en English
ar Arabiczh-CN Chinese (Simplified)en Englishfr Frenchde Germanja Japanesept Portugueseru Russianes Spanish
Skip to content
  • Skip to primary navigation
  • Skip to main content
  • Skip to footer

North Sound ACH

North Sound Accountable Community of Health

  • Home
  • About Us
  • Our Work
    • Collaborative Action Network
    • Community Hub
  • News & Press
  • Events
  • Connect

Blog

Working together to uphold Vital Conditions

October 28, 2022 by Liz Baxter Leave a Comment

It has been almost one year since a “greater than” 100-year flood impacted Whatcom, Skagit, and other counties around the state of Washington. Close to 2,000 households were displaced in North Sound, and one year later many of those families are still waiting for repairs or permanent placement. 

Access to affordable housing was already severely limited, and the flooding increased the demands on scarce options, leading to some tough trade-off conversations. Who do you prioritize during an emergency – households who have been waiting in a queue for months or longer, or those impacted by an emergency asking to have their needs met more quickly? These are tough conversations and they will remain tough for some time to come.

I saw a picture (right) this week of the air quality around the Space Needle in Seattle and, even though so many of us have been living with the smoke, this picture posted by Washington’s Emergency Management Division tells an unhealthful story.  

When we see air quality like this, it’s why we have such respect for the Vital Conditions for Well-Being (click here to see our Resource Library, as it calls out a thriving natural environment as being essential to health and well-being). This air quality was not just unhealthy for vulnerable community members – it was unhealthy for all of us. So imagine those among us who didn’t have a safe place to stay inside and wait out the smoke, but because of housing insecurity were forced to stay outside and breathe that air. I know we do heating shelters in the winter, and cooling shelters when it’s too hot. Are we now looking at needing clean-air shelters as well? 

We’re happy to see cooler weather and rain dampen the fires and clear out all the smoke. We’re also aware that community members are anxious about another wet fall, and what is on the way. There is a network of partners who have been meeting to discuss flood response and the next few meetings will focus on preparing for what comes next as the rainy season continues. With this network, we’ll be better prepared than we were 12 months ago. We have lots of partners in Whatcom and Skagit to thank for that, and both counties now have Long Term Recovery Groups set up for households still recovering from last fall.

Our team has also been heading to meetings – yes, in-person meetings. A successful presentation at the WA Public Health Association meeting on the Collaborative Action Network, and a chance to interact and brainstorm with ACH teams from across the state at the HCA/ACH Learning Symposium happened in the same week in October. We’re beginning to plan our first in-person partner convening for January in three years (Save The Date announcement coming soon!). We’re going to take our technology learnings from remote meetings and use them to optimize real-time meetings. Yes, that should be fun!

We also have about 40 people (partners, board, and team members) from across the region heading to Phoenix, AZ to attend the Facing Race Conference; continuing to learn the language that will allow us to identify, mitigate, and dismantle structural barriers is a commitment we have.  We look forward to bringing those learnings back to the region. 

We appreciate the time and energy that you put into learning and planning initiatives with each other and with our team. Thanks for providing those chances to work together and see how far we can go! 

Filed Under: CEO Update

Collaborative Action Network: Aspirations and Actions

October 3, 2022 by Liz Baxter Leave a Comment

I am often asked the rationale behind the common agreements that we have asked all partners to commit to. For those who aren’t familiar with them they are linked here.

Since 2014, when leaders from across five counties and eight tribal nations formed what is now North Sound ACH, the underlying focus on advancing equity has been present. To further that end, in December 2020 the Board of Directors made this even more explicit, adopting a set of goals for the organization to ensure that all people in the region have access to the conditions relied on every day for well-being. Operationally, we incorporated those goals into contracts between us and our partners – the set of common agreements mentioned above. 

In a recent , questionable billing practices of nonprofit health systems for patients at or near the federal poverty level were explored, and examples were used from one of our health system partners, Providence. (Please also read the response from Providence at this link.)

As a backdrop, the Affordable Care Act set requirements for nonprofit health systems to disclose their charity care, an intention to help the most vulnerable individuals and families in our communities. Some states, including Washington, followed by enacting legislation to identify if and who would be eligible for free or discounted care; you can find a brief description of Washington’s requirements at the Attorney General’s website.  

