Improving Access to and the Quality of Health Care: What the Private Sector Offers Michael Greenbaum CEO, CyraCom Introduction “Be careful about reading health books. You may die of a misprint.” Attributed to Mark Twain Introduction Key role of the private sector Assist with breadth of language services Benefits include: - Increased patient safety - Cost avoidance - Operational efficiency Private Sector Offerings Contract interpreters On demand telephonic interpretation Language services program assessments Interpreter assessments Document translation Private Sector Offerings Technological innovations - Phone infrastructure - Reporting tools and integration into institutions’ management systems - Responsiveness to varying functional needs Benefits of Increased Interpreter Availability Benefits of Increased Interpreter Availability Increased availability leads to patient safety by providing access to language services - Increased number of languages - Decreased wait time to engage interpreter Cost Benefits Maximize usage of interpretation resources When interpretation resources not available providers may resort to other means that each have a cost: - Dual-role bilingual employees (“dual role”) - Bilingual family members - “Pantomime” interpretation Lack of interpretation services leads to increased admission rates, IV interventions and testing costs Operational Efficiencies Telephonic and contract interpreters - Increase speed to engage interpreter - Increase number of languages available on demand Assessments that test medical interpretation skills - Ensure rapid and accurate interpretation Reporting by department and language - Manage best mix of interpretation resource Impact on the Bottom Line Using telephonic interpretation minimizes: Out of pocket cost for contractors Labor cost for staff interpreters Burdened staff cost of dedicated interpreters Opportunity costs for space and staff Solutions Provided by Private Sector Trained interpreters Telephone hardware Software logic Web-based reporting tools Improving Access to and the Quality of Health Care: What the Private Sector Offers Michael Greenbaum CEO, CyraCom