CE Credit

Culturally Effective Health Care

Welcome to the training on Culturally Effective Health Care provided by the Texas Health and Human Services Commission (HHSC) and the Texas Department of State Health Services (DSHS).

Credit hours: 1.00 CE


The goal of this module is to equip Texas Health Steps providers and others to employ best practices and professional ethics to serve the health-care needs of culturally diverse children and adolescents and their families, as well as to meet legal requirements for confidentiality, informed consent, and language assistance to families who are not proficient in English.

Target Audience

Texas Health Steps providers and other interested health-care professionals.

Specific Learning Objectives

After completing the activities of this module, you will be able to:

  1. Assess how culturally effective practices can affect health-care services and health outcomes in diverse populations.
  2. Employ professional ethics to determine how to make your clinical practice more culturally effective.
  3. Apply legal requirements related to confidentiality, informed consent, and language assistance services for patients and families who are not proficient in English.

Please note this module expires on 3/24/2023.

This module was released on 3/24/2020.

Accreditation Statement


Browser Requirements

1. Culturally Effective Health Care Checklists 

Download the Georgetown University National Center for Cultural Competence self-assessment checklists, designed for health-care providers and office and patient support staff. 

2. General Resources

Culturally Effective Health Care

Medical Home

3. Professional Guidelines for Improving Culturally Effective Health Care

Many professions have standards or guidelines for how to deliver health care. Choose any of the links below to become more familiar with the most up-to-date guidelines for serving diverse children, adolescents, and their families.


Family Physicians


Social workers

4. Specific Health-Care Contexts

Medicaid Providers

Health-Care Organizations

Disaster Environments


5. Specific Populations

The following links provide additional information about the health, health-care delivery needs, and preferences of specific populations. Some of the listed resources include links to an online translator. Note that for translating medical, oral health, and other information to the patient, this resource should never be used as a substitute for a professional interpreter.

Deaf and Hard of Hearing:

Hispanics: Pew Hispanic Center and Robert Wood Johnson Foundation.

Immigrants: AAP Immigrant Child Health Toolkit.


Health Care for Lesbians and Bisexual Women. (2018). From the Committee on Health Care for Underserved Women of the American College of Obstetricians and Gynecologists (ACOG). 

Persons with Disabilities: University of Kansas Beach Center on Disability.

Rural Populations: U.S. HHS Agency for Healthcare Research and Quality, Improving Health Care for Rural Populations.

Seasonal and Migrant Farmworkers: National Center for Farmworker Health, Inc.

6. Health Literacy Resources

7. Cultural Competency Requirements Under Federal and State Law

8. Informed Consent

9. Motivational Interviewing

Be a Prepared Patient. The Center for Advancing Health website offers resources to help patients communicate with health-care providers, understand medical checkups, prescriptions, medical tests, and other subjects. 

Speak Up. The Joint Commission offers bilingual Speak Up materials to help patients and families understand the health-care process. Videos for children are also included.

Deaf or Hard-of-Hearing: Tips for Working with Your Doctor, from the American Academy of Family Physicians.

How to Talk with the Doctor, a bilingual tip sheet from the Centers for Disease Control and Prevention.

The medical definitions in this module were obtained or adapted from American Academy of Pediatrics, American Academy of Pediatric Dentistry, American Psychological Association, Centers for Medicare and Medicaid Services, Human Rights Campaign, Independent Living Institute, Johns Hopkins Medicine, Mayo Clinic, and Syracuse University.