Legal & EthicalQuestion 192 of 200

A Filipino resident speaks Tagalog as her primary language. Which is the BEST way the facility ensures meaningful communication?

a.Use her teenage grandchild to translate the admission and consent discussions
b.Rely on a phone translation app during the care conference
c.Provide all written materials in English and speak slowly
d.Use a qualified medical interpreter (in-person, telephone, or video), translate vital documents (admission, advance directive, grievance policy) into Tagalog, and document interpreter use in the chart

Explanation

Title VI of the Civil Rights Act (42 USC §2000d) and 42 CFR §483.10(b)(3) require facilities receiving federal funds to provide meaningful language access. Best practice: use a QUALIFIED medical interpreter (in-person preferred, telephone or video acceptable), translate vital documents, and document interpreter ID and language for each encounter. Using minor children (a) is widely discouraged and may breach confidentiality. Machine translation (b) is unreliable for medical content. English-only (c) violates federal civil rights law and may trigger Office for Civil Rights enforcement.

Law Reference: 42 CFR §483.10(b)(3); Title VI 42 USC §2000d

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