Supporting Contract Interpreters

Did you know that roughly 75% of interpreters working in the United States are independent contractors?

Here at In Every Language, we understand the power of micro-business and we make it part of our mission to help contractors from disadvantaged background grow their careers.  Part of these efforts include our recent endorsement of the Contract Interpreters Information Center.

In this work, In Every Language joins respected colleagues from around the nation in supporting this valuable and growing resource.  The Center's website explains the benefits of running your own micro-enterprise as a contractor, contains advocacy information on the contractors' federal labor rights, and offers a blog updating state-specific information as it becomes available.  Information is also available on how an independent contractor can make her/himself more attractive to translating and interpreting agencies.

We appreciate our hardworking interpreters who strive day-in, day-out to ensure that our clients' communications are accurately conveyed from one language into the next.  That's why we do what we can to support them, and that is why In Every Language backs the Contract Interpreters Information Center.

Guest Blog: How to Request an Interpreter

(The guest blog below was written by Linda Golden, Interpreting Project Manager.)

Over the last year, I have answered many, many calls and emails from clients (or potential clients) requesting interpreters. Regulars know exactly what they want: Arabic on Friday at 3:00 PM for a two-hour diabetes consult.  Others need a little more guidance. Here are a few things to keep in mind – and on hand – that will make requesting an interpreter a smoother process.

Introductions
“Arabic on Friday at 3:00” is useful information, and we’ll need that eventually. But first, what’s your name? Are you calling from a doctor’s office?  A hospital? On behalf of a lawyer? And has your company worked with us before? If you’re a new client, we’ll need extra information from you – be prepared to let us know how you found out about us and where we should send a bill. If we’re already working together, we’ll be able to fill your request more quickly.

Know Your Needs
A language service provider can’t provide service unless you provide the language your client speaks. Try to be as specific as possible – is it Mandarin Chinese or Cantonese? Spanish from Mexico or Cuba? Like American English and United Kingdom English, the same language spoken in different countries has differences. That’s not to say that an Arabic interpreter from the Sudan can’t interpret for an Iraqi, but knowing ahead of time what to expect will help her prepare.

If you’re not sure what language your client speaks, there are a couple of tools that can help. “I Speak Cards” present the phrase “I speak ______________” in a number of languages, with the English name of the language next to the phrase. Ideally, the limited-English speaker will find his or her language on the list, point to it and solve your mystery; however, this only works if the client can read in their language. In Every
Language has these cards – just request them.

If you know where your client is from, another resource is Ethnologue. Ethnologue lists languages both by country and language name. It also gives alternate names for languages and can help you figure out if there are variants of the language.

Details, details
In addition to language, you’ll also need to provide details like where and when you’d like the interpreter to provide services. Is there a suite number? Is there more than one wing to the building in which your office is
located? What will the subject of the appointment be? A deposition requires different vocabulary than a parent-teacher conference, and a parent-teacher conference requires different vocabulary than a laparoscopic
cholecystectomy. If the meeting will include written materials like handouts, discharge instructions or Power Point presentations, consider sending us a copy of those materials, or even having them translated.  Providing this information will allow the interpreter to better prepare for the appointment.

When calling to request an interpreter, keep in mind that interpreting takes time, so an appointment or meeting that usually takes 30 minutes may take an hour. Plan and schedule accordingly. Finally, if you’re calling more than one company, keep some notes so you know who you’ve called and who will be providing an interpreter. Double-booking interpreters only costs you money, and if you need to give feedback about the interpreter, you don’t want to waste time calling the wrong company.

Should We Translate or Shouldn’t We?

If Blackwater asked you to translate assembly instructions for an automatic rifle, would you do it? What if they told you the document’s target audience was teenagers in the Sudan?  This is not a hypothetical, but a real dilemma my staff had to grabble with a few years ago.  At the height of Blackwater’s unpopularity, not that long after the shooting crisis in Iraq, my staff sat in an office in Louisville, Kentucky and asked ourselves, “Should we or shouldn’t we?”  In Every Language was still a young company, starting to grow an early, national-level client list, and to be quite frank, we probably could have used the money.  But we decided not to touch the project with the proverbial ten-foot pole.

Personally, I don’t know as much about the Sudan as I should, but I do know I don’t want to be responsible for anybody killing anybody there or anywhere else, for that matter.  For all I know, though, these guns could have been used for defensive purposes.  For all I know, without this translation, someone might not have known how to properly assemble his gun and gotten his defenseless head blown off as a result.  The point is, once we’ve translated, the power leaves our hands and the document returns to the hands of the client.  We rarely know exactly what happens to it.  I didn’t know then and I don’t know today.  So given the chance, would I turn down translating that project again? That’s something else I don’t know.

Military contracts and contractors aside, the language services profession is rote with controversial issues as subject matter.  If you’re pro-life, do you interpret for an abortion?  If you’re pro-choice, do you interpret for a crisis pregnancy center?  And it doesn’t stop there.  Legal interpreters who are against the death penalty having to interpret judgments they don’t agree with, feminist translators asked to localize for adult entertainment.  Read enough bumper stickers and you’ll quickly learn everyone has their issues.

In truth, though, these issues are important to us on many levels.  Regardless of your set of ethics, no one likes to think of herself as an unethical person.  We each have our constructs, whether we have religion or not, the sheer having or not-having of religion being yet another.  Be we ruled religiously, morally, or ethically, we all have certain things we will or will not do: murder, theft, translation for two competing clients?

Located in Arlington, Virginia, Alboum and Associates bills itself as “translators for the good guys.”  There, the meaning of good guys includes clients in the stop-smoking market, or as CEO Sandra Alboum calls it, “tobacco control.”  Because of the large number of clients Alboum has in this industry, her contract translators pledge not to translate for big tobacco while they’re translating for her.  Alboum claims, “We are translating for you but we are also supporting your cause and as part of your cause, we commit to not work for big tobacco or any pro-tobacco organization or pro-tobacco lobbying. We’re not going to work for competition, if you will.”  In fact, Alboum goes one step further by promoting her company and her contractors to clients as being tobacco-free.

Now, I’m from Kentucky, where tobacco wasn’t just the number one cash crop, but where farming it was a way of life.  But in today’s climate, you don’t have to tell me or our dwindling state economy that smoking is no longer cool.  Anti-tobacco sentiment is, in fact, the well-shared, majority opinion.  But many issues don’t boil down into majority and minority categories with such ease.  Take abortion for example.  According to Derek Selznick with the American Civil Liberties Union of Kentucky, 20% of Americans are adamantly pro-life, 20% are adamantly pro-choice and the rest are either in between or without opinion.  No majority or minority here, unless you claim the majority as undecided.  Tobacco use may be a clearer cut issue, but when your opinion is without clear majority, whose ethics does a company follow then?

