LEP Meeting Minutes

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LEP Meeting #1

Date: Wed. Oct. 21, 2021 Time:

Attendees: Ariel Brown, Maria F., Sara P., Shelly Z., Adrienne H.,

Agenda Items:

- Introductory PowerPoint
- Ariel’s Lit review recaps
- Discuss: Next steps
- Plan: Future meetings

Action Items: Ariel to send Maria Lit review & articles to distribute to team

Notes – N/A

LEP Meeting Minutes

Meeting # 2

Date: Wed Oct.27, 2021 Time: 2 hrs.

Attendees: Ariel Brown, Joanette V. , Shelly Z. , Sara P. , Faye L. , Adrienne H. , Alisha B. , Maria F.

Agenda Items: Go over lit reviews & start discussion of project direction.

Home Work: Finish up lit reviews for Maria, Adrienne, Joanette and Sara

Action Items: Maria to Ask Press Gainey for more in-depth language & race options (“Asian” is too
broad)

Notes – N/A

Suggestion: Barriers + concerns Idea tree should be put in nurse breakrooms (not on 2nd & 4th)

 Consider unit councils

 REVAMP: how we collect demographic info. Think about preferred language and the fluency
(conversational vs. medical/legal). Potentially ask “What language is best for helping you make
important medical decisions with ease”
 Importance of Rigor and emphasis on randomized interviews to decrease bias and increase
sample size to improve validity (double blind methods)
 ISSUE: Knowledge & accessibility of iPads for translation in EJCH
  We discussed literature reviews for (See below for article & completion status)
Language barriers and their impact on provision of care with LEP Joanette Vargas DONE

Language Translation Apps in Health Care Settings_ Expert Opinion Joanette Vargas

Using mobile technology to overcome language barriers in medicine Shelly Zhang DONE

Utility of mobile technology in medical interpretation: A literature review of current Shelly Zhang DONE
practices

Evidence-based approaches to breaking down language barriers Sara Patrick DONE

Exploring the ‘Patient Experience’ of Individuals with LEP- a scoping review Sara Patrick

Attitudes and concerns of doctors and nurses about using a translation application for in- Faye Lim DONE
hospital brief interactions with Korean patients

Confronting Barriers to improve healthcare literacy and cultural competency in disparate Adrienne Harris
populations

Impact of limited English proficiency and physician language concordance on reports of Adrienne Harris
clinical interactions among patients with diabetes

Latinos and Cancer Information

Loss of Patient-Centeredness in Interpreter Mediated Primary Care Visits Faye Lim DONE

Machine or Human

Patient Provider Communication Disparities among LEP Patients Maria Fernandez DONE

Assessing Influence of Patient Language Preference on 30-day readmission rate Maria Fernandez

Improving the Collection of Race, Ethnicity and Language Data to reduce Healthcare Alisha Burgess DONE
Disparities: A Case Study

LEP Meeting Minutes

Meeting # 2.1

Date: Tues. Nov. 2, 2021 Time: 1 hour

Attendees: Ariel B., Maria F., Adrienne H.

Agenda Items:

- Thoughts? Last week’s recap/feedback

- Discuss: Questions to ask on “idea tree”
o Survey Monkey?
- Planning: Tomorrow’s meeting

Other Items

- Pain Conference Planning

Action Items: Get statistician for analysis to determine best research practices and methods

Patient list (do chart review on nurses etc. and translation usages)

Notes –

Suggestion: Do a pre & posttest and track errors using state reports and patient charts

Question: Do we encourage use of interpreters for providers & not just at patient’s request?

Question: Do we want to use patients w/ family translations? What’s best practice & how do we get
there?

Question: Does age of care taker play a role in likelihood of using translation service?

Focus groups – Compare primary and secondary English speaking clinicians & follow physicians to see
how they communication.

