5036.0: Wednesday, October 24, 2001 - Board 5

Abstract #21861

Assessing and developing the cultural and linguistic competence of Medicaid providers serving Latinos in Colorado

Alicia Ayala-Quillen, MSW, LCSW, NA, Latin American Research and Service Agency, 309 West First Avenue, Dever, CO 80223, 303-722-5150, N/A

The purpose of this research project is to determine: 1 the extent to which managed care organizations serving Latinos on Medicaid provide a standard of care which is culturally competent; 2) how the State monitors fulfillment of Medicaid managed care organizations'contractual obligations to provide culturally competent care; and 3)the indicators of culturally competent care by patients, providers, and administrators. It will also examine the policies of selected managed care organizations that govern the provision and monitoring of such care.

A three step process will be used to identify the indicators of culturally-competent health care. Step one will consist of separate focus groups convened for the patients and providers. These focus groups will encourage members to relate experiences that summarize for them the epitome and antithesis of culturally-competent care. At the conclusion, the groups will be encouraged to rely on these experiences to develop a list of indicators of cultural competence. Step two, these two lists will be combined into one comprehensive list of indicators of cultural competence. Step three, cultural competence indicators gleaned from a thorough literature review will be added to the indicators elicited through focus groups' interviews.

Learning Objectives: l. Develop an understanding of the degree to which the current Medicaid system in Colorado meets the linguistic and cultural needs of Latino participants and to identify strategies for improvement. 2) Evaluate ways in which community health clinics providing Medicaid managed care have established systems to ensure cultural competence. 3) Increase provider knowledge and skill relative to culturally competent health care services through Latin American research and service agency training.

Keywords: Access to Care, Hispanic

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Latin American Research and Service Agency (LARASA)
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA