2024 OHA Application to Approve Cultural Competence Continuing Education Training

INSTRUCTIONS:
Trainers and curriculum developers interested in having their cultural competence continuing education (CCCE) training for health care professionals reviewed and approved by Oregon Health Authority (OHA) to meet criteria for high quality cultural competency education must complete and submit this application to OHA, per Oregon Revised Statutes (ORS) 413.450, Oregon Administrative Rules (OAR) 950-090-0000 through 950-090-0020, and HB 2011 (2019).

PLEASE NOTE: OHA is not a CE accreditation organization. OHA-approved cultural competence CE training may or may not meet health professional licensing board requirements. Any licensed health professional or individual needs to check with their board to make sure the CE will count towards their licensing requirements.

For more information about Oregon's Cultural Competence Continuing Education program, please refer to the OHA Office of Equity and Inclusion website: https://www.oregon.gov/oha/EI/Pages/CCCE.aspx

To preview the application before you begin, click on this link: 
//surveygizmolibrary.s3.amazonaws.com/library/196578/survey_8057615.pdf

Please be advised that the application may take at least 45 minutes or more to complete. If you are not able to complete the application in one setting, you can save the work you have done and return to it at a later time.
 
GENERAL APPLICATION REQUIREMENTS

• Continuing education trainers and developers must determine if they will apply as a CE provider, CE community based organization, CE small business, or CE activity applicant type. (See OHA DEFINITIONS below).
• CE provider, CE community based organization, and CE small business applicants must address all 4 domains and criteria/content areas for OHA approval.
• CE activity applicants must specify which domains and criteria/content areas will be addressed, with a minimum of 2 criteria per domain for OHA approval.
• Please make sure program information is relevant to Oregon's laws and administrative rules. For example, OARs related to: Health Care Interpreters (HCI), Traditional Health Workers (THWs), which include: community health workers, birth doulas, peer support specialists, peer wellness specialists, personal health navigators; and others. (See ADDITIONAL RESOURCES below).
• Please confirm any necessary permissions when training utilizes videos, books, etc.
• The completed application and all supporting documents must be submitted to OHA electronically through the survey link.
• The completed application must include Sections 1 through 6, with all necessary attachments.  Every question in the application must be answered. 
• For attachments, there is a maximum 20-page limit. Applications exceeding 20 pages of attachments will NOT be reviewed. List any curriculum, outline, and handouts you would like reviewed by using the "Attachment Cover Page" on page 10. Attachments can include instructors' guides, student handbooks, lists of textbooks, evaluation form, and other instructional materials used.
• Reference links can be included as supplemental information, but the committee will not automatically review the content in your reference links. If you use reference links and want the committee to review a portion of what is in the link, you must include this information within the 20 pages of attachments.

  CRITERIA FOR OHA CULTURAL COMPETENCE CONTINUING EDUCATION TRAINING APPROVAL

 

