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.

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.

The debate over the effectiveness of artificial intelligence (AI) vs. human capabilities is more relevant than ever. While it’s easy to fall into the trap of viewing them as rivals, the real question is how the two can work together to be more effective. A recent conversation inside Monterey Language Service highlighted this future trend, revealing the crucial role that human expertise plays in AI development.

Humans can make AI better

In copy editing, AI can analyze text for grammatical errors, and even adjust tone and style based on the context. However, as Gary pointed out, AI may handle at best 80-90% of the editing process, but the last step often requires a human touch: flexible, context-aware, and capable of grasping nuances that AI might overlook.

Mei-Ling, on the other hand, argued that the focus should be not on the limitations of AI copy editing but on celebrating its rapid development and the role humans can play in enhancing AI capabilities.

The Path Forward: Enhancing AI with Human Expertise

Mei-Ling emphasized the idea that humans can make AI even better by providing it with high-quality training data. This is an important insight: the future of AI doesn’t lie solely in its inherent capabilities but in its integration with humans.

While refining AI’s editing capabilities, we need to provide it with a variety of professional materials to cut its teeth on. There are several ways that humans can do this, and it all begins with giving AI high quality writing to train on.

But what specific steps should be taken to move forward? There are many things we can do including, but not limited to the following:

• Clearly sharing context information with AI concerning the relevant conversation or the audience
• Exposing AI to detailed examples of human conversation, including informal language, idioms, and regional dialects
• Training AI to recognize and respond to emotional cues
• Sharing cultural nuances and social norms
• Guiding AI to better understand references and humor
• To model turn-taking and back-and-forth dialogue to AI
• Helping AI understand the tone, rhythm and flow of human conversation
• Feeding high quality content to AI
• Providing feedback on how the AI’s responses come across

By combining these approaches, professional linguists can play a vital role in shaping AI. More than ever, we as human translators and interpreters have a lot of work to do, particularly in connection with individual creativity and uniqueness.

Our Previous Blogs about AI

Monterey Language Services has constantly kept an eye on AI development. Our blog series since August of 2023 has been aimed at showing how the synergy of human creativity can elevate AI performance.

Check out our previous blogs about AI:

Professional Copyediting after Content Creation: Staying ahead of the AI curve

Blue and White Porcelain: The Joy of Translation from Behind the Scenes

A Love Letter to Chinese Culture — Blue and White Porcelain Lyrics

Advice to Future Interpreters

Interpreters and Music: Translation Accuracy

Interpreters and Voices: On Human Aura

Interpreters and Voices: On Human Recording

AI Performing Music: On Human Individuality

Diversity and Richness: Interpreters and Music

Thoughts about AI: Interpreters and Music

AI and Translation

These blogs discuss AI’s capabilities, how we have worked with it and what our expectations are.

“AI is able to follow patterns to come up with solutions that others may have thought of and implemented before, but without managing to achieve such originality on their own. Is it possible for AI to progress towards greater individuality and uniqueness?” ( AI Performing Music: On Human Individuality)

“AI is capable, but then can AI interpret our tones, our feelings, our energy, our life, our passion, our emotions, and our sense of mission that professional interpreters have shared?” ( Thoughts about AI: Interpreters and Music)

 Conclusion

Rather than debating whether humans or AI did better in copy editing, the blog is intended to celebrate the collaborative efforts that can make AI development and human creativity progress together. Ultimately, it’s essential to value partnership over competition. The future of copy editing will depend on our ability to combine human expertise with artificial intelligence to create something truly remarkable.

We often present clients with guidance on how to work with interpreters, and frequently get asked about AI. This is because many people are waiting for the day that they can simply go online and use AI to seamlessly translate between two different languages, but we would like to say it out loud here: THAT DAY HAS YET TO COME.

Please also check out this flip-book we’ve made https://heyzine.com/flip-book/20de67a12a.html

Please also check out our playlist for Chinese localization case studies: https://www.youtube.com/playlist?list=PLO-QGEbwcTr14xqfiR38Mp-EhHAmclsUY

We localized the Interpreters and Music video into traditional Chinese as an example to compare translation accuracy between humans versus AI and to identify some classic AI issues.

