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

After sharing the outcomes of the California Medical Interpreter Pilot Project (MIPP), the next question is simple: what made those results possible?

Monterey Language Services was selected through a competitive bid process to provide medical interpreting services. Like all approved providers, we were required to meet strict compliance standards set by the state of California.

Meeting the Standard

Every interpreter assigned to the project completed all required documentation and clearances, including:

• Vaccination records (including COVID-19)
• TB testing
• Fit-to-work clearance
• Live Scan/Fingerprinting
• Background checks
• CCHI certification

These requirements ensured that interpreters could safely and professionally work in medical environments.

What Made the Difference

Monterey Language Services met all required compliance standards—just like other approved providers. What set us apart was how consistently we delivered quality in real-world medical settings.

Our interpreters were not only qualified on paper, but reliable in practice—supporting clear communication between patients and healthcare providers in high-pressure situations.

The Result

As a result, Monterey Language Services was ranked the highest-performing provider in the MIPP.

Work With a Proven Team

If your organization needs medical interpreters who meet strict requirements and deliver consistently in real settings, we’re ready to help.

Request a quote:
https://www.montereylanguages.com/request-a-quote.html

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.

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.

1. Triqui
There are about 25,000 speakers of Triqui, with most of the speakers being indigenous people of the western part of the Mexican state of Oaxaca. The language is also spoken in Baja California; native speakers are typically ethnically Trique. Somewhere between 5,000 and 10,000 Triqui speakers have immigrated to the US, with communities in California, New York, and Washington state. There are four major varieties for Triqui: Triqui Bajo, Triqui Alto, Triqui Media, and Triqui de Copala with Triqui de Copala having the most speakers. There are also Triqui-language radio programs based in San Quintin, Baja California, and XETLA (an indigenous community radio station).

2. Mixteco
This is another Oto-Manguean set of languages, and is spoken by about 530,000 people from Oaxaca, Peubla, and Geurrero, Mexico. Immigrants from these areas can typically be found in New York, Arizona, and throughout California such as Baja, San Diego. Though people might think of Mixteco as a single language, some estimate that there are thirty or fifty variations of the language. Typically when they speak to each other though, they use Spanish, so even if they do not speak the same variation, they can communicate with each other.

3. Zapotec
Zapotec has about 490,000 native speakers with the majority of speakers in the United States based in California and New Jersey. The Mexican government officially recognizes sixty Zapotec dialects, and since there can be so much variance between them, it can be difficult for different dialect speakers to understand each other. However, most Zapotec speakers know Spanish as well, so they are still able to communicate with each other.

4. Purepecha/Tarasco
This is an indigenous language that is centered in the northwestern region of Michoacan, Mexico with a total population of about 141,177. In the United States, you can find most speakers in California, Oregon, and Washington. Purepecha is considered an endangered language due to the rate of speakers becoming bilingual rising with less than 10% of speakers being monolingual. Tarasco is another name for Purepecha, which comes from the fact that Tarasca is an exonym for Purepecha culture.

5. Nahuatl
This is a language where most of the speakers are in Central Mexico, but there are speakers of the language in the United States as well, primarily in California where it is the fourth indigenous language of Mexico, trailing Mixteco, Zapotec, and Triqui. The communities that speak the languages are mostly scattered and in rural areas, but there are over a million speakers, most of whom are Mexican immigrants from indigenous communities and Chicanos. Overall though, the exact number of speakers is unknown.

6. Chatino
Similarly, Chatino is another subset within Oto-Manguean languages, and it also originates from Oaxaca, Mexico. Chatino is at a high risk of disappearance, with between 30,000 and 45,000 native speakers. There are three languages that are a part of Chatino: Zenzontepec, Tataltepec, and Easter Chatino. Overall, the Chatinos have cultural and linguistic ties with Zapotec and is recognized as a national language in Mexico.

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.

With that being said, we are sad to see that some languages are in fact going extinct. Google is doing their part as a worldwide service to provide these languages a lifeline:

As Google sees it, documenting the 3,000-plus languages that are on the verge of extinction — about half of all languages in the world — is an important step in preserving cultural diversity, honoring the knowledge of elders and empowering youth. And Google sees technology’s role in strengthening those efforts through research and collaboration.

This collaboration is through a website www.endangeredlanguages.com where people can upload the languages and share the most up-to-date information about them. An example is seen in the Miami-Illinois language, once spoken by Native American communities throughout the region. Although the last known person who spoke this language died in 1960, a contributor to the project is teaching himself the language through old documents. Because of this, children in Miami are now learning the language and even teaching it to each other.

If you know a language that is becoming extinct, post it in the comments or through the website and we will all do our best to preserve the language. Also, check out the video below to learn more about the project.

Information from: http://googleblog.blogspot.com/2012/06/endangered-languages-project-supporting.html

Image from: http://www.endangeredlanguages.com

According to an article posted in The Australian, this has become the case. However, they further go on to explain that the movement to reclaim dying languages has grown in larger numbers. However, any attempt to save languages will have to grow in larger numbers in order to have a chance of success. The problem is the vast majority of people feel it is too difficult to learn another language, thus simply choose not to.

Despite this, there are still millions of people that share a passion for languages. On the Monterey Peninsula alone there are hundreds of students fully devoted to learning new languages. With this undeniable passion, the culture of languages will still be here to stay for a good while.

The full article from The Australian can be seen here: http://www.theaustralian.com.au/higher-education/opinion/stop-revive-and-survive/story-e6frgcko-1226385194433

There are only 3,000 people that speak Ayta Magindi and they live in the hills northwest of Manila. Because so few people speak the language, and people like Valencia’s teacher prefer students speak in English or Tagalog (the native language of Manila) this language has a chance of dying out.

Ayta Magindi is not the only language that could be lost forever, according to the chief anthropologist at the Philippine National Museum, Artemio Barbosa, up to 50 of the country’s minor languages could be lost within 20 years.

Info: http://www.rappler.com/nation/4537-a-long-fight-begins-to-save-philippine-languages
Picture taken from: http://www.asiafinest.com/forum/lofiversion/index.php/t66996.html