CHIA's Public Letters

On behalf of interpreters and LEP patients, CHIA has written to a number of policy bodies about a variety of issues of concern. 

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  • CHIA opposes cuts to Interpreter Services at San Francisco General Hospital - or any other healthcare facility in California! 

    Cutting interpreter services as a "cost-saving" measure may actually lead to increased costs because fewer interpreters means increased amounts of time that physicians wait for an interpreter.  Since doctors earn much more than interpreters do, this is a poor strategy for hospitals looking to save money, and may well also lead to worse health outcomes for patients.

    CHIA Vice President Terry Bautista presented CHIA's perspective to the San Francisco Health Commission Wednesday, February 4.  The Health Commission has oversight of the entire San Francisco Department of Public Health. Here is part of Terry's report on the meeting:

    "Thanks to CHIA members Paolo and Elizabeth for the encouragement as I instantly responded to the distress of Gloria Garcia-Orme, Nurse Manager over Patient Relations at SFGH, who oversees Interpreter Services, Patient Relations, and Patient Triage (a design of Gloria's to address the misdirection, non-information, and site navigation that patients often face when coming into their facility) has not seen recommendations of such deep cuts in all of her 19 years at SF General. Her Patient Relations Triage nurse spoke out, interpreters made appeals, SEIU reps blasted the commissioners, a Spanish-speaking director for services to Day Laborers underscored the negative consequences of cutting bilingual services."

    "My presentation is included here below.  It is fortunate that I was close enough to get to the Commission hearings on the budget cuts in such short notice. Gloria will be writing a letter to CHIA, which will be included in the Spring newsletter."

    "My appeal goes out broadly to CHIA members and others to support the fight against budget cuts of 7.5 interpreter positions at SFGH (50% of department staff), amounting to $500,000 savings. Interestingly, the Commission is retaining programs and services that have to do with intervention, i.e. Health Families and others. I am suggesting a massive letter writing campaign from CHIA members and their respective institutions, the National Council on Interpreting in Health Care and the advocacy groups involved in The California Endowment Language Access network directed to SF Health Commission Chair, Edward Chow, MD. (call the Commission office at 415-554-2666 for an email address for Dr. Chow)  I am concerned that if this cut is successful that other institutions will think that interpreter services are expendable without considering the serious consequences for care providers and their LEP patients. There was mention that hospital services could rely more heavily on alternative services, like Language Line Services and other telephonic interpreter services. (At $3-5 per minute, this does not make sense for LEP patients speaking the principle languages of San Francisco) Let the SF Board of Supervisors and their County Health Commission know that a cut so deep sets a bad precedence! Please forward to your networks."

    Thanks for any help you can give to Gloria and her staff at SFGH.

    Terry, CHIA VP

    For CHIA's letter, click here

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  • CHIA supported AB2739, codifying the diverse policy letters on cultural and linguistic competency contained in the Medi-Cal Managed Care program and the Healthy Families program.  While this California Assembly Bill has now been vetoed by Governor Gray Davis, AB2739, for the first time, contained a definition of a "healthcare interpreter" as someone who has received training in healthcare interpreting!  This is still not a requirement for a "certified" interpreter, but this would have been a good start!! 
  • Click here for the letter submitted by CHIA
  • Click here for the Action Alert & more information on AB2739
  • Click here for a copy of AB2739 , as amended April 24, 2002, or you can go to California State website for the latest info (you will need to plug in "AB2739" into the search engine.
    (in Adobe PDF format)
  • Letter to California State Personnel Board recommending creation of a special Advisory Board for the Medical Interpreter Certification (tested under subcontract by Cooperative Personnel Services) 
    (Feb. 2002)
    Click here for this letter  (in Adobe PDF format)
  • CHIA comments on the proposed regulations for CA Department of Managed Health Care regulated HMOs on cultural and linguistic competency issues in the Grievance procedures  (Spring 2001)
    Click here for the letter submitted by CHIA
    (In Adobe PDF format)
  • CHIA supported the OCR Policy Guidelines signed on for a letter written by the National Health Law Program (Sept. 2000)

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