Disparities Registration Questions

Effective Date 07/09/2007

Agenda• Background to Health Disparities

• CCC Questions and Responses

• Scripting

Training ObjectivesStaff 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

Health Disparities • Causes

• Examples

• Data Collection– Race/Ethnicity

– Language

– Highest Level and Country of Education

• Data Use

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

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

CCC ChangesAdded Introductory Statement

Race/ Ethnicity

Moved Religion

Added Education ?’s

Re-phrased Language Question

Added 2nd Next of Kin

When to Ask Questions• Every full registration for a new patient

• Full re-registration if the question was not previously answered

Introductory Statement

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

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.

Race/Ethnic Options

This is only a sample of options. There are more.

Religion

Script: Would you care to state your religious affiliation?

Education Level

Script: What is the highest education you completed so far?

Education Country

Script: Where did you reach your highest level of education so far?

Language

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

Next of Kin 1

Script: Who do you want to list as your next of kin?

Next of Kin 2

Script: Who else would you like to list as your next of kin?

General Response• Patient declined to answer

• Patient unavailable to answer

General Objections

The patient thinks the answers are obvious….

If the patient refuses to answer one of the questions…

If the patient still refuses….

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.