Our interpreters supported clinics serving patients with limited English proficiency through this initiative, led by the California Department of Health Care Services under SB 165 (Atkins, 2019, Chapter 365).

Please see the success story here: https://www.montereylanguages.com/blog/medical-interpreter-pilot-project-independent-findings-and-operational-insights-5214

Dear Mei-Ling:

I am writing to thank you for Monterey Language Services’ participation in the California Department of Health Care Services Medical Interpreter Pilot Project (MIPP). Your collaboration and the insights and feedback provided by your team were instrumental in assessing the impact of professional medical interpretation services on reducing health disparities and improving quality of care for Medi-Cal members with Limited English Proficiency.

I also want to advise you that the MIPP Final Evaluation is posted and ready for you to review. You can access the report at Medical Interpreter Pilot Project Final Evaluation.
Thank you again for your participation in the MIPP!

Please see the success story here: https://www.montereylanguages.com/blog/medical-interpreter-pilot-project-independent-findings-and-operational-insights-5214

When patients and professionals truly understand each other, outcomes improve. The Medical Interpreter Pilot Project demonstrated just how powerful clear communication can be—showing measurable improvements in patient engagement and preventive care.

But results like these don’t happen automatically. They depend on something fundamental: the quality, professionalism, and cultural competence of the interpreters supporting each interaction.

Looking beyond the headline results, it becomes clear that consistent standards, careful interpreter selection, and reliable scheduling all play an essential role in making effective communication possible.

More Than Language: Cultural Competence Matters

Professional interpreters do more than translate words. They help bridge the gap between two cultures, ensuring that meaning, context, and intent are fully understood on both sides of the conversation.

Culturally competent interpreters recognize that communication styles, expectations, and ways of expressing concerns can vary widely between communities. By understanding these differences, interpreters help prevent misunderstandings, support respectful dialogue, and create an environment where individuals feel comfortable asking questions and participating in decisions.

Concrete example – diabetes and traditional foods:
During a diabetes consultation, a patient mentions a traditional breakfast dish. The interpreter, familiar with the dish and its ingredients, conveys this information to the doctor, ensuring everyone has a shared understanding of the patient’s dietary habits.

Expertise You Can Trust

Professional interpretation requires more than bilingual ability. It requires training, subject knowledge, and a commitment to accuracy.

Certified and Experienced Professionals
Interpreters are selected based on national certifications and demonstrated experience in complex environments such as healthcare and technical settings.

Careful Assignment Matching
Rather than sending the first available interpreter, assignments are matched to professionals who are familiar with the terminology and pace of the specific meeting or appointment.

Ongoing Quality Standards
Regular evaluations help maintain the professionalism and reliability organizations depend on when communication truly matters.

A Reliable and Simple Process

Organizations often value not only interpreter quality but also the ease of scheduling support. A streamlined process helps ensure that communication needs are met quickly and consistently.

Straightforward Scheduling
Requests can be submitted easily, allowing appointments and meetings to be coordinated efficiently.

Flexible Service Options
Interpreting can be provided either on-site or through remote platforms depending on the needs of the organization.

Responsive Support
When situations arise that require quick coordination, fast-turnaround requests can often be accommodated.

Supporting Diverse Communities

While Spanish played a central role in the pilot project, language needs across California extend far beyond a single community. Organizations frequently require support in many languages to serve their patients, clients, and community members effectively.

Providing access to qualified interpreters across a broad range of languages helps ensure that everyone can fully understand important information and participate in meaningful conversations.

Where Professional Interpretation Makes a Difference

Accurate communication is essential whenever important information must be clearly understood. Professional interpreters frequently support organizations in situations such as:

• Healthcare appointments and consultations
• Public service programs and community outreach
• Workplace safety training sessions and orientations
• Technical briefings and informational sessions

Clear Communication Leads to Better Outcomes

The results of the Medical Interpreter Pilot Project reinforce a simple but powerful idea: when communication barriers are removed, organizations can deliver better services and communities’ benefit.

Professional interpreters play a vital role in making that possible and ensuring that every conversation is understood clearly, accurately, and with confidence.

Our interpreters supported clinics serving patients with limited English proficiency through this initiative, led by the California Department of Health Care Services under SB 165 (Atkins, 2019, Chapter 365).

