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Minimizing the language barrier Federal law governs the responsibility of physicians who receive federal funds in treating limited-English patients. Guid- ance from the U.S. Department of Health and Human Services (HHS) Office for Civil Rights says, essentially, physicians who receive federal funds must take rea- sonable steps to ensure limited-English patients have a meaningful opportunity to participate in programs and services they otherwise would be entitled to. Compliance could be anything from us- ing a language line that can translate several languages to hiring a full-time translator and making available all vi- tal documents in languages other than English.


HHS has issued revised limit-


ed-English guidance, http://1.usa .gov/1bmglHG, which gives examples of likely limited-English patient popula- tions. One example is patients seeking Temporary Assistance for Needy Families and other social services. “Accommodation of Limited English


Proficiency (LEP) Persons,” a white pa- per prepared by the TMA Office of the General Counsel, has more information and is available from the TMA Knowl- edge Center. To request the white paper, contact the Knowledge Center by tele- phone, (800) 880-7955, or by email, knowledge@texmed.org. Physicians who fail to minimize the


impact of a language barrier could be in violation of the Civil Rights Act. To access additional LEP resources, visit http://1.usa.gov/18kz55Q.


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Is your EHR 2014-certified?


All electronic health record (EHR) users must upgrade their systems before at- testing to Stage 1 or Stage 2 of the Medi- care meaningful use program for the 2014 payment year. Regardless of the stage of meaningful use being achieved, physicians must use a Stage 2-certified product in 2014.


November 2013 TEXAS MEDICINE 53 10/2/13 10:22 AM


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