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North Sound ACH

North Sound Accountable Community of Health

Announcements

Apple Health extended coverage to end

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During the COVID-19 public health emergency (PHE), the Health Care Authority (HCA) extended coverage for all Apple Health (Medicaid) clients. This extension is now ending due to the Consolidated Appropriation Act (CAA) of 2023, and clients’ extended coverage will be affected. The HCA estimates 300,000 clients around the state may no longer qualify for Apple Health, but may be eligible for other insurance coverage.

HCA is resuming normal eligibility beginning April 1, 2023. Clients will receive a renewal notice prior to the end of their renewal period sometime over the next 12 months, based on a client’s renewal date.

Anticipated timeline for the end of the extended coverage:

  • Now – April 2023: clients can report a change (status, income, address, etc.)
  • April 2023 – April 2024: the HCA processes redeterminations
  • June 2023 – May 2024: some individuals and families will transition to other medical coverage.

If you receive Apple Health (Medicaid):

  • Make sure your contact information is up-to-date at www.wahealthplanfinder.org
  • Watch for renewal notices and take timely action to keep your coverage

Find a free Navigator at these locations:

  • Sea Mar Community Health Center https://www.seamar.org/open-enrollment.html
    • Skagit: Concrete Clinic and Mount Vernon Clinic
    • Snohomish: Everett, Marysville, and Monroe clinics
    • Whatcom: Bellingham and Everson Clinic
  • Skagit Valley Hospital and Cascade Valley Hospital
  • Unity Care NW
    • Bellingham and Ferndale clinics (360) 788-2669
  • Community Health Center of Snohomish County
  • Providence Health and Services (425) 261-4009
  • Resource Corporation of America (425) 263-8750

If you are a healthcare or community-based organization:

The HCA is seeking community organizations and influencers to act as volunteer Apple Health ambassadors. Ambassadors will work to ensure that Apple Health clients have the information and resources needed to maintain coverage at the end of the continuous coverage requirement period.

How can you spread the word? You can share information at work with coworkers and clients, at your next church service, community event, or school event. You can use their social media toolkit (https://www.hca.wa.gov/assets/free-or-low-cost/end-of-phe-social-media-toolkit.pdf) with approved posts you can share on platforms like Facebook and Instagram. North Sound ACH is also developing a social media tool kit that you are welcome to use.

  • March 27

The HCA is hosting monthly webinars for Ambassador updates – find dates and registration at https://www.hca.wa.gov/about-hca/programs-and-initiatives/apple-health-medicaid/apple-health-ambassador-program

Find more information at these links:

Desfibrilador y Primeros Auxilios – Lopez Island features CPR class in Spanish

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In winter 2023, Lopez Island Family Resource Center (LIFRC), United General #304, and La Cima Lopez hosted a Spanish language CPR/AED/First Aid training on Lopez Island.

The Hispanic community on Lopez Island shared with Karina E. Cerda Aguirre, who works with LIFRC, that there was a great need to have this type of knowledge, due to events that had occurred.

“This course was a great success since all the people who took it here on López are very happy and grateful since some of them wanted to have it before, due to their own incidents, family or friends, and having taken it gave them great security and confidence,” Karina shared. “We believe that these courses make all of us and our community stronger!”

A student practices CPR at the Spanish class at Lopez Island Family Resource Center. Provided by LIFRC.

After obtaining support from the Lopez Island Family Resource Center, organizers wanted to include the La Cima youth leaders since they speak both languages, and because they showed great interest in taking the course and helping people too. Gabe Evenson of United General #304 was the instructor.

Most Hispanic families on Lopez could not take other CPR classes, due to lack of 100% understanding of the English language, but if it were offered in Spanish, they would be happy to participate and learn important skills to keep our community safe and healthy. It also provided confidence and empowerment to Hispanics knowing that they are included in this type of opportunity.

LIFRC hopes to offer another class on Lopez, and involve people from other San Juan Islands.  They hope that someone on Lopez will become a certified CPR trainer in Spanish so more people can be trained.  And that they will have bi-lingual, bi-cultural, Spanish speaking community members work for Lopez EMS someday.


Karina added her thanks to North Sound ACH and our network of partners. “Without your help, we cannot carry out many of our projects with the Latino community of Lopez.”

A student practices CPR at the Spanish class at Lopez Island Family Resource Center. Provided by LIFRC.
Students practicing CPR at the Spanish class at Lopez Island Family Resource Center. Provided by LIFRC.

Collaborative Action Network: Aspirations and Actions

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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.

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

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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

North Sound Accountable Community of Health invests in training medical interpreters

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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

Monkeypox (MPV) public health response, stigma resources

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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.