Title: 
Headings:  A Practical Guide to Implementing the National CLAS Standards:
A
 
Practical
 
Guide
 
to
 
Implementing
 
the
 
National
 
CLAS
 
Standards:
 

Prepared
 
for:
 

Prepared
 
by:
 

QUICK
 
GUIDE
 

CLAS
 
 
 
STANDARD
 

Use
  
the
 
 
 
table
  
of
 
 
 
contents
 

Search
 

POPULATION
 

population
 
heading
 

RESOURCE
 
 
  
TYPE
 

resource
 
icon(key
  
on
 
pg
 
8)
 

USER
 

Search
 
by
 
user
 
type
include
 

SETTING
 

Search
 
by
 
setting
 
type
 

INTRODUCTION
 

BACKGROUND
 

PURPOSE
 

INTENDED
 
AUDIENCE
 

HOW
 
TO
 
USE
 
THE
 
TOOLKIT
 

RESOURCE
 
ICON
 
KEY
 
 

Principal
 
 
Standard

Effective,
 
equitable,
 
understandable,
 
and
 
respectful
 
quality
 
care
 
and
 
services
 

Governance,
 
Leadership,
 
and
 
Workforce

ALL
 
POPULATIONS
 

The
 
Disparities
 
Solution
 
Center
 
(2014)—The
 
Disparities
 
Solutions
 
Center
 
Annual
 
Report
 
2012-2013
 

Institute
 
for
 
Diversity
 
(an
 
affiliate
 
of
 
 
the
 
American
 
Hospital
 
Association)
 
(2015)—
 

American
 
Hospital
 
Association
 
(2015)—Diversity
 
in
 
Health
 
Care:
 
Examples
 
from
 
the
 
Field
 

Exemplar
 

LEADERSHIP
 
AND
 
WORKFORCE
 

National
 
LGBT
 
Health
 
Education
 
Center
 
(A
 
Program
 
of
 
The
 
Fenway
 
Institute)
 
(2013)—
 
Affirmative
 
Care
 
for
 

Training:
 
Defining
 
And
 

Agency
 
for
 
Healthcare
 
Research
 
and
 
Quality
 
(2015)—TeamSTEPPS
 
Limited
 
English
 
 
Proficiency
 
module
 

Breaking
 
Down
 
the
 
Language
 
Barrier:
 
Translating
 
Limited
 
English
 
Proficiency
 
into
 
practice
 
video
 

PEOPLE
 
WITH
 
DISABILITIES
 

Magee-Women’s
 
Hospital
 
of
 
UPMC
 
(n.d.)—Center
 
for
 
Women
 
with
 
Disabilities
 
 

3.
 
Communication
 
and
 
Language
 
Assistance
 


of
 
Minority
 
Health
 
(2005)—
 

LIMITED
 
ENGLISH
 
PROFICIENCY
 
 

Robert
 
Wood
 
Johnson
 
Foundation
 
(2011)—Speaking
 
Together:
 
National
 
Language
 
Services
 
Network
 
 

Improving
 
Patient
 
Safety
 
Systems
 
for
 
Patients
 
With
 
 
Limited
 
English
 
Proficiency:
 
A
 
Guide
 
for
 
Hospitals
 

Agency
 
for
 
Healthcare
 
Research
 
and
 
Quality
 
(2015)—TeamSTEPPS
 
Limited
 
English
 
Proficiency
 
module
 

LIMITED
 
ENGLISH
 
PROFICIENCY

Kaiser
 
Permanente
 
(2014)—Qualified
 
Bilingual
 
Staff
 
Model
 

Exemplar
 

 
Speak
 
Cards
 

Association
 
of
 
Asian
 
Pacific
 
Community
 
Health
 
Organizations
 
(n.d.
 
