105 CMR 130.1103
Interpreter Service - Coordinator
In connection with its provision of emergency department service each acute care hospital
shall designate a coordinator of interpreter services who shall be responsible for:
(A) conducting an annual language needs assessment of the service area that includes input
from community-based organizations, and that includes identification of those languages for
which notices shall be posted;
(B) developing written policies and procedures for use in the hospital’s emergency department
to assure timely early identification and ongoing access for patients in need of interpreter
services;
(C) overseeing the training and assessment process for both interpreters and hospital staff who
will be working with interpreters;
(D) developing an ongoing, documented quality assurance program that includes problem
identification, action plans, evaluation and follow-up and which is a part of the hospital’s
ongoing quality assurance process;
(E) establishing and publicizing grievance procedures regarding access to interpreter services.