Domain I	Culturally competent practice requires self-awareness and self-assessment of beliefs, attitudes, emotions and values.
	1.1 Training opportunity teaches about cultural factors that may influence provider and patient’s behaviors
	1.2 Training opportunity helps to foster a non-judgmental and respectful environment during health encounters between provider and patient
	1.3 Training opportunity teaches relationship between cultural competence and ethics
	1.4 Training opportunity explores concepts of power, privilege and oppression across personal identities and the intersections among these identities (e.g. racial, ethnic, culturally-based, LGBTQ, people with disabilities, limited English proficient, etc.)
Domain II	Culturally competent practice requires the acquisition of knowledge by providers.
	2.1 Training opportunity demonstrates understanding of cultural competence as a developmental, life long, participatory process, not an endpoint
	2.2 Training opportunity provides a broad and inclusive definition of diversity, even if it  focuses on a specific population
	2.3 Training opportunity demonstrates knowledge of legal, regulatory and accreditation issues of diversity and linguistic issues and providers’ professional standards regarding cultural competence (i.e. patient rights & responsibilities, risks to practice- Civil Rights Act, Americans with Disabilities Act (ADA), national standards for Culturally and Linguistically Appropriate Services (CLAS), The Joint Commission requirements, etc.)
	2.4 Training opportunity demonstrates knowledge of health disparities and social determinants of health
	2.5 Training opportunity demonstrates knowledge of culturally-based information and related resources specific to Oregon
Domain III	Culturally competent practice requires the acquisition of skills by providers.
	3.1 Training opportunity demonstrates how to collaborate with patients and/or stakeholders in making health care decisions.
	3.2 Training opportunity demonstrates how to develop and/or utilize communication tools/multiple patient education formats (including translated, audio and visual materials) and patient assessment strategies (e.g. patient- and family-centered communication, patient’s perception of his/her health, patient preferences, etc.)
	3.3 Training opportunity demonstrates how to collect and utilize data to inform clinical practice related to health equity, (including recognition of institutional cultural issues)
	3.4 Training opportunity demonstrates how to collaborate effectively with community resources, stakeholders, traditional health workers (THWs), qualified/certified health care interpreters (HCIs), providers, and other types of healers
Domain IV	Culturally competent training requires specific educational approaches for acquisition of knowledge and skills
	4.1 Training opportunity is delivered through facilitated, learning processes (e.g. interactive training involving case review; homework; discussion group/blog; interactive test with trainer/facilitator; post-training to demonstrate what was learned; etc.)
	4.2 Training opportunity uses a variety of collaborative, inclusive and accessible teaching methodologies consistent with adult learning principles (e.g. self-directed, goal oriented activities based on participant experiences in order to gain new forms of knowledge, skills, attitudes, or values)
	4.3 Training opportunity is evaluated to assess impact on participants and efficacy of trainers, with clear description of criteria for participant completion
	4.4 Training opportunity incorporates the principles of privilege, power, oppression, bias, and the guiding principles of cultural competency.

ADDITIONAL RESOURCES
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APPLICATION REVIEW PROCESS

Applicant notification

• Applicants will be notified by email within 7 calendar days to acknowledge receipt of the application
• OHA will inform the applicant by email of final review results.
• OHA anticipates final results will be shared 10 weeks after receipt of application. If revisions are required, estimated final approval will take longer and will be dependent upon several factors including how soon applicant can incorporate revisions and resubmit to OHA.

Advisory Committee recommendations
OHA's Cultural Competence Continuing Education Advisory Committee (CCCEAC) will carefully evaluate whether the CE opportunity meets current OHA criteria for approval and other requirements included within this application. CCCEAC recommendations for approval will be based upon committee members' evaluations and group discussion. OHA-OEI leadership will consider CCCEAC's recommendations, but retains the authority to make the final decision to approve or deny all applications.

Types of possible OHA actions
There are 5 types of possible actions after review of application.
1. Additional information requested.
2. OHA may request to schedule a meeting with the applicant/CE training provider, either prior to or after application approval decision.
3. Approved
4. Conditionally Approved. OHA may request revisions to CE training, in order to be approved.
5. Not Approved/Denial. If OHA determines its cultural competence continuing education criteria are not met,
or are no longer being met, OHA may deny, suspend, rescind, or revoke its continuing education approval.
OHA will include reasons for denial.

OHA reserves the right to audit any applicant during or after the application review process.
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• There are significant staffing or organizational changes. Examples include but are not limited to: elimination of a dedicated CE coordinator staff position and assignment to a health education staff who did not have prior CE responsibilities, or closing a medical residency program at a hospital where the CE program was housed.
• There are changes in the trainer(s)/facilitator(s), content, or number of hours exceeding two.
• The training is no longer being offered, so the registry can up updated on the OHA website.

Applicants must report changes within 30 days of such change by contacting OHA staff and submitting an addendum for approval, as appropriate.