268248 Starling Bedside Communication System – Assessing the efficacy of a patient-initiated, multilingual request conveyance system

Monday, October 29, 2012 : 10:30 AM - 10:50 AM

Margaret Bradley, MPH , LanguageMate, New York, NY
Jorge Bernal , 102 West 38th Street, LanguageMate, New York, NY
Bill Z. Tan, BS , LanguageMate, New York, NY
Background: Patients with limited English proficiency (LEP) are among the most vulnerable of the country's population. LEP status can result in a greater likelihood of misdiagnosis, incorrect treatment, and increased length of hospital stay, all of which lead to decreased quality of care. The medical field is in dire need of innovative solutions that improve patient-provider communication in hospital settings. In response, we developed a multilingual bedside request conveyance system, dubbed Starling™, which allows LEP inpatients to articulate frequent patient care requests to nursing staff in their own language.

Objective/Purpose: The purpose of this study is to evaluate the effectiveness and adoptability of the Starling™ System in a real-world hospital setting.

Methods: Four-month efficacy studies are currently being implemented with partner hospitals, where two comparable inpatient units will be selected – an intervention unit, which will receive the Starling™ System, and a control unit, which will receive usual care. Both units will collect data on key performance indicators throughout the project. Patient satisfaction with the System and their hospital stay will be assessed using post-hospitalization surveys and HCAHPS data; data regarding the System's impact on nurse workflow and patient-provider communication will be collected using system utilization data, surveys, and qualitative methods. Data will be analyzed for within- and across-group changes resulting from the implementation of the Starling™ System.

Results: Preliminary results from this study will be available for presentation at the time of the meeting.

Discussion: The Starling™ System promises to be an effective means through which hospitalized LEP patients and nursing staff can communicate, and can play a positive role in improving the quality of care for this underserved population.

Learning Areas:
Administer health education strategies, interventions and programs
Communication and informatics
Diversity and culture
Provision of health care to the public
Public health or related nursing
Social and behavioral sciences

Learning Objectives:
1.Discuss the impact of language on the quality of medical care and patient-provider interactions. 2.Discuss the potential for a bedside request conveyance system to improve patient satisfaction and nurse productivity. 3.Define future directions for technology-based interventions aimed at improving health communication between patients and providers.

Keywords: Information Technology, Communication Technology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversee programs regarding health communication, health information technology, health literacy, and language barriers.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
StarlingHealth Health IT Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.