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Steps to Quality Guide
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Assessment Tools

Getting Started

It is important to share information about areas in the organization that need improvement, as well as organizational strengths. Let staff know that improving cultural competence, providing high-quality language services and reducing disparities is an important undertaking, and its success depends on the organization’s strengths.

Areas where the organization excels can be leveraged to address gaps.


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Steps to Quality Improvement > Assessment > Analyzing Results

The purpose of the analysis is to interpret the results so the data are meaningful to the organization and useful in selecting an intervention and developing an implementation plan. Results will highlight areas for improvement as well as organizational strengths; both should be shared. It can be especially helpful for member, patient or client representatives to review and help interpret assessment results, since they can provide a unique perspective.

  • Analyze the data. Staff charged with analyzing the data should be identified in the assessment plan. It is best to have a cross-cultural, cross-departmental group interpret the data. Including community representatives and patients, clients or plan members on the panel provides several benefits: it adds a unique perspective, involves the population served and demonstrates the organization’s commitment to providing CLAS and reducing disparities in health care. Multiple analyses of the same data over time facilitate data comparison and help direct goal setting and future and ongoing intervention plans.
  • Report the data. Modify the presentation of data to a specific audience. For example, a presentation to general staff may be done with a few slides that provide an overview of findings, while a presentation to senior staff or board of directors may require a more strategic focus.
  • Make decisions. Once data have been analyzed, the QI team must decide what activities or changes might reduce disparities or improve the provision of CLAS. Specific interventions must be selected and planned before they are implemented. This is detailed under "Planning."