In Alboum’s case, her company would drop a translator who translated for both sides. If her company had pro-choice clients, “then [a translator started] translating for the conservative, right-to-lifers…we would have to re-evaluate.  You’re supposed to be on the same page as your client and you’re providing a service for people that understand and are sensitive toward their cause.”

Victor Hertz, CEO of Accredited Language Services in New York, New York, disagrees.  He claims he would never drop a freelance translator based on who else hse translated for or on any set of ethics that translator might hold.  “Unless you can prove that there’s a social good that’s being infringed upon, it’s none of your business,” he says, asking “At what point do you impose your personal values upon others?”

And that is the question.  Whose is it to judge?  As company owners, I suppose you could say it’s ours.  In the end, I, Terena Bell, am responsible for In Every Language as a business.  Sandra Alboum is responsible for Alboum and Associates; Victor Hertz is responsible for Accredited Language Services.  As CEO’s, the buck stops with us and whether and how our companies judge will be based off the executive judgments we make.  In fact, this responsibility is exactly why LinguaLinx in Cohoes, New York, owned by CEO David Smith, doesn’t judge as a business.  “We don’t judge,” Smith says matter-of-factly.  “I would limit the company if I injected my personal viewpoints or morals or values into it.”  Not limiting his company is a personal driver for Smith, whose company regularly takes on projects and clients he doesn’t agree with.  “My company does a lot of things I don’t agree with but in the interest of growing the company as its own independent entity, that I just need to [do].”

One of these things may or may not be pornography translation.  At this year’s annual conference of the American Translators Association –Translation Company Division, Smith sat a panel where he admitted to accepting adult entertainment projects after another panelist expressed opinions against it.  To Smith, though, the ethic at hand is not whether pornography itself is good or bad.  The more important ethic -- the larger priority -- is that responsibility I mentioned earlier.  “Because of my decisions and what I’ve done,” Smith states, “forty-three people go home to their families and can pay their bills.  That’s a good feeling.  I’m creating jobs. That’s the way I look at it.  I’m creating jobs, I’m creating profitability, I’m creating opportunity. People have 401K’s, their retirements, and they rely on me, they rely on my decisions. So whether I personally agree with porn or not, the decision is made that it’s profitable and it needs to be done.”  To Smith, each assignment LinguaLinx accepts gets him one step closer to a goal and creates greater provision for his employees.

 For some of us, though, the two concepts of growing our businesses and pushing our own beliefs aside are not mutually exclusive.  At the end of the day, both translators and business owners are still people.  In fact, 46% of translators and interpreters recently polled by Foreign Exchange Translations occasionally turn assignments down for ethical reasons, and even Smith admits, “I don’t think [accepting assignments you’re against is] necessary to grow, but I think you’re limiting your growth.”

Assignment acceptation and rejection are more clearly addressed in the interpreting world, where one might argue that individual interpreters have an obligation to reject assignments that run contrary to their personal beliefs.  In fact, the National Council on Interpreting in Health Care (NCIHC) Code of Ethics includes provisions on both impartiality and neutrality:

Impartiality: The interpreter strives to maintain impartiality and refrains from counseling, advising or projecting personal biases or beliefs.

Neutrality: The interpreter maintains the boundaries of the professional role, refraining from personal involvement.

Both of these core ethics speak of separation between yourself and your assignment, but the way in which interpreters, well, interpret these rules can be very different.

Marjory Bancroft, Director of Cross-Cultural Communications in Columbia, Maryland, claims “interpreters divide roughly into three categories on this issue: 1) Interpreters who are certain they could remain neutral no matter what the assignment (or just about certain), 2) Interpreters who know there are certain assignments they could not be impartial about and who would therefore decline or withdraw from such assignments, [and] 3) Interpreters who are not sure what they would do and may have to face such a situation in real life to know.”

I think we would all admit that categories one or two would be preferred: interpreters who are certain in their abilities and limitations.  Actually, for Victor Hertz, ethical boundaries are just one more area that make a linguist qualified or unqualified for a particular assignment.  “If [freelancers are] good, they’ll say I can’t do this. If the reason they can’t do this is ethical -- whatever the issue is -- that seems to me to be no different than a translator saying I do technical but not legal.”

Personally, I wish all freelancers would bow out when they knew they wouldn’t do a good job. It would keep a lot of the world’s bad translations from being out there. Whether you think a certain client is evil or whether you simply don’t know the words involved with a particular topic, the fact of the matter remains that you should be professional enough to know what assignments you can do well and which ones you can’t–for whatever reason.  Translation is not the place for martyrs and regardless of which jobs we accept, it’s our job to do those jobs well.  Only we, as individuals, can tell what will and what won’t get in the way.  When Blackwater came to my company, there were a lot of things I didn’t know about the project.  But there was one thing I did know: my individual ethics would have gotten in the way.  So what gets in your way? When should you and when shouldn’t you translate?

(This article initially ran in MultiLingual Magazine.)

 

Resources:

Clark, Ken.  “That which must not be translated.”  Translation Guy Blog.  March 29, 2010. www.1-800-translate.com/TranslationBlog/index.php/2010/03/27/that-which-must-not-be-translated/

Foreign Exchange Translations Ethics Poll. www.quibblo.com/quiz/dv7pxJR/Do-you-refuse-translations-on-ethical-moral-political-or-religious-grounds-By-Medical-Translation-Insight

National Council on Interpreting in Health Care. Code of Ethics. data.memberclicks.com/site/ncihc/NCIHC%20National%20Code%20of%20Ethics.pdf

Certification for Domestic Violence Interpreters

How's certification coming along for domestic violence interpreters?  Here's an update on what we're doing in Kentucky:

In Every Language Position on Ky SB6

As a business, In Every Language tries not to engage in political debate. But as interpreters, we must be aware when political issues threaten or affect the people we work with.

Kentucky Senate Bill 6 is an Arizona-style immigration bill for the Commonwealth that, if made law, would allow state and local police to fine or detain anyone they suspect of being undocumented.

Regardless of your position on immigration or your personal political beliefs, the passing of this bill--and even its being considered--has a clear impact on Kentucky's limited-English proficient (LEP) population.

What You Can Do
First, we would like interpreters to consider how this bill impacts LEPs you interpret for.  Are they going to feel welcomed in the facilities where we interpret?  Are they going to be forthcoming with medical, legal, and other information?  How does this change the tone or vocabulary you use as an interpreter?  If the bill passes, will you as an interpreter need to bring your residency documents with you to appointments?