Key Outcomes from UC Berkeley Evaluation

The MIPP was independently evaluated by the University of California, Berkeley, which documented several outcomes at the clinics we supported:

• Patient & Clinician Satisfaction: 9.8/10
• Follow-Up Visits: Significant increase among patients
• Preventive Care Engagement: Greater participation and compliance

Why Monterey Language Services Stands Out

Exceptional Satisfaction

• 442 surveys collected (63% response rate)
• Contra Costa pilot sites supported by our team received highest satisfaction ratings

Measurable Quality-of-Care Improvements

• Colorectal cancer screening: +15.8%
• Tobacco use screening: +22%
• BMI/obesity & depression follow-ups: +11%

Operational Benefits for Clinics

• Improved patient understanding of diagnoses and treatment plans
• Stronger patient-clinician trust
• Increased follow-up visits and preventive care engagement
• Freed staff from ad-hoc interpretation, streamlining workflow

Real-World Impact Example

A patient with diabetes struggled to manage their condition. Our interpreter identified a dietary factor affecting their health, allowing the clinician to give targeted guidance—resulting in improved patient outcomes.

Acknowledgements

We sincerely thank our project manager and the dedicated team of medical interpreters whose expertise and commitment made the Contra Costa pilot a success. Their work ensures that patients are heard, understood, and empowered, directly improving healthcare outcomes.

We also extend gratitude to the California Department of Health Care Services for guiding the pilot. Monterey Language Services is proud to be a key partner in this transformative effort.

Last but not least, we wish to also acknowledge Brighter Beginnings for their participation and facilitation of Monterey Language Service’s work on the MIPP.

Key Takeaways

Monterey Language Services interpreters do more than translate — they:

• Improve patient care and understanding
• Foster trust between patients and providers
• Support clinical workflow and efficiency

We are proud to partner with California clinics and the Department of Health Care Services to ensure equitable, high-quality care for patients with limited English proficiency.

Remote work deeply affected the language services industry as well, of course. While many translators who already performed their work remotely were able to adapt well, interpreters who were used to going to events in-person suddenly found themselves having to figure their ways around new video or phone systems and rely on their clients’ ability to use technology as well. By now, in late 2022, these interpreters probably have a good handle on remote work now, but we have a hunch that they’re happy about the recent return to in-person meetings and gatherings.

According to USA Facts, 68% of the United States’ population have been fully vaccinated as of November 2022, while roughly a third of the whole population has had a booster dose as well. While 21% of people in the United States seem to have not had any doses of the vaccine at all, the number of those who at least have some protection is still high. While there is still some risk to in-person meetings, the vaccine helps prevent particularly adverse cases of Covid-19.

With the increase in in-person meetings, wherever possible or requested, we at Monterey Language Services like to send interpreters to on-site meetings. In-person meetings provide less of a risk of missing information due to shaky internet connections or not being able to see the speakers clearly, and we fully support that our interpreters go in-person so long as they are vaccinated and feel safe. Many patients need the in-person support of an interpreter so that they feel comforted in a situation that they might otherwise feel very tense in.

We recently posted about sending Spanish interpreters to a school board event, but we also regularly send interpreters to other places as well, such as medical institutions like major county hospitals, children’s hospitals, large medical groups’ health centers, and even clinics under the State of California’s innovative and research contracts. It is our honor and privilege to be able to provide safe service so many community healthcare facilities, and we admire these places for being able to provide safe, clean spaces for staff, patients, and interpreters to interact.

An Example

Imagine an elderly woman being brought to a hospital, accompanied by her grandson. The family has only recently moved to the USA from Oaxaca Mexico, but the elderly woman’s first language is Triqui Bajo, an indigenous Oaxacan language. While her grandson understands his grandmother’s speech and can communicate with her, his native language is Spanish.

If an Triqui Bajo interpreter were not provided, the woman would have to speak to her grandson in Triqui Bajo about the pain in her stomach, the grandson relaying her words to the best of his ability in Spanish to the interpreter or hospital staff. Like the children’s version of the “telephone game,” there’s a high chance that some, if not much, information will be lost. As the grandson was not well versed in Triqui Bajo, he may be missing critical vocabulary, such as anything from “fracture” to “pneumonia,” “hernia,” and beyond.

What this Means

This lack of a matching language pair can inhibit the service that a client receives. In severe cases in a medical setting, this can be a matter of life and death. This case study highlights the importance of translators and especially interpreters who are fluent in minority languages. It’s critical to find people with knowledge of these languages. If due to the last minute nature, an in-person interpreter is not available, remote interpretation methods should kick in.

