GPQIN
CLAS Standards: Checklist and Action Plan
The following assessment was designed to help organizations identify needs and develop an improvement plan to address the basic elements of the National Culturally and Linguistically Appropriate Services (CLAS) Standards.
Please note your implementation status for each of the following National CLAS Standards. If you are unsure of how to respond to a particular question, please feel free to skip and move on to the next one. Responses to the items on the checklist will be used to develop your organization’s individualized CLAS action plan.
As you go through the checklist, you may find it helpful to refer to The Blueprint:
A Blueprint for Advancing and Sustaining CLAS Policy and Practice
Source: U.S. Department of Health and Human Services, Office of Minority Health | National CLAS Standards Checklist
1
Contact Information and Getting Started
2
Theme 1: Governance, Leadership, and Workforce
3
Theme 2: Communication and Language Assistance
4
Theme 3: Engagement, Continuous Improvement, and Accountability
5
Your CLAS Action Worksheet
Contact Information
Name
*
First
Last
Job Title
*
Organization
*
Email
*
City
*
State
*
Is your organization part of a health system?
*
Yes
No
As part of your health system, select the care settings this checklist applies to:
Hospital
Clinic
Home Health
Pharmacy
Other
1
/
5
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