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  5. CLAS Standards Survey for CPMC

CLAS Standards Survey for CPMC

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Exit Survey
 
 
To help us better serve our patients, please complete this survey and submit it once it is completed. The survey can only be completed in one sitting. Please answer the following questions to the best of your ability.   All responses will be anonymous and confidential. Thank you!

Glossary of terms:
     1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
     2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
    3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities 
 
 
 
Glossary of terms:
1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities
 
 
Please answer the following statements to the best of your ability.
Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Do Not Know N/A
* All patients receive fair treatment regardless of personal differences, e.g. gender identity, race, ethnicity, age, religion, etc.
* Our organization believes cultural competence is important and honors patients’ cultural differences and beliefs in the care and services we offer.
 
 
 
Glossary of terms:
1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities
 
 
 
Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Do Not Know N/A
* Our hospital considers cultural and language needs in the care of patients and we have policies to support this commitment.
* My job description includes responsibilities that support valuing diversity in patients and staff.
* I understand my role in supporting services is to meet the diverse cultural needs of our patients, which includes respecting their values and beliefs.
 
 
 
Glossary of terms:
1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities
 
 
 
Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Do Not Know N/A
* Our organization develops partnerships with diverse community groups.
* I participate in activities that help people understand cultural competency, which means respecting the diverse values, beliefs, and behaviors of our patients.
 
 
 
Glossary of terms:
1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities
 
 
 
Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Do Not Know N/A
* Our organization consistently informs patients of their right to free interpreter services, such as translated documents (when available), qualified interpreters, telephone interpreters and qualified bilingual staff.
* We take into account patients' cultural and religious perspectives when making care decisions with important implications, such as ‘end of life issues’.
* The signage in other languages at our facilities is understandable to patients, family, and visitors.
* We have staff available to help all patients with their seeing, hearing and language needs.
* I know how to request interpreter services for patients.
 
 
 
Glossary of terms:
1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities
 
 
 
Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Do Not Know N/A
* I am confident in my ability to communicate with people who are different from me without fear or anxiety.
* Our workforce has the attitudes, knowledge, and skills to provide care to diverse patients.
* We are educated and trained on how patients from different backgrounds may have different views about health care.
* During my employment, opportunities to participate in cultural competence training are made available to me.
* Our organization provides bilingual training or classes for staff.
* Having knowledge and understanding of how to meet the diverse needs of our patients is valuable to my professional development.
 
 
 
Glossary of terms:
1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities
 
 
 
Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Do Not Know N/A
* Our physicians, nurses, staff and leadership reflect the diverse community we serve.
* Our organization is involved in activities that demonstrate our commitment to providing care that meets the diverse culture and language needs of our patients.
* We partner with community representatives in the planning and design of services for diverse populations.
* Our organization has the potential to create an inclusive care, service and work environment.
* All employees are treated fairly regardless of personal differences, e.g. gender, ethnicity, age, religion, etc.
 
 
 
Glossary of terms:
1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities
 
 
 
Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Do Not Know N/A
* Patients, physicians and staff are aware of the availability, accessibility, and eligibility for interpreter services.
* Our hospital has patient educational material in different languages to support the diverse patients we serve.
* I understand our hospital’s policies on the use of bi-lingual staff and family as interpreters
* The availability of interpreters for our patients and department is sufficient.
* The phone interpretation system is effective at improving communication and satisfaction for patients, physicians and staff.
 
 
 
Glossary of terms:
1. Cultural competence: The ability to provide care to patients with diverse values, beliefs and behaviors, and to adapt to the diversity and cultural characteristics of the individuals and communities we serve.
2. Diversity: A collective mixture of differences and similarities, including individual and organizational characteristics, values, beliefs, experiences, backgrounds, preferences and behaviors.
3. Inclusion:An organizational behavior where all employees are treated fairly and respectfully, have equal access to opportunities
 
 
 
* What recommendations, if any, would you give to improve our efforts to improve cultural sensitivity, linguistic diversity and inclusion?
   
 
 
 
* What do you believe your role is in supporting cultural diversity and inclusion within the organization?
   
 
 
 
Demographics
 
 
 
* What is your race/ethnicity?
 
Hispanic or Latino
 
Native American or Alaska Native
 
Asian
 
African American or Black
 
Native Hawaiian or Pacific Islander
 
Caucasian or White
 
Decline to State
 
Other
 

 
 
 
* What is your gender? (Select all that apply)
 
Male
 
Female
 
Transgender
 
Agender
 
Decline to State
 
Other
 

 
 
 
* What is your age?
 
<20
 
20-25
 
26-35
 
36-45
 
46-55
 
56-65
 
66>
 
 
 
* What is your primary language spoken at home? (Choose up to two)
 
English
 
Spanish
 
Chinese
 
Tagalog
 
Russian
 
Japanese
 
Korean
 
Vietnamese
 
Other
 

 
 
 
* What is your primary work area or department?
 
Clinical/Patient care
 
Administrative support
 
Ancillary and support services
 
 
 
* Number of years working at CPMC?
 
1-5
 
6-10
 
11-15
 
>15
 
 
 
* Number of hours worked per week?
 
<20
 
20-40
 
41-60
 
>61