One of the biggest weaknesses of AI is that it often struggles with names. For instance, the name “Laura” was translated into both “蘿拉” and “勞拉.” When we saw this inconsistency in names, we looked at each other with amusement because this happens all the time. Some may say AI spelling names incorrectly isn’t a big deal since it’s an easy fix. However, for those people, we’d like to share a real-life example.

In a lease contract we worked on, Paragraph 1 said that the landlord shall be known as ‘A’ and the tenant as ‘B’. Paragraph 2 called the landlord ‘C’ and the tenant ‘D’. This was a document with 30,000 words that a client asked us to quote for reviewing the translation, which had probably been done by an AI. Just in terms of reviewing names, how much effort would it take to find out if there were places that call the landlord “E” and the tenant “F” and so on? Not to mention all the work it would take to find other mistakes that humans typically need several rounds of review to detect.

Our analysis also uncovered that AI defaults to using the pronoun “你,” referring to males and offering no female form “妳.”

AI have translated love song titles like “Suddenly Missing You” and “Stuck on You” into traditional Chinese, using the male form. The male singers may not prefer using the male form of “you” in their love song titles. Otherwise, a native speaker in traditional Chinese would feel kind of strange, reading it.

We inserted line breaks on messages that appear in the video. With line breaks, AI seemed to lose the context of the lines.

Line breaks are important. We are often requested to insert line breaks in Asian language marketing materials. Take Japanese line breaks as an example. There are some basic rules for line breaks or how to break words up, but at the same time, there are a lot of exceptions, which humans can easily catch if they understand Japanese, but not AI. In other words, humans break things apart (debriefing) and put them together in a creative way, which AI is just not capable of.

It turns out that AI struggles to translate any segment accurately and, at times, produces unnatural and contextually absurd translations. As shown in the screenshot below, even with a relatively short source text, the quality of AI translation was unbelievably subpar.

AI translated “interpretation” as “explanation” due to a lack of context.
AI translated “Performance” to machine’s performance rather than that of the interpreter’s.
AI mistakenly translated the meaning of “like” as “to be fond of” instead of “similar to.”
AI word-for-word translation for “big heart” doesn’t make sense to a Chinese audience.

It’s clear to us that AI is not able to handle messages that are broken down by line breaks. This then leads us to a question: How well could AI handle entire messages without line breaks?

We conducted a retest by removing all the line breaks on messages. In this attempt, the text was formatted in a more machine-friendly way to enhance AI’s understanding. But even so, post-editing remained an essential step, with 80% of the segments requiring significant human intervention. Without this crucial step, AI translations either come across as rigid and less relatable to our audience, or contain mistranslations. Below are some examples.

Example 1:
The AI translation appears rather stiff because the word “sync” was translated literally. The audience might wonder what it means to “sync” one language to another. Human translators are able to further explain the context of sync, that is, interpreters “listen to one language and convey it in another language.”

Example 2:
AI translated “more emotionally acute” as “more impatient,” which not only deviates from the intended meaning of the source, but also negates the impact of the word “music”. During post-editing, we replaced it with “more emotionally sensitive,” which is more contextually accurate.

Example 3:
AI did word-for-word translation again. It doesn’t sound like what a normal person would say in Chinese. As a dynamic language, Chinese favors verbs over nouns and usually keeps sentences short. Therefore, in post-editing, we restructured the sentence to make it fit a typical Chinese writing style, and flow more naturally.

Example 4:
AI’s translation of “concentration” lacked clarity. Without referring to the source, it was hard to grasp the intended meaning. So, we opted for a more precise choice of words.

Example 5:
AI does a literal translation, full of ambiguity and rigidity, which doesn’t make clear sense to a Chinese audience.

Translation is supposed to flow naturally to engage the audience. It is the more immersive and relatable experiences that make humans feel comfortable. These are exactly the areas where we as interpreters and translators can contribute to.

There may be a lot of gloom and doom from some in the community who think that their jobs are at risk, however, the reality is that we’re training AI to speak our language, but they aren’t able to fully understand it like we can. They can process it, try and find the corresponding pattern in their database, and come to a conclusion that they think is right, but they won’t always be. That’s where interpreters and translators will always have the edge over AI. Human creativity and our ability to understand what’s important, and the culture embedded in it, enables us to make sure that we are conveying the intended message.

We tried one of the latest AI platforms to translate one of our office videos into Mandarin.