Secondly, we understand that some of you may be adamantly for or against this bill, which has already successfully gone through the Ky Senate.  We encourage you to contact your Kentucky House Representative to express your opinion and to tell your representative how you would like for him or her to vote.  You may find your representative's contact information by clicking here.

Third, be present so you can learn more! Community information sessions regarding this bill will be held in Louisville on

Saturday, January 22nd (2 pm) at the Americana Community Center
(The Americana is independently seeking volunteer interpreters for this event. To volunteer, call 502-366-7813.)

Saturday, January 29th (3 pm) at Beechmont Presbyterian Church
(In Spanish)

Yours to Decide
Again, I would like to stress that you have a right to your own opinion.  Whether you are for or against Ky SB6 is yours to decide and our interpreters' individual positions will not affect whether or not In Every Language gives them interpreting assignments.  But, again, as interpreters, we must be aware of what impacts our clients and our LEP audience, which is why I am posting this in my blog.

Thank you.

Interpreting for Domestic Violence Victims

A few weeks ago, I discussed an upcoming training for domestic violence interpreting that In Every Language was putting together with the Ky Domestic Violence Association.  Well, the training was a success!  For those of you who were unable to make it, please find a clip from the training below, where we discuss the (lack of?) appropriateness of physical contact with the LEP.

What Interpreting Looks Like

Ever wonder what interpreting looks like?  Video one shows consecutive interpreting from French into English; video two is simultaneous, chuchotage (whisper) interpreting from English into Spanish.

   

Free Workshop on Domestic Violence Interpreting

On November 17^th, In Every Language and the Kentucky Domestic Violence Association (KDVA) will present a free workshop for interpreters on violence against women. The event will take place at the Paul Sawyier Public Library in Frankfort, Ky from 9 AM to 5 PM.

According to the National Coalition Against Domestic Violence, one in every four women will experience domestic violence in her lifetime. For refugee and immigrant women experiencing domestic violence, language barriers complicate getting assistance. And for interpreters working with these women, their professional roles and expectations are just beginning to be defined. The workshop will introduce interpreters to the domestic and sexual violence program system and examine how they can incorporate standards of practice when working in the domestic violence field. Continuing education credits will be awarded by the American Translators Association.

In Every Language currently provides language services to the Center for Women and Families in Louisville, but hopes to prepare interpreters working with domestic violence victims statewide by partnering with the KDVA for this workshop. In Every Language offers translation, localization, and interpreting services internationally in 175 different languages.

Business Advice at Jewish Family and Career Services

Guest blog today with information for our Louisville-area contractors from Linda Golden, Project Manager:

Running a business is not an easy task. Invoicing, tax forms, marketing - the to-do list never ends. Yet as an independent contractor, that is what you're doing: running your own business.

At In Every Language, the interpreters and translators we work with are all independent contractors running their own language businesses. We frequently get calls with questions about invoicing, mileage reimbursement and letters of employment verification; however, IRS Employee vs. Independent Contractor laws limit our legal ability to offer anything but the most basic response to these questions. That's why we're excited to partner with Jewish Family and Career Services (JFCS) to offer all of our linguists small business development advice.

Need information on developing an invoice template for your language business? Not sure which tax forms you need to submit? Is travel to an appointment something you can write off on your taxes? What associations should you join? Should you get a business card? JFCS is happy to meet with you to answer all your questions. They also offer free business classes. In fact, a new class on writing a business plan will begin this Sunday (July 25th) at 1:00 PM. To register, call Gary Liebert at (502) 452-6341.

The Institute for Social and Economic Development recently published a brief article about JFCS's services on their blog. You can read it here: http://www.ised.us/blog/refugee-ida/his-goals-are-within-reach

If you would like to take advantage of the free services at JFCS, call Mary at (502) 452-6341 to schedule an appointment.

Translating Words, Transforming Lives

I promised to discuss Sustainable Brands more when I returned from the conference, and I will, but what I want to impart here in this blog is that WE ARE ALL RESPONSIBLE. No one can change our world or fix our planet but us. We all are powerful, we all can make a difference.

The difference we've chosen to make here at In Every Language is two-fold. That's why we're calling it Translation Plus Two.

I could write about it, and I'm sure in future blogs, I will, but for now, I simply want to introduce the idea that translation can be more and do more. (See how in the video I edited below.)

Translation has the power to change the world, just like you and I do. We can simply translate words or we can translate words AND transform lives. It's your decision when you choose a translation company to do only one, or both.

Rand Paul, Racism, & Professional Interpreters

Full disclaimer: I’m proud to be a Kentuckian.

No matter which state you’re from, though, you’d have to be living under a rock, far far away from CNN to not have heard about US Senate hopeful Rand Paul’s unfortunate remarks.  In an effort to share his beliefs on government’s role (or lack thereof) in business, he unfortunately side-stepped into a nasty civil rights debacle.  What the man actually said is beside the point; what’s he’s been accused of saying is that the US government had no right to force businesses’ hand in repealing Jim Crow.  Whether those were his exact words or not, the national media rush resulting puts Kentucky forth as the Land of Johnny Redneck, while we scramble as a state to protest the embarrassment Mr Paul has caused.

From recent efforts to un-redneckify this image, something good has come forth: State Senate Resolution 10SS SR31.  Proposed by Senator Gerald Neal (D-33), the four page resolution reaffirms Kentucky’s belief in and adherence to the Civil Rights Act of 1964 as a state.  With language that is forthright, moving, and as passionate as you can get and still call it government, Senator Neal invokes the battle long-fought in our country for civil rights.  The resolution calls the Civil Rights Act “a statement of a core American value.”  Throughout the resolution, the message is clear: civil rights = good, prejudice = bad.  But civil rights for whom?

As the owner of a translating and interpreting company, I see a new discrimination when I look across the Bluegrass State.  Yes, racial discrimination still exists.  I may have personally been born post-Jim Crow, but even I have seen restaurants with separate doors and dining rooms for whites and blacks, still divided by the community in a jus au sanguine kind of way.  Laws mean nothing if they are neither followed nor enforced.  Racism is still an unfortunate reality in the South.  But where racism is slowly starting to disappear, a new form of discrimination is coming forth: prejudice based on national origin.

As a nation, we have Title VI, the portion of the Civil Rights Act that prohibits prejudice on national origin and which requires, thanks to a back-up executive order from President Clinton, that any agency receiving federal funding provide equal language access under the law.  (For you lay people out there, that means, in part, translating and interpreting.)  But, again, as we learned with laws, they must be either followed or enforced to take meaning.  The 1960’s seems like a long time ago to some.  The issues we faced with immigration then were different than the issues we face now.