It is unacceptable when practices leave people at lower income levels to be buried in even more debt when there are programs to mitigate those circumstances. But we cannot jump to condemn the individuals and caregivers who work with those systems, who have been serving patients under some of the most trying conditions our nation has ever faced. When system-level decisions are made, the systems must work to acknowledge and correct those system-level decisions.   

Regionally, we are working to change the conditions that leave people suffering and struggling, and advance strategies where all community members can thrive. It is a worthy goal, and we’re grateful to have a wide array of regional partners on board with us, including strong practitioners from Providence.    

We believe in what our partners have committed to – not just in writing, but in action. We also believe that North Sound ACH can be of support as our partners navigate tough times. As we have done in the past, we will provide a space for anyone to join in advancing equitable well-being across the region, with our partners and even within our own team here at North Sound ACH. This requires that we all are able to point out when we or I stumble and to work together to do better.

Filed Under: Equity, Announcements, Board, Cultural Humility, Partners, CEO Update Tagged With: Liz Baxter, CEO, collaborative action network, board goals

‘Listens’ team helps community recover

September 21, 2022 by Megan Stephenson Leave a Comment

When a natural disaster or other extreme event hits a community, there is often an immediate response – neighbors and strangers donating their time, money, household goods and shelter, jolted into quick action out of compassion. This happened last fall, when Whatcom and Skagit counties experienced catastrophic flooding that impacted thousands of people and displaced over 500 households.

But a less visible response to these disasters is long-term recovery – such as, after the flood waters have receded. After surviving a disaster, individuals and communities experience trauma and stress, and need help recovering emotionally and mentally, in addition to home repair and replacing items lost.

The North Sound Listens team, a partnership of North Sound ACH and the Health Care Authority, provides peer support and crisis counseling to our neighbors impacted by the November 2021 floods and its aftermath. They are on the ground and on the phone, talking to folks Monday through Friday, in English and Spanish.

“Just to have someone listen to your story, that makes a huge difference for survivors,” said Nicole Donovan, program manager for North Sound Listens. The five-person team – Donovan, Maria Santos, Mario Morales, Cindy Harrington, and Tonya Bieche – was formed in April 2022, as part of North Sound ACH’s plan to support rapid community response in emergency situations.

North Sound Listens team, from left: Maria Santos, Nicole Donovan, Mario Morales, Tonya Bieche, and Cindy Harrington.

North Sound Listens is one part of a multifaceted recovery – they work with many other organizations in the community, as well as city, county, state, and federal agencies to try and coordinate the needs of impacted residents. At different stages in recovery, some people need case management – case managers coordinate resource referrals, help with paperwork and recovery plans, schedule volunteers to assist in house repair or other needs. Other times, people need someone like Maria, Mario, Cindy, and Tonya to just listen.

Maria, who has also worked as a homeopathic health and wellness coach, said she asks open ended questions and lets the person she’s visiting lead the conversation. Building trust takes time, and acceptance of help is not always immediate. But the team are present at community spaces, like the Nooksack Food Bank, as well as making regular follow up visits or phone calls, and Maria said this has helped the community to open up to her and her teammates.

Mario has previous experience in emergency management and security, and said that without other agencies and coordination, the North Sound Listens team can’t do the work that they do; everyone sharing resources is what it takes, he said. The North Sound Listens team works with organizations such as the Whatcom Long Term Recovery Group (formerly Whatcom Strong), Opportunity Council, Community Action of Skagit, Nooksack Food Bank, American Legion, Ferndale Community Services, among others.

A lot of community members that the North Sound Listens team meet downplay what they’ve been through, expressing that they don’t want to ‘take from the pie’ of resources, Tonya said, and the others agreed they see this as well. But by expressing their needs and giving attention to their mental health, they are actually building the pie for everyone. “Asking for what you need is a strength, it makes everyone better and stronger,” Tonya said.

Mario Morales and Maria Santos hit the streets.

If you or someone you know has been impacted by the November 2021 floods in Whatcom or Skagit County and needs someone to talk to, call (360) 935-0105. The team is available 10 a.m. to 4 p.m. Monday through Friday, but you can leave a message in any language and someone will return your call. You can also email NorthSoundListens@northsoundach.org.

