Cultural Competency

Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches
This report, funded by The Commonwealth Fund and authored by R. Betancourt, M.D., Alexander R. Green, M.D., and J. Emilio Carrillo, M.D., spotlights a diverse group of health care organizations striving to improve access to and quality of care for a growing minority and immigrant population.

Cultural Competence Policies and Other Predictors of Asthma Care Quality for Medicaid-Insured Children
Tracy A. Lieu, Jonathan A. Finkelstein, Paula Lozano, Angela M. Capra, Felicia W. Chi, Nancy Jensvold, Charles P. Quesenberry and Harold J. Farber Pediatrics 2004;114;E102

Serving Consumers from a Multi-Cultural Perspective.
A PowerPoint by Fabricio Balcazar, Celestine Willis, Francisco Alvarado, and Gwenea Jackson-McDaniel

Health Literacy

AHRQ Health Literacy Universal Precautions Tool Kit
The Agency for Healthcare Research and Quality (AHRQ) commissioned The University of North Carolina at Chapel Hill to develop and test this Health Literacy Universal Precautions Toolkit. It provides step-by-step guidance and tools for assessing your practice and making changes so you connect with patients of all literacy levels.

Cultural Competence Policies and Other Predictors of Asthma Care Quality for Medicaid-Insured Children
This study, authored by Lieu, MD, MPH, Finkelstein, MD MPH, et al., in PEDIATRICS Vol. 114 No. 1 July 1, 2004,pp. E102 -E110 (doi: 10.1542/peds.114.1.e102), addresses the critical gap in information about which practice-site policies and features influence asthma care quality for Medicaid-insured children.

Health Literacy Practices and Educational Competencies for Health Professionals: A Consensus Study
Journal of Health Communication: International Perspectives, 18:sup1, 82-102, DOI. Clifford A. Coleman, Stan Hudson, and Lucinda L. Maine (2013). Of particular relevance is Table 5—a list of best practices.

Health Literacy Training: Achieving CCO [Accountable Care Organizations] Objectives Through Advanced Patient-Centered Communication
A PowerPoint by Cliff Coleman to provide actionable information about health literacy.

Motivational Interviewing

Motivational Interviewing
This website provides resources for those seeking information on Motivational Interviewing. It includes general information about the approach, as well as links, training resources, and information on reprints and recent research.

Related Articles:

Hettema, J, Steele J., & Miller, W., (2005). Motivational interviews. Annu. Rev. Clin. Psychol 1:91-111. doi:10.1146/annurev.clinpsy.1.102803.143833
(First published online as a Review in Advance on December 17, 2004).

Linden, A., ButterworthS. & Prochaska, J. O. (2010). Motivational interviewing-based health coaching as a chronic care intervention. Journal of Evaluation in Clinical Practice. 1300 166-74. doi:10.1111/j.1365-2753.2009.01300

Lundahl B, et al. (2013). Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials. Patient Education and Counseling.

Miller, W. R. & Rose, G. S. (2009). Toward a theory of motivational interviewing
Am Psychol. September; 64(6): 527-537. doi:10.1037/a0016830

Rubak, S., Sandbæk, A., Lauritzen T., & Christensen, B. (2005). Motivational interviewing: a systematic review and meta-analysis. British Journal of General Practice, April, 305-312.

VanBuskirk, K. A., & Wetherell, J. L., (2014). Motivational interviewing used in primary care a systematic review and meta-analysis. J Behav Med. August 37(4): 768-780. doi:10.1007/s10865-013-9527-4

Patient Engagement and Activation

A Road Map for Patient and Family Engagement in Healthcare
In recognition of the importance of patient and family engagement, the Gordon and Betty Moore Foundation funded the American Institutes for Research to develop a roadmap for practice and research. The roadmap is a call to action for anyone interested in advancing work related to patient and family engagement. Additional resources provide information to help think about how to implement the strategies and tactics listed in the roadmap.

AHA's A Leadership Resource for Patient and Family Engagement Strategies
This resource gives hospital and health system leaders concrete, practical steps grounded on evidence-based research to improve patient and family engagement in their organizations.

Center for Advancing Health
A series of resources on supporting patient and family engagement.

Have You Really Addressed Your Patient's Concerns?
Ronald M. Epstein, MD, Larry Mauksch, MEd, Jennifer Carroll, MD, MPH, and Carlos Roberto Jaén, MD, PhD, Fam Pract Manag. 2008 Mar;15(3):35-40. This article describes how to use principles of patient-centered communication to structure the initial moments of a medical encounter so that the physician can more reliably elicit, explore, and respond to patients' concerns.

Partnership for Patients
Partnership for Patients Community of Practice's dedicated Resource Center for sharing public documents, presentations, webinar recordings and other helpful tools.

Patient Activation
Insignia Health's Patient Activation Measure® (PAM®) assessment gauges the knowledge, skills and confidence essential to managing one's own health and healthcare.

The Commonwealth Fund's Promising Practices for Patient-Centered Communication with Vulnerable Populations: Examples from Eight Hospitals
This 2006 Commonwealth Fund report, authored by Matthew Wynia and Jennifer Matiasek, identifies "promising practices" as starting points for hospital and health care system leaders to encourage patient-centered communication in their own organizations to better communicate with vulnerable patients.

The Current State of Patient and Family Engagement Strategies in American Hospitals
This AHA webinar featured three case studies, all of which excel in engaging patients and their families, the University of Illinois Hospital and Health Sciences System, Health Central Hospital in Florida and Schneck Medical Center in Indiana.

Shared Decision Making Tools

Dartmouth Center for Shared Decision Making
The Center for Shared Decision Making opened in 1999 as the first center in the U.S. dedicated to encouraging doctors and patients to make decisions together.

Demonstration Video of Shared Decision-Making in Office Visit -Victor Montori, MD.
For more information, see, The Diabetes Mellitus Medication Choice Decision Aid: A Randomized Trial, Mullan RJ, Montori VM, Shah ND, et al. Arch Intern Med. 2009;169(17):1560-1568. doi:10.1001/archinternmed.2009.293.

Mayo Clinic Shared Decision Making National Resource Center
The Mayo Clinic Shared Decision Making National Resource Center advances patient-centered medical care by promoting shared-decision making through the development, implementation, and assessment of patient decision aids and shared decision-making techniques.

Trauma Informed Care Resources

Substance Abuse and Mental Health Services Administration (SAMHSA)
SAMHSA leads federal efforts to promote trauma-informed approaches to health care through campaigns, technical assistance, and other resources and addresses the impact of trauma on individuals, families, and communities as a behavioral health concern that requires a healing and recovery process.

The National Child Traumatic Stress Network (NCTSN)
The National Child Traumatic Stress Network was established to improve access to care, treatment, and services for traumatized children and adolescents exposed to traumatic events. NCTSN's mission is to raise the standard of care and improve access to services for traumatized children, their families, and communities throughout the United States.

Trauma Informed Oregon
A statewide collaborative aimed at preventing and ameliorating the impact of adverse experiences on children, adults and families. Trauma Informed Oregon works in partnership to promote and sustain trauma informed policies and practices across physical, mental, and behavioral health systems, and to disseminate promising strategies to support wellness and resilience.