That’s why I was so proud to see Senator Neal’s resolution.  Whether he intended it or not, whether the other senators who unanimously voted for it were aware or not, we now have new legislation in Kentucky that says Kentucky is a welcoming state to immigrants.  It’s right there, in the final paragraphs (for a full copy, visit http://www.lrc.ky.gov/record/10SS/SR31.htm):

        WHEREAS, if the United States is to remain the welcoming country for persons from all locations, regardless of race, color, religion and ethnicity, enshrined by the Statue of Liberty, the welcoming of persons from all nations, and the "melting pot" for persons coming to the United States, the core values must continue to be protected; and

        WHEREAS, the Senate of the General Assembly of the Commonwealth of Kentucky finds and declares that any ideology, philosophy, or position which does not recognize these core American values is repugnant to the citizenry of the United States and to the advances made since the United States declared itself independent of Great Britain in 1776, and to the guarantees of equal protection, enshrined in the amendments to the Constitution of the United States and is hereby rejected;

NOW, THEREFORE,
Be it resolved by the Senate of the General Assembly of the Commonwealth of Kentucky:
Section 1.   The Senate of the General Assembly of the Commonwealth of Kentucky finds discrimination in any form to be inconsistent with American values and stands firmly behind the principles of the 14th Amendment to the Constitution of the United States, the Civil Rights Act of 1964, and the Kentucky Civil Rights Act of 1966.

Section 2.   The Senate of the General Assembly rejects any attempt to retreat from the guarantees provided by the 14th Amendment to the Constitution of the United States, the Civil Rights Act of 1964, and the Kentucky Civil Rights Act of 1966, and urges all residents of the Commonwealth to do likewise.

Maybe I’m stretching for it.  But did you see?  We are “a welcoming country [and] the welcoming of persons from all nations, and the ‘melting pot’ for persons coming to the United States…must continue to be protected… [A]ny ideology, philosophy, or position which does not recognize these core American values is repugnant to the citizenry of the United States.”  

I don’t know about you, but English-only political positions and other anti-translation efforts definitely seem unwelcoming to me.  To me, there is nothing more repugnant than a non-English speaking person being denied quality health care because they do not speak English.  There is nothing more repugnant than doctors who don’t care if their patient understands, who aren’t willing to invest the time it takes to open the phone book and call a qualified interpreting provider.  There is nothing more repugnant than a state Medicare system that turns down federal funding to reimburse interpreting costs.  There is nothing more repugnant than an abortion clinic administering abortions to non-English speaking women without first explaining the procedure in their language.  There is nothing more repugnant than a government that bars non-English speaking people from taking a driver’s license test, and in so doing, keeps these same people from getting to work or English lessons.  There is nothing more repugnant than school systems that do not understand the importance of having an interpreter explain a child’s progress to his parents.  There is nothing more repugnant than these things, yet they and many others continue to be in the Commonwealth of Kentucky.

It is my hope—no, it is my challenge—to Senator Neal and others that 10SS SR31 will take teeth and bite, that it will enact change, that it will not stop at the whites-only door, but rather march right into both dining rooms and say that ending discrimination means ending discrimination, no matter who is being discriminated against.

I am challenging you to be better, Kentucky.  I am challenging you to keep me proud.  I know that it’s in you.

Where the Disconnect Is Not

"We are building a bridge." This is the phrase I heard over and over again at the US Conference on African Immigrant Health (USCAIH) this week.

Last week, I blogged on the disconnect. I wrote about how our nation’s leaders were unaware of language’s vital role in healing, how people don’t heal if they don’t understand, how interpreting in of itself is a profession with ethics and rules. The disconnect is there.

But here, with community leaders from all throughout the African Diaspora, the disconnect is not. Instead, there is a concerted effort to bring together aspects of all industries that help people--especially Africans--heal.

I arrived here Wednesday. Our first event was a meet and greet where attendees stood and introduced themselves, explaining what their interest was in African health and what they expected to get from the conference. I identified myself as Terena Bell with In Every Language, said I was here to represent the medical interpreting industry, that I had seen this disconnect and I was here to learn how we could fix it. When I sat down, almost every person in the room said “thank you” and some even clapped. An Ethiopian man walked up to me and instantly started talking about the difficulty of getting trained interpreters in Minneapolis, the need for continued training for those entering the profession. A man from Ghana stood up in front of everyone and talked about how interpreters for Muslim patients need to be culturally aware of faith’s role in healing—and better paid. At Harvard, people wondered why I was even there, had never thought of language as a health-related issue. Here, at the USCAIH, attendees were willing to join with the language industry in its fight.

I am not writing this to compare one conference to the next, or the Alliance for Health in the African Diaspora (the conference organizers) to Harvard. What Harvard does not know is clearly to Harvard’s loss. But, just as I had to point out where the disconnect is, I have to point out where the disconnect is not.

So what makes the difference? Why were these two audiences so different?

I have long said that there are two types of doctors in the world: those who want to make sure their patients understand and those who do not. Perhaps there are similarly two types of people: those who want to help people understand and those who do not. I am not calling the other group cold or cruel. But there are people in this world whose drive and desire to improve their world is innate, unavoidable, a moving, liquid force. I saw that this week in the faces of everyone here. Representatives from all across the African diaspora came together to share, to commune, to--as they put it--build a bridge. They, too, talked about breaking down silos, but they took the time to find out what those silos held.

Friday, I presented on language access for African LEP's. Every single person who heard about my topic said thank you, whether they attended my session or not. Dozens of people said, “We need that.” Most had interpreter stories of their own. A keynote on African Americans living with HIV even had a medical interpreter working from French to English. There is clearly no disconnect here.

But there is a need. They need us. And we need them. After what happened at Harvard, and after the warm reception I received here, I completely changed my presentation. It had initially been on where to get materials, how to get professional translation when materials weren’t there already. But meeting these people and learning more about how active they want to be in every area impacting African American health, I changed it.

There are three factors in LEP patient healing: the patient, the provider, and the language professional. All three must be on top of their game for healing to happen. Like our government, they must be in checks and balances with one another—they must all play their role, but they must also listen. For the patient, I discussed Title VI and HIPAA, the need to know you have a right to a professional, medical interpreter. For the provider, I discussed the need for cross-cultural training in universities and from hospital associations as CME’s. For the language professional, I said we must listen. We must listen to the patient and the provider to learn their need before we can address it. I told the people there that we could not do it without them, that if we as a language profession are wrong, then they must make us stop and listen.

And that’s the difference. As a language industry, we have been speaking, but at Harvard, no one had yet listened. I still believe what I wrote and I stand beside my words. But I also feel cool water flowing from around the rock. We must continue client education, but we must also allow our clients to educate us, listening to each other. If we are truly to build a bridge, we must meet each other in the river with our tools.

