Regarding Multi-lingual Training
 
True simpler is better, but in most cases the professional staff are not the problem.  This generally is a unique problem for awareness training for non-professional/non-administrative staff, who by definition may have lower education levels.  Also, the rag states that is must be in Plain Language without a further definition.  Clearly anyone who does not make multi-lingual training available for lower level staff is going to face the question at some time. 
 
So I do think that it should be the recommendation of this body that Awareness training be made available in: English, Spanish, Creole, Korean, Mandarin Chinese. 
 
Additionally, I also think this question applies to policies and procedures as well.  I think that for larger organizations, there will be a process breakdown unless both training and P&P are provided in multiple languages.  We have seen this clearly in local and state government, as well as in the private sector.  There may also be an element of discrimination if training materials are not provided in multiple languages.  I raise these points not to make our lives more difficult, but from discussions with Liability Litigators.  Ultimately, risk is the issue.
 
I would suggest a work group be formed to produce white papers for both privacy, and policies and procedures to directly address the issues of language.  Best practices and minimum requirements in healthcare in general, and in other industries should be examined.  Additionally, there may very well be other statutes that apply or influence this discussion, including:  OSHA, Dept. Of Labor, State Law, etc.  Perhaps our friends in OCR have an opinion as well?
 
Tim McGuinness, Ph.D.
HIPAA Help Now
www.hipaahelpnow.com

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