Recently, Monterey Language Services provided simultaneous Spanish interpretation at a school board meeting. The parents of many students at this school are Mexican Spanish-speaking with a wide range of English proficiency, and the staff had become concerned that these parents were missing out on crucial information regarding school policies.

As a language service provider, we understand the importance of and advocate for information distribution. We jumped at the opportunity and immediately set to locating the most qualified interpreters in the community.

The Search

We have a vast network of interpreters, which allows us to choose the best interpreters for the job. In this case, we ended up picking two interpreters who were local to the area and subject matter experts.

You might be wondering why we assigned two interpreters. For a simultaneous event, it is standard practice to have team interpreters. Given the mental taxation for simultaneous interpretation, one interpreter will speak for a given amount of time (generally twenty to thirty minutes), then take turns with the other interpreter. This way interpreters can take a break, help with another matter at the event if need be, or provide notes or backup to each other.

We thought it was appropriate to assign interpreters from the area, as the interpreters have a closer association with local events and therefore have more enthusiasm in giving back to the community.

The fact that our two interpreters for this assignment are subject matter experts concerning education is another boon, because they know about the ins and outs of the education system.

The Preparation

Our office carries a plethora of equipment for interpretation events, including microphone headsets, transmitters, receivers, and receiver headsets. As a brief rundown, the interpreter usually whispers their interpretation into a microphone headset, which goes through a transmitter to the receivers; the interpreter’s words then are delivered right to the listeners’ ears through the receiver headsets.

We count out the number of headsets, transmitters, and receivers needed, then test each one to ensure that they work. Once all equipment is checked and accounted for, we wipe them with alcohol swabs to assure cleanliness before packing them into foam-lined cases to make sure nothing accidentally gets damaged.

Setup and Execution

Since this was the first interpretation event performed at this school, our office manager arrived an hour before the event. Preparation on-site began with introduction of the equipment to our client, in which we included written instructions for reference.

We also made sure to give the interpreters a place to be where they could see and hear the speakers, as well as see any supplementary material that the speakers put on a television screen. This setup allowed the interpreters to take in all available information so that their interpretation would be as accurate as possible.

Cleanup

Once all equipment was brought back to our office, we took great care to ensure that everything was still working well. Inspecting the equipment after an event can be a delicate process that includes checking for malfunctions, cracks, broken wires, etc. Given that Covid-19 is still a prevalent concern, we clean the equipment with alcohol swabs yet again before storing it.

Another concern is that, as our transmitters and receivers are battery-powered, we check for battery corrosion, which can harm the equipment and cause it to stop working. Leaving batteries for too long inside any equipment can lead to leakage of the hydrogen gas inside, so we always make sure to take batteries out when our transmitters and receivers are not being prepped for use or in-use.

The Result

The school office advertised to parents that there would be simultaneous Spanish interpretation at their school board event, and many of the people coming into the meeting were excited, even those who did not need interpretation services themselves. Spanish speakers eagerly took receivers and headsets, thanking our office manager and interpreters for the assistance. A conversation with a Spanish-speaking teacher revealed that there had been lots of anticipation around this event, and that the schoolboard was eager to provide an even better experience at the next one.

Getting to see how the Spanish speakers were excited about receiving information in Spanish at the same time as the English speakers is very inspiring and this is what helping people with communication is all about. It’s a rewarding experience and we look forward to the next one!

So what is 1557?

Section 1557 of the ACA “prohibits discrimination on the grounds of race, color, national origin, sex, age, or disability in certain health programs and activities.” The term “national origin” is understood to include providing language services for those with limited English proficiency (LEP).

Section 1557 was first put into place in 2010, and had a few issues with it. For example, the then-legal standard was for “competent” interpreters to assist LEP individuals; this could allow a loophole for family members or even non-adult family members, or bilingual/multilingual staff at the agency to provide interpretation. Without proper, certified medical interpreters, there may have been many miscommunications, to say the least.

Major Revisions

The Obama administration’s revisions took effect in 2016. Under this revision, some changes were that “competent” interpreters were changed to “qualified” interpreters; minors and family members were only allowed to interpret under special circumstances such as emergencies; and bilingual/multilingual staff were held back from interpreting unless they were able to sufficiently demonstrate proper interpretation abilities. Translation of written materials was also required.