Imagine that they were able to get an interpreter for Triqui Bajo and English; this would allow for a direct flow of communication between the elderly woman and the hospital staff. Response time for treatment would subsequently be quicker, and the woman might therefore feel more comfortable and confident that she is receiving adequate care. While the grandson might need his own English/Spanish interpreter to understand fully the treatment decisions, that could easily be delegated to another interpreter and not require a stretched out “telephone game” where meaning can be lost.

Monterey Language Services provides translation and interpretation services for all languages and is very strong in providing Triqui Bajo interpretation Services. Every day, we send Triqui Bajo interpreters to cover medical interpretation assignments or IEP (Individualized Education Program) assignments. There have been some high profile Triqui Bajo legal interpretation cases served by Monterey Language Services as well.

Understanding Your Finances

No business can do anything without finances. Do budget properly, and do the math to understand your bottom line. How much do you need to make to turn a profit? How much is too much for customers to afford?

Knowing when and where to cut back on your finances and where to invest is critical to keeping your business afloat. With the huge impact of the pandemic, it’s no question that the loss of sales affected many businesses too much. To weather these hardships, downsizing on your output, office space, or perhaps even prices might help you keep the business going.

Making and Keeping Connections, even Remotely

Many language service providers rely on freelance translators and interpreters as vendors for their business; most times, getting in touch with them is often done through phone calls or emails. But, how do you get the vendor—especially interpreters—to their assignments, when in-person meetings are restricted?

Phone and video methods are hardly secrets. Even outside of the pandemic, these are common ways to get an interpreter to someone immediately regardless of where the client and interpreter are. Those LSPs and other small businesses that had already been getting ready to use remote or online options were in a good place to adapt their services to the pandemic.

Communicating with Your Team

To keep open communication with your team members is vital. Just as upper management relies on associates to get the on-hands work done, associates rely on upper management to answer their questions. The back-and-forth dynamics and momentum are crucial to move your business forward.

In times of hardship like the pandemic, transparent communication is very important. Employees may be nervous about job security or keeping certain accounts going. Positive reinforcement, support, and leadership can provide teams with the confidence they need to weather any circumstance.

Don’t be Afraid of Change…

New technologies come out constantly in today’s world, even during the pandemic and afterward. Learning how to use them can help your business stay up-to-date, and can even help with your output’s quality and/or quantity.

Other changes might include the coming and going of staff, a vendor changing their prices, the laws you have to keep in mind, etc. Keep abreast of these changes and remember to stay flexible; taking too long to adapt might leave you in the dust of your competitors.

Adapting to pandemic looked different for all sorts of companies, but what’s important is to stay creative. Some businesses turned remote, others decided to automate work flows, and some decided to host online events.

…But Try to Stay Consistent

Sudden, unexplained changes even outside the pandemic can upset a person’s balance and leave them scrambling for an answer. For example, having to reduce the price per word for a translation could result in a vendor refusing to work with you, or raising the prices too high for a customer could result in the customer backing out of a deal.

As important as it is to stay flexible, people like to stick to tried and true methods—things remain reliable that way. So, whenever possible, keep consistent in your work, and be as transparent as possible with your customers. Consistency and transparency will always be appreciated by those you work with.

That article reminds us of a recent situation we encountered. We had a client seeking asylum in a somewhat remote location in the United States who requested Triqui interpretation. We were about to provide a Triqui interpreter over the phone for telephonic interpretation, given that in-person interpretation in such a remote location was not really possible for the client. However, at the last minute, the asylum office decided that they did not allow telephonic interpretation. There could be any number of reasons for the telephonic interpretation cancellation. Yet, these incidents have got us thinking. What rights do non-citizens have in the United States, especially in regards to translation and interpretation?

According to Title VI of the Civil Rights Act of 1964, any program that receives Federal funds or financial assistance cannot discriminate based on race, color, or national origin of a person; this also means that these programs must provide access to people with limited English proficiency. Read more about Title VI here and more about Title VI and LEP services here.

However, Title VI does not provide an all-encompassing solution. Service providers are only required to take “reasonable steps” to give access to their programs to LEP individuals. Whatever the case, non-citizens do have the right to request language assistance from Federally-funded institutions. Non-citizen’s rights to have access to translation and interpretation is a basic human need for communication. We at Monterey Language Services are all for supporting the human rights that non-citizens deserve to have in whatever format that interpretation would be conducted, be it in-person, by phone, or over video.

This blog post is our first attempt to look into non-citizen rights to translators and interpreters, so stay tuned for more to come!