-
 
Diabetes
 
information
 
is
 
from
 

LOW
 
ENGLISH
 
PROFICIENCY
 
 
AND
 
LOW
 
HEALTH
 
LITERACY

LOW
 
HEALTH
 
LITERACY

Office
 
of
 
Disease
 
Prevention
 
 
and
 
Health
 
Promotion
 
(n.d.)—
 

Engagement,
 
Continuous
 
Improvement,
 
 
and
 
Accountability
 
 

Minority
 
Health
 
(2015)—
 
Ethnically
 
Diverse
 
Medicare
 
Beneficiaries
 

ALL
 
POPULATIONS
 

American
 
Hospital
 
Association
 
(2015)—Diversity
 
in
 
Health
 
Care:
 
Examples
 
from
 
the
 
Field
 
 

Exemplar
 

of
 
Minority
 
Health
 
(2005)—
 

Health
 
Literacy
 
Measures/Assessments
 

RACIAL
 
 
AND
 
ETHNIC
 
MINORITIES
 

L.A.
 
Care
 
Health
 
Plan
 
(2014)—Quality
 
Improvement
 
Program
 
Annual
 
Report
 
and
 
Evaluation
 
(2014)
 

Minority
 
Health
 
(2014)—
 

ALL
 
POPULATIONS
 

COMMUNITY
 
 
ENGAGEMENT
 
(PARTNERSHIP
 
AND
 
ASSESSMENT)
 

ALL
 
POPULATIONS
 

University
 
of
 
Pittsburgh
 
Medical
 
Center
 
(UPMC)
 
(2016)—Center
 
for
 
Engagement
 
and
 
Inclusion
 
 

PEOPLE
 
WITH
 
DISABILITIES
 

Pro
 
Infirmis
 
(2013)—Because
 
Who
 
is
 
Perfect?
 
(public
 
outreach
 
video)
 

RACIAL
 
 
AND
 
ETHNIC
 
MINORITIES
 

L.A.
 
Care
 
Health
 
Plan
 
(2014)—Quality
 
Improvement
 
Program
 
Annual
 
Report
 
and
 
Evaluation
 

Mind
 
Tools
 
(n.d.)—Conflict
 
Resolution:
 
Using
 
the
 
“Interest-Based
Relational”
 
Approach
 

COMMUNICATION
 
OF
 
PROGRESS
 
IN
 
CLAS
 

Governance,
 
Leadership,
 
and
 
Workforce
 
 

Organizational
 
governance
 
and
 
leadership
 
to
 
promote
 
CLAS
 
and
 
health
 
equity
 

 
Reflect
 
and
 
the
 
 
Community
 
it
 
Serves?
 

Training
 
and
 
education
 
for
 
culturally
 
and
 
linguistically
 
competent
 
governance,
 
leadership
 
and
 
workforce
 

Engagement,
 
Continuous
 
Improvement,
 
and
 
Accountability
 
 

CLAS
 
Based
 
Organizational
 
Goals
 
and
 
Policies
 

CLAS
 
Based
 
Conflict
 
Resolution
 

Communication
 
of
 
Progress
 
in
 
CLAS
 

All
 
Populations
 

Association
 
of
 
Academic
 
Health
 
Centers
 
 

The
 
Commonwealth
 
Fund
 
 

CulturaLink
 
 

The
 
Disparities
 
Solution
 
Center

National
 
Center
 
for
 
Cultural
 
Competence

National
 
Collaborative
 
for
 
Health
 
Equity

Quality
 
Interactions

Arizona’s
 
Health
 
Disparities
 
Center

Maryland
 
Office
 
of
 
Minority
 
 
Health
 
and
 
Health
 
Disparities
 

Massachusetts
 
Office
 
of
 
Health
 
Equity
 

Oregon
 
Health
 
Authority,
 
Office
 
of
 
Equity
 
and
 
Inclusion
 

Published
 
literature
 

People
 
with
 
disabilities
 

Administration
 
for
 
Community
 
Living,
 
U.S.
 
Department
 
of
 
Health
 
and
 
Human
 
Services
 
 

Autistic
 
Self
 
Advocacy
 
Network

Health
 
and
 
Disability
 
Advocates
 
 

National
 
Association
 
of
 
the
 
Deaf
 
 

National
 
Council
 
on
 
Disability
 
 

Registry
 
of
 
Interpreters
 
for
 
the
 
Deaf,
 
Inc.
 
