that it is good for my health,” and not, “an insurance policy.” another example is that x-rays have different words for spanish speakers: rayos-x for mexican readers and placas for cuban or Puerto rican readers.5 the u.s. department of health and human services found six key problems with translation in health care documents: 1. translation is done literally, without cultural adaptation 2. the translator lacks knowledge of the intended reader’s culture and language patterns 3. some terms and concepts are very hard to translate in a meaningful way 4. the translated text is too difficult for the intended audience to read 5. the translation style is unsuitable for the type of document or the intended readers 6. the translation contains errors that should have been caught BEST PRACTICES • identify with your clients which languages need to be translated and whether forms should be dual language or entire statements should be translated. for the latter option, offices will need to capture a patient’s preferred language and then transfer that information to your company so that statements are sent out appropriately. 12 hbma billing • november.december.2013 • field test translated statements and other forms that are sent to patient homes with patient families. find out from them if they make sense and if they know what to do. • do not take a form and simply have it translated. instead, as you review the english form, begin to build the translated form simultaneously. the format and content should mirror each other, but each needs to correctly reflect the message and thus should be written from scratch. • remember that spanish speakers are from all over the world. Work with your translation service to make culturally appropriate translation for all spanish dialects. top regional differences to capture are: caribbean (cuba, Puerto rico, dominican republic), mexico, latin america (central america and south america), and europe (spain). New Role for Technology between the push from meaningful use toward patient portals and the increasing use by patients to use the internet for medical information, the reliance on web-based solutions will rise over the coming years.6 Yet, the newly insured are less likely to have access to a smart phone. While they do access the internet and use social media sites like facebook, a whopping 57% use text messaging.7 notably, households making less than $30,000 a year use text messaging twice as much as households making over $75,000. for all americans, 73% of adults send text (Open Enrollment is Open... Now What? continued) ACA Timeline
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