Is Our Industry Disconnected from Clients?

There is a disconnect--a divide. The difference between what we know and what our clients know is vast and the gulf that lies between us is insurmountable alone.

This is how I felt walking away from the Harvard Social Enterprise Conference. Held February 28th, its global health track featured leaders from international pharmaceutical companies, the Pentagon, the Obama administration--even George W’s daughter sat a panel under her Global Health Corps role. These, supposedly, were the world’s greatest minds on global health and social enterprise, with Harvard‘s reputation fully stacked behind them. But when it came to language services, they didn‘t know jack.

Here’s what made me realize this:

I was sitting in the back row listening to a panel made up of Barbara Bush, the director of the International Health Specialist Program for the Pentagon (Lt Col Mylene Huynh), Merck’s director of global affairs (Kris Natarajan), Management Services for Health‘s CEO (Jono Quick), and two professors from the Harvard School of Public Health (Drs Jessica Cohen and Till Barnighausen). The topic was “Breaking the Silos: Collaborations That Impact Complex Global Health Issues.” According to the program summary, the session’s goal was to bring together people and information from different fields, all with the goal of improving global health.

When it came time for Q&A, I raised my hand. “People don’t heal if they don’t understand,” I said. “The rest of the world does not speak English.” I then asked what we could do as a language industry to help connect with the global health one.

There was a long pause. Too long. Then Lt Col Huynh from the Pentagon spoke. Bilinguals and heritage speakers need to learn medical terminology. Sure, I thought, that’s a given. The military, she claimed, does not have systems in place to teach medical linguists medical language terms. Okay. Fair enough. She’s acknowledged their need and is speaking out. That, we can address; lessons, we can do.

But then Harvard’s Dr Barnighausen spoke up. And his response made me wonder what I’ve been doing with the last four years of my life, what our industry has been doing the last ten. He told a story about the one time he had worked with a “translator.” He asked the “translator” to ask the patient if his stomach hurt. The “translator” and the patient had a long back and forth conversation before the “translator” said, “No.” Dr Barnighausen’s reaction was to stop working with translators (which is good, as he needs interpreters instead) because “they’re all like that.”

I wanted to weep. I sincerely and utterly wanted to weep. The moderator went on to the next question while I sat there in shock. The camera Harvard was using to record it all (Harvard, conveniently enough, was unable to locate the video upon request) panned away from me and back toward the panel as they continued, but I didn‘t hear a word. I was too in shock. This “expert,” this Dr Barnighausen, wasn’t an expert on language‘s crucial role in health care at all.

This was Harvard. These people were supposed to know what they were doing.

After the session, I ran to the front to try and catch Dr Barnighausen. If, for some reason, our entire industry, the multiple associations that we have, the whole of both certification movements, had not been able to reach him, I would. But I didn‘t. The moderator carted him away before we had the chance to talk. I did get to speak with Lt Col Huynh, though. I told her how glad I was she articulated her answer so clearly, how much I appreciated the information. I told her how much Dr Barnighausen’s remarks had pained me, then what she said pained me even more. “But he’s right. They’re all like that.”

I immediately started gushing about the National Council on Interpreting in Health Care, its code of ethics, the certification for medical interpreters expected this fall. “You mean there are ethics?” she said, “This is a profession?”

This woman works for the Pentagon. She is in charge of our entire military’s medical efforts.

Clearly, there is a disconnect. It is wide and vast and sprawling.

As a language industry we are working hard--harder than ever before--to develop interpreting as a profession. We have more trade associations than ever before, more conferences than in years past, more training opportunities than before. But do they help? And, if so, whom?

There is a disconnect. When representatives of our own government, professors at the country’s purported top school--when our nation’s leaders have never heard of us--when they stand aghast at the sheer principle of our having ethics--when they think we’re all bilingual quacks who summarize--what are we doing wrong? Who are our efforts for?

Conference after conference, session after session, we talk, but to each other. We must talk to the client. We must talk to those who need to listen. Instead of teaching Bridging the Gap, we should be bridging the gap between us and our clients.

But how? In the past, this has fallen on the freelancer, on the LSP, on the person selling the services. That’s why we call it client education. But the LSP can not tackle this great gap by itself. The language industry is being squeezed. Rates are falling, client demands are going up. If the LSP refocuses its effort to focus on client education, the burning of resources will mean there is no LSP left. We need our associations to help us. Clients do not always believe freelancers or LSP’s because they assume we have something to sell. But if the associations would work together to sell clients on our industry, there’s no telling who or how many people we could help.

We must close the disconnect. We must stop thinking intrinsically and think externally. Educational PSA’s on YouTube, an NCIHC booth at global health conferences. Our associations must market this industry just as we LSP’s market our services. There should be no excuse for our nation’s leaders to know so little. Again, there should be no excuse for our nation’s leaders to know so little!

Where are we going wrong? How can we take this talking together and make it working together to educate the client? How do we bridge the disconnect?

In Every Language Interpreter Grant Program

What It Is

A grant for $1,000 worth of on-site, interpreting services made available to healthcare providers who have never used a professional, foreign language interpreter before.

More About It

• In Every Language’s Interpreting Grant Program allows healthcare providers who have never worked with professional, foreign language interpreters to learn first-hand how interpreters help improve patient care for their limited-English proficient patients.
• This program is ideal for providers who
--have not previously known where to find professional interpreters
--are unsure how to work with professional interpreters
--have not previously had funds to budget for professional interpreters
--would like to learn more about using professional interpreters vs friends and family, etc.
• Interpreting appointments are booked by the winner through the In Every Language office on an as-needed basis.
• This in-kind grant on may be used to provide on-site interpreting at your Louisville-based facility in any of the following languages: Albanian, Arabic, Armenian, Bosnian, Bulgarian, Croatian, Czech, Ewe, Farsi, French, German, Haitian Creole, Hindi, Italian, Japanese, Kinyarwanda, Kirundi, Korean, Liberian English, Lingala, Mai-Mai (spoken in Somalia), Mandarin Chinese, Nepali, Polish, Portuguese, Russian, Serbian, Somali, Spanish, Sranan Tongo, Swahili, Uzbek, Vietnamese, and Wolof. (Language availability may change as interpreters move in and out of the Louisville area.)
• In addition, one on-site, cross-cultural training on how to work best with interpreters will be made available to the winner.
• Services must be rendered before 12/31/10 in order to apply toward the grant.

Who Can Apply

Healthcare providers of any type (hospitals, clinics, physical therapists, private practices, specialists, etc) who have never worked with professional interpreters. While we hope that this program will grow to include the rest of the Commonwealth, it is currently only available to providers located in Greater Louisville, Ky.