While we were impressed by the seamless process and the voice cloning feature that enhanced voice modulation, we couldn’t help but notice pronunciation and translation errors in the generated video. Given that Mandarin Chinese is a tonal language, tones can become a source of misunderstanding if not pronounced correctly. The chosen video introduces the rental service of our conference room, making “conference” a high-frequency word. However, throughout the video, AI consistently pronounces the Chinese word for “conference,” as “memory,” with tones differing from the former. Also, “state-of-the-art” in Chinese is pronounced the same way that “cash” is. This could undoubtedly complicate the message we aim to convey if left alone.

The translation issues we caught are mostly recurring problems caused by machine translation as discussed above. Take the first sentence as an example. AI translated “Looking for a conference room to have a meeting over video or in person?” as “Can you look for a conference room via video or in person meeting?” AI’s rendition deviates from the original meaning, which is likely caused by line breaks, leading to confusion and miscommunication. Such discrepancies underscore the importance of post-editing and human intervention to refine machine-generated translations.

Our conclusion becomes clear.

In this age of AI becoming more prevalent, humans just need to work smarter to beat out AI. As individuals in an evolving world, it’s important to accept technological advancements, but also understand that AI lacks creativity, individuality, improvisation capability, and the understanding of human cultures. That’s how humans can break through and go beyond AI’s limitations.

How does AI apply to the language industry? AI has always been a constant question mark in the back of our minds especially regarding automatic translations. Now that AI can do so much, is it time for translators to become worried?

Today, translators use machine translation programs such as Trados or MemoQ to give them a baseline to work from, so called post-editing machine translation (PEMT). PEMT can greatly improve translation times especially for longer translations. For translators, it has been recognized as a valid strategy and working method. However as we all know, the translations that machine translation programs produce aren’t perfect. They are often more than not flawed. But what happens if you begin using AI such as Chat GPT which is designed to produce fluent and natural sounding language? Would a translator have a more powerful tool? Or would you have a competitor?

Translators will find that the answer is the same as it always has, ever since machine translation was introduced into the world. A machine will most certainly not remove the need for a translator. Language is always so fluid, full of nuance and possibilities that it’s almost impossible for a machine to pick up on every last detail. On the flip side though, translators may find a new ally with AI as it can cut their work time, allowing them to work on more projects. For example, translators can enter questions into Chat GPT, maybe have it check for fluency or suggest different ways of phrasing things, or even come up with new ideas.

If you’re an interpreter, you probably have even less to worry about. Though AIs such as Google Assistant are popular for quick and easy phrases, it still runs into the same problems as it is pulling from Google Translate. Interpretation especially is a field where accuracy and nuance is important and a lot of that is easily lost with AI translations.

Overall, in the language field, whether the advancement of AI would replace the role of human translators and interpreters is nothing to be concerned about, at least not in our life time. If anything, we should be excited about it. As the technology advances, translators and interpreters may find a powerful ally that will help them advance their work efficiently.

This graphic novel project is part a type of new media, a pioneering effort by a handful of creators in search of a new medium for presenting art, story, voice, and music. A pool of talents was gathered for an old-fashioned romantic adventure with elements of Arabian Nights, Cinderella, and the Shangri-la myth. The story depicts a romantic adventure that spans modern-day New York City and the ancient, fictional country of Gao in China. In the midst of modern and old, fiction and non-fiction, West and East, English and Mandarin, romance and mystery, the graphic novel indeed is exotic to watch.

The work has been produced into ten video chapters. To give you a glimpse of our translation work, among what has been published: Chapter 3 has the most translation voices so far. The significant amount of Mandarin presented among English voices indeed makes the graphic novel stand out as a unique and interesting entertainment piece!

Monterey Language Services took extra time to polish the translations into Simplified Chinese to ensure not only accuracy, but an enjoyable and colloquial read for native speakers. Some of the challenges for this project were derived from cultural differences in how to translate certain phrases created specifically for the graphic novel.

For example, we have the “golden doom,” which refers to a specific event in the story. Because the event transports people similarly to the Christian idea of the rapture, our translation was “极乐升天,” which means “bliss ascension” in Chinese language.

