are scheduled through Washington State's coordinating entity CTS LanguageLink. The contract performance measures are posted on HCA’s website
Overall Filled Rate SFY 2015
HCA (Medicaid) APPOINTMENTS
SFY2013 201,576 SFY2012 196,176
HCA (Medicaid) BUDGET
Jul 2013/Jun 2015 $25.1M
Jul 2011/Jun 2013 $18.1M
Jul 2009/Jun 2011 $23.0M
HCA (Medicaid) HOURLY RATE
July 2016 $38.00
July 2015 $37.10
July 2014 $32.50 July 2013 $32.00 July 2012 $31.50 July 2011 $30.00
FIRST UNION CONTRACT 2010 $21.00
A modified procurement model began on July 1, 2011.
The coordinating entity procurement model began on September 24, 2012.
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There is a ‘business case’ to be made for the implementation of professional and coordinated interpretation services in the public services sector such as health care, legal proceedings, educational settings and social welfare programs. The use of bilingual personnel (whose language skills have not been tested by a third party) as opposed to trained interpreters can cause potentially fatal errors as well as increase the cost of services due to miscommunication. There is conclusive medical research on this topic.
A study published by the American Association of Pediatrics[i] listed certain types of errors that untrained interpreters make:
Omission: not interpreting a word or phrase
Addition: adding a word or phrase not uttered
Substitution: substituting a word or phrase for a different word or phrase
Editorialization: providing personal or idiosyncratic views as the interpretation of a word or phrase
False fluency: using a word or phrase that does not exist in the language or is incorrect and substantially alters the meaning.
In this study, there was an average of 31 errors per interpreting encounter. 18% of the errors had potential clinical consequences overall.
Another study, published in the Annals of Emergency Medicine[ii], found that the interpreter’s years of experience made no difference. Only training made a difference. The proportion of errors of potential consequence was as follows:
Ad hoc interpreter (in this study, less than 40 hours of training): 22%
No interpreter: 20%
Professional interpreter with 40 to 99 hours of training: 12%
Professional interpreter with at least 100 hours of training: 2%. For interpreters with over 100 hours of training, 0% of the false fluency, substitution or editorialization errors had potential clinical consequences.
Another study by the University of Massachusetts Medical School[iii] has found that professional interpreting services, at both admission and discharge, reduced a patient’s length of stay by 0.75 to 1.45 days. These patients were also less likely to be readmitted within 30 days.
The savings in misdiagnosis, length of stay and readmission rates are significant. According to Becker’s Hospital review, in Oregon, for example, the average cost per inpatient day is approximately $2500. Working with an interpreter, from this perspective, is very cost-effective. [iv]