It can be the starting point of a great adventure and it can be something you add to your life that will assist you in creating a greater ease with everything.ĭr. The Access Bars are the very core and foundation of Access Consciousness. Simone Milasas travels extensively facilitating advanced Access Consciousness classes as well as a range of evening and several day workshops on specific topics from Choice and Possibilities, Relationship Done Different, Business Done Different, Getting Out of Debt Joyfully and more. Dain Heer offers classes on a wide array of topics through out the world and is best known for his transformation process The Energetic Synthesis of Being as well as the Being You, Changing the World events. Gary Douglas travels extensively facilitating advanced Access Consciousness classes as well as a range of evening and several day workshops on specific topics from Choice and Possibilities, to Money, Benevolent Capitalism, Relationships and more.ĭr. You can search for a class by topic, facilitator, language or location in our class calendar. There are thousands of Access Consciousness events and classes offered weekly around the world. Read news articles, watch videos, listen to pods and radio shows – you can find Access Consciousness in many media channels!Įxplore some of the most frequently asked questions about Access Consciousness. Hear from people all over the world about how they are different after Access Consciousness. Receive tips of what you can choose to get started. Further interventions are needed to improve the percent concordance to our goal of >75%, as well as to integrate the registration and nursing language fields, document LEP status, and allow for documentation of differing language preferences of families.Explore what is changing the lives of tens of thousands of people in more than 170 countries around the world.Įxplore what the 3 key tools of Access are and how you can use them to start creating the change you desire. After an initial intervention, there appears to be a trend towards improvement of the accuracy of the displayed preferred language. (Figure 2) Conclusion: Using an interdisciplinary team, we leveraged existing overlapping processes to improve the accuracy language preference displayed in our EMR with feasibility and usability in mind. After the initial intervention of adding nursing-based screening to the patient handoff, the average percent concordance with the EMR rose to 73% for LEP families. At baseline, there was an average percent concordance with the EMR of 56% for LEP families. A total of 151 families were audited, 40 (28%) of which were LEP. Process mapping identified parallel processes of non-standardized language screening by registration and nursing, the former of which was non-standardized and the latter of which was not displayed in the EMR (Figure 1). Results: Ishikawa analysis identified the lack of a standardized screening process as a major barrier. percent concordance after our first intervention was determined by the percent where the preferred language displayed EMR-based handoff matched the self-reported preferred language on random audit. LEP was defined as anything less than “very well” to the question “How well do you speak English?” For baseline data, percent concordance of LEP families was determined by the percent where the “preferred language" field in the EMR matched the preferred language self-reported on random audit. Study/Act: Random audits were performed monthly with families of pediatric patients admitted to the PHM service using a validated 3-question LEP screening tool. Do: For the first cycle, language preference screening completed by inpatient nurses on intake was displayed in a EMR-based handoff report, with education via electronic communication. Process mapping was performed to identify the current process of determining language preference. Physicians and nurses completed Ishikawa diagrams to identify barriers to correctly identifying families with LEP. Methods: Plan: We created an interdisciplinary team of physicians, nursing, patient access, and clinical informaticists. Objectives: We aimed to achieve in 6 months a 75% concordance rate between language preference screened at intake and language preference obtained on confirmatory screening, for patients and their caregivers admitted to the Pediatric Hospital Medicine (PHM) service at a large, stand-alone children’s hospital. Reliably identifying language preference in order to appropriately utilize interpreter services is essential for patient safety, equity, and patient and family satisfaction. Background: In 2009-2013, over 25 million Americans self-reported themselves as speaking English less than “very well,” defined as Limited English Proficiency (LEP) by the US Census Bureau.
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