Read more about the 2021 flood recovery:

The flooding of Everson, Washington by NBC News

Neighbors of Swift Creek displaced by asbestos by Cascadia Daily News

Filed Under: Partners, Community Engagement Tagged With: emerging focus areas, north sound listens, health care authority, peer support, peer counseling, emergency response, flood relief, flood

North Sound Accountable of Health invierte en la formación de intérpretes médicos

September 12, 2022 by Natalie Leave a Comment

El año pasado, North Sound Accountable Community of Health (North Sound ACH) desarrolló una encuesta sobre el acceso lingüístico para recopilar datos sobre los idiomas que se hablan en la región de North Sound y comprender mejor cómo apoyar a las organizaciones regionales en proporcionar servicios lingüísticamente y culturalmente apropiados en los servicios sociales y de salud.

Los datos recopilados en la encuesta destacaron oportunidades para aumentar los servicios en idiomas distintos al inglés. En la primavera de 2022, North Sound ACH inició un proyecto piloto para brindar oportunidades de capacitación a personas bilingües y multilingües para incrementar el acceso a la interpretación médica, una necesidad identificada de la fuerza laboral en North Sound.

Los participantes en esta encuesta son organizaciones asociadas con North Sound ACH, incluidas organizaciones comunitarias que prestan servicios a comunidades y naciones tribales en los condados de Whatcom, Skagit e Island.

La encuesta mostró que los principales idiomas para solicitar un intérprete son: español (95%), ruso (64%) y vietnamita (24%). La encuesta también informó sobre la gran necesidad de intérpretes para las personas que hablan lenguas indígenas, como el mixteco alto y el mixteco bajo, lo cual es especialmente difícil encontrar intérpretes locales con estos idiomas particulares de manera oportuna.

North Sound ACH ofreció becas para una clase de capacitación en Whatcom Community College en el trimestre de primavera de 2022; 12 estudiantes bilingües y trilingües se inscribieron en el curso de Fundamentos de Interpretacion Medica, provenientes de los condados de Skagit, Island, Snohomish y Whatcom. De los 12 estudiantes, 11 completaron la capacitación y ahora son elegibles para tomar el examen para la certificación nacional en interpretación médica. Los estudiantes que aprueben el examen serán elegibles para ofrecer interpretación médica a hablantes de mixteco, español y coreano.

Hay una diferencia entre un intérprete y un empleado bilingüe.

Rebeca Sixto era una de las alumnas, bilingüe (español e inglés), que al igual que muchos niños inmigrantes y de primera generación, ella ha estado interpretando de manera informal para su familia y miembros de la comunidad durante años, y a menudo se le pedía que ayudara a traducir o interpretar en sus lugares de trabajo. “A veces se siente como, oh Dios mío, tengo todo este trabajo que hacer,” refiriéndose a su experiencia al tener que traducir mientras estaba en el trabajo, pero “lo estoy haciendo para las personas que lo necesitan.” Ella menciono que siempre ha sido el tipo de persona que ayuda a las personas necesitadas. Después de tomar la clase, Rebeca dijo que aprendió que hay reglas a seguir para asegurarse de que está interpretando correctamente, especialmente en un entorno médico. Los estudiantes aprendieron sobre los estándares legales y éticos para la interpretación.

La compañera de estudios Julieta García Suárez dijo que descubrió que los empleadores a menudo quieren personas bilingües, pero no siempre se ofrece una compensación adicional por sus habilidades. “Hay una diferencia entre un intérprete y un empleado bilingüe,” dijo Julieta.

Todos los estudiantes han visto una gran necesidad de intérpretes, y muchos están motivados para tomar el examen estatal para obtener la certificación, no solo para recibir una compensación adecuada por sus habilidades, sino porque se necesitan intérpretes locales, como se demuestra en la encuesta realizada por North Sound ACH. Muchos de los estudiantes compartieron historias de ser jóvenes e interpretar para sus padres en las citas médicas, o ser la persona a quien acudir para ayudar a los pacientes de habla hispana que vienes a las clínicas donde se trabaja, o incluso si la persona necesitaba ayuda con el papeleo escolar de sus hijos. Tener intérpretes locales también genera confianza en los miembros de la comunidad Latine, dijo Sixto.