If your practice has never used a professional interpreter before, we encourage you to apply. If you have any questions about your eligibility or the application process, please call our office at (502) 213-0317.

How to Apply

To apply, please follow these steps:

1. Review the information in this application packet to make sure the In Every Language Interpreting Grant is appropriate for your practice.
2. Complete your application. An application form can be obtained by emailing In Every Language.
3. Please send three (3) hard copies of your proposal by mail to In Every Language; ATTN: Interpreting Grant Program; 812 East Market Street, Suite 201; Louisville, Ky 40206.
4. The committee will then confirm your eligibility and review your application carefully.

The application deadline is June 10, 2010.

Once your application has been submitted, the In Every Language Interpreting Grant Committee (made up of two (2) In Every Language employees and a neutral, third-party) will select the award recipient(s). While ideally one (1) practice would receive the full $1,000, in the event of a tie, multiple awards may be granted.

All applicants will be notified of the winner by email on or before June 30, 2010.

The Fine Print:

By applying for the In Every Language Interpreting Grant, you represent and warrant that you are duly authorized to represent the organization for which you are applying. If selected, you allow In Every Language to publicize the grant and its use by your organization.

The winner will be provided with a rate sheet outlining In Every Language’s standard charges for interpreting and each time an interpreter is sent, the appropriate amount will be deducted from the whole of the grant in accordance with this rate sheet. Should the winner go over their allotted balance, they are responsible for paying the remainder due.

Interpreters are scheduled first-come, first-serve and interpreters may or may not be available in your required language pair depending on interpreter availability at the time of your request.

About In Every Language

In Every Language is a Louisville-based translating and interpreting services provider. We are members of the National Council on Interpreting in Health Care and the Association of Language Companies. We are currently working with the Kentucky Domestic Violence Association to develop the nation’s first certification program for interpreting in domestic violence situations and we played a small, but significant role in the National Coalition on Health Care Interpreter Certification’s efforts to develop national certification for medical interpreting.

In Every Language is also a certified B Corporation. This means that, while we are a for-profit company, we behave like a non-profit when it comes to our commitment to community. As a result of this commitment to community, we are sponsoring an annual $1000 interpreting services grant. Through this grant, In Every Language hopes to help Louisville-based providers understand the vital difference that professional interpreters can make in the course of patient care.

To learn more about how In Every Language can help improve care for you and your patients, please call (502) 213-0317 or visit www.InEveryLanguage.com.

Tips for Working with Interpreters in Political Settings

1) Interpreters work in two different ways: simultaneously and consecutively. Simultaneous interpreters will interpret while you speak; consecutive interpreters interpret in pieces as you go. Each interpreter has his own preference. If you are working with a simultaneous interpreter, please speak slowly so he’s not too far behind you. If you are working with a consecutive interpreter, please do not say more than 2-3 sentences at a time so the interpreter can relay all of your information.

2) Be aware that EVERYTHING you say will be interpreted, even if it's just your asking the debate organizer for more water.

3) It is not uncommon for an interpreter to interrupt. It is his job to convey everything you say accurately and completely. This may include stopping you if he needs to interpret what you have already said, asking you to slow down if you are going too fast, or stopping you to seek clarification when needed.

4) Don't be surprised if your interpreter has questions about seemingly simple vocabulary words. What's only one word in your language could be one of many words in the other language, depending on the context. In French, for example, the English word meeting could be a "tête-à-tête," a "rendez-vous," a "conference," or even a "meeting,” depending on how many people attend and how formal the meeting is or isn’t.

5) If you’ve studied the other language and the interpreter uses a different word than you would, don’t be alarmed. Many languages have multiple dialects. Spanish, for example, has 19 major dialectal forms. The interpreter may simply be using a different Spanish.

6) Allow for extra time and ask the debate organizer ahead of time if the interpreter’s time will be deducted from your own. Everything you say will have to be said twice (once by you and once by the interpreter). In addition, some languages simply take more words to express a point than others do. Spanish, for example, uses 33% more words to say something than English.

7) Look at the limited-English proficient person instead of looking at the interpreter.

8) Keep it in the first and second persons. Instead of telling the interpreter "Ask him which issue is most important to him," say "Which issue is most important to you?"

9) Be as precise as you can with your comments. Anything in your syntax that is unclear (i.e., dangling modifiers, unidentified pronouns like "it," double negatives), may be interpreted incorrectly. Along these lines, shorter sentences are best.

10) Please understand that the interpreter does not take sides. The interpreter is ethically prohibited from having an opinion on your candidacy, the race at large, or the issues involved. This means he is neither for or against you, or for or against your opponent. He is ethically bound to be impartial and to acknowledge his role boundary as an interpreter and nothing more.

Does It Matter If an Interpreter Is Male or Female?

Here at In Every Language, we try to take gender into account when assigning interpreters for patients who speak Arabic. As one of our interpreters explains in this video (sorry in advance for the low audio quality), it truly does make a difference.

Part Six: How Do I Monitor an Agency’s Performance?

(Back to Part 5.)

There are a number of ways to monitor an agency’s performance. One is to track requests filled, requests returned, no-show and late arrival rates, billing error rates, complaints from providers, responsiveness, resolution of problems, and reoccurrence of problems. This data can usually be tracked electronically on a routine basis with a minimum of effort.

Another way is to actively solicit feedback from your front-desk and provider staff about the agency, either through routine feedback or periodic surveys. How easy is it to order an interpreter? How often do the interpreters arrive late? Are the interpreters polite? Do they engage in appropriate protocols? Do staff members have any reason to comment on the quality of the interpretation? While actively requesting feedback from the people who are using the agency on a daily basis is more cumbersome than electronic tracking, it is the best way of monitoring how the agency is doing.

Source: Roat, Cynthia E. “How to Choose and Use a Language Agency: A Guide for Health and Social Service Providers Who Wish to Contract With Language Agencies.” Los Angeles: The California Endowment, February 2003.

Part Five: How Do I Use an Agency?

(Back to Part 4.)

A few words on working with agencies: each agency will be a bit different in how it does business. How organized you are internally, however, will have a large affect on how smoothly the collaboration goes.

First of all, make sure your internal systems are in place. It should be clear to employees when the need for an interpreter should be noted, who is responsible for ordering the interpreter and how that is to be done. In addition, staff should know who has the responsibility to cancel the interpreter if the patient cancels, whose responsibility it is to sign the interpreter in and out if you require signed encounter forms, and whose responsibility it is to dismiss the interpreter if the patient does not show up. While doing all this by phone may be easier, doing all transactions by fax will leave a paper trail that may be important in case of disputes.

