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Improving Cultural and Linguistic Access for Equitable Healthcare

Award Number: CPIMP221348
ORGANIZATION: OFFICE OF MINORITY HEALTH
OPDIV: DHHS/OS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 09/30/2022
PERIOD OF PERFORMANCE END DATE: 09/29/2026

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Improving Cultural and Linguistic Access for Equitable Healthcare - The 27 million households in the United States who report having limited English proficiency (LEP) face a critical language barrier to all fundamental aspects of their lives, including accessing and receiving equitable healthcare. Medical miscommunications, misdiagnoses, and treatment errors disproportionately affect individuals with LEP and contribute to health disparities. Language concordance is the gold standard in healthcare and occurs when patients can directly converse with their health care providers or with certified medical interpreters in their preferred language. In this grant, we seek to remove cultural and linguistic barriers to equitable health care for people with LEP who access emergency and primary care services at an inner-city safety net hospital by using a multi-factorial implementation sciences approach to address three constituencies: people with LEP, the clinical workforce who care for people with LEP, and hospital-based policies and practices that support people with LEP. For people with LEP, our approach is awareness of language access rights and access to interpreter training. We will work with eight multi-ethnic community-based organizations and their clients to develop and disseminate culturally and linguistically responsive language access rights awareness campaigns. For community residents who are fluently bilingual, we will provide scholarships for language fluency and certified medical interpreter courses to increase the number of certified medical interpreters in languages additional to Spanish. For patients with LEP who access emergency or primary care services at the hospital, we will provide updated patient-facing materials to increase awareness and encourage them to ask for certified interpreter services. We will also create a curricular component for academic and community-based ESL programs to broaden awareness about language access and interpreter courses for non-native English-speaking students. For the clinical workforce who care for people with LEP, our approach is education/awareness, environmental cues, and changes in informatics systems (EHR). We will create a best practices educational program in four areas: language access rights for people with LEP including changes in Electronic Health Record (EHR) documentation, fluency exam/certified interpreter programs, health literate skills (i.e., Teach-Back) when working with interpreters, and not using ad-hoc interpreters when treating patients with LEP. A central component of this program is behavior change through modification of EHR documentation along with other environmental cues for the clinical workforce. For policy and practices, we will review and analyze existing policies and procedures in the hospital’s Language Interpretive Services, Emergency Department, Nursing, Marketing, Informatics, and Human Resources departments as well as the health equity/language access identification policies at the two schools of medicine who educate and provide the physician and advanced provider clinical staff to the hospital. Our goal is to decrease gaps in policy and practice for supporting individuals with LEP who currently need or who seek healthcare. The establishment of a hospital-wide Language Access Committee with relevant stakeholders and end users will ensure that meaningful changes are made to current policies, procedures, and practices. This kind of multi-sector collaboration among academia, clinical medicine, and community organizations to remove cultural and linguistic barriers to equitable health care for people with LEP has the potential to provide a replicable and sustainable model for other communities and health systems. Health literate, culturally and linguistically responsive healthcare reduces hospital readmissions, improves health outcomes, and removes barriers to equitable healthcare for people with LEP.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	02	3	3/17/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	01	3	9/17/2025	EXTENSION WITH OR WITHOUT FUNDS	$0
2025	2023	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	01	3	9/17/2025	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $374,997 )
2024	2024	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	00	3	9/11/2024	NON-COMPETING CONTINUATION	$374,997
2024	2023	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	00	3	9/11/2024	NON-COMPETING CONTINUATION	$0
2024	2023	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	01	2	3/25/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $374,997

Issue Date FY: 2023 ( Subtotal = $368,854 )
2023	2023	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	00	2	9/20/2023	NON-COMPETING CONTINUATION	$368,854
2023	2022	Georgia State University Research Foundation, Inc.	58 Edgewood Ave NE 3rd FL	Atlanta	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	01	1	2/27/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION INC	58 EDGEWOOD AVE NE	ATLANTA	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	00	2	9/20/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $368,854

Issue Date FY: 2022 ( Subtotal = $310,076 )
2022	2022	GEORGIA STATE UNIVERSITY RESEARCH FOUNDATION, INC.	58 Edgewood Ave NE 3rd FL	Atlanta	GA	30303	FULTON	USA	Community Programs to Improve Minority Health	00	1	9/16/2022	NEW	$310,076
														Subtotal = $310,076

Grand Total All Awards = $1,053,927

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Improving Cultural and Linguistic Access for Equitable Healthcare

Award Number: CPIMP221348

ORGANIZATION: OFFICE OF MINORITY HEALTH

OPDIV: DHHS/OS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 09/30/2022

PERIOD OF PERFORMANCE END DATE: 09/29/2026

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