Many things changed in 2020 due to the Trump administration, however. For example, the wording was changed to have a more general requirement of language services to LEP people, rather than each and every LEP person. Federally funded organizations had to undergo a test to determine how to provide language services; the Trump administration changed this again to be more based on the “likelihood” of servicing an LEP individual rather than each specific instance of servicing an LEP individual. Standards of remote video interpretation were also removed, focusing instead on telephonic interpretation only.

Finally, citing too many expenses (presumably for translation fees, extra paper space, and ink), there was also a change to not require that each state have the top fifteen languages represented in a tagline on a non-discrimination notice. Taglines are short statements written in non-English languages that notify the reader that they can access language services free of charge.

Proposed Revision

As mentioned previously, the US Department of Health and Human Services has released a proposed rule to reverse the changes implemented by the Trump administration and to strengthen language access in general compared to the rulings from the Obama administration. Some proposed changes include the following:

Previously removed definitions will be added back for the following terms: language assistance services, limited English proficient individual, qualified interpreter, qualified translator, and qualified bilingual/multilingual staff. Care will also be taken to provide each LEP individual with language access, as well as those who need assistance such as sign language; this will be aided by the requirement of taglines on a large number of documents.

Other changes include the restoration of standards for remote video interpreting, the requirement to take reasonable steps to provide meaningful access to each LEP individual, the requirement to inform individuals of their rights, and the requirement to have a specific employee be responsible to coordinate compliance with 1557. Another change would be applying Section 1557 to Medicare Part B, which notably has not had requirements for Section 1557 despite being federally funded through trust funds.

Our Conclusion

These proposed new rules seem to be taking a huge step toward fair access to language services. Especially exciting is the requirement returning to provide each LEP individual with language access, rather than a general estimate of people. We at Monterey Language Services believe that everyone deserves the right to access to information and services in the language of their choosing, and we’re all for the proposed rules and hope they come to pass sooner than later.

Our interpreters are professionally qualified. They have studied translation and interpretation at the graduate or undergraduate level, or are professionally certified, or have received training in medical, legal and technical subject areas. They are experienced medical interpreters, legal interpreters and technical interpreters. Furthermore, they pursue continuing on-the-job training and education.

Our interpreters are not only local, able to come to our headquarters or to our client sites to perform services, but also distant, working remotely through a range of technology options such as video remote.

Our interpreters work consecutively, but also at conference, offering simultaneous interpretation.

Monterey Language Services has been providing language support to hospitals for years. A short list includes Spanish, ASL, Vietnamese, Arabic, Mandarin and Cantonese, Korean, Tagalog, Russian, French, Portuguese, German, Japanese, Punjabi, Gujarati, and indigenous languages such as Triqui, Mixteco, Zapotec. Even when a rare language is needed, we can vet and bring interpreters to our customers in a matter of hours.

We stand by ready 24-7, either work with a regular schedule of interpreting appointments, or provide last minute on-demand interpretation, for example for a hospital’s emergency needs.

It is our goal at Monterey Language Services to provide a full line of interpretation services. And it is to that end that we maintain our huge pool of professional interpreters to serve you whenever or wherever you need them.

Monterey Language Services strives to provide the highest quality of translation and interpretation services. Please feel free to contact us for more information.

Studies have found that patients like having a translator available, and that it may improve their care and ultimately cut costs — by avoiding unnecessary tests, for example.

There is an estimated 25 million Americans with what is called “limited English proficiency.” Also considering the fact that almost everyone gets sick or ends up in the hospital at least once in their life, this study could help prevent translation slips that would affect nearly 3.5 to 6.5 million Americans.

However, there aren’t always interpreters assigned to medical cases. It is estimated that it would cost the U.S. $268 million per year to offer interpreter services to most medical institutions around the nation.

Also, there was the least amount of errors reported from interpreters that had a minimum 100 hours of medical interpretation training.  Monterey Language Services provides certified, qualified, and professionally trained medical interpreters for LEP patients in the hospital on a daily basis.

Source of information:
http://www.chicagotribune.com/health/sns-rt-us-medical-erbre83g15s-20120417,0,1800424.story