities. Prior to his appointment at Children’s, Boris was a clinical team leader at the Center for Victims of Torture in Minneapolis and a coordinator of international programs at the University of Minnesota. He has consulted and given numerous workshops for providers in health, human services, and education fields on communication skills, working with interpreters and other areas of cultural and linguistic competence. Boris has a Master’s degree in social work from the University of Minnesota, and a B.A. in social work from the University of Zagreb, Croatia.
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