When you order the interpreter, you should be able to provide the patient’s name and some sort of identification number, the provider’s name and the date, time and location of the appointment. Also, be sure you know about how long you’ll need the interpreter; it is very expensive to overbook an interpreter’s time since you are paying by the hour, however it is also nonproductive to underbook an interpreter who then may need to leave for another appointment before the first one is completed. Additional information that is helpful for the interpreter to know is the patient’s gender and age, as this gives the interpreter important clues as to how the patient should be addressed. Finally, any information you can give the agency as to the nature of the appointment will allow the interpreter to come better prepared.

The most important part in working with an agency is clear communication. If you have a concern or complaint, a quality agency will want to know about it. The agency becomes part of your language access team, so the better the teamwork, the more effective your interpreter service.

Source: Roat, Cynthia E. “How to Choose and Use a Language Agency: A Guide for Health and Social Service Providers Who Wish to Contract With Language Agencies.” Los Angeles: The California Endowment, February 2003.

(Go to Part 6.)

Part Four: How Do I Choose the Best Language Agency to Serve my Institution?

(Back to Part 3.)

When you contact a prospective language agency, you will want to inquire about a wide range of issues in order to gauge the likely quality of the services.

Quality of interpreting
• How does the agency recruit interpreters/translators?
The most successful agencies recruit interpreters on an ongoing basis from a wide
range of sources. They will maintain close on-going relationships with the
immigrant and refugee communities from which interpreters may come, as well as
with professional interpreter organizations and training programs. Agencies which
are vague about how they recruit may have difficulty filling your needs long term.

• How does the agency screen interpreter candidates?
Different agencies will have different minimum requirements for interpreters.
While there is some debate whether it is necessary (or even possible) to require that all interpreters have a college degree, all interpreters should certainly be screened for their language skills in both active languages. Screening techniques range from an informal conversation to standardized testing, so ask specifically about how screening is done. As is often the case, standards for common language interpreters (like Spanish) are likely to be higher than standards for interpreters of “hard-to-find” languages.

• Does the agency require interpreters to have received professional training in
interpreting?
As few health and human service interpreters come with degrees in interpretation,
it is very important that interpreters receive some form of professional training as
interpreters. Does the agency require training? If so, how many hours? Trainings
can run from four hours to over 200. Obviously, the longer the training, the better,
but 40 hours is a common length for basic training programs. What does the
training cover? Ask to see the curriculum. The course should, at a minimum, cover
the interpreter role, ethics, modes, basic conversion skills, handling the flow of the session, intervening and medical terminology. The more participatory the course,
the more skill building and practice included, the more effective the course will be. Ask also about the credentials of the trainer. The impact of a course often depends on who is teaching.

• Does the agency require any continuing education of its contractors? If so, how much and what sort of proof do the contract interpreters have to offer?
Continuing education is important and reasonable to expect of interpreters who
provide services regularly. The California Healthcare Interpreter Association (CHIA)
has chapters in the Bay Area, the Los Angeles area, the Central Valley and the
Sacramento area that may provide continuing education for health care interpreters.

• What percentage of the agency’s interpreters is certified?
It is useful to know how many certified interpreters the agency has in each language; however, true certification programs are rare. At the time of this writing, there is no publicly available certification process for health care interpreters in California. However, there are several other forms of interpreter certification of which you should be aware.

The Federal Court system certifies interpreters in Spanish, Haitian Creole and Navajo. The California Personnel Board also certifies court interpreters in Spanish, Arabic, Cantonese, Japanese, Korean, Portuguese, Tagalog and Vietnamese. There is a “Medical Interpreter” certification for legal interpreters providing services for Workers Compensation exams, but this test is not designed to certify clinical interpreters and is offered only in Spanish.

Language Line Services (LLS), a for-profit telephonic interpreting agency, has developed a valid internal certification process, which at this time is available only to LLS interpreters.

American Sign Language interpreters may be certified by the National Association of the Deaf (NAD) or the Registry for Interpreters of the Deaf (RID), with a variety of special certificates for particular venues. The two organizations have also formed a joint task force, the National Council on Interpreting which is developing a new, joint certification process.

The American Translators Association (ATA) accredits translators into English from Arabic, Danish, Dutch, French, German, Hungarian, Italian, Japanese, Polish, Portuguese, Russian, and Spanish; and from English into Chinese, Dutch, Finnish, French, German, Hungarian, Italian, Japanese, Polish, Portuguese, Russian and Spanish.

The Department of Social and Health Services of the State of Washington also has a certification program for health care interpreters who speak Spanish, Russian, Korean, Chinese (Mandarin and Cantonese), Cambodian, Lao and Vietnamese. The state also offers a “qualification” test to interpreters of other languages. Especially with telephonic providers, you may find interpreters in their pools who are certified through this process.

If an agency tells you that all its interpreters are certified, ask who has certified them. If the certification is internal to the agency, ask to see the reliability and validity data to make sure that it is truly a certification test and not simply an assessment. Obviously, you would like to see more certified interpreters than not in an agency’s interpreter pool. However, if it appears that few of the agency’s interpreters are certified, take a careful look before assuming that interpreter quality will be poor. It may be that the agency provides services largely in uncertifiable languages, or that training is being used in lieu of certification to guarantee quality.

• What Code of Ethics are the interpreters/translators asked to follow?
At present, there is no one code of ethics for health care interpreters that is
nationally accepted, although California Healthcare Interpreters Association
(CHIA) has recently published a draft code of ethics8 and the National Council on
Interpreting in Health Care is currently working to build national consensus
around a single code of ethics. As a result, at this time each agency may have its
own code. Ask to see it, and ask how interpreters/translators are instructed about
it. If the code is simply mailed to interpreters, it will be doubtful that they will
really understand it.

• What protocols are interpreters expected to use?
Are the interpreters expected to use first person interpreting, that is to say “I have a stomach ache” instead of “The patient says she has a stomach ache”? Are they
expected to do a pre-session with the patient and provider to clarify their role and
how they will interpret? Do they provide culture-related information if
communication has broken down due to cultural reasons? Will they advocate if
necessary? How are in-person interpreters told to dress and present themselves?
How are the interpreters instructed to handle difficult situations? Many agencies
will have an orientation apart from formal training to teach interpreters the
accepted protocols of that particular agency. Ask to see any instructional materials
that are given out and make sure the protocols are in keeping with professional
practice and your internal guidelines.

• How does the agency provide long-term quality assurance for interpretation?
After the interpreters start to provide services, is there any mechanism in place to see how they are doing? Are interpreters periodically monitored in any way? Or will the agency rely on complaints from you as a quality assurance technique?