Telephone line – Compare and contrast usage rates (Adrienne can look up #’s to identify caller)

LEP Meeting Minutes

Meeting #3

Date: Wed Nov. 3, 2021 Time: 2:20-3:30

Attendees: Ariel B. , Faye L. , Alisha B. , Joanette , Maria F. , Shelly z. , Adrienne H. , Gloria (zoom)

Agenda Items:

- Discuss research topic : The proposal of cross cultural communications comparing secondary
English speaking nurses vs. Native English speaking nurses and their utilization of translation
Services for LEP patients
o Suggestion:
- Idea tree : Propose questions to ask & plan when to ask
o Suggestion: Consistently remind nurses to fill out tree & provide resources (pen, stickies
etc.) for easy access.
o Consider incentives to encourage nurse participation (Mentioned utilizing a floor
percentage in order to reward & have nurses hold each other accountable)
o Hold off on Tree for now
- Focus groups : If we want to use them as part of research or not
o Suggestion: Including more people (Nurse, techs, providers, rehab)
o Hour long sessions
o Time – 7:45-8 AM for night shift participants and 2PM for day shift
- Discuss: Questions Ariel Came up with
 o Suggestion:
- School of nursing statistician (NOT DISCUSSED)

Action Items: Ariel to send Maria updated questions to email to Gloria and the rest of the team.
Adrienne & Sara to look into IRB approvals.

Ariel to collect Lit reviews from everyone

Considerations: Adding 6th floor patients to study

Notes –

- Keep in mind : Faye had 10 Korean patients on the 6th floor alone this week (seeing an increase
in Korean patients)
rd th
- Small focus groups for 3 , 6 , ED & CDU
- Korean nurses speak Korean with patients (& it isn’t captured) which causes tension / boundary
overstepping with primary nurse at times.
- Last week’s recap: Emphasized research focus on mother baby & 4 th floor patients and looking
at their translation usage due to ease of access and sample size.
- Question: What percentage of EJCH staff Speaks English as a secondary language / not a native
speaker?
- Question: Focus groups on what are the barriers, how can we improve, what are your thoughts?
And other open ended questions that won’t steer a specific response.

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LEP Meeting Minutes

Meeting # 3.1

Date: Tues. Nov. 9, 2021 Time: 1.5 hrs.

Attendees: Ariel B., Adrienne H., Maria F.

Agenda Items: Meeting 11/15 With Ariel, Maria & Adrienne to discuss agenda for LEP steering team on
11/17

Home Work: Adrienne to send IRB info and previous research project as guide for moving forward
PICOT

Note - We are closing in on the direction for the LEP research. The direction seems to be leaning
towards doing a study that focuses on cross-cultural communications between LEP patients and non-
native English speaking clinicians; however, more research needs to be done to solidify potential
research questions & if there is an adequate structure within EJCH to perform this research.
 LEP Meeting Minutes

Meeting #3.2

Date: Nov. 16, 2021 Time: 1 Hour

Attendees: Ariel B., Adrienne H., Maria F.

Agenda Items: Discuss next steps, IRB approvals and direction for next meeting

Action Items: Maria to create Agenda for next larger group meeting

Notes –

Adrienne spoke to Pocket Talk

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LEP Meeting Minutes

Meeting #4

Date: Nov. 17, 2021 Time: 1 Hour

Attendees: Ariel B. , Adrienne H. , Maria F. , Shelly Z. , Faye L. , Gloria N. , Joanette V. , Alisha B., Sara P.
(zoom)

Agenda Items: Review research question, Complete PICOT (Population, Intervention, Comparison,
Outcome, Time) Chart, High-level Timeline, Next steps

Action Items: EVERYONE to look at gaps in literature; Focus on all languages to see what works as an
intervention for LEP patients (exclude Spanish speakers since there are more tools and studies catered
to Spanish LEP patients). Look 4 validated survey Q’s around communication. EVERYONE to email Ariel
previous LIT review

Notes –

Nurses have asked 4 tips on using Cyracom w/o condensing things to get quicker translations & are
feeling like pt. care isn’t as effective 4 LEP patients.

Gap in patient centered care concerns

Nurse and patient frustrations with lack of translation or cultural meanings being lost in translation

Question: What gaps are we trying to fill in the research?

Question: Does compliance w/translation technology protocols overshadow true patient care &
decrease humanity?
Question: How do you do EDITH w/ an LEP patient?

Ideas to date - Focus on Perceptions of care with Non-native English speaking caregivers w/ LEP VS.
Native English speakers and LEP patients.

PICOT

Problem - Since ACA in 2010 health outcomes for LEP patients have improved but maintained 10% gap
in perceptions of care based on patient - care team communication w/ correlations to LOS rates

Population - Korean + Spanish; Inpatient (+18), nurses; Excluding Dementia patients

Intervention - ?

Comparison - ?

Outcome - Equitable healthcare, HCAHPS, Healthcare perceptions of communication; Implications on

communications responsiveness

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LEP Meeting Minutes

Meeting #

Date: Time:

Attendees:

Agenda Items:

Home Work:

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