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Child Hospitalization Communication, Quality & Safety Survey – Limited English Proficiency (CHCQSS-LEP)

The Child Hospitalization Communication, Quality & Safety Survey – Limited English Proficiency (CHCQSS-LEP) is a parent-completed survey that measures the portions of quality and safety of care that are impacted by efficient and effective communication. It was specifically developed to asses the cultural sensitivity of a children’s hospital care for Spanish speaking families who cannot speak, read, write or understand the English language well enough to interact effectively with health care providers. This survey screens for children with special health care needs (using the CSHCN Screener), the child’s age and gender, and the timeframe of the child’s most recent hospital stay, and covers the following eight topics:

  • LEP Status Screener (based on Federal definition of LEP)
  • Need and Availability of Translation/Interpreter Services
  • Language of Written Forms
  • Consent and Understanding of Medical Procedures
  • Information and Understanding Medicines for Child
  • Getting Needed Help and Information
  • Admission to Hospital
  • Discharge

The CHCQSS-LEP takes 10-15 minutes to complete and can be administered over the telephone or in-person. The CHCQSS-LEP may be integrated into a more comprehensive survey or isolated topics can be administered depending on what information you are hoping to gather. It is available in English and Spanish.

The Need for the Survey

National attention has increasingly focused on the need to incorporate the identification and elimination of cultural, racial and ethnic disparities in health care quality into quality measurement and improvement efforts. The Affordable Care Act provides resources that promotes cultural competency. Cultural competence, the ability to interact effectively and respectfully to people of differing cultures, is an integral component of ensuring family-centered care. Family centered care, engaging the patient in a respectful patient-provider relationship, has been shown to increase the quality and safety of health care. With language and cultural barriers it is harder to communicate effectively and engage the patient. This survey can identify areas of improvement and measure the effectiveness of improvement efforts to increase the quality and safety-related aspects of communication for LEP families.

Implementation Materials

  • Please contact us to receive additional materials and tell the CAHMI how you are using the survey.
  • Communication and Culture: The Common Denominator in Improving Quality and Safety of Care for Children. This toolkit for innovative health care leaders provides an overview of CHCQSS-LEP, the English and Spanish version of the survey, and models for improving communication with Limited English Proficient (LEP) hospitalized Latino children and their families.

Additional Information

  • Quality and Safety of Hospital Care for Children from Spanish-Speaking Families with Limited English Proficiency. This research article reports on focus groups of parents/guardians with Limited English Proficieny (LEP), health care professionals, and hospital quality improvement professionals regarding communication in health care. A paper summarizing these findings is available at the Commonwealth Fund website.
  • Quality, Patient Safety and Hospital Care for Latino Children: Addressing Parent and Provider Communication Challenges. This presentation shows the shared and unique themes emerging from the focus groups.
  • Measuring and Interpreting Health Care Quality Across Culturally-Diverse Populations:A Focus on Consumer-Reported Indicators of Health Care Quality. “The purpose of this paper is to identify key issues and opportunities to advance the state of the art in consumer-reported measurement and communication of health care quality information for culturally-diverse populations. We focus on the issues of identification, measurement and interpretation of results from consumer-reported surveys of health care quality.”
  • Estimating and Interpreting Variations in Consumer Reported Health Care Quality Across Culturally Diverse Populations. This presentation identifies and illustrates key issues and concerns in estimating and interpreting consumer reported health care quality information for culturally diverse populations and presents data on quality of care received based on ethnicity.

In Partnership With: The Commonwealth Fund / The California Endowment / Florida Initiative for Children’s Healthcare Quality (FLICHQ) / All Children’s Hospital / Children’s Hospital in San Diego / and the Maternal and Child Health Initiative at San Diego State University / Lisa Simpson, Judi Vitucci, Rebecca Olsen, Carla Nelson, Lillian Barreiro, Milagros Abreu, Glenn Flores, Paul Kurtin, Elisa Sobo, Susan Hedges, and Leticia Reyes Gelhard.