• What mechanisms does the agency have to instruct interpreters about specific policies and procedures of your institution?
How does the agency communicate with its interpreters? Is there a newsletter,
monthly meetings, a Listserv? As you work together, it will certainly be necessary
for the agency to communicate details to interpreters about working at your
institution, whether there has been a change in parking designations or there are
new instructions on getting encounter forms signed. Make sure the agency has
some structured way of contacting its interpreter pool.

• Does the agency specialize in any particular industry(ies)?
Some agencies serve all venues: legal, medical, insurance, social service, financial, customer service, educational, etc. Others will specialize in only one or two industries. While a more focused agency will not necessarily give better service, it is easier for interpreters to interpret effectively in fewer venues, simply because this requires a smaller range of specialized vocabulary and protocols. Some large agencies may have different cadres of interpreters to serve different venues, or may provide assistance with vocabulary development to interpreters who serve multiple venues. If the agency serves a wide range of venues, you might want to ask specifically how the agency guarantees quality across so many different situations.

Interpreter service

• Available languages
You will want to ask the agency about the depth and breadth of its interpreter pool.
How many interpreters does it have actively available on a daily basis? How many
in each language? How many are really qualified? Some agencies seem to have an
awfully long list of “available languages,” making one wonder if those interpreters
would really be available if and when you needed them.

To evaluate what you learn about the agency’s capacity, you will need to know your organization’s language needs, both by language and by demand. What are your top five languages? Which language requests have you found especially difficult to fill? Some agencies specialize in certain language groups: Spanish only, Asian languages only, “hard to find” languages only, ASL only. Instead of expecting one agency to cover all your language needs, it may be better to have multiple contracts with various agencies, and use each for the service in which it specializes.

• Back-up alliances
Some agencies have agreements with other agencies to back each other up if one
agency cannot cover a request. While this practice will certainly expand the
agency’s capacity, you will want to make sure that the allied agencies maintain the
same standards that you would expect from the contracted agency.

• Responsiveness
What percentage of all requests is the agency able to fill? This data the agency
should be tracking and should be willing to share. Remember that no agency can
fill 100 percent of requests.

• No-show rates
How often do this agency’s in-person interpreters fail to show at appointments? As
with response rates, the agency should track this and be willing to share the data.

• Connect times (for telephonic interpreter services)
What is the average connect time? Connect times of 45 seconds or less are
competitive; more than that is questionable. Also, ask how connect times are
calculated. They should be counted from when the call starts to ring at the agency
until an interpreter is on the line. You also might want to ask about connect times
on your most common languages. Since it may well take longer to get an interpreter
in a rare language than in a common one, chances are that connect times for
Spanish will be less than the average.

• Special equipment requirements (for telephonic interpreter services)
Many telephonic interpreter services will be able to recommend specific speaker
phone technologies. A few require particular equipment in order to provide their
service. Since additional technology will certainly add to cost while potentially
improving quality, it is important to hear what technology upgrades you may need
to work with each agency.

• Disaster recovery system (for telephonic interpreter services)
If there were to be some sort of national disaster, access to telephonic interpreters would become more important than ever. Or, if there were a local disaster near your agency’s call center, communications might be interrupted. Since your agency depends entirely on phone lines and computerized switching systems, what plan is in place if the lines go down? Some telephonic interpreting agencies now have completely redundant communication systems, allowing them to easily switch
systems if one technology fails. It is especially important to ask about disaster
recovery systems if you are contemplating using a telephonic service as the sole
provider of your interpreter services.

• Switching equipment (for telephonic interpreter services)
For those with experience with call centers and telecommunications, information
on the agency’s switching system can tell you a great deal about how prepared it
will be to handle a large volume of calls, track connectivity statistics and provide
accurate billing and reporting.

• What additional services are offered?
As mentioned above, some agencies offer ancillary support services that may be of
use to you. The more services they offer, the more of a partner they can become.

Administrative
• Fees
Of course you will want to ask about fees. In-person interpreter services are usually charged by the hour, with a one-hour minimum, although this may vary based on location. Telephonic interpreter services are usually charged by the minute. Fees
may vary based on language or by the time of day of the service. In addition, there
may also be a one-time set-up fee, a monthly minimum, volume discounts and
cancellation fees. Make sure you know all the fees before you sign up.

• Cancellation policies
What is the agency’s cancellation policy? If you cancel a request for an interpreter, will you be charged? Most agencies will not charge if the cancellation is more than 24 hours before the appointment. Some agencies will charge, as they feel it only fair to pay the interpreter whose time has been reserved and who may not be able to get another appointment to replace the cancelled one. Same-day cancellations are almost always charged.

• Company history
Learn as much as you can about the people at the agency. Who started it? What
was the founder doing beforehand? Does the founder have previous experience in
the language field? How long has the agency been in business? How quickly has it
grown? Who are the key players at the agency and what are their backgrounds?
These questions can give you a feel for the people behind the logo: the people with
whom you will be dealing, and the people whom you will need to trust in order to
build a working business relationship.

• Industry involvement
Is the agency at all involved in helping to build the health care interpreting field? Is the agency a member of CHIA, of the American Translators Association (ATA), of the National Council on Interpreting in Health Care (NCIHC)? Does the
agency provide scholarships for interpreters to get training, or support local
training efforts? Agencies that are supportive of the field are demonstrating
commitment to quality interpreting that may be reflected in their services.

• Key documents
Ask to see a standard contract and an example of a billing statement. If you are
going to need specific data on your bill that is not routinely provided, bring that up in negotiations to assure that the agency has the capacity to track that data.

Finally, after you have asked all your questions and reviewed all the materials provided to you, ask for references. While it is not appropriate to request a complete client list, agencies should be able to put you in contact with a few current clients. When you talk to the references, ask for specific information as opposed to general impressions.

If you are contracting for telephonic interpreter services, your last step is to request a test call. This means that the agency allows you to put through one interpreter request free of charge in order to test how the service works. You may want to try an uncommon language to see if the agency can really come through, or you may want to request your most commonly needed language, to see how the agency will respond in the situation for which you will most use it.
Either way, a test call can be most revealing and will give you a good feel as to how the agency will really function.

Choosing an agency (or agencies) may seem rather complicated, however a quality agency will be your best partner in meeting your language needs. Having to recontract with new agencies because the old ones didn’t work out is a major investment of effort. It’s worth the time up front to choose an agency that can serve your needs well so that you can both get about the business of providing language access.

Source: Roat, Cynthia E. “How to Choose and Use a Language Agency: A Guide for Health and Social Service Providers Who Wish to Contract With Language Agencies.” Los Angeles: The California Endowment, February 2003.

(Go to Part 5.)