North Sound ACH actualmente está buscando sitios de pasantías para los recién graduados de su programa de Interpretación Médica. A través de esta pasantía, los estudiantes practicarán sus habilidades de comunicación, traducción e interpretación, se familiarizarán con el entorno de atención médica y ganarán confianza para brindar servicios de excelencia a sus clientes.

Para aquellos que ya trabajan en el campo de la atención médica, tener una certificación mejorará su capacidad para servir a sus comunidades, reducirá las barreras para los servicios de interpretación dentro de sus organizaciones y será reconocido y compense justamente por el trabajo.

Para aquellos sin experiencia en el campo de la atención médica, esta capacitación y certificación podría ser el comienzo de una carrera en la industria de la atención médica, ya que el graduado estará equipado para trabajar en organizaciones que requieren interpretación y traducción médica para sus clientes.

En 2023, North Sound ACH continuará liderando esfuerzos con socios de la comunidad para expandir el programa de certificación e interpretación médica a personas que hablan otros idiomas identificados en la encuesta de acceso lingüístico.

Las organizaciones que estén interesadas en recibir pasantes o aprender más sobre este proyecto pueden contactarnos en team@northsoundach.org.

Rocio Castillo-Foell, Directora de Participación Comunitaria y Promoción de la Salud habla virtualmente a los participantes del programa de intérpretes. Foto por Gabriela Cardona / North Sound ACH
De izquierda a derecha: Veronica Sanchez, Cristina Morales, Rebeca Sixto, Jhovana Sanchez, Julieta Garcia Suarez; Marco Morales. Foto por Gabriela Cardona / North Sound ACH
Jhovana Sanchez y Rebeca Sixto en una cena de celebración en North Sound ACH. Foto por Gabriela Cardona / North Sound ACH

Filed Under: Equity, Cultural Competency, Community Engagement, Announcements

North Sound Accountable Community of Health invests in training medical interpreters

September 12, 2022 by Megan Stephenson Leave a Comment

Last year, North Sound Accountable Community of Health (North Sound ACH) developed a Language Access Survey (LAS) to collect data on languages spoken in the North Sound region, and to better understand how to support partner organizations in providing culturally- and linguistically-appropriate language services in healthcare and social services.

The data collected from the LAS highlighted opportunities to increase non-English language services. In spring 2022, North Sound ACH initiated a pilot project to provide training opportunities to bilingual and multilingual individuals to explore medical interpreting, an identified workforce need in the North Sound. 

The participants in the LAS are North Sound ACH partner organizations, including community grass-roots organizations serving communities and Tribal nations in Whatcom, Skagit, and Island counties. 

The survey showed that the top languages to request an interpreter are: Spanish (95%), Russian (64%), and Vietnamese (24%). The survey also reported the high need for interpreters for Central American Indigenous languages, such as Mixteco Alto and Mixteco Bajo, which is especially challenging to find local interpreters for those languages in a timely manner. 

North Sound ACH offered scholarships for a training class at Whatcom Community College in Spring Quarter 2022; 12 bi- and trilingual students enrolled in Foundations of Medical Interpreting, coming from Skagit, Island, Snohomish, and Whatcom counties, speaking Mixteco, Spanish, and Korean. Of the 12 students, 11 completed the training and are now eligible to take the exam towards certification in medical interpreting. 

There’s a difference between an interpreter and a bilingual employee.”

Rebeca Sixto was one of the students, a bilingual speaker of Spanish and English. Like many immigrant and first-generation children, she has informally been interpreting for her family and community members for years, and was often asked to help translate or interpret at her workplaces. “Sometimes it feels like, oh my gosh I have all this work to do,” she said of being asked to translate while at work, but “I’m doing it for the people that need it.” She said she’s always been the type of person to help people in need. After taking the class, she said she learned there are regulations to follow, to ensure you are interpreting correctly, especially in a medical setting. The students learned about legal and ethical standards for interpreting.

Fellow student Julieta Garcia Suarez said she found that employers often want bilingual speakers, but it didn’t always equate to extra compensation for her skills. “There’s a difference between an interpreter and a bilingual employee,” she said.

