Sixth National Conference on Quality Health Care for Culturally Diverse Populations:

B-4 Organizational journeys to CLAS, Part II: Challenges and successes for implementation

Organizational Journeys to CLAS Part II: Challenges and Successes for Implementation Submitted by Tawara D. Goode, Facilitator Advancing and sustaining cultural and linguistic competence is often described as a journey not a destination. There is no one pathway on this journey – at either the individual or system level. Health care organizations and systems may embark on this journey at different points of departure with different estimated times of arrival for achieving specific goals and outcomes. Many health and mental health care organizations/systems are at various stages along a continuum and have salient lessons to share with others that are taking this journey. This Peer-to-Peer session will focus on health care organizations that are actively implementing CLAS and those that support the spirit and expand the scope of CLAS. It will also present how cultural and linguistic competence is conceptualized and implemented from an international perspective. This session will offer insight, experiences, and lessons learned from four health care organizations/systems in their quests to implement cultural and linguistic competence as a primary means of addressing health care disparities, improving quality and safety of care, and promoting health equity within their respective communities both in the United States and Canada. The session will examine: (1) the values and philosophical underpinnings that guide this work; (2) strategies to elicit “buy in” at all levels of the organization and within the community; (3) the application of organizational change theories and frameworks; (4) the structural and fiscal resources required for implementation, and (5) issues associated with equity and power. Panelists will present challenges and successes of: -An Ontario Canada hospital that is a ‘centre of excellence’ in First Nations health care that has implemented a governance and leadership model that reflects, compliments, and supports diversity programming. -The largest health care provider in the Twin Cities area, with the most diverse service market in the state, which began implementation of CLAS in 2005 using approaches that include data collection, language access, training, and strategic planning... -The five-year efforts of a large, regional integrated health system in New Jersey that engaged communities in partnership around health and wellness as a compass to guide organizational change processes to implement CLAS. -An innovative program, in Boston, MA, designed to build in depth knowledge, employ the use of cutting edge quality improvement strategies, and build a cadre of professionals with the leadership skills necessary to transform their organizations toward the goal of eliminating racial and ethnic disparities in health care.
Monday, September 22, 2008: 2:00 PM - 4:00 PM
6th Floor - St. Croix I (Minneapolis Marriott City Center)
AtlantiCare: Cross Cultural Services Journey to Performance Excellence
Gwedolyn Meusburger, RN, BSN, MBA, AtlantiCare Health System