One more example of the cultural challenge is rooted in English homonyms. The sentence: “They follow the standard of Lord Kang and swear on his eyes.” In this sentence, what does “standard” mean? If we suggested “average or normal requirement,” it actually would be incorrect! “Standard” in this instance means a battle flag—something ancient soldiers would follow on the battlefield.

Another difficulty was dealing with the ambiguity of written words. In spoken English, a person’s tone can very easily denote sincerity or sarcasm — consider the phrase “good job” being spoken sincerely and being spoken sarcastically, and their meanings become very different. While the context and illustrations in graphic novels can alleviate this confusion in text, sometimes the tone could be just missed. One such problem occurred in our initial translation of “What a stunt,” a line which our translator took be said in admiration, when in actuality, it was an insult. Through our editing/reviewing process we discovered the issue, and the translation was changed from “真是好身手” (really good) to “真有一套,” which has a similar meaning in a more sarcastic tone.

We are incredibly proud of the work we were able to provide for this project, and would like to add more viewing pleasure and excitement by sharing the above behind-the-scenes glimpses to our translation work. We wish all the success to the audience and contributors to the graphic novel. The chapters will be published in video format weekly on YouTube until the tenth and final one is uploaded.

This poem is a great reminder of why we should always, always proofread—and for language service providers, why we should do it even more than the average writer. In today’s blog post, we’ll go over the reasons why.

1. Proofread the source material

Oftentimes, language service providers are given source material documents that the parent company wants to distribute at the same time as their translations. Theoretically, these documents will have been proofread already. After all, the parent company will want their readers to focus on the message of the documents and keep up their reputation and good impressions.

However, before translation, it’s essential that the source material be proofread again to ensure that the translator understands the meaning of it. Grammatical or spelling errors can cause the translated document to lose lots of meaning, and potentially bring about lots of costs to fix these mistakes later down the pipeline.

Let’s look at a common English example of a grammar mistake: “Let’s eat, Grandma!” and “Let’s eat Grandma!” With just a forgotten comma, the entire meaning of the sentence changes into something out of a horror novel. An accurate translation of the second sentence’s meaning could spell disaster, if that sentence is a mistake.

2. Proofread the translation

People are only human—making mistakes is something everyone does, and there’s no shame in it. However, what’s important is how we monitor ourselves to make sure that we catch those mistakes and take responsibility for them.

Translators have the same ability to miss a comma or period, misspell a word, or accidentally misunderstand the meaning of a sentence in the source document. To be safe, it’s crucial to hire a separate translator to act as a proofreader for the translated documents.

3. Assure the quality of the final product before delivery

Even after a translation has been proofread, oftentimes, language service providers are tasked with putting the translation into a certain format—a pamphlet, a PowerPoint, a website, etc. Once the translation is in that format, it’s important to double-check the target document. You want to avoid crashing, missing or hidden text, text overflow, and a slew of other issues.

The need for proofreading all stems back to the need for a proper, professional, trustworthy identity between the parent company and the customer or reader. Glaring issues in the text, or visual problems in the final product, convey to the reader that the document was handled sloppily—and if the document was handled sloppily, why would the parent company treat the reader any differently?

Remember: we should always, always proofread.

This opinion has only been further enforced in the light of the current pandemic. With social distancing being encouraged, many businesses and individuals are moving away from face-to-face business and moving to the safety of digital solutions. With many people preferring in-person interpretation, and less interpreters willing to ignore safety conventions to fulfill these requests, there are some who would prefer to try machine translation.

In this day and age, there are sophisticated machine translation engines that can even almost do simultaneous interpretation. If the subject is within a specific, technical subject, the accuracy of the outputted translation goes up as well. Many would point to this as being the time for machine translation to rise in popularity and use.

Even so, businesses still tend to prefer using interpreters when they can. There is, and will most likely never be a true replacement to a human interpreter. In fact, interpreters were already still able to work remotely even before the pandemic. With Zoom and over-the-phone interpretation, interpreters are still able to work without too much of a change to the experience.

Of course, there are still some difficulties and annoyances with remote interpretation, but it is still the most reliable and preferred method for interpretation. The same applies for translation. Most translation has been done remotely, and is still preferred over machine translation for the same reason businesses prefer human interpreters. Though machine translation is a powerful tool, it is still not reliable or trusted enough to fully replace the human touch. During this pandemic, the work of translators and interpreters may be affected, but it is not because of a rise in machine translation.