We mentioned in our last post that gas prices have been soaring this year, and it doesn’t seem like they’ll be dropping any time soon. Luckily with the general trend toward remote work, many have the option to work from home and save on travel and gas in the tank. However, this doesn’t mean that translators, and interpreters especially, should just exclusively hole up in their homes. For instance, the gas price increase will affect low-income households terribly, especially those that don’t speak English, or speak limited English.

Similarly, the American baby formula shortage has left parents struggling with increased costs for formula—at least, the formula that they can find. We’re not expecting the issue, or the ramifications, to be resolved overnight. Once again, low-income families could easily be hit the hardest, with non-English speaking families having another barrier to entry concerning information from news outlets, supermarkets, and doctor recommendations. We suggest keeping a close eye on news concerning this event. Even if formula were magically restocked and prices dropped to normal tomorrow, there would still be long-lasting effects, especially concerning the health of children.

It would be best for translators and interpreters to be prepared to travel for assignments concerning low-income households and LEP (Limited English Proficiency/non-English families). These low-income households might not have easy access to the technology needed for remote translation or interpretation. Even access to email and cell phones might be limited or impossible. Given the tendency for low-income families to have a lower quality of health compared to medium-income households, they could very likely be in need of in-person interpretation at a clinic or hospital. In-person interpretation activities may gradually rise again.

Sadly, the Russian war with Ukraine is unlikely to end any time soon. Many Ukrainians have fled, looking for refuge, and numerous translators and interpreters have stepped up to the plate. Yet still, the need for translations and interpretations into and out of Cyrillic-based languages will likely only rise. We suggest that any translator or interpreter able to help do so.

Lastly, while there has been some return to “normalcy,” Covid-19 is still a danger to many and will likely stay that way going into the end of 2022. We hope you use lots of precautionary measures, and stay safe and healthy.

First, understand that if you’re feeling the effects of inflation, so are your clients and companies that you’re working with. You should try looking at your rates compared with other translators and interpreters and know where you stand.  Everyone’s situation is different, however everyone is in the same inflation. This means the best way to cope with the uncertain times is to make sure that you stay in a good position without losing any of the business that you currently have. You should always be sure to do your best to honor your rates with your current clients. Even to lower your rate to attract more business may be also a good idea!

Next, the world has gone through a lot of changes over the years and we all have had to learn and adapt in order to stay afloat. Before the pandemic, the majority of work was done in-person, but now, there are more and more remote interpretation opportunities. Be sure to also widen your reach to other parts of the country. If you are working from home, that means you can work anywhere. Someone in a completely different area from you may be looking for someone with your experience. Don’t be afraid to put yourself out there.

If you’re going to be working more from home, it may be time to reassess your internet, phone plan, and current equipment. Investing in better internet, phone service, and equipment will make you a more attractive interpreter or translator because you will not have as many technical difficulties as others may have. For that matter, be sure to educate yourself on how to connect to the various video conferencing services. For example, try setting up Zoom, Google Meets, or Webex on your own and test having a call with yourself to make sure you know how to quickly connect and also that your audio equipment is good. Connection means work and livelihood in today’s work place!

Finally, we do hope the world will be back to normal where we can also provide both remote and in-person interpretation without worrying about the inflation nor the pandemic. After all, a balance of in-person and remote work would be the ideal model for clients, interpreters and language service providers!

Requirements:

1. Have completed 100 hours of CCHI approved interpreter training
2. Experienced with in-person medical interpretation
3. Have reliable transportation to and from Richmond or Antioch
4. Enjoy working with young children and particularly mothers
5. Familiar with OBGYN or prenatal services
6. Female interpreters preferred; male interpreters welcomed as well
7. Entry-level is welcome
8. Culturally competent
9. Professional in conduct and appearance
10. Authorized to work in the US

What to Expect:

1. We need someone who is living or willing to relocate to the Richmond/Antioch areas in California for in-person interpretation
2. This will be a 2-year contract
3. Part Time (15 hrs or more per week)
4. Be available to stay on-site for blocks of time to be designated every week
5. Able to work on a team and work well with others
6. May need to shadow physicians and nurses and provide interpretation when necessary
7. Occasionally interpret remotely (via phone or video)
8. Willing to undergo a background check and health screening/immunization
9. Willing to undergo some training to ensure that all guidelines will be followed
10. Willing to follow hospital immunization and safety procedures

If you are interested in joining us, as a first step, please go on our website and in particular answer the questions about your medical interpreting experience, so we can follow up with you. Please also feel welcome to refer entry-level colleagues by sharing this email. Thank you and we look forward to hearing from you soon!

https://www.montereylanguages.com/send-a-resume.html