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Language Access, Accessibility, and Nondiscrimination

Provides free, accurate and timely language assistance and auxiliary aids to every patient and representative who needs them; identifies needs at the first contact; uses qualified interpreters and translators and never minors except in an emergency; gives the notices of nondiscrimination and of available language help where Section 1557 applies; and handles discrimination complaints.

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About this policy
Policy number
OH-HH-PR-04
Version
1.0
Main rule
42 CFR §484.50(f)
Library
Ohio home health · 59 policies
Category
Client rights
Sections
19

In short

  • Ask every patient at the first contact what language they prefer and whether they need an aid, such as sign language or large print.
  • Use a qualified interpreter, free of charge. Never use a child to interpret except for a moment in an emergency.
  • Do not use family or friends to interpret unless the patient asks for it in private with a qualified interpreter present, or there is an emergency.
  • Record every interpreter or aid you use in the visit note.
  • Tell the clinical manager if a patient’s communication needs are not being met.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §484.50(f))
  • 5. Identifying Language and Communication Needs
  • 6. Interpreters
  • 7. Written Translations and Alternative Formats
  • 8. Patients With Disabilities
  • 9. Notices
  • 10. Qualified Bilingual Staff
  • 11. Complaints of Discrimination
  • 12. Responsibilities
  • 13. Records and Compliance Monitoring
  • 14. Staff Training
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • How do you find out at intake what language a patient prefers and whether they need an auxiliary aid?
  • Show me how you documented the interpreter used for this patient’s admission visit.

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