1. Disparities Registration Questions Effective Date 07/09/2007

2. Agenda Background to Health Disparities CCC Questions and Responses Scripting

3. Training Objectives Staff should be able to: Explain to patients the importance of collecting health disparities data Phrase disparities interview questions according to designated scripts for language, race/ethnicity, education (also for religion and next of kin) Appropriately respond to patient questions or objections to health disparities questions Select choices in CCC that best represent the patient’s answer to health disparities questions

4. Health Disparities Causes Examples Data Collection –Race/Ethnicity –Language –Highest Level and Country of Education Data Use

5. CCC Changes Re-ordered questions Added introductory statement Added highest education and location Re-phrased language question Removed translator field in the registration form Added second next of kin question for all

6. CCC Systems Affected OPD Registration Admit Fiscal Inpatient Admitting Emergency Department Fetal Monitoring OR Scheduling Satellite OB Appointment Scheduling

7. CCC Changes Added Introductory Statement Race/ Ethnicity Moved Religion Added Education ?’s Re-phrased Language Question Added 2 nd Next of Kin

8. When to Ask Questions Every full registration for a new patient Full re-registration if the question was not previously answered

9. Introductory Statement Script: The next few questions are voluntary and confidential and are meant to ensure everyone gets the best care regardless of background.

10. Race/Ethnic Script: Which of the following best describes your race or ethnicity: American Indian, Asian, Black, Hispanic, Middle Eastern, White or Multiple Race/Ethnicity? If patient selects a race, read the CCC options available for that race.

11. Race/Ethnic Options This is only a sample of options. There are more.

12. Religion Script: Would you care to state your religious affiliation?

13. Education Level Script: What is the highest education you completed so far?

14. Education Country Script: Where did you reach your highest level of education so far?

15. Language Script: In what language do you wish to discuss health related concerns?

16. Next of Kin 1 Script: Who do you want to list as your next of kin?

17. Next of Kin 2 Script: Who else would you like to list as your next of kin?

18. General Response Patient declined to answer Patient unavailable to answer

19. General Objections The patient thinks the answers are obvious…. If the patient refuses to answer one of the questions… If the patient still refuses….

20. Conclusion Collecting health disparities information is important to the care of our patients. Using provided scripting ensures the collection of high quality data. Changes are effective 07/09/2007.