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Darci L. Graves, MPP, MA, MASenior Health Education and Policy Specialist
Health Determinants & Disparities Practice
at SRA international, Inc.
Bringing CLAS and Equity to Systems Impacting Health
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Presentation to the
MHQCC - Cultural and Linguistic
Competency Workgroup
Overview
•Terminology
•Cultural competency - Is and Isn’ts
•Compelling Need
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TERMINOLOGY
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Culture
The integrated pattern
of thoughts,
communications, actions, customs, beliefs,
values, & institutions
associated, wholly or
partially, with racial, ethnic, or linguistic
groups as well as
religious, spiritual,
biological, geographical, or sociological
characteristics.
Culture is dynamic in
nature, & individuals may
identify with multiple
cultures over the course of their lifetimes.
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Cultural Competency
A developmental process in which
individuals or institutions achieve
increasing levels of awareness,
knowledge, and skills along a
continuum.
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Cultural competency is a developmental
process in which individuals or institutions
achieve increasing levels of
awareness, knowledge, & skills along a
continuum.
• valuing diversity
• conducting self-assessments
• managing the dynamics of difference
• acquiring & institutionalizing cultural knowledge
• adapting to diversity & cultural contexts in communities
CULTURAL COMPETENCY
What it is… What it isn’t…
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Cultural competency is:
Knowing your
community
is not:
Simply good
intentions
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Cultural competency is:
Understanding all
people have a
unique world
view
is not:
Cultural
celebrations at
designated times
of the year, in
designated ways
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Cultural competency
is:
Providing services
respectful of and
relevant to the cultures
represented in the
patient population
is not:
A list of stereotypes
about what people
from a particular
cultural group do
Assumptions that
everyone from one
culture operates in
similar ways and has
had similar experiences
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Cultural competency is:
Being alert to the
ways that culture
affects who we
are
is not:
Solely the
responsibility of
patients, their
families or the
community
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Cultural competency is:
Examining
systems,
structures,
policies and
practices for their
impact
is not:
Simple
tolerance
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COMPELLING NEED
Social… Business…
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Compelling Need: Social
• To respond to current and projected
demographic changes in the United States.
• To eliminate long-standing disparities in the
health status of people of diverse
racial, ethnic and cultural backgrounds.
• To improve the quality of services and health
outcomes.
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National Center for Cultural Competence (2003)
To respond to current and projected
demographic changes in the United States.
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To eliminate long-standing disparities in the health status of
people of diverse racial, ethnic and cultural backgrounds.
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To improve the quality of services and health
outcomes.
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Compelling Need: Business
• To meet legislative, regulatory and
accreditation mandates.
• To gain a competitive edge in the market
place.
• To decrease the likelihood of liability/
malpractice claims
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National Center for Cultural Competence (2003)
To meet legislative, regulatory and accreditation
mandates.
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To gain a competitive edge in the market place.
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To decrease the likelihood of liability/ malpractice
claims
intoxicado
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RESOURCES
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Think Cultural Health
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National CLAS Standards
E-learning programs
Join the CLCCHCCLAS
Clearinghouse
TCH
Advancing health equity at every point of contact
National CLAS Standards: The Blueprint
• The Case for CLAS
• The Enhancements
• Standard by
Standard chapters:
• Purpose
• Description
• Strategies
• Resources
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