Oakville Medical Center's recent visit by the joint commission revealed a deficit in cultural competence amongst health-care providers. Hospital administrators questioned the findings, citing a variety of policies and procedures that clearly outlined the hospitals requirements of their workforce that are specific to cultural competence. The site inspectors noted that after the point of admission, there was a lack of effective communication and an apparent lack of cultural competence. Further, it was reported that rather than focusing on patient and family-centered care, Oakland seemed to treat patients using a "standardized, one-approach-fits-all" approach. Oakland Medical Center was given time to make a plan of correction before a final site report was complete. Administrators created a five-member work group to review the report findings, determine where the center should focus their interventions, and provide recommendations for the plan of correction. When the five work-group members met, they immediately saw that while they all agreed the breakdown in cultural competency initially occurs at the time of assessment, each had a different perspective on the approach. Which of the following options should be included in the plan of correction? (Select all that apply.)

Question

Quizplus · Accepted Answer

A.Correct. After a direct admission or admission through the ER, clinical assessments are performed that determine the care, treatment, and any services needed to care for the patient. Since this seems to be the area of concern for the commission, a plan to dig deeper into patient needs than what was collected during admission would assist staff in providing the level of care required.
B.Correct. By identifying the provider role in caring for the patient at introduction, each provider would demonstrate sensitivity to the patient/family preferences and also the provider has the opportunity to learn of any cultural considerations that should be noted.
C.Incorrect. Although patient rights may vary, the patient bill of rights is provided during admission, which occurs prior to assessment. Oakland should, however, ensure that the patient bill of rights is available in multiple languages and in alternative formats (audio, visual, written, etC.).
D.Incorrect. The treatment phase occurs after assessment. Any issues associated with cultural competence and treatment may be rectified if the assessment procedures are appropriately considerate of the transcultural context.
E.Correct. Shared understanding between the patient and providers is critical for the best possible care. Often times both cultural and/or religious beliefs can be clarified by asking patients why they think the illness/problem occurred or what they feel their biggest problem is as it relates to their current health issue.

Oakville Medical Center's Recent Visit by the Joint Commission Revealed