The students have all seen a great need for interpreters, and many are motivated to take the state exam to become certified – not just to be appropriately compensated for their skills, but because local interpreters are needed, as demonstrated in the LAS. Many of the students shared stories of being young and interpreting for their parents at medical appointments, or being the “go-to” person for Spanish-speaking patients when working at clinics, even if the person needed help with their children’s school paperwork. Having local interpreters also builds trust in Latinx community members, Sixto said.

North Sound ACH is currently looking for internship sites for the recent graduates of its Medical Interpretation program. Through this internship, the students will practice their communication, translation, and interpretation skills, become familiar with the healthcare environment, and gain confidence to provide excellent services to their clients. 

For those already working in the healthcare field, having a certification will enhance their ability to serve their communities, reduce barriers to interpretation services within their organizations, and be recognized and better remunerated for the work. 

For those with no experience in the healthcare field, this training and certification might be the beginning of a career in the healthcare industry, as the graduate will be equipped to work at organizations that require medical interpretation and translation for their clients. 

In 2023, North Sound ACH will continue to lead efforts with community partners to expand the medical interpretation and certification program to individuals who speak other languages identified in the Language Access Survey. 

Organizations that are interested in hosting interns or learning more about this project can contact us at team@northsoundach.org.

from left to right: Veronica Sanchez, Cristina Morales, Rebeca
Sixto, Jhovana Sanchez, Julieta Garcia Suarez; sitting, Marco Morales. Photo by Gabriela Cardona / North
Sound ACH
Rocio Castillo-Foell, North Sound ACH Director of Community Engagement and Health Promotion, speaks virtually to the interpreter program participants. Photo by Gabriela Cardona / North Sound ACH
From left, Jhovana Sanchez and Rebeca Sixto attend a celebratory dinner with North Sound ACH. Photo by Gabriela Cardona / North Sound ACH

Filed Under: Equity, Cultural Competency, Community Engagement, Announcements

Monkeypox (MPV) public health response, stigma resources

September 2, 2022 by North Sound ACH staff Leave a Comment

As of September 1, 2022, there are 450 total cases of monkeypox virus (MPV) in Washington state. In our region, Snohomish has 15, Whatcom has 1, and Island has 1.

North Sound ACH staff Heather McGuinness (Public Health Liaison) and Michaela Vendiola (Tribal & Community Liaison) have compiled a list of Tribal, state, county and other public health resources, as well as anti-stigma literature.

You can also call 1-833-829-HELP for answers about MPV risk factors, vaccine information, testing and treatment, from 6 a.m. to 10 p.m. Monday, and 6 a.m. to 6 p.m. Tuesday through Sunday and observed state holidays. In addition to calling 1-833-829-HELP, callers can continue to dial 1-800-525-0127 and press # to be transferred to a Washington 211 specialist. Language assistance is available in 240 languages. Call takers will not be able to schedule vaccine appointments.

The best thing you can do to protect yourself against MPV is to know the risks and take precautions. Despite misinformation, anyone who has close contact with a person with an infectious rash can get MPV; it is not exclusive to any community. MPV can also spread through touching objects, fabrics and surfaces that have been used by someone with MPV, and contact with respiratory droplets during prolonged face-to-face contact. If you have an unexplained rash, cover it, avoid skin-to-skin contact with others, and see a health care provider. They will determine what testing and treatment may be available.

View our North Sound MPV resource spreadsheet, and send us your suggestions to include in this spreadsheet by emailing Team@NorthSoundACH.org.

Filed Under: Announcements, Partners, Equity, Community Engagement

  • « Go to Previous Page
  • Page 1
  • Interim pages omitted …
  • Page 8
  • Page 9
  • Page 10
  • Page 11
  • Page 12
  • Interim pages omitted …
  • Page 22
  • Go to Next Page »

Footer

North Sound ACH
PO Box 4256, Bellingham, WA 98227
Phone: (360) 543-8858
E-mail: Team@NorthSoundACH.org

Facebook Instagram LinkedIn YouTube

Sign up to receive updates

Copyright © 2026 North Sound ACH · Proudly created by Beaux · Log in