The number of patients receiving care in languages other than English (LOTE) has jumped significantly in the past decade. Yet nearly one-third of U.S. hospitals fail to offer adequate language services. New research indicates that even in hospitals with language access systems in place, over half of medical communication occurs without professional interpretation.
This webinar will explore how health systems can apply the principles of co-production to improve language justice infrastructure in ways that boost health equity. Participants will explore how to adapt tools from the Institute for Healthcare Improvement’s “Engaging People with Lived Experiences” resource collection to better engage local communities in building effective language access plans. Participants will be introduced to replicable and sustainable language access models, and learn strategies for scaling an in-language experience system-wide. We'll also cover best practices for data collection and program evaluation.
This webinar has been approved for the following CEUs: 1 ATA CEP, 1 CCHI CE hour, 0.1 IMIA/NBCMI CEU, 1 OCCI CEU, 0.1 RID CEUs. Note that you must have attended the live session to receive these credits.
About the presenter: Vonessa Costa is Sr. Director of Quality & Member Engagement for the Health Care Interpreter Network (HCIN), a collaborative of health systems that share interpreter resources.
Learning Objectives
After attending this webinar, you will be able to:
1. Understand the principles of co-design and co-production in healthcare.
2. Learn how to adapt IHI tools to engage community members with lived experiences in building your organization’s language justice infrastructure.
3. Compare proven models for co-production in hospital language access programs.
To become an interpreter, you must be at least 18 years old, possess a high school diploma or equivalent, and be bilingual. Since we're based in the United States, where English is the primary language of service, one of your working languages must be English. Increasingly, the industry standard requires interpreters to have completed a 40-hour certificate program, at a minimum, before being able to work as an interpreter.
CCC recommends that participants first strengthen their non-native language before taking our programs. Some options for language training are: community colleges, online programs such as Rosetta Stone, conversation groups (such as free groups sponsored by public libraries), etc.
Interpreting is an expanding sector of the job market due to several factors. There is a high percentage of foreign-born people in the U.S. seeking access to publicly funded services such as health care, social services and education. Under Title VI of the Civil Rights Act (signed in 1964) any organization receiving one dollar of federal funding must not discriminate on the basis of national origin and must make reasonable efforts to provide this access. Therefore, if a public school system serves a large Korean population they must provide Korean interpreting (and translation) services free of charge. Health care organizations are increasingly using medical certified interpreters after several high-profile medical malpractice lawsuits resulted from either no interpreter being present or untrained bilingual staff or family members being used to interpret.
It depends on the type of interpreting you’re doing and what type of interpreter you are. In general, there are three types of interpreters, volunteer interpreters (such as those who interpret at places of worship or at clinics for low-income patients), bilingual staff (employees such as nurses, case workers and psychologists who are asked to interpret in addition to their main job) and contract/freelance interpreters. Contract interpreters typically work for several organizations, either directly with the client or through a language agency. They drive to different locations and pay varies according to the assignment and employer. At the moment, local public school systems tend to pay on the lower end of the interpreting scale, while pay will be higher for medical and legal interpreters and highest of all for certified medical interpreters and court-certified interpreters.
Medical certified interpreters have passed one of the two national certification exams (see below). They have different formats but both are equally valid and accepted. Only certain languages are available at the moment (such as Spanish and Mandarin) but others are in development. Among current pre-requisites is 40 hours of medical/health care interpreter training. The best way to get information about how to prepare for medical interpreter certification is to go to the websites of the two national medical interpreter certification programs:
CCHI at http://www.healthcareinterpretercertification.org/
NBCMI at http://www.certifiedmedicalinterpreters.org/
Court certified interpreters have passed an exam given by a state or federal interpreter certification program. These exams usually have extremely low pass rates. At the federal level, only Spanish is currently offered. Certification exams vary at the state level for other languages.
A certificate is awarded upon successful completion of an academic or non-academic program. For interpreter training programs, language proficiency testing may or may not be a requisite for successful completion of the program. A certification can only be awarded by local, state or federal authorities (such as the community interpreter certification in Washington state; state and federal court certification; and the two national medical interpreter certifications). CCC offers certificate programs.
No, CCC is an organization dedicated solely to interpreter and cultural competence training. Our mission is language access. However, we do provide graduates of The Community Interpreter® with a list of nearby language companies and public organizations that employ interpreters. We also occasionally send out job postings to our program graduates and/or e-newsletter subscribers at the request of other organizations.
Cross-Cultural Communications is the leading international training agency in the U.S. devoted to community interpreting, educational interpreting, healthcare interpreting and cultural competence. It is also the only organization that licenses community interpreters across the U.S. and in other countries. We regularly train bilingual staff as well as contract interpreters. We also provide training and consulting services to private companies, non-profits and government agencies. Our programs are grounded in a mixture of theory and practical, hands-on activities.
The Community Interpreter® International, or TCII, is a 40-hour certificate training program for interpreters who are just starting out or those experienced interpreters who are looking for a recognized qualification. Subjects covered include the interpreting code of ethics and standards of practice in order to give participants a solid grounding in the profession. This is complemented by practical, hands-on activities such as role-plays and interactive group discussions. The program fulfills the 40-hour training requirements considered by many (certifying bodies employers and industry associations) to be the minimum needed to entire the field.
At the moment, a combination of two CCC programs fulfills this requirement: Medical Terminology for Interpreters (7.5 hours) and The Community Interpreter® International. Since TCII is open to all community interpreters and the subject matter covers education and social services as well as medical interpreting, at the end of each TCII session any participant who is seeking medical interpreter certification will be given a letter from CCC, stating the number of hours that can be counted towards this requirement. Typically 34-36 hours count towards the 40 hour requirement.
Yes, although the CE credits offered for each program will vary according to course length and content. Our programs are currently approved for continuing education credits by the following organizations:
Yes…but it’s also so much more! The Community Interpreter® International was designed to address any one of, or all of, three target audiences: medical, educational and/or social services interpreters. Some of our trainers and we ourselves present all-medical sessions that include medical terminology training and others gear their programs to general community interpreting or a specialized audience, like educational interpreting. Our TCII sessions are hosted both in a live online training context and via our self-paced learning platform. They cover medical, educational and social services interpreting.
CCC hosts sessions of The Community Interpreter® International as a live training seasonally. along with many other programs. See our current training offerings.
The Community Interpreter® Online (TCIO) is the self-guided, online version of The Community Interpreter® International and includes open, ongoing enrollment. Learn more about TCIO.
Our licensed trainers also host their own trainings across 44 U.S. states, Washington DC, Guam and six other countries. Search for a trainer near you.
Live online trainings of The Community Interpreter® International currently cost $550.
The course fee includes:
The Community Interpreter Online self-paced course currently costs $390. Sign up here: https://courses.cultureandlanguage.net/ccc_english/the-community-interpreter-online.html
Sessions of The Community Interpreter® hosted by our licensed trainers will vary in cost depending on the location and session.
No. A training program certificate is not the same as certification. In fact, in the U.S. the certificate for a 40-hour training program is a prerequisite to apply for national medical interpreter certification. In The Community Interpreter® we teach you about the difference between a certificate and certification. A good training is the beginning of certification, not the end, because after training you will need to take the written and oral exams of a properly credentialed certification program to become certified.
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