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A split-screen presentation shows a slide titled "Language Access at CHCO" on the left, featuring 2024 statistics like "3 million+ Minutes of Interpretation" alongside an image of a speaker named Vonessa Costa in the top right. Below her, a sign language interpreter named Jacob is visible in the bottom right panel providing real-time interpretation.

Interpreter Triage Scales: Calculating Encounter Acuity to Optimize Interpreter Staffing

Presented By: Vonessa Costa, CORECHI-P™ and Malvina Gregory

Course Duration: 1.25 hours


Subscription: 6 Months


CEU Credits: .125 PS

Interpreter Triage Scales: Calculating Encounter Acuity to Optimize Interpreter Staffing

Price range: $24.99 through $29.99

Course Description & Objectives

As healthcare systems increasingly rely on technology to bridge communication gaps, the challenge remains: how do we ensure that “efficiency” does not come at the cost of “access”? This session examines the evolution of interpreter triage scales and the critical variables that must be considered when determining the appropriate modality for language services. We will move beyond a purely logistical view of interpreting to explore the nuanced needs of various patient populations, including those where technology-first solutions like Video Remote Interpreting (VRI) may not meet the needs of patients and/or companions. Participants will gain insights into how to build triage frameworks that account for complex dynamics and prevent systemic assumptions from creating barriers to care. By shifting the conversation from simple staffing logistics to a human rights and health equity framework, this session provides a roadmap for delivering high-quality, inclusive care in a tech-driven landscape.

Upon completion of this session, participants will be able to:

  • Recognize when “tech-ready” solutions fail to meet “patient-ready” developmental or linguistic needs.
  • Evaluate how assumptions regarding a patient’s support system or family dynamics can inadvertently lead to the exclusion of necessary communication services.
  • Analyze complex communication scenarios involving multiple parties (patients, caregivers, and providers) to determine the most effective staffing and modality configurations.
  • Define the key components of an acuity-based triage scale that balances organizational resources with clinical safety and patient rights.

Meet Your Instructors

Vonessa Costa, CORECHI-P™ headshot.
Vonessa Costa, CORECHI-P™

Vonessa Costa is Operations Manager for Interpretation and Translation at Children’s Hospital Colorado. Previously, she served as Sr. Director of Quality and Member Engagement for the Health Care Interpreter Network, a collaborative of health systems sharing interpreter resources. Prior to that, Vonessa was Director of Multicultural Affairs and Patient Services at Cambridge Health Alliance, recognized as Massachusetts’ top hospital for Health Equity by the Lown Institute (2021). Earlier, she led the Cross Cultural Communication Institute at CCCS, Inc., specializing in interpreter training and provider education in language access. A CoreCHI-P™ credentialed interpreter with Portuguese proficiency, and CCHI Commissioner since 2020, Vonessa has also held leadership roles in IMIA, ATIF, and FOCIS. She has co-authored articles on improving care for minority language patients in leading journals and received the 2019 Tony Windsor Award for advocacy in medical interpreting. Vonessa is a graduate of the America’s Essential Hospitals Fellows Program.

Malvina Gregory headshot.
Malvina Gregory

Malvina Gregory is the Director of Interpreter & Cross-Cultural Services at MaineHealth. She is an award-winning advocate for language access and immigrants’ rights, with more than two decades of experience in cross-cultural work and language access. She is a graduate of Bryn Mawr College and the Boston University Medical and Legal Interpretation programs. She was at the forefront of the establishment of standards and training for spoken language medical and legal interpreters in the state of Maine, including the development the Southern Maine Community College Medical Interpreting Program and the Maine State Courts’ interpreting program. In 2003 she won the Maine People’s Alliance Rising Tide community organizing award for her work around immigrants’ rights and healthcare reform. In September 2023 she received the 2023 Special Commendation Award from the State of Maine Commission for Deaf, Hard of Hearing and Late Deafened, an award given to an individual, agency or business whose activities in and with the Deaf Community deserves recognition.

Lighthouse Interpreting & Training is an Approved RID CMP Sponsor for Continuing Education Activities.

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Additional information

Access Type

DO NOT RECEIVE CEUs, RECEIVE CEUs