 

Limited
 
English
 
proficiency
 

International
 
Medical
 
Interpreters
 
Association
 
 

Limited
 
English
 
Proficiency
 
(LEP):
 
A
 
 
Federal
 
Interagency
 
Website
 

National
 
Council
 
on
 
Interpreting
 
in
 
Health
 
Care
 
 

Think
 
Cultural
 
Health
 
 

Published
 
literature
 

Low
 
health
 
literacy
 

Agency
 
for
 
Healthcare
 
Research
 
and
 
Quality
 
 

Centers
 
for
 
Disease
 
Control
 
and
 
Prevention
 
 

National
 
Institutes
 
of
 
Health
 
 

Polyglot
 
 

U.S.
 
Department
 
of
 
Health
 
and
 
Human
 
Services,
 
Office
 
of
 
Disease
 
Prevention
 
and
 
Health
 
Promotion
 

Racial
 
and
 
ethnic
 
minorities
 

Civil
 
Rights
 
Mediation
 
 

DiversityRX
 
 

Finding
 
Answers:
 
Disparities
 
Research
 
for
 
Change
 
 

Institute
 
for
 
Diversity
 
(an
 
affiliate
 
of
 
the
 
American
 
Hospital
 
Association)
 

National
 
REACH
 
Coalition
 
 

Sexual
 
and
 
gender
 
minorities
 

Center
 
of
 
Excellence
 
of
 
Transgender
 
Health
 
 

Family
 
Acceptance
 
Project
 
 

Fenway
 
Health
 
 

Human
 
Rights
 
Campaign

LGBT
 
HealthLink
 
 

National
 
LGBT
 
Health
 
Education
 
Center
 
 

Parents
 
and
 
Friends
 
of
 
Lesbians
 
and
 
Gays
 
 

Services
 
and
 
Advocacy
 
for
 
Gay,
 
Lesbian,
 
Bisexual
 
&
 
Transgender
 
Elders
 
 

World
 
Professional
 
Association
 
for
 
Transgender
 
Health
 
 


Content: the
 
resource
 
type
 
(e.g.,
 
background
 
information
 
or
 
training
 
material)
 


 
 
the
 
population
 
the
 
resource
 
is
 
relevant
 
to
 
(e.g.,
 
sexual
 
and
 
gender
 
minority,
 
people
 
with
 
disabilities,
 

racial/ethnic
 
minority)
 



 
and
 
each
 
is
 
tagged
 
with
 
a
 
“user”
 
and
 
“setting”
 
to
 
indicate
 
for
 
whom
 
and
 
in
 
what
 
setting
 
the
 
resource
 
is
 
applicable
 


 
 
Appendix
 
1
 
contains
 
resources
 
dated
 
prior
 
to
 
2005. Appendix
 
2
 
contains
 
a
 
list
 
of
 
organizations
 
that
 
advocate
 
on
 
behalf
 
of,
 
or
 
provide
 
additional
 
resources
 
or
 
services
 
to
 
improve
 
health
 
equity
 
for
 
each
 
population. Each
 
entry
 
includes
 
a
 
brief
 
description
 
of
 
the
 
organization
 
and
 
resources
 
that
 
can
 
be
 
found
 
on
 
its
 
Web
 
site. In
 
a
 
few
 
cases,
 
the
 
appendix
 
lists
 
published
 
literature
 
applicable
 
to
 
a
 
population,
 
but
 
that
 
require
 
journal
 
access
 
and
 
are
 
not
 
free. The
 
appendix
 
listings
 
are
 
arranged
 
by
 
population. Some
 
resources
 
are
 
listed
 
in
 
multiple
 
sections. The
 
resources
 
in
 
this
 
toolkit
 
were
 
current
 
at
 
the
 
time
 
they
 
were
 
selected
 
for
 
inclusion. The
 
content
 
was
 
reviewed
 
by
 
an
 
expert
 
panel
 
to
 
ensure
 
relevance
 
and
 
importance. However,
 
the