. Author manuscript; available in PMC: 2014 Aug 1.

Published in final edited form as: J Health Care Poor Underserved. 2013 Aug;24(3):1002–1009. doi: 10.1353/hpu.2013.0149

Table 1.

Barriers and Facilitators to Implementation of a Language Assessment Program for Bilingual Staff in Community Health Centers

Barriers	Facilitators
Overall program sustainability	Strong clinic leadership (CEO, Deputy CEO, and CMO) as well as quality care and patient safety champions within the organization.
	Multidisciplinary functional committees (e.g. Human Resources, Nursing & Health Promotions).
	Imbed program in human resources processes
Heterogeneity in staff bilingual skills	Incorporate language program into hiring process and tailor services and training based on job and baseline ability
	Revise job descriptions to include language requirement
	Organization commitment to set minimum language proficiency standards for dual-role staff interpreters
Documentation of interpreter use	Provider trainings
Documentation of interpreter use	Limit staff turnover
Staff turnover	Growth opportunities within organization
	Recognition program
	Compensatory pay
Funding support	External foundation